June 26, 2023
Tiny traumas with Dr Meg Arroll


Not all of us have experienced huge childhood trauma. We’ve not been neglected, or physically, emotionally, or sexually abused in our formative years, and even today, there may not be anything inherently wrong with our life. You likely have a roof over your heads, food in your belly, an incoming coming in; for which you feel like you should be grateful for... Yet there’s still a sense of not being entirely happy, feeling empty or anxious in some ways, and not feeling enough.If this is you, and even if it’s not, you are going to love today’s guest, Dr Meg Arroll. Meg is a Chartered psychologist in the UK, scientist and author of Tiny Traumas and in this episode they explore:
- what is the difference between 'big T' and 'little T' trauma?
- examples of what a 'Tiny T' trauma can look like
- the cumulative effects of 'Tiny T' trauma and how they impact health outcomes
- the Triple A model and how it can help us with emotional eating
If you loved this episode, go back into the back catalogue to listen to Cass chat with Sarah Woodhouse here.
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Transcript
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A listener production.
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This is Crappita Happy and I am your host, Cas Done.
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I'm a clinical and coaching psychologist and mindfulness meditation teacher
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and of course author of the Crappita Happy books. In
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this show, I bring you conversations with interesting, inspiring, intelligent
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people who are experts in their field and who have
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something of value to share that will help you feel
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less crappy and more happy. Not all of us have
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experienced huge childhood trauma. We've not been neglected or physically
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or emotionally or sexually abused in our formative years, and
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even today, there may not be anything inherently wrong with
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your life. You have a roof over your head, you've
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got an income, a functioning relationship, and we know we
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should be grateful for those things. Yet there's still a
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sense of not being entirely happy, maybe feeling empty and
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anxious in some ways. And if this is you, or
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even if it's not you, you are going to love
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Today's guest doctor Meg Arrol. Meg is a chartered psychologist
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here in the UK. She's a scientist and the author
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of Tiny Traumas and I am so excited to share
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this conversation with you. On the Crappy to Happy Podcast.
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Doctor Meg, thank you so much for joining me on
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the Crappy to Happy Podcast.
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Oh, thank you so much, Cas. I'm so excited to
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be here. And I just love the title of your podcast.
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It's amazing, it's pretty catchy. It's pretty catchy, covers it all.
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Everybody knows straight away we're all about So Meg, I
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was really interested to see that you have written a
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book called Tiny Trauma. So we've talked about trauma quite
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a bit on this show. It's something that I'm really
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interested in. It's something that touches us all, and I've
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been really focused on where I can trying to expand
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kind of people's definition, widen the scope of what we
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think trauma really is. And so I was really curious
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to see that you've written a book called Tiny Traumas.
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So can you please share with the audience how do
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you define tiny traumas?
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Yeah, so, I think we were just so much on
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the same page about that, about having maybe a more
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nuanced conversation about trauma and mental health overall. So I'll
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give you a little bit of a backstory and origin
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story as it were for the book. So years and
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years ago more years than I to remember, I was
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teaching a module called the Psychology of Physical Illness, and
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in each week we chose a specific condition and it
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was a third year elective, so the students had chosen
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to do this module. We had very, very, very engaged,
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engaged students and they were always really interested in these
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particular topics. So I spent a great deal of time
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researching for my lectures, and I came across a study
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on the topic of ibsitualvale syndrome and it really changed
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my perspective around the whole topic of trauma. So within
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this study, the researchers they looked at groups of people
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who had experienced big T trauma, so capital T trauma,
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those really significant events in some people's lives that we
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now have a major impact both psychologically and physically. And
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they're things like living through a war and natural disaster,
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perhaps losing your primary caregiver early in life, a violent attack,
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these things that most of us understand these days, that
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we know that these are traumatic events, and I think
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that that's wonderful because actually, you know, the general public
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and we didn't really understand that before and we do now.
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We do know how significant that can be from individual
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and groups. But the researchers looked at these big T
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traumas but also a group of people that had experienced
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little T trauma or lower case team we're thinking about
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the word trauma, and they compared them in terms of
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health outcomes. So they were specifically looking at tummy symptoms
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for this IBS population, but also psychological symptoms and quality
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of life, these sorts of things, and what blew my mind.
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So as a psychologist and researcher, you have kind of
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that sort of informal hypothesis in your mind, and my
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prediction was probably going to be like, both types of
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trauma will have an impact. But what really made me
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pause was that for this study, those people that experienced
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this little tea lowercase T trauma actually had worse outcomes
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than those people who had big TA acute traumas. And
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that really surprised me. It really surprised me, and so
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that was always in the back of my mind and
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I thought, that's notable, that's interesting, and actually no one's
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really talking about that. So later on in my career
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in my work, I began to see people my own
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practice who would come to me and they would actually say, look,
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I haven't been through anything that bad. I haven't been
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through a major trauma. I don't know why I'm feeling
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just not okay. And I started to recognize some patterns
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in terms of things that would come up within our work.
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They would often be this low grade, consistent, cumulative type
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trauma that would build up over time and really lead
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people to a range of presentations that I would see.
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So things like high function anxiety, low grade depression, or
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even just feeling numb all the time, emotional eating, imposta syndrome,
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problems with sleep, just a huge range of themes, but
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of which if you were to go to say your
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GP or primary care physician, you probably wouldn't meet the
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criteria for a psychological condition. You probably wouldn't meet the
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criteria for major depressive disorder or generalized anxiety disorder. But
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you're still really not thriving or flourishing in life at all.
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So there's this big gray area. Cass. It was like,
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this is a great area, and as professionals, we need
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to start to take note of what's going on in
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people's lives.
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I am so on the same page. I was having
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a conversation just a side note so I have been
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doing some corporate kind of well being work with a
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company over in Amsterdam. I've been doing some executive coaching.
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I have a background as a coaching psychologist as well
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as then being a clinical psychologist, and there's always this
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distinction between what coaching is and what therapy is. And
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coaching is taking these people who are well and functioning
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and thriving and kind of you know, helping them to
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achieve goals and to move into being the most flourishing
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kind of selves. And somebody said to me just this week,
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what we're looking for here is like coaching, not therapy,
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And I said, well, I have to be honest in
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my experience, especially as a private practicing psychologist, you know,
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not in a public mental health system where you're dealing
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with really serious mental health conditions. I oftentimes struggle to
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draw the distinction. Like a lot of people who are
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showing like what you're saying, you're struggling. People come to
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therapy they know something's wrong, but they're not meeting the
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criteria for significant mental health issues. And equally, the people
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that come for coaching are often in that same sort
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of spot, like it's that languishing isn't it. It's like
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that kind of just that just a little south of
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kind of moderate no mental health definitely.
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And I'm a chart of coaching psychologists as well, and
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there is trauma informs coaching too, So again we are
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broading in our scope many of these different subdisciplines in psychology,
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and there are so many overlaps, aren't there. It's it's
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important to make distinctions, but to realize that, you know,
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we really people are human beings in a complex, aren't
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they exactly? But in terms of thinking about mental health
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on a spectrum is so incredibly important. So if you think, okay,
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so if somebody may be languishing, that is a different
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end of the spectrum to florishing, but it's not quite
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bad enough, as they say, to to meet the diagnosis
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of depressive disorder. But then even there's something between florishing
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and languishing where people can just be coasting and so
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still able to meet all the requirements in their lives.
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They're you know, probably doing quite well at work, taking
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care of their families and loved ones, and maybe even
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engaging in some hobbies, but actually they feel like they're coasting,
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that they're not really living their own lives. And this
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is where tiny tea tiny traumas come in because in
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my work, if we can identify some of these things
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that happen in all of our lives that actually cause
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us just to be knocked off course a little bit
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and start connecting the dots, being able to have that
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awareness first of all, that these low grade traumas exist,
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they do affect us, and that we can find out
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really what our constellation of tiny tea traumas and often
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the life events mixed up in that and they interact
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together and they can really compound each other too. To
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have so many of us walking around on autopilot really
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or experiencing I see this high function anxiety so much
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on a day to day basis. People are feeling anxious
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all the time. But because you'll know, to meet the
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criteria of these sort of mental health conditions, one of
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the main criteria is that you're not able to achieve
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your activity of daily living. All of my clients do.
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They all do so, but it is effort. For it
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is like walking through molasses and not the nice sweet
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carrying the really sludgy, sticky kind. And that's just no
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way to live.
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No, So Meg what are the kinds of experiences you're
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referring to when you talk about these constellations, like all
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of these little tiny tea traumas, these kind of emotional injuries,
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Like can you share kind of examples of what those
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things are that we're talking about.
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Yes, absolutely, And again the difficulty sometimes that we have
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is that all these things are individual to us. So
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a point I really want to make in general about trauma.
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It is not the event per se, it's how it
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impacts us, how it impacts the individual. So something that
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has happened in your life may impact you very keenly,
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but actually it may not particularly affect another person at all.
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And that's the same for the spectrum of trauma as well.
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So to bear in mind that some things that really
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do not people of course in their life. It won't
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be the same for everybody, but these tiny tea traumas,
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there are some really interesting categories. So things like microaggressions,
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things like toxic positivity, things that really make us feel undermined.
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Often things that make us feel a little bit humiliated,
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because in an evolutionary sense, we want to be part
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of our groups, and if we have the fear that
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we're going to be ejected from our group. That is
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actually that triggers that stress response. So moral injury was
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one thing that came a lot in the pandemic, and
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not just for nurses and doctors, but for many of
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us who are sitting on the sidelines so basically couldn't
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help other people. That was incredibly hard for people. And again,
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it probably isn't just one of these experiences. It is
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when they build up over time and often when they're constant.
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So if someone is perhaps working in a workplace where
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there is quite a lot of microaggressions, where people have
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been undermined quite a lot, then we do know from
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some really amazing research that it does have a profound
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impact in terms of health outcomes. So I'll give you
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an example actually of something that really really stuck with me.
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So I had a client. She was very, very high functioning,
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she's very sort of inverted commas, successful in her work,
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and also amazingly kind and compassionate person, and she was
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on the verge of burnout. She was burning herself out. Again.
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She said, look, nothing really that bad happened to me.
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You know, I haven't been through an abusive experience. You know,
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I have a really good relationship. All my life is
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really good. It on paper. And so we kind of
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explored some things and one thing she said that came
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up when I asked my tiny tea question. So I
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posed this question to my clients. Can you tell me
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an event or experience that has occurred in your life
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that has affected you in some way affected your behavior
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or the way you view the world, of how you
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think about yourself. But you thought wasn't quite important enough
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to mention, and that's the important thing. And she came
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back and she said, well, you know, when I was
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a kid, if if I had a bad report card,
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my mom she would pin it up on the wall
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and they stayed there from my whole childhood for years.
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So every morning I would get up and I would
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see these f's or even d's. And but Meg, that's
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not trauma, Like that wasn't that bad. I wasn't in
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an you know, I wasn't in a really difficult sort
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of environment like living through a ward. It's not that bad.
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And we took a pause. We took a pause, and
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we reflected on that, and again, imagine, imagine how that
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would impact your sense of self worth if growing up
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what you saw every day was something that was telling
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you weren't good enough. So many people have these sorts
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of experiences. And it doesn't have to be based on
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childhood either. These things can happen later in life. They
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can happen all the way through life. And one point
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in my book that I want to make really clear
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is that because many people have said.
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Well, how do we avoid this?
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How do we avoid tiny traumas? And it's not so
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much about avoiding it, because you can't cast you can't
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