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In this episode of The Health and Wellness Coach Journal Podcast, Dr. Jessica Singh is joined by Dr. Nisha Bhopal, a board-certified physician in Psychiatry, Sleep Medicine, and Integrative Holistic Medicine. Dr. Bhopal shares her wealth of knowledge on sleep health for coaches and health care providers, as understanding the nuances of sleep health is vital for supporting clients and patients in enhancing health and well-being. Dr. Bhopal discusses five important insights that every coach and healthcare provider should know about sleep. She provides foundational knowledge and practical strategies to improve sleep health and address sleep disorders like sleep apnea, insomnia, and circadian rhythm misalignments. Dr. Bhopal explains the CSH framework—Circadian Rhythm, Sleep Drive, and Hyperarousal—to help listeners understand an evidence-informed approach to enhancing sleep health. In addition, listeners will learn about powerful techniques, such as the "bookend technique," which is designed to manage screen time and improve sleep hygiene. Dr. Bhopal emphasizes not only the importance of supporting clients and patients by enhancing their sleep health, but also ensuring that you, as a practitioner, prioritize your own rest to show up fully for those you serve. This episode is packed with actionable advice on how to incorporate sleep health into your coaching and/or health care practice, including information how coaches collaborating with healthcare providers can create better outcomes for clients and patients. For detailed show notes, including an exclusive opportunity to join Dr. Bhopal's Clinical Sleep Kit program, references and information to connect with Dr. Nishi Bhopal, visit: https://www.centerforhealthandwellnesscoaches.com/blog/5-key-insights-on-sleep-health-for-coaches-health-care-providers To be notified of new episodes, subscribe here: https://www.centerforhealthandwellnesscoaches.com/stay-connected Timestamps 0;00 - Introduction 1:36 - Dr. Bhopal's Journey Into Sleep Medicine 3:57 - Lack Of Sleep Education In Medical Education 5:28 - Sleep Disorders Are Risk Factors For Mental Health Disorders 7:04 - Key Insight #1: Insomnia Isn't Always Insomnia 11:02 - Circadian Rhythm Misalignment 14:21 - Key Insight #2: Sleep Issues Are Highly Treatable 16:08 - Sleep Apnea 19:39 - Optimizing Sleep Hygiene & Building Sleep Confidence 22:43 - Coach Collaboration With Health Care Providers 25:23 - Key Insight #3: Don't Forget About Lab Work 27:27 - Key Insight #4: CSH Framework 33:25 - Key Insight #5: Take Care Of Your Own Sleep 34:34- Takeaways
In this episode of Life Unleashed, Sarah Hodgson returns from her book-writing hiatus to explore the intricate connections between anxiety, aggression, and hyperarousal in dogs. Sarah breaks down the science behind these behaviors and offers practical insights to help dogs achieve balance. Discover how modern living impacts our dogs and learn tips for creating a more harmonious life together. Don't miss this informative episode—and grab a copy of Sarah's new book Dog Anxiety For Dummies!
Today Heather Creekmore continues the conversation with Dr. Tamara Rosier diving into the intricate relationship between the nervous system and body image issues. Here are three key takeaways you won't want to miss: Holistic Approach to Body Image: Culture often misguides us into believing that weight loss alone can resolve body image issues. Dr. Tamara Rosier and Heather Creekmore discuss that true resolution involves both physical and spiritual components, highlighting the complexity of understanding what is going on in your brain and your nervous system in certain scenarios. Understanding Nervous System Dynamics: Your nervous system plays a pivotal role in how you perceive and manage stressors related to body image. The episode emphasizes the importance of being aware of your nervous system to stay within your "window of tolerance"—a balanced state where you can effectively manage stress and interact socially without distress. Effective Coping Strategies: Both Dr. Rosier and Heather share personal stories of hyperarousal and hypoarousal, offering practical advice like box breathing and EMDR therapy. These techniques can help regulate the nervous system, providing tools to cope with anxiety, stress, and social situations more effectively. Dr. Tamara Rosier also introduces her new book, "You, Me, and Our ADHD Family," which offers valuable insights into family dynamics and emotional management, applicable to everyone, not just those with ADHD. (Amazon affiliate link) Listen to Heather's interview with Dr. Rosier on ADHD and Body Image Issues: https://omny.fm/shows/compared-to-who/could-your-body-image-issues-connect-to-adhd-featu Connect with Dr. Tamara Rosier: https://www.tamararosier.com/ or at https://www.miadhd.com Go check out our brand new Etsy show to get cute podcast merch: https://www.improvebodyimage.com/shop New to the show? Learn more about Heather Creekmore, Heather's books, and the ministry of Compared to Who? at: www.improvebodyimage.com Discover more Christian podcasts at lifeaudio.com and inquire about advertising opportunities at lifeaudio.com/contact-us.
Ever feel like your emotions are on a wild rollercoaster, swinging between overwhelming highs and numbing lows? If so, you're not alone. In this episode of The Addiction Mind Plus, hosts Eric and Duane Osterlind dive into a crucial concept for anyone in addiction recovery: the Window of Tolerance. The Window of Tolerance refers to the emotional sweet spot where you can handle life's challenges without being overwhelmed or shutting down. Outside of this window, you might feel intense anxiety or emotional numbness—both of which can drive addictive behaviors. But don't worry, understanding and managing this window can help you stay balanced. Join Eric and Duane as they explore: What the Window of Tolerance is and why it matters How to recognize when you're inside or outside of this window Practical strategies to expand your Window of Tolerance and maintain emotional balance If you've ever struggled with feeling too much or too little, this episode offers valuable insights and actionable tips to help you find your emotional equilibrium. Download: Window of Tolerance Worksheet Join Our Deep Dive, where we discuss this episode in depth. Register Here: https://theaddictedmind.com/deepdive Click Here to Join the TAM + Community Waitlist. Get the support you need. Key Topics Covered Defining the Window of Tolerance: What it is and how it affects emotional stability. Symptoms of Hyperarousal and Hypoarousal: Recognizing when you're too overwhelmed or emotionally shut down. Strategies for Managing Your Window of Tolerance: Mindfulness, grounding techniques, and emotional regulation. The Role of Trauma in Emotional Regulation: How past trauma can impact your Window of Tolerance. Follow and Review: We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts. Simply select “Ratings and Reviews” and “Write a Review” then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast. Supporting Resources: If you live in California, Idaho, or Florida and are looking for counseling or therapy, please check out Novus Mindful Life Counseling and Recovery Center NovusMindfulLife.com We want to hear from you. Please leave us a message or ask us a question: https://www.speakpipe.com/addictedmind Disclaimer Learn more about your ad choices. Visit megaphone.fm/adchoices
This week I'm talking all about hyperarousal and the Expectation Effect.Do you find yourself thinking things like: “I understand all of this logically, so why am I still not sleeping?” “I didn't go to bed until I was sleepy, but then I still didn't sleep. Why is that?” “I normally sleep well on the weekends, but this week I didn't. What's going on?”These are all perfectly normal thoughts that can lead to some hyperarousal.Hyperarousal stems from expecting something about a situation to be different from what it actually is.In this episode I first talk about acceptability thresholds:What they areWhy we create themThe two most important things you need to know about themNext, we look at how expectations create resistance to what is — keeping us stuck in the struggle with sleep.Lastly, we explore how to meet this challenge and why expectations might not be as essential as we think.Enjoy!Subscribe to The Mind. Body. Sleep.™ Podcast:Apple | Spotify | GoogleWork with Beth:
In an age where information is as vital as air and water, the manipulation of perceptions and beliefs has become an invisible yet pervasive force shaping societies. Psychological operations, or psyops, are the strategic use of information to influence the behavior, emotions, and decision-making processes of both individuals and groups. This book delves into the shadowy realm of psyops, exploring their roots, mechanisms, and the profound impact they wield on the global stage. The strategic use of psychological tactics in warfare predates recorded history, manifesting in myriad forms across different cultures and epochs. One of the earliest instances can be traced back to the Biblical story of Gideon, who used the fear of the unknown to defeat the Midianites with a mere 300 men, torches, and trumpets. Similarly, ancient Chinese military strategist Sun Tzu emphasized the importance of psychological warfare in "The Art of War," advocating for the use of deception, misinformation, and intimidation to weaken the enemy without engaging in physical combat. These historical anecdotes highlight the enduring recognition of the mind as a battlefield, where victory can be achieved by sowing confusion and fear among opponents. The deliberate induction and manipulation of trauma is one of the key aspects being used and this is playing a role in the reality that you and the world is creating right now. The first step is knowledge. Once we bring these techniques to light you will be free to create your own reality outside of the mind wars of destructive pendulums.
01:00 Gay for Gaza 03:00 Israel Is Doing A Great Job Minimizing Civilian Casualties In Gaza, https://www.wsj.com/articles/israel-must-can-and-will-win-hamas-defeat-rafah-war-gaza-22e9a19d?mod=hp_opin_pos_3#cxrecs_s 06:00 Israel-Hamas war: IDF eliminates 15 terrorists in 24 hours, amid Hamas aid attack, https://www.youtube.com/watch?v=HuvBbZt91AY 09:00 A WTF Moment in the Middle East (US Dock in GAZA?) || Peter Zeihan, https://www.youtube.com/watch?v=fagtI6MOCUo 20:00 Netanyahu must change Israel's strategy against Hamas | Scott Lucas, https://www.youtube.com/watch?v=28dh9e4QAWM 24:00 NYT: How Trump's Allies Are Winning the War Over Disinformation: Their claims of censorship have successfully stymied the effort to filter election lies online., https://www.nytimes.com/2024/03/17/us/politics/trump-disinformation-2024-social-media.html 33:00 Obese Aussies, https://www.youtube.com/watch?v=OtSMEWOOHbY 35:00 NRL's Vegas stunt dazzles media, https://www.youtube.com/watch?v=pi22sRYZsoA 43:30 Russell Brand And The Conspiracy Grift, https://www.youtube.com/watch?v=eo4gIihETu8 1:14:20 Most comics are horrible people - Modern Day Philosophers podcast, https://podcasts.apple.com/us/podcast/season-10-wrap-up-show-with-daniel-lobell-alex-fossella/id684158414?i=1000610898349 1:21:00 Omnibus: The Treble | BBC 1 1985, https://www.youtube.com/watch?v=dmLXePXNNkA&t=2061s 1:24:00 Why Stimulant Medication Helps ADHD -- and How Stigma Can Hurt, https://www.youtube.com/watch?v=38qpm6VKBFc 1:26:00 What if medication masks the underlying condition of natural death? 1:28:00 Emotional addiction and ADHD, https://podcasts.apple.com/gb/podcast/step-study-step-1-brendan-t-ireland/id1247514851?i=1000648791625 1:33:30 ADHD as a Performance Disorder, https://www.youtube.com/watch?v=58gU8tsxkkI 1:50:45 Adult ADHD What You Need to Know, https://www.youtube.com/watch?v=nDgOmFd5SlE 1:58:00 ADHD Medications - Part II - Stimulants, https://www.youtube.com/watch?v=j4kxqLw7WXc 2:00:00 My 2000 diagnosis of Narcissistic Personality Disorder, https://www.lukeford.net/luke_ford/bio/l17.htm 2:02:00 An ADHD Guide to Emotional Dysregulation and Rejection Sensitive Dysphoria (w/ William Dodson, M.D.), https://www.youtube.com/watch?v=klmxcj52PQQ 2:04:40 Driving a car is the most difficult skill most people master 2:06:50 Rejection sensitivity does not lend itself to research 2:09:00 Defining Features of ADHD That Everyone Overlooks: RSD, Hyperarousal, More (w/ Dr. William Dodson), https://www.youtube.com/watch?v=vycWIzURgZM 2:22:00 Deficient Emotional Self-Regulation: The Overlooked ADHD Symptom That Impacts Everything (Barkley), https://www.youtube.com/watch?v=Nh-IpsDPizI 2:25:00 Build Your ADHD Emotional Resilience: Help for Adults Who Feel Deeply (with Tamara Rosier, Ph.D.), https://www.youtube.com/watch?v=nWYtgBrO_ME 2:27:20 6 Principles for Raising a Child with ADHD (with Russell A. Barkley, Ph.D.), https://www.youtube.com/watch?v=52wQuMSUAkY 2:33:30 The Dark Philosophy of Cormac McCarthy, https://www.youtube.com/watch?v=XHfHx9x2jg4 Highlights, https://lukeford.net/blog/?p=143746 https://odysee.com/@LukeFordLive, https://lbry.tv/@LukeFord, https://rumble.com/lukeford https://dlive.tv/lukefordlivestreams Superchat: https://entropystream.live/app/lukefordlive Bitchute: https://www.bitchute.com/channel/lukeford/ Soundcloud MP3s: https://soundcloud.com/luke-ford-666431593 Code of Conduct: https://lukeford.net/blog/?p=125692 https://www.patreon.com/lukeford http://lukeford.net Email me: lukeisback@gmail.com or DM me on Twitter.com/lukeford Support the show | https://www.streamlabs.com/lukeford, https://patreon.com/lukeford, https://PayPal.Me/lukeisback Facebook: http://facebook.com/lukecford Feel free to clip my videos. It's nice when you link back to the original.
Host's Note [This episode has visuals and screen share]: If you prefer to watch this episode, check out the YouTube video here. Today I explain why Lifestyle Design is so important, especially for Trauma Survivors, in order to expand the Window of Tolerance and access a life of more ease, joy, and thriving. TOPICS: - Intentional Living- Where are you currently? (Stock)- Where are you wanting to go? (Inventory)- Pillars of lifestyle design- Why everything is so interconnected/linked- Why it's important for survivors- Awareness - it all starts here and how to know your desires- Trauma blocks & triggers- Window of Capacity/Tolerance - expansion and growth- Actively pursuing purpose- Why this has to be so customized/personalized- Self-regulation - tools and resourcesFOR MORE INFO:~WEBSITE: http://www.personalizedtraumahealingsystem.com~FREE WEBINARS -- https://fullcirclewellspring.as.me/PTHS-freewebinar~FREE CONNECTION CALL - https://fullcirclewellspring.as.me/discoverycall~EMAIL - sara@fullcirclewellspring.comReady to get STARTED on your own personalized healing program?? Purchase a package today, and let's get working together! Check out availability here. For more info about the host: http://www.saramiley.comFor more episodes: http://www.traumasurvivorhoodpodcast.comTags: #traumarecovery #traumarecoverycoach #traumahealing #healingfromtrauma #traumasurvivor #survivorhood #ifsinformed #ptsd #ifs #cptsd #lifestyledesign #selfcare #selffocus #regimen #personalized #healingispossible #freewebinar #masterclass #privatepackage #officiallaunch #joy #ease #abundance #maze #joyscale #education #curated #coachsultant #coach #consultant #windowoftolerance #windowofcapacity #regulationSupport the showTrauma Survivorhood is hosted by Sara Miley, CTRC-A, IFS - an IFS-informed certified trauma recovery coach with her own private practice called Full Circle Wellspring LLC. For one-to-one coaching, IFS guidance, classes, and more - visit: www.fullcirclewellspring.comTo learn more about coachsulting and the Personalized Trauma Healing System™: www.personalizedtraumahealingsystem.comLike and Follow for latest news and promotions: www.facebook.com/fullcirclewellspring For all past episodes, check out the Trauma Survivorhood's podcast home: www.traumasurvivorhoodpodcast.comFor all the episode videos, check out: www.youtube.com/@fullcirclewellspring © 2021-2023 Trauma Survivorhood with Sara Miley and Full Circle Wellspring LLC
Al Chaplin knew they had depression and anxiety. But they also knew there had to be something else. Today, they are learning how to live with ADHD and other coexisting conditions while also creating content for the mental health and LGBTQ+ communities. Listen as Al talks about ‘shiny object syndrome,' the importance of self-education, and how sharing your experiences can make a positive impact. Refocused, Together is a collection of 31 stories told throughout the 31 days of October, a part of our commitment to ADHD Awareness Month. Make sure to subscribe wherever you listen to podcasts so you don't miss a single story this month! Connect with Al on Tiktok and Instagram! READ: Childhood Trauma and ADHD: A Complete Overview & Clinical Guidance READ: Signs Your ADHD Is Linked to Childhood Trauma WATCH: Defining Features of ADHD That Everyone Overlooks: RSD, Hyperarousal, More with Dr. William Dodson READ: Dr. William Dodson on Emotional Regulation and Rejection Sensitive Dysphoria Follow Refocused on Social Media: Instagram: @lindsayguentzel @refocusedpod @adhdonline Twitter: @lindsayguentzel @refocusedpod @adhdonline Connect with the show: hello@refocusedpod.com
A solo episode where I discuss the Window of Tolerance and how it's linked to Emotional Eating Key areas I touch on: What is the Window of Tolerance? Emotional Dysregulation The link between Hyperarousal and Hypoarousal state and our Eating Behaviours Signs of Emotional Eating Tips to help widen our Window of Tolerance Get in touch: Claire: Instagram @coachedbyclaireofficial or Website www.coachedbyclaire.uk Email: enquiries@coachedbyclaire.uk
Taylor Wilmot, AMFT brings in to this dialog a lens developed as an active student in non-traditional learning environments cultivated since 2007. She offers a lens as emerging practice mental health counselor with an educational background that focused on developing skills to support multicultural approaches to counseling.It's normal to feel emotions like grief, anger, and confusion when our worldview is challenged by something new. In order to support ourselves and others through this process, we should allow space for feeling without judgment, try to recognize and validate our emotions, and seek towards expression and exploration.1. Josie and Taylor both went to an interdisciplinary college and are now working as therapists in different fields.2. They discuss the challenges and benefits of learning in an educational community that is intentionally non-hierarchical.3. They are exploring how different modes of learning can be used to benefit the inclusion, well-being, and empowerment of diverse humans.Josie and Taylor discuss the challenges of creating a safe space for emotional expression in an online learning environment. They note that it is important to be aware of the difference between emotions and information and that emotional reactions are not necessarily acts of violence. They also suggest that it is important to be prepared for the possibility that people may show up in a state of hyperarousal and that it is important to have grace for those who are in that state.The scapegoating dynamic can lead to a blind spot in terms of understanding the full problem and potential solutions. It can also create a sense of division within a group.It can be helpful to think about your own culture and how it might be different from the dominant culture when you are trying to learn about and be sensitive to other cultures. It is also important to be curious and humble when asking questions about other cultures.This conversation between Josie and Taylor is about the importance of approaching education with an openness to all different types of perspectives, and the role that educators can play in de-institutionalizing some of the harmful beliefs that are perpetuated in society. They discuss how everyone has a role to play in creating a more just and equitable world, and how we can all learn from each other by engaging in dialogue and critical inquiry.Supplementary Learning Referenced in Guest Interview (20EP)Supplementary Learning Referenced in Guest Interview (20EP)Information on Hyperarousal and Zone of Tolerance https://www.nicabm.com/trauma-how-to-help-your-clients-understand-their-window-of-tolerance/Information on Victim-Rescuer-Perpetrator Triangle https://www.heatherhayes.com/overcoming-the-drama-triangle/Information on Scapegoatinghttps://www.washingtonpost.com/wellness/2022/07/19/scapegoating-causes-reasons/Self-Reflection Excercise: https://docs.google.com/document/d/1ZIhR1t8qlkfEXn077fSJ8qSeeNGPgu3RxvfhSaqPIOo/copyEvolved Living Network Instragram @EvolvedLivingNetworkFree Occupational Science 101 Guidebookhttps://swiy.co/OS101GuidePodcastOS Empowered OT Facebook Grouphttps://www.facebook.com/groups/1569824073462362/Link to Full Podcast Disclaimer https://docs.google.com/document/d/13DI0RVawzWrsY-Gmj7qOLk5A6tH-V9150xETzAdd6MQ/edit
Be version 2.0 of yourself – Personal development and self-help tips
Heal your brain from porn in 30 days with my Free Porn Detox Course: https://romanmironov.com/free I know how bad you feel after watching p**n. It makes you feel weak, depressed, lonely, and worthless. Most people try to cure it by playing video games or watching TV but it just makes you more bored and leads to watching more porn. Wake up❗STOP the vicious cycle now. Take my Free Porn Detox Course to heal from porn and feel motivated for success now. ►►► GET THE COURSE NOW: https://romanmironov.com/free Excessive consumption of pornography can potentially interfere with healthy sleep patterns in several ways: Increased arousal: Pornography often triggers sexual arousal and can lead to heightened physiological and psychological arousal. This heightened state can make it difficult to relax and fall asleep, especially if the sexual content is particularly stimulating or explicit. Disrupted sleep schedule: Engaging in pornography use late at night or into the early hours of the morning can disrupt your regular sleep schedule. Staying up late to consume pornography can lead to insufficient sleep, causing daytime fatigue and decreased cognitive functioning. Hyperarousal and insomnia: The intense and stimulating nature of pornography can activate the brain's reward system, leading to increased alertness and difficulty winding down for sleep. This hyperarousal state can contribute to insomnia or difficulties in falling asleep and staying asleep throughout the night. Sleep quality and disturbances: Consuming pornography close to bedtime can negatively impact sleep quality. Sexual content can evoke emotional and psychological responses that may lead to vivid dreams, nightmares, or increased awakenings during the night, disrupting the overall quality of sleep. Addiction and compulsive behaviors: For individuals who struggle with pornography addiction or compulsive sexual behaviors, the preoccupation and cravings associated with these issues can interfere with sleep. The strong desire to consume pornography or engage in sexual activities can lead to late-night use, sacrificing sleep in the process. ---------------------------------------------- OTHER VIDEOS YOU MIGHT LIKE:
This episode is about feeling safe in our bodies by regulating the nervous system. Today's caller, Nicole, struggles to change her body weight and feels she lacks motivation and follow-through to do so. She asks for practical tips on how to shift it and create peace and love within herself. [For show notes, go here: Christinehassler.com/episode402] Nervous system regulation is bringing awareness to our state of being. Meaning, are we in a state of hyperarousal or hypoarousal? Both states can be a trauma response. Trauma, simply defined, is too much, too fast, too soon, or too little for too long. Hyperarousal means we are anxious, constantly bracing ourselves, staying busy and distracted to avoid pain, or we are nervous, vigilant, and possibly aggressive. Hypoarousal means we can be depressed, or we may lack motivation. We can even go into apathy or indifference. Whether it is hyper or hypo, it means we are functioning with an unregulated nervous system. It is hard for people in an unregulated state to be present. A regulated nervous system is when we feel safe inside our body. Yet, it doesn't mean we're in a meditative state and doesn't mean we are a Zen master. For those who grew up in an unsafe or chaotic house, your baseline is not going to be regulated. You can do all the emotional processing in the world to move the trauma and do inner child work but you have to practice a nervous system reset multiple times a day. Elementum Coaching Institute is beginning its 3rd year with a comprehensive 7-month program starting in September 2023. This program is for coaches of all skill levels. Apply to become a certified coach and get a 3-month business bonus at https://elementumcoachinginstitute.com. Consider/Ask Yourself: Do you feel busy all the time and there don't seem to be enough hours in a day? Have you been wanting to release weight but you just can't seem to let it go? Do you know the benefits of self-love and self-care but you can't seem to do them? Did you grow up in a chaotic household and you long for peace and calm in your life? Nicole's Question: She struggles with prioritizing herself, practicing self-love, and having self-worth issues. She wants to lose weight but doesn't understand why she cannot stay motivated to do so. Nicole's Key Insights and Ahas: She attended the Be the Queen program. Her father didn't value overweight people. Her mother was self-critical. She tries to eat healthily and has a gym membership. She loves being outside, dancing, and being with her dog. She is finishing her Master's degree. She finds little time to do the things she loves. Her nervous system baseline is hyper-aroused. She longed for peace and calm in her chaotic childhood home. She focuses on losing weight. She tells herself she will do the things she loves when she loses weight. She is a people-pleaser. How to Get Over It and On With It: Break the pattern of being in a hyper-aroused state. Recalibrate her nervous system with hourly breaks and resets. Check out Style Space and use the promo code Christine10. Create peace and calm in her home and body. Practice transitions and be conscious about her next move. Practice saying no to create space for herself. Takeaways: Find online content about nervous system regulation. Sponsor: StoryWorth — Looking for a meaningful Father's Day gift? Storyworth helps your loved ones feel special, unique, and connected by sharing and preserving their precious memories. For a limited time, get $10 off your first purchase at StoryWorth.com/overit. Resources: Christine Hassler — Take a Coaching Assessment Christine Hassler Podcasts Including Coaches Corner Christine on Facebook Expectation Hangover, by Christine Hassler @ChristinHassler on Twitter @ChristineHassler on Instagram @SacredUnionCouples on Instagram Assist@ChristineHassler.com Jill@ChristineHassler.com — For information on any of my services Get on the Waitlist to be coached on the show. Get on the list to be notified about the upcoming certification program for coaches.
Tamara Rosier, Ph.D., is the founder of the ADHD Center of West Michigan, where she and her staff work with individuals with ADHD (and their families) to learn strategies and develop new skills to live effectively with ADHD. Dr. Rosier is also the president of the ADHD Coaches Organization. She is the author of Your Brain's Not Broken. She is a popular conference and keynote speaker is a frequent guest on podcasts and has published numerous articles about living with ADHD. Things you need to know if you suspect you have ADHD. Key Topics: - The difference between convergent and divergent thinking - Erin's “pinball machine brain” and the trouble with focusing on too much all at once - Hyperarousal and fixation versus avoidance behaviors - Compulsive learning and ADHD - Self-criticism, perfectionism, and shame - How motivations come from emotions and what to do about it - The battery life and solve-it grid to manage energy - How neurotypicals can support those with ADHD Get Dr. Rosier's book, Your Brain's Not Broken, wherever you get books or at tamararosier.com or follow her on Instagram at @drtamararosier Sponsor: Get 50% off your first month at kiwico.com/spark and explore hands-on projects that build creative confidence and problem solving skills with Kiwico.
Tamara Rosier, Ph.D., is the founder of the ADHD Center of West Michigan, where she and her staff work with individuals with ADHD (and their families) to learn strategies and develop new skills to live effectively with ADHD. Dr. Rosier is also the president of the ADHD Coaches Organization. She is the author of Your Brain's Not Broken. She is a popular conference and keynote speaker is a frequent guest on podcasts and has published numerous articles about living with ADHD. Things you need to know if you suspect you have ADHD. Key Topics: - The difference between convergent and divergent thinking - Erin's “pinball machine brain” and the trouble with focusing on too much all at once - Hyperarousal and fixation versus avoidance behaviors - Compulsive learning and ADHD - Self-criticism, perfectionism, and shame - How motivations come from emotions and what to do about it - The battery life and solve-it grid to manage energy - How neurotypicals can support those with ADHD Get Dr. Rosier's book, Your Brain's Not Broken, wherever you get books or at tamararosier.com or follow her on Instagram at @drtamararosier Sponsor: Get 50% off your first month at kiwico.com/spark and explore hands-on projects that build creative confidence and problem solving skills with Kiwico.
[TW//Complex PTSD, Dissociation, Hyperarousal, Body Dysmorphia] Today I welcome singer/songwriter Rachel Mayfield who is a groundbreaking conceptual artist, known for her work in the genre of alternative arts. She began her early career as the principal songwriter and front person of rock band Delicious Monster who charted nationally with their brand of Indie Rock and hailed as ‘One of the most important women in music' by the high culture press and the NME. Rachel has battled and overcome many mental health disorders, including complex PTSD, dissociation hyperarousal and body dysmorphia. Rachel bravely bares her soul and spirit as she describes how she reversed her downward spiral and embraced self-worth and happiness. Together, we can break the stigma surrounding mental health and support each other through these challenging times. Let's inspire one another to prioritise our mental health and well-being. Topics - 00:00 Intro 2:42 Rachel's rock bottom 16:46 The road to recovery 22:24 The importance of connection, humility and hard work 26:19 How do you find the strength to look at past trauma? 28:44 Why are creatives more prone to poor mental health? 30:58 Why 'making it' doesnt matter 33:34 Keeping mentally healthy 35:40 Vunerability as a superpower 37:00 Advice for starting in the music industry all 40:25 The parallels between the acting and music industries 42:26 Don't give up! 45:20 What did your rock bottom teach you? If you've been affected by any of the issues discussed on today's episode Rachel recommends the following: www.adultchildrenofalcoholics.co.uk https://codauk.org/am-i-co-dependent/ https://www.candi.nhs.uk/services/drayton-park-womens-crisis-house-and-resource-centre This Podcast is not for profit but my goal is to break even. To help me make more please donate here. Thank you! https://bit.ly/3kSucAs Follow Rachel - Spotify - http://bit.ly/3oeqW41 Instagram - http://bit.ly/4193Lqm Facebook - http://bit.ly/3oh3uCX YouTube - http://bit.ly/3o7zdqh Follow Oliver Instagram - https://bit.ly/3IemHLY Twitter - http://bit.ly/3GQYj2l Facebook - http://bit.ly/3w8S1Gx LinkedIn - http://bit.ly/3kp4ymC TikTok - https://bit.ly/3YGLsYm Listen or watch on: YouTube - https://bit.ly/3KDZQe9 Spotify - http://bit.ly/3ogOMMA Apple - https://apple.co/41IrJt4 or search 'School of Rock Bottom' where you listen to your podcasts. About this podcast - Welcome to the School Of Rock Bottom Podcast with Oliver Mason. I work as an actor, voice-over artist, Performing Arts School Principal and a Mental Health Coach. It's these careers and passions combined that have inspired this podcast! People working in the entertainment and performing arts industry are twice as likely to experience depression, are up to 15x more likely to suffer from anxiety and those working across all the creative industries are 3x more likely to suffer a mental health problem. In this podcast, we invite creatives who have lived through a rock bottom but have survived! These stories need to be heard to help others realise that no matter how bad things seem there is hope and always a way out.
In recent years, the links between sleep and mental health have been slowly unravelled. We are beginning to understand that not only does mental health impact sleep, but also that poor sleep has important consequences on our psychology.This lecture explores this complex relationship, and highlights the importance of sleep as a major factor in our mental wellbeing. The lecture covers strategies to manage disturbed sleep, and touches on other disorders such as nightmares and night eating syndrome.A lecture by Guy Leschziner recorded on 13 March 2023 at Barnard's Inn Hall, London.The transcript and downloadable versions of the lecture are available from the Gresham College website: https://www.gresham.ac.uk/watch-now/sleep-healthGresham College has offered free public lectures for over 400 years, thanks to the generosity of our supporters. There are currently over 2,500 lectures free to access. We believe that everyone should have the opportunity to learn from some of the greatest minds. To support Gresham's mission, please consider making a donation: https://gresham.ac.uk/support/Website: https://gresham.ac.ukTwitter: https://twitter.com/greshamcollegeFacebook: https://facebook.com/greshamcollegeInstagram: https://instagram.com/greshamcollegeSupport the show
In this episode, our guest Maria Paviour is being interviewed by Dr Amanda Potter and Angela Malik. Maria is a multi-award-winning IT/App innovator, the founder of the NeuChem® coaching model, a best-selling author and a respected international speaker. Maria is passionate about taking wellbeing out of HR and into the Boardroom. She firmly believes that by putting wellbeing at the core of organisational culture and elevating every individual's brain performance, Executives can have the best of both worlds: a resilient, engaged workforce with maximised performance beyond best expectations. This interview looks at the impact of a brave face syndrome on resilience, burnout and performance, and the impact her four articulated cultures: Pheonix, Angel, Zombie and Vampire have on wellbeing, mental health and performance.The Chief Psychology Officer website is now available https://www.thecpo.co.uk/To contact Amanda via LinkedIn: linkedin.com/in/amandapotterzirconTo contact Amanda via email: TheCPO@zircon-mc.co.ukTo contact Maria via LinkedIn: https://www.linkedin.com/in/mariapaviour/TimestampsWellbeing· 00:00 – Introduction to Wellbeing· 01:02 – Please welcome; Maria Paviour· 01:49 – Let me tell you a little bit about myself…· 03:00 – Putting on a brave faceYou're arousing my curiosity…· 04:12 – How does this effect you?· 05:06 – It won't just go away· 06:35 – Hyperarousal· 07:35 – Hypoarousal· 09:02 – Support our NHS!· 09:33 – This sounds a bit like Burnout· 10:50 – It's not all sunshine and rainbows…· 11:44 – What are the signs?Cultural Monster Mash· 13:26 – Cultural differences· 14:17 – Modelling after myself· 14:51 – The phoenix rises…· 15:33 – Can I please have some help?· 16:20 – I want your blood wellbeing!· 18:34 – I think Colin Robinson would thrive in this environment· 19:29 – Brains! Need (functioning) Brains!· 20:32 – Brave face of the living dead· 21:38 – It's just biology· 23:07 – Daniel 6:22· 24:01 – Let there be light! Maybe put the dimmer switch on…What do the numbers say?· 25:25 – Cognitive Diversity revisited· 27:03 – Our research supports this· 28:06 – I prefer Venus, not Mars· 29:14 – Neuroscience!· 30:08 – How am I going to explain this to the board?· 31:13 – Productivity· 32:35 – Faith, Hope & Charity. And the greatest of these is…· 33:38 – How to measure wellbeing· 35:20 – Have you tried turning them off then on again?· 35:48 – Thoughts for the day?· 37:15 – The end.
In this episode I chat with therapist Brenna Brooks about the concept of a window of tolerance. The window of tolerance is when our nervous system is functioning well. We can handle stress and big emotions. Our pre frontal cortex is fully engaged so we can make good decisions, have good judgement and not be controlled by our stress or trauma. When we shift out of the window of tolerance we go to either hyper arousal or hypo arousal. Our nervous system is sensing threat so it goes into fight or flight mode to protect us. We have zero control when something is going to send us to hyper/hypo arousal, it is simply a survival mechanism of our amygdala in our brain that is trying to protect us. Often for people who have been through trauma their brain sees everything as a threat so their window of tolerance is small. Some characteristics of hyper arousal are: Anger, melt downs, running away, irritability, difficult sleeping, panic attacks, self destructive behaviors Characteristics of hypo arousal are: Numbing out, sleeping a lot, depression, flat feelings, feeling trapped, helplessness. When we can start to be aware of our own window of tolerance and notice when we shift out of it, we can notice our emotions, behaviors and feelings within our body. Our nervous system is how we shift out of our personal window of tolerance, but the good news is, it is also how to get back there! The good news is that through learning about and utilizing tools, going to therapy and being aware of our body and nervous system, we can expand the capacity of our window of tolerance. Grounding ourselves is an important skill to learn.Grounding is a self-soothing skill to use when you are having a bad day or dealing with a lot of stress, overwhelming feelings, and/or intense anxiety. It means going back to our body. Here are some tools to use to use when you are in hyper arousal: Wave or box breathing (listen to hear more about what that is) Imagining a safe calming place to go like the beach, a favorite spot in your home, nature etc and closing your eyes and putting yourself there Putting lotion on the top of your hand, noticing it there, rubbing it in novel and new ways. utilizing your 5 senses, notice what you smell, hear, see and touch Tools for hypo arousal: Novel, child like movement. Put on your favorite dancing song from childhood or teenage years and get up and dance. Stretching Yoga Using pressure points put your hands in ice cold water go for a walk The key is to create safety in our body, within ourselves so our nervous system knows we are safe. The body keeps the score of trauma and stress AND it is also the solution to healing. Resources to learn more: https://www.stephenporges.com The body keeps the score book Window of Tolerance graphic
What nervous system state do you find yourself in most often? Hyperarousal (fight/flight) or hypoarousal (freeze/fawn)? In this episode, I share signs and symptoms of nervous system dysregulation, signs you are in a hyperarousal vs. hypoarousal state, and specific resources you can use to support yourself in either stress state. Lastly, I explain why I believe looking at past adverse experiences and trauma is critical to balancing a dysregulated nervous system.Interview LinksPodcast Ep. 105: How Understanding the Nervous System Has Helped MePodcast Ep. 78: Guided EFT Tapping Meditation to Release OverwhelmArticle: What is EFT Tapping and the Benefits?Podcast Ep. 40: Emotional Freedom Technique w/Ben SchwarczArticle: What is EVOX?EVOX: Read EVOX TestimonialsSchedule: Book an In-Person or Remote EVOXConnect w/Me & Learn MoreWebsiteInstagramTiktokYoutube
When it comes to regulating your nervous system, there's a lot more to it than what social media might elude to. We cannot change the state of our body from the mind alone - no amount of affirmations, positive thinking or discussion will "sort things out". Truth be told, your nervous system directly influences your digestion, reproductive ability, relationships and EVERY aspect of your life. Karolyn Zinetti holds over 20 years experience in the health field, bringing together Breathwork, Naturopathy, Somatic & Trauma Informed Certifications, and much much more. Overcoming stress and anxiety through our nervous system and emotions allows us to heal FAR more deeply than talking about our problems - or medicating them. Plug your earbuds in to learn: - How to access your parasympathetic nervous system, and respond rather than react, coming back to harmony, calmness and aliveness - The real meaning of Rest & Receive - What the Window of Tolerance is and how to build your Window capacity - Hyperarousal vs. Hypoarousal, Micro vs. Macro Trauma and The Four Trauma Responses - DIY: A Vagus Nerve Exercise and Containment Exercise: to create introception, calm the body and increase your experience of safeness - Ways to give yourself more cellular energy at home right now - How your nervous system state is influencing and impacting your digestion +/- causing your digestion problems - How to create spaciousness in order to open your nervous system and capacity, creating space for joy and aliveness - The benefits of resting during your cycle and why your nervous system optimises reproductive function Affirm it with me: "The more I rest, the more I receive!" Karolyn is highly experienced, qualified and fully embodied in her practice. This is an episode not to miss! xx CONNECT WITH KAROLYN ZINETTI: Follow on Instagram @karolynzinetti Connect on Facebook Karolyn Zinetti CONNECT WITH SARAH McLACHLAN: Follow on Instagram @iam.sarahmc Private Message or Connect on Facebook via Sarah's personal page Join Sarah's Newsletter for Updates
SCP-1129: Hyperarousal ResponseRead: https://scpwiki.com/scp-1129Also available on youtube:https://scpaudioarchive.com/go/ytCopyright: CC-BY-SA 3.0Join the Discord! https://scpaudioarchive.com/go/discordEmail: scpfoundationaudioarchive@gmail.comBlog: https://scpaudioarchive.com/Support us: https://scpaudioarchive.com/supportSuggestions: https://scpaudioarchive.com/suggest/Live Events: https://scpaudioarchive.com/liveTwitter: https://twitter.com/scpaudioarchiveInstagram: https://instagram.com/scpaudioarchiveFacebook: https://facebook.com/scpaudioarchivepod/Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
How well are you carrying your load? If you are feeling like things are overflowing in the stress department, you will want to join me in this solo episode inspired by this quote of Lou Holtz..."It's Not The Load That Breaks You Down, It's The Way You Carry It"What do you think of when you read that quote? It certainly hits home for how my life has been feeling lately so today we are talking about a few things!First I dive into why I am in the middle of an IG break and what I have learned from doing it (hint...part of it has to do with how well I was NOT carrying my load).Then I dive deep into why your stress feels different all the time. You know how some days you are on top of the world and other days your fuse is so short it's dangerous for people to be around you? It is something you should know about called your window of tolerance!You can expect to learn:Stress vs StressorHypoarousal vs Hyperarousal nervous system responsesThe concept of allostasis, allostatic load and allostatic overload and why knowing this will make your life easier Letting go of shame when you feel dysregulatedThe window of tolerance and what affects it so you do or do not tolerate stressors from one day to the nextPractices to improve resilience (and what resilience means when it comes to stress)What is really keeping stressed outAnd you will get to hear about a brand new solo episode series diving into the types of thoughts that keep you stressed and stuck!So, so , so grateful to be back finally on a solo episode with you! Don't forget I love to hear what you think! Tag me in on IG @loren.runion or send me a DM and let me know. Love what you hear? Leave me a review on Apple!Connect with Loren on Instagram | Facebook | BlogTranscripts: Read the full transcriptRestore and Replenish Waitlist
[CW: discussions of hate crimes and intense violence] Join us for a heavier episode today as we discuss the 2005 award-winning movie, Brokeback Mountain. We are joined by the host of the Lifetime Uncorked podcast, Patrick Serrano. We focus on the two main characters, Ennis and Jack, and explore how homophobia, trauma, and their families of origin impacted their mental health and influenced their relationship with each other as well as with their spouses. As noted in the content warning, we dive into very intense subject matter; such as hate crimes both seen in the movie and in those that have occurred in real life. Please listen with discretion.
In this episode of the Dog Liaison Podcast I sit down with Agneta, guardian of recovering rover Flora, and we have a great conversation about their recovery journey. We talk about the highs, the lows, the fears, the techniques that worked, the priority shifts, and the aha moments along the way. We discuss an implicit result of the explicit RRP training, which is building trust and a strong connection with your dog. And, we envision the road ahead, because the learning never ends. Shout out to Sarah Keller @sitstaysquat for being awesome in canine fitness and massage. If you are training in rear-end/body awareness, check her out! Check out my website https://www.getacalmdog.com/ to learn moreSubscribe to my Dog Liaison Channel on Youtube And follow me on Instagram @dog_liaison
I said it before and I will say it again, “You need to be the expert on your dog!” It's not enough just to know the steps in a training technique. In order to really figure out how to best treat your dog, you have to dive deep and learn the “why” behind the “how.” In this episode of the Dog Liaison Podcast I sit down with Rebecca, dog guardian of recovering rover River, and we talk about her recovery, past, present, and future. We also discuss the importance of empowering your dog to make their own decisions, the difference between fear-based triggers and sensory overwhelm, and so much more. If your dog is struggling with hyperstimulation and chaotic stress overwhelm, then this one's for you! Check out my website https://www.getacalmdog.com/ to learn moreSubscribe to my Dog Liaison Channel on Youtube And follow me on Instagram @dog_liaison
Vanmorgen raakte ik met 1 van mijn traumacliënten in gesprek over de zogenaamde Window of Tolerance. Datgene wat je aankunt, zonder dat je daardoor uit balans wordt gebracht. Het gaf haar zoveel inzicht over zichzelf, dat ik heb besloten om hier meer over te delen in een podcast aflevering. The window of tolerance moet je je voorstellen als een balk en voor een ieder ziet die balk er weer anders uit. Bij de een is hij smal, bij de ander weer iets breder. En zo lang jij binnen jouw balk blijft, voel je je oké. Je hebt grip op je emoties en gevoelens, je kunt in verbinding blijven met de ander. Je voelt je binnen de Window of tolerance goed. Totdat er iets gebeurt wat maakt dat je uit je balk schiet en heel vaak ben je je hier niet eens bewust van. Je kunt in 2 richtingen uit je balk schieten: omhoog wat we Hyperarousal noemen en omlaag wat we Hypoarousal noemen. Of makkelijker gezegd: overgestimuleerd of ondergestimuleerd. Bij een Hyperarousal is je reactie meer naar buiten gericht, terwijl mensen bij een zogenaamde Hypoarousal juist meer in zichzelf keren en zich afsluiten. Je kunt beide ervaren. Dit zijn onbewuste processen, die al lang in gang zijn gezet voordat jij er een bewuste gedachte over had. In deze podcast ga ik je meer uitleggen over the Window of tolerance. The hypo- en Hyperarousal en ik deel een fijne oefening met je waarmee je aan de slag kunt gaan om deze onbewuste processen meer bewust te maken, om er uiteindelijk ook meer grip op te kunnen krijgen. Ik wens je veel luisterplezier! Wil je na het luisteren van deze podcast een vrijblijvende kennismaking plannen? Dan kun je dat doen via deze link
Rounding out our mini-series on different therapeutic interventions is EMDR, or Eye Movement Desensitization and Reprocessing. It's one of the more popular intervention methods due to the vast amount of evidence proving its effectiveness. It was originally designed by Dr. Francine Shapiro, who had a distressing memory come up one day while walking in the park and calmed herself down by rapidly moving her eyes between two lights in front of her. She studied this experience, coming up with the theory that bilateral stimulation of the left/right hemispheres in the brain helped process trauma into the mind's long term memory. After repeated success, she created EMDR so others could learn the method and implement it with their clients. In this episode, I will guide you through the reason behind EMDR's success in tackling trauma, what a session that uses EMDR would be like, and the resources/skills that EMDR develops in clients. Topics/Triggers: How trauma memory is timeless, highly emotional, and stored in the emotional side of the brain — the right hemisphere How EMDR processes trauma memory into the long term in order to help our brains store it in the grander narrative of our lives The symptoms of trauma, including Intrusive Memories, Hyperarousal, Anxiety Activation, Worry, Avoidance, Disassociation, Numbing, PTSD, and Depression Different therapeutic interventions, including Prolonged Exposure, DBT, Somatic Experiencing, and EMDR The exposure element of EMDR and why it differs from other intervention methods A step-by-step walkthrough of an EMDR session Why EMDR has a low rate of retraumatization post-session The window of tolerance EMDR Resources and Skills Attachment-based EMDR, as created by Laurel Parnell Using Archetypal Experiences, Places, or Figures to find peace Why we should use animals/people/fictional characters that are nurturing, protective, and wise as resources instead of our family members/partners My personal experience with EMDR ━━━━━━━━━━━━━━━━━━━ If you took anything away from today's podcast, please share it with someone who may need to hear it. And if you really want to support the podcast please give us a rate/review. If you or anyone you know is suffering through trauma contact the National Sexual Assault hotline at 1-800-656-4673 or online for 24/7 support. (This podcast is not a replacement for psychotherapy or mental health care. You can obtain a referral for mental health care provider from your primary care physician, or search on Psychology Today's Find a Therapist directory) Find more Initiated Survivor content here and on Instagram!
Welcome to the Women of Worth Podcast with Claire Fealy! In this today's episode, I want to discuss the power of your nervous system. I want to talk about how you can regulate it and tap into the power of self-regulation. Having coached over 60 clients, I realized we all struggle with the same things and that is why I decided to do today's episode on stress regulation and your nervous system. By the end of the episode, you will be able to understand the importance of the nervous system, be able to identify the signs and symptoms of dysregulation. I will also leave you with simple strategies you can start today to self-regulate. There are also a few questions I will be answering from my followers at the end of the podcast. But, this isn't just my podcast. I would never be where I am today without you! So, settle in, grab a nice cup of tea, and welcome to another episode of OUR podcast.Master Your Mindset [1:55]Not everyone can commit to weekly group coaching but you can do self-paced with workbooks [2:50]The best book you will ever read is the one you wrote yourself about yourself [3:05]There is a group set up with self-paced as a community, if you are interested there is a link in my bio and podcast [3:50]Nervous System [6:50]We do not choose anxiety or to live in fear [6:50]Self-regulation helps you from going down into the downwards spiral [8:00]What I did to self regulate after a bad night of anxiety and nightmares [8:30]When we don't have the tools for self-regulation, we self soothe (outside resources, to numb or distract) [9:55]The automatic nervous system is the unconscious control system of all of our bodily functions, systems, and organs [11:25]The inner nervous system has two branches: Sympathetic & Parasympathetic [12:00]The 21st-century living sets our nervous system to be sympathetic dominant [15:35]Mental diet [16:30]Long term stress [17:50]Societal Values [18:50]Compare and Despair [19:20]Having a history of trauma, stress, heavy emotions [21:25]Where we want to spend our time is on our window of tolerance [24:30]We still feel stress we are just not overwhelmed by it [25:02]Disclaimer [27:40] Hyperarousal & Hypoarousal [28:30]Everything works better when you are in balance [34:20] 6 Lifestyle Changes for Homeostasis [35:00]Meditation: We do have control over our breathing which connects to our nervous system. Create a daily breathing practice. [35:20]Guilt-free rest into your schedule: Get out of your to-do list because nothing is ever fully done. Schedule 2 hours a day of guilt-free rest. [36:30]Good Sleep: Your sleep is so important to regulate your moods and your life rhythm. Create a sleep time routine. [38:25]Movement: Movement keeps your energy inflow. Daily movement does not equal high-stress workouts. [39:40]Diet: Your diet can put your hormones out of balance and I struggled with sugar crashes. Focus on foods that nourish your nervous system.[41:30]EFT: Emotional Freedom Tapping. You can't always think your way out of stress. Your issues are in your tissues and EFT releases the body from the stress [43:40]BONUS: Check your Beliefs: Are you living by societal happiness standards or your own. [45:30]Questions: [48:00]
Hypervigilance and hyperarousal are very common in trauma survivors. Here's why it's a problem and what you can do to start healing from the inside out. ****Host's Note – if you prefer to watch a video with this audio, check out the YouTube video. If you prefer to read along with or instead of this episode, click on the website below and select any of the blog tabs for the corresponding Mindful Monday, Wellspring Wednesday, or Full Circle Friday episode scripts/blog posts. Full Circle Wellspring LLC is trauma recovery coaching with your host, Sara. For support groups, free monthly support circles, classes, one-to-one coaching, resources and more, visit https://www.fullcirclewellspring.com. For the most up-to-date info and offers, follow and like: https://www.facebook.com/fullcirclewellspring. For episode videos and more, check out: https://www.youtube.com/channel/UClJBfSIbH8s7OZ_J7oGDxfwFor visual readers, follow along the episode on the blog: https://fullcirclewellspring.medium.com/ © 2022 Trauma Survivorhood with Sara and Full Circle Wellspring LLC****Support the show (https://www.paypal.com/donate/?hosted_button_id=CSBMB787T897C)
In this week's episode, host Laura Reagan, LCSW-C, a trauma therapist, consultant and coach, explains the Window of Tolerance. In this episode you will hear Laura talk about: What is the Window of Tolerance? Hyperarousal definition and examples Hyperarousal definition and examples Resources for this Episode: Window of Tolerance Graphic from NICABM Dr. Daniel Siegel's Mindsight website Additional Links: Leave a message with a question to be included in a future episode: https://www.speakpipe.com/traumachatpod Follow Trauma Chat on Instagram: www.instagram.com/traumachatpod Follow Trauma Therapy Coaching & Consulting on Facebook: www.facebook.com/traumatherapyconsulting Get more information on Trauma Chat at: www.traumachatpod.com. Sign up for the email list to stay in touch and receive a free gift! New website coming soon: www.traumatherapistnetwork.com - a community for finding information, resources and help for trauma. Sign up for the email list to be notified when the website goes live and receive a free gift! To listen to Laura's other podcast, Therapy Chat, go to: www.therapychatpodcast.com If you like Trauma Chat please go to iTunes and leave a rating and review and subscribe to receive each episode as soon as it comes out. Podcast Produced by Pete Bailey - https://petebailey.net/audio
mit Lena Reddemann spreche ich über | die drei Symptombereiche der PTBS (Wiedererleben, Vermeidung, Hyperarousal) | das verhaltenstherapeutische Störungsmodell und die Entstehung des Traumagedächtnisses | Differentialdiagnosen, Komorbiditäten | komplexe PTBS | Geschlechtsunterschiede | https://www.psychotherapie-koeln-zentrum.de/lena-reddemann/
Intro: Welcome to the podcast Interior Integration for Catholics -- the podcast formerly known as Coronavirus Crisis: Carpe Diem! Interior Integration for Catholics brings to you each week the best psychological information essential for your human formation, knowledge that is so fundamental in shoring up the natural foundation for your Catholic spiritual life. In this podcast, we ask and answer the tough questions about the real problems we Catholics have in our day-to-day lives, our struggles in the natural realm, the psychological difficulties that keep us from fully loving our Lord and our Lady in a deep, personal, intimate way. In order to free you to love God the Father, Jesus, the Holy Spirit and Our Mother Mary, I help to you focus inward on your interior integration -- to help you bring together the different parts of yourself into unity and harmony with God's truth, goodness and beauty Together, we are looking for a deep transformation in our mindsets, our heartsets and our bodysets, a radical transformation at the core of our being so that our souls unite with God and we can rise to the challenges and opportunities He provides us. I'm clinical psychologist Peter Malinoski and I am here with you, to be your host and guide. This podcast is part of Souls and Hearts, our online outreach at soulsandhearts.com, which is all about shoring up our natural foundation for the Catholic spiritual life, all about overcoming psychological obstacles to being loved and to loving God and neighbor This is episode 51, released on January 18, 2021 This is the third episode in our series on sexuality. and it is titled: Top 10 Reasons Why Catholic Men Masturbate. And maybe some of you think you know why Catholic Men masturbate. But maybe, just maybe some of you are not satisfied with the simple, surface answers. Maybe some of you suspect that there are psychological reasons may be a lot deeper than the common explanations would suggest. I'm here to say that I think there is so much more going on with masturbation than what may be available in conscious awareness. I've been a psychologist since 2001 and in the last 20 years, I've had the opportunity to explore the reasons for masturbation in the lives of many, many Catholic men. Top ten reasons that Catholic men give for why they masturbate -- but wait, there's more Top ten deeper reasons why they really masturbate So if you are interested in getting a much more complete answers, answers that plumb the depths of our psyches stay tuned. Why not women? Fair question. I've seen far more Catholic men actively struggling with this than Catholic women -- and I'm going off my clinical experience. Masturbation is a great concern for some women. I just know less about it in the lives of women. Many of the points are likely to be equally valid for women as for men. Valuable for women to understand why Catholic men masturbate. Parents, be mindful of how much of this you may want your young children to hear. Definitions Important to define our terms and be clear about the concepts Confucius: The beginning of wisdom is to call things by their proper names APA Dictionary of Psychology: n. manipulation of one's own genital organs, typically the penis or clitoris, for purposes of sexual gratification. The act is usually accompanied by sexual fantasies or erotic literature, pictures, or videos. Masturbation may also include the use of mechanical devices (e.g., a vibrator) or self-stimulation of other organs, such as the anus or nipples. Objections: overdone sense of propriety -- Victorian age -- women not able to be examined Coded language, often poorly understood Often driven by a sense of shame -- a desire to hide. Victorian Age characterized by a lot of sexual acting out. Lots of it. "Self-abuse" Fear of talking about masturbation will increase the likelihood of masturbating. Depends on the context. In a clinical context, no. Rebuttal -- if we can put our experiences into language and share them verbally Much better able to engage our intellect Fr. John Hardon -- his 1981 book "The Catholic Catechism": in addressing masturbation P. 355: More than ever, the Church is becoming aware of the need for probing beneath the surface of not only what a person is doing by why he is doing it. Impulses and tendencies that well up from the subconscious (or unconscious) are seen as contributing to overt actions that reflect the behavioral pattern of the environment, even while they contradict the deepest values in which a person believes. Experiences no longer pre-verbal -- chaos of emotions, body sensations, images, sensory experiences, desires, impulses -- we need to be able to name them, or they remain shadowy, dark, ominous And our will -- we are less likely to act out on them less likely to sin Contradicts a commonly held notion - that if we ignore, suppress, repress, avoid a problem it will go away Sin thrives in the darkness Secular Psychology Views on Masturbation Joe Kort, Ph.D. 2020 Article in Psychology Today: Masturbation is Sexual Health. And yet here we are in 2020 and talking about masturbation is still taboo in most of society. And that's a shame, literally and figuratively, because masturbation is still widely considered shameful, and because for most people it's a healthy and normal activity. There is actually a term these days for those who prefer masturbation over other forms of sex: solosexual. World has radically different views from the Catholic Church on sexuality. Mine is a minority opinion -- you can write me off as fringey if you want. Catholic teaching on Masturbation CCC 2351 Lust is disordered desire for or inordinate enjoyment of sexual pleasure. Sexual pleasure is morally disordered when sought for itself, isolated from its procreative and unitive purposes. 2352 By masturbation is to be understood the deliberate stimulation of the genital organs in order to derive sexual pleasure. "Both the Magisterium of the Church, in the course of a constant tradition, and the moral sense of the faithful have been in no doubt and have firmly maintained that masturbation is an intrinsically and gravely disordered action.""The deliberate use of the sexual faculty, for whatever reason, outside of marriage is essentially contrary to its purpose." For here sexual pleasure is sought outside of "the sexual relationship which is demanded by the moral order and in which the total meaning of mutual self-giving and human procreation in the context of true love is achieved."139 Is Masturbation a Mortal Sin? CCC 1857 For a sin to be mortal, three conditions must together be met: "Mortal sin is sin whose object is grave matter and which is also committed with full knowledge and deliberate consent."131 Grave matter -- Grave matter, full knowledge and deliberate consent 2352 Referring to masturbation CCC 2352 goes on…To form an equitable judgment about the subjects' moral responsibility and to guide pastoral action, one must take into account the affective immaturity, force of acquired habit, conditions of anxiety or other psychological or social factors that lessen, if not even reduce to a minimum, moral culpability. Spiritual directors and confessors Force of acquired habit, affective immaturity or other mitigating factors -- in some ways a much more significant structural problem -- lack of integration. It can be really hard to have the humility in accepting Church teaching on this one. Why is it a problem on a natural level Freud -- wrote of the "disease of masturbation" -- and even though he asserted that children were sexual beings, he documented his concerns about the effects of masturbation on adolescent sexual development. CS Lewis, 1956 letter to a close friend "For me the real evil of masturbation would be that it takes an appetite which, in lawful use, leads the individual out of himself to complete his own personality in that of another and turns it back; sends the man back into the prison of himself, there to keep a harem of brides. And this harem, once admitted, works against his ever getting out and really uniting with a real woman. For the harem is: always accessible, always subservient, calls for no sacrifices or adjustments, and can be endowed with erotic and psychological attractions which no real woman can rival. Among those shadowy brides he is: always adored, always the perfect love, no demand is made of his unselfishness, no mortification ever imposed on his vanity. In the end, they become merely the medium through which he increasingly adores himself." (Lewis 1956, p. 168) – Letter to a close friend Dead end -- not really a solution -- closed to procreation and closed to loving the spouse. Huge insult to the spouse. Shaming effect. Wife: I'm not good enough -- very activating, Most reasons given below, the spouse is not the cause. Still, great shame attaches. I'm not good enough. Self-absorption -- CS Lewis quote above. Contrast it with Woody Allen: ‘Don't knock masturbation,' Woody Allen famously quipped: ‘It's sex with someone I love.' How big of an issue is it? Stats Actions 1992 National Health and Social Life Survey 61% of Men masturbate 2010 Article in Journal of Sexual Medicine -- In last month 69% of 25-29 y.o. men, nearly 2/3 of men 18-49 > 80% of men 18-49 in last year TENGA 2018 Global Self-Pleasure Report -- 92% of American Men masturbate. Souls and Hearts informal surveys of Priests -- porn and masturbation. Sexual issues Understanding Why men Masturbate Start with compassionate attempts to understand. Know what we are dealing with. Shaming parts beating up the man Very sensitive to any additional shame. Reasons men give for why they masturbate - FOTW in my office, in my Catholic practice over the last 20 years. Lust, I just want pleasure I'm weak, I lack willpower. To de-stress, calm down, unwind, relax, To fall asleep -- burned out It's a habit, I do it out of habit Anger Boredom Wife/girlfriend is frigid, cold, sexually distant, withholding -man's gotta do what a man's gotta do. Preventing acting out with girlfriend Because I'm bad. The devil made me do it -- temptation Another common response. I don't know why -- I don't want to. Often scared, really uncomfortable with a feeling of loss of control Romans 7:15: I do not understand my own actions. For I do not do what I want, but I do the very thing I hate. Issues with these explanations Looking at the surface behaviors and only the immediate context of the masturbation Lack of awareness, lack of access to much of their internal psychological and emotional lives Not recognizing deeper needs, deep intentions. Masturbation as a symptom -- later in the causal chain. Also a problem in and of itself -- Fever of 107. Review of Parts -- IFS perspective Multiplicity and Unity of Self Really helpful for understanding why Catholic men do what they don't want to do. Discussion of Parts within each person are separate, identifiable and enduring constellations of thoughts, emotions, attitudes, impulses, desires, abilities, interests, relational styles, body sensations, and worldviews that are not just transient emotional states, but rather constitute discrete “parts,” subpersonalities or distinct modes of operating within the person's larger internal system. Like little persons within us, each with its own particular range of emotion, style of expression, abilities, desires views of the world. Modes of operating Subpersonalities Orchestra model Focus is on integration. Get forced into extreme roles -- attachment injuries and relational traumas Three roles Exiles -- most sensitive -- become injured or outraged by important other in the family or social world. Threatens the system, external relationships Exploited, rejected, abandoned in external relationships Want care and love, rescue, redemption shame. Need for redemption Managers Protective, strategic, controlling environment, keep things safe Obsessions. Compulsions, reclusiveness, passivity, numbing. Panic attacks, somatic complaints, depressive episodes, hypervigiliance. Firefighters Stifle, anesthetize, distract from feelings of exiles No concern for consequences Binge eating, drug/alcohol use, dissociation, sexual risk taking, cutting Parts can take over the person Like in Pixar Movie Inside Out -- anger taking over the control panel of the main character Riley We call it blending. Intentions of parts -- always good, but the means they choose can be very harmful, maladaptive. Look at sexual fantasies and the pornography that often goes with it Will have Dr. Gerry Crete on in Episode 53, in two weeks to discuss pornography Can be separated Conscious sexual fantasies -- often very difficult to talk about because of shame Unconscious sexual fantasies -- repressed with the part, but still active, still having an effect Looking at sexual history. Deeper reasons -- focusing on psychological here -- not the spiritual. Vice exists, sinfulness exists, lust exists. We are looking at the natural foundation. Loneliness: Yearning for intimate connection but with control -- CS Lewis quote Insecurity or a sense of a lack of safety -- fears of abandonment Difficulty with real relationships -- current or possible Self-soothing. Cry for help -- from parts exiled in the unconscious -- using a symptom that they know will attract attention. Single symptom presentation (see next episode) Anger at God -- retaliation. Regulating distance from God -- getting too close Fear of fusion Cycle -- self sabotage Fearing the next spiritual level -- the perceived demands. God image stuff. Perfect sin -- doesn't hurt anybody else Not true Anger at wife Revenge -- unconscious anger -- not meeting my needs for a mother or a God. Acting out Begging for help from the wife -- maladaptive way Controlling sex life -- if you don't have sex with me, I'll do this. May not be conscious Effects of sexual abuse Connection with abuser -- hanging on to relational connection Deep, existential lack of Safety -- self soothing. Testing reality, grounding I feel so dead inside. Primitive level Feeling something, anything Serves the same cutting -- bleeding proves that I am alive, even though I feel no life within me. Numbness. Hypoarousal. Temptation -- devils go after the most isolated, most lonely parts, carrying burdens. Follow the stories of: Richard: 48 years old, Grew up nominally Catholic, but in a troubled, broken home, parents divorced when he was 15, lots of conflict in the home growing up, parents dissatisfied, because his mother had an affair and it shattered his father when it was revealed. Masturbated since his teenage years, high school locker room, Playboy magazines going around in 1987 right around the time that he parents were battling each other in high conflict and he had to try to care for his younger siblings. Really wanted to be included, be one of the guys on the basketball team. The other players really reveled in Richard joining them In viewing porn and in their conversations about their sexual exploits, as Richard had been considered a stuck up snob. Tried to stop masturbating at various times in his life, furtive sensed it was wrong, knew enough about Church teaching. Fantasies of different women, women who were in their mid 30s. Brunette women with dark eyes, women with curves, a little heavier than the typical playboy centerfolds. Wanted to read the stories about their lives, what they needed, and fantasize about how he could meet their needs and then they would be devoted to him and highly committed. Dated a lot of girls, most of them brunettes with dark eyes, lots of sexual relationships Then married Linda, a very pretty woman with a lot of dependency issues who was crazy about him. Sex before marriage was really sensual. After marriage, not so much. Richard felt burdened by his wife's dependency and passive resentment. Married 22 years, four kids, regular Mass-goer, wanted to raise his kids right. Continued with porn and masturbation, always when he was alone with deep, often unacknowledged feelings of shame and inadequacy and fears of being abandoned again. Deeper causes Fears of abandonment, insecurity rising up again -- unresolved from mom's erratic behavior Exiled part -- needing a mom, lonely, needy -- rises up In the past, gotten him into bad relationships -- terrible endings. Must avoid that Firefighter leaps in with porn -- keeps him from looking for an affair, attempt to distract from the loneliness, neediness, pain, weakness. Hyperarousal, attempt to flee from the intensity of the exiled part's experience Manager -- internal critic condemns himself. Did it again. Loneliness Anger at wife Luis Seminarian Deep devotion to God Parents married, Dad distant, mom thinks he's a little autistic, not emotionally attuned Very close enmeshed relationship with Mom Part of the reason for going to seminary -- no other men, can be mom's one and only Experiences close relationships as fusion -- blending together. Wrap up Now that we have identified the issues around masturbation and its causes much more accurately and in greater detail, in the next episode, we'll get into how to overcome masturbation Follow the stories of Richard and Luis -- what happens with them. Welcoming the Interior Therapist Community to Souls and Hearts -- this community of 32 therapists working with me on their human formation and learning IFS principles. This had been in my private practice, Secure Foundations, but Dr. Gerry and I agreed that it would be great to bring it under the umbrella of Souls and Hearts. That community is currently closed to new therapists, but we will be reopening in just a few weeks -- all kinds of opportunities there, if you are a therapist, and we do a bonus podcast for them on clinical assessment around masturbation, how to approach understanding masturbation in your clients. If you're a Catholic clinician who is interested, get in touch with me on my cell at 317.567.9594 or my email at crisis@soulsandhearts.com February 19, 2021 -- 10 AM to 1:15 PM Eastern time. I have been invited to do a webinar for the Catholic Psychotherapy Association entitled "Why Do I Avoid God? An Internal Family Systems-Informed Approach to Parts' Negative God Images" Here we get into how different parts see God. Lots of experiential work. For information and registration go to catholicpsychotherapy.org/events We have the Resilient Catholic community. That community is about transformation, about preparing the way for love in our souls. It's about being together as Catholics on a journey, on a mission to really enter into an intimate personal relationship with Jesus Christ our brother, the Holy Spirit who is Love Himself and with our spiritual parents, God the Father and Mary our Mother. It's about sharing our experiences in that journey on that mission. Get on the waiting list soulsandhearts.com/rccd so you will get information before the general public does. Those on the waiting list -- thank you for your patience, hoping to reopen the community in April. Will do a bonus podcast -- community members -- experiential exercise, a Parts Roundtable about Masturbation -- Those bonus podcasts come out on Tuesday, one day later, so this one will release on January 19. Office hours for the RC community on Wednesday, January 27 from 9:15 to 10:15 AM Eastern time. Register on our app. Can start by sharing these podcast -- spotify, apple podcasts, google play, amazon. Share it on social media -- buttons are on our website at soulsandhearts.com/coronavirus-crisis -- get your word out there, with your personal recommendation -- how these episodes have helped you. Share them, let others know You can reach out to me at 317.567.9594 or at crisis@soulsandhearts.com Patronness and Patron.
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1. Intro: Welcome to the podcast Coronavirus Crisis: Carpe Diem!, where by God's grace, you and I rise up and embrace the possibilities and opportunities for spiritual and psychological growth in this time of crisis, all grounded in a Catholic worldview. We are going beyond mere resilience, to rising up to the challenges of this pandemic and becoming even healthier in the natural and the spiritual realms than we were before. I'm clinical psychologist Peter Malinoski and I am here with you, to be your host and guide. This podcast is part of Souls and Hearts, our online outreach at soulsandhearts.com, which is all about shoring up our natural foundation for the spiritual life, all about overcoming psychological obstacles to being loved and to loving. a. Thank you for being here with me. This is episode 37, released on October 12, 2020 b. and it is titled: The Silent Killer Who Stalks You From Inside. 2. I want to talk with you about the silent killer, the worst adversary I face clinically, the greatest rival, the greatest opponent to love and life that I have ever met within another person or within myself. 3. This one is a very stealthy, effective, ruthless killer -- often hidden beneath the surface of our consciousness, in the murky waters deep below where we can see. But then at times it surfaces, Powerful, moving. And maybe you think I'm being dramatic -- but I'm not. I've seen it kill other and I've been seriously wounded by it myself. a. Killer on the natural level and also on the spiritual level. This assassin slays not only hearts, minds and bodies but also souls. A very comprehensive murderer, very complete, this hitman does his work often slowly but very thoroughly. b. Who is this killer? High blood pressure? No. Stroke? No. Heart disease? No. Diabetes? No. Cancer? No. These can and do kill bodies, but as serious as they are, they are nowhere near as deadly to most people as our silent killer. c. Who is this killer? The devil you say? Satan? No. Not Satan. Satan cherishes this killer, and prizes the stealthy sneaking, clandestine work.d. No, it's not Satan because this killer lives within us in a way that demons ordinarily do not. This killer has a pass to roam within us, to move in our being. Satan doesn't, unless we are possessed. Besides, Satan does not have permission to slay us, or to harm us unless God permits it, at least with His passive will, and only then for our greater good. e. This killer seems meek and modest, but when it whispers its messages in our ear, it evokes in us fear, anxiety, depression, and efforts to do more and more, and it can also provoke us to anger, aggression, and violence. Unchecked, this killer can bring us all the way to helpless, despair and suicide. f. Some of us try to numb ourselves to distract ourselves from this killer by using alcohol, drugs, food, binging on Netflix, hours of social media, masturbation, porn, shopping, compulsive exercise, gambling, surfing the web, video games, sleeping the day away, dissociating and even cutting and burning our bodies, all in an attempt to escape.g. Who is this killer? It is absolutely vital for us to know -- is it guilt -- no. Depression -- no, Anxiety, Fear, Anger -- no, no, no. Is it pride? No, not pride. But this killer has a close and intimate relationship with pride. The killer feeds pride and is nourished by pride. Who is it? Take a moment and really think about it. We need to know this killer, this adversary. And we will. Today we will be getting to know this silent killer. But not yet. We've got to look beyond the killer for a moment. 4. There is one thing that disarms this killer. One thing. And that one thing is Love. Real authentic Love. Charity. Love rescues us from this killer. It transforms us, makes us immune to the silent killer who no longer has power over us. So let's talk about love. 5. Shifting gears. Two great commandments -- a. Matthew 22:35-40 And one of them, a lawyer, asked him a question, to test him. “Teacher, which is the great commandment in the law?” And Jesus said to him, “You shall love the Lord your God with all your heart, and with all your soul, and with all your mind. 38 This is the great and first commandment. 39 And a second is like it, You shall love your neighbor as yourself. 40 On these two commandments depend all the law and the prophets.”b. Main task is to love God and love our neighbor. With all of ourselves. All your heart, all your mind, all your soul. All of us. c. And we need to love our neighbor as ourself. Think about that. Love our neighbor as ourselves. i. Jesus doesn't say we need to love our neighbor more than ourselves -- it could be implied, but I wonder about whether that's possible. d. So that means we need to be loved i. Reflecting on last week's episode -- Why we flee from real love. the capacity to receive love -- ii. We discussed fear, avoidance, anger iii. We went into how real love burns, it requires us to give up dysfunctional coping mechanisms iv. It can require us to give up good things that are lesser than love. v. We discussed require us to be open, receptive and thus also vulnerable vi. But we didn't discuss what or who causes our vulnerability to seem so dangerous to us. Who does that? That is the silent killer rearing its ugly head again. It's our silent killer makes the vulnerability seem so perilous, so potentially catastrophic for us. e. We need to be loved in order to pass that love on i. Last episode Nemo dat quod non habet -- No one gives what they don't have. Nemo dat rule. ii. To reflect that love back to God iii. To be a channel of love to others iv. And to love ourselves in an ordered way 6. So ultimately, what I want is for you to be able to love God so much better and to love your neighbor so much bettera. So we will do a whole series of episode on loving God and another whole series of loving our neighbor i. Focusing on the psychological aspects that can make this much more difficult than it needs to be ii. Souls and Hearts -- Grace perfects nature. 7. But we need to start with receiving love bettera. So first, we will do a whole series of episodes on receiving love. i. From God our Father ii. From Mary our Mother iii. From Jesus and the Holy Spirit iv. From the Saints v. From ourselves vi. And from others8. And to kick that series off loving ourselves better, we need to know what are the obstacles, especially the psychological obstacles to receiving love. We need to know what stands in the way, what are the hurdles, what makes it difficult for us to receive love. a. And that brings us back, face to face with our silent killer. And now it's time to name the killer.9. The silent killer, the worst adversary I face clinically, the greatest rival, the greatest opponent to love and life that I have ever met within another person or within myself is [drum roll] Shame. S-H-A-M-E. Shame. 10. So what is shame. How do we define it. a. English has real limitations, a significantly restricted vocabulary when it comes to expressing the nuances of internal experience. It's really important to get this straight. b. Brene Brown is a research professor at the University of Houston -- really done a great job of bringing the topics of shame and vulnerability into the public square for discussion i. Her definition of shame: I define shame as the intensely painful feeling or experience of believing that we are flawed and therefore unworthy of love and belonging – something we've experienced, done, or failed to do makes us unworthy of connection ii. Great start and better than most definitions out there. But still incomplete. Brene Brown is primarily a researcher, though she is a licensed master social worker and has clinical experience. I approach this as a trauma therapist who really specializes in shame work. c. Shame is: a primary emotion, a bodily reaction, a signal, a judgement, and an action. d. Drawing heavily from Treating Trauma-Related Dissociation -- A practical, integrative Approach by Kathy Steele, Suzette Boon, and Otto van Der Hart. Experts in complex trauma, with a real focus on the disconnects that happen within the person who has experienced trauma. i. Those disconnects, when severe enough, become dissociation ii. Those disconnects are, by definition, a lack of integration. e. Shame is a primary emotion -- heartset i. Primary emotions are those that we feel first, as a first response to a situation. They are unthinking, instinctive, automatic emotions that we have. Under threat, we feel fear. We don't have to think about it. We see a Bear in our campsite. Hmm Bear. Big teeth. Looks feriocious. It's coming at us. Ok, it's time to be scared. ii. Emotional response to 1. a real or perceived abandonment2. Rejection3. The loss of relationship -- a relationship we sense (rightly or wrongly) that we need to survivef. Shame as a bodily reaction -- physiology of shame Bodyset i. Defenses against shame are immediate, unmediated by our higher-order thought processes1. The intellect does not have time to reflects2. The automatic nature of the defenses against shame compromises the will's effectiveness in the moment. ii. Takes us out of the window of tolerance1. Window of tolerance the zone of arousal in which a person is able to function most effectively. When people are within this zone, they are typically able to readily take in information, process that information, and integrate that information more readily. People in the window of tolerance are feeling emotions at moderate levels, not overwhelmed with emotion and not numbing their feelings out. People in the window of tolerance respond to the demands of everyday life without much difficulty -- they can make pretty good decisions, carry out their role responsibilities, do what they need to do. 2. Stressful cortisol levels go up, and our ACTH levels rise, indicating a stress response.3. Hyperarousal -- this is where our sympathetic nervous system revs us up, gets into fight or flight mode in response to shamea. Heart starts racingb. Breathing quickensc. Pupils dilated. Blood rushes to arms and legse. Face can flush red f. Get ready to defend ourselves or attack or run away 4. Hypoarousal, when the parasympathetic nervous system shuts us down -- freeze response, like a deer in the headlightsa. We disengage sociallyb. Want to disappear, hide, camouflage ourselves. c. Shut down. Numb out. Dissociated. Lowering of the heade. Breaking off eye contactf. Tightening up of muscles, curling up in a ball (spine) -- hunching to protect vital organs. Making one's body smaller, less visibleg. Feeling like ice water in the veins, cold freezing sensationh. Fluttering in belly.g. Functions of Shame This often gets missed. The upside of shame. Why it exists. i. Shame is a signal that there is a lack of attunement or an even more serious threat in one or more of our important relationships. It has important function ii. Shame inhibits other emotions, thoughts, sensations, beliefs or behaviors that are perceived as unacceptable to powerful others who we need.1. Steele Boone and van der Hart refer to it as a "social threat detector" that alerts us to modify or avoid behaviors that will cause us to be rejected by those we need. They see this as part of social evolution. 2. Shame helps us learn the boundaries of socially acceptable behavior so that we can be part of our group, with the optimal level of closeness and distance. a. By 12 to 18 months or so, toddlers show signs of shame in response to misattunement or disapproval. Mommy and Daddy's reactions help guide the child through developmental milestone and avoiding shame is a part of that. 3. Shame is a survival mechanism. It helps save us from potential terrible consequences -- example of abuse. Inhibiting of crying -- I'll give you something to cry about. Freezing, staying still not crying. 4. Some shame needs to be accepted. The only ones who don't seem to experience shame at all are psychopaths -- sociopaths. Think of it -- someone who is shameless -- that's hardly a compliment. 8. Shame as a judgment -- mindseta. A judgement about who we really are from the perpective of a critical, rejecting other. i. We look at ourselves through the eyes of critical, angry or disappointed other, often a parent or other caregiver. b. But we have internalized it. We've take it inside. Now we are doing it to ourselves. c. We repeat messages we've picked up from important others: i. Nobody cares about you. ii. You're a loser iii. You can't do anything right iv. You should never have been born. d. May no longer the case, no longer accurate. Anachronistic, no longer applies. No longer in second grade. 9. Chronic shame needs to be attenuated, reduced, titrated, ordered, regulated. a. Chronic shame develops when the child has a sense of being rejected, unwanted, a burden. b. When the child changes behaviors, does what he can to be better in the eyes of the adult and still is rejected, he can conclude that he just is a bad person. c. The difficulty is in the response of the others -- the caregivers. d. But the child bears the burden of shame caused by the shaming of the caregivers. e. Child sees parts that are unacknowledged and unacceptablef. Ostracized or invaded. 10. And we assume that God is like our caregivers -- soulset. 11. Shame as action -- “shaming” is an action that is intended to cause someone else to feel inadequate, worthless, unlovable, a loser, etc. for being or doing something that the originator feels is wrong or undesirable.a. It is a quick way to control another person, especially one in a dependent positionsb. Little children will do almost anything to preserve their attachments to their parentsc. Teachers, coaches, instructors -- huge powersd. Also romantic partners are motivated my shame -- seems to protect from the loss of relationship. 12. Qualities of shamea. Shame is hidden. Hidden from others, hidden from God, often hidden from the therapist, hidden from self. b. Shame inhibits positive emotions13. Strategies for coping with shamea. Nathanson (1992, 1997) Four defensive scripts for avoiding shame: i. Attack self ii. Attacking others first -- preemptive. Sarcasm, cutting humor, iii. Isolate from others iv. Avoid inner experiences1. Controlling-caregiving -- viewing others as more deserving, as more in need. Denying my own needs by extending myself to serve others, but it's not out of charity -- it's a defense, a way of running away from my own shame, keeping just ahead of my shame shadow. 11. Brief review Shame is: a primary emotion, a bodily reaction, a signal, a judgment, and an action. There's not a simple definition. 12. Enough for today. We will get more into shame and how to work with it in the next several episodes. So much more to unpack. This was conceptually heavy -- lots to understand. 13. Lucy had a comment.14. Great stories of how this podcast is changing lives. I want your stories -- stories of how the podcast has impacted you -- send them to me. crisis@soulsandhearts.com, PM me in the community. Let me know if I can use them on the air. Your story can help other people. Cell is 317.567.9594. 15. RCCD community: I want to tell you about the Resilient Catholics: Carpe Diem! Community. a. The RCCD community brings together people who are really interested in growing more and more resilient, both in the natural realm and in the psychological realm,b. Catholics who are seizing this day, this moment, as an opportunity for great spiritual and psychological growth. c. We are bringing in IFS concepts and guidance on working with your parts in your system, to help you become more self-aware, to better love God, others, and yourself. d. Example Upcoming Zoom meeting i. Join me for a guided meditation to help you locate a part of you that feels unloved and unlovable and to reach out with care and gentleness to that part -- how to work with parts that carry the burden of shame. ii. When is it? Wednesday, October 14 7:30-8:45 PM Eastern time. Two days from release iii. We will record the introduction and the meditation sections of this so RCCD community members can do it on their own. iv. Building a whole library of different exercises and techniques to help you. e. Example: Office hours -- we will be discussing shame in zoom office hours on October 21 from 7:30 PM to 8:30 PM Eastern -- free for RCCD members. Going in to the concepts of this podcast. Lively Q&A. Place to get questions answered -- but we won't be getting into any individual issues there.f. $25 per monthg. closing November 3 – less than a month away -- won't reopen until sometime next year, in 2021 lock in prices for all of 2021.h. Go to soulsandhearts.com, click on the tab that says all courses and shows and register for the Resilient Catholics Carpe Diem Community. 16. Shout out to Catholic therapists and counselorsa. Are you seeking i. Greater insight into yourself as a clinician and better self-care? ii. New therapeutic skills to help your clients help themselves? iii. Deep, personal connections within a small group of other Catholic therapists who understand the unique demands of our lives? iv. Guidance on how to work with your clients' parts in therapy or counseling -- I have an answer and a possibility for you. b. I am leading Catholic Internal Family Systems consultation groups i. Get together every month for 90 minutes via Zoom in groups of 8. ii. Experience IFS techniques through a variety of exercises that I will lead -- demonstrations. iii. Practice IFS techniques, working on our own real issues as a therapist within our own internal systems, in the holding environment of the group iv. Participate in some interpersonal processing, based on an IFS understanding of parts and self, recast in accordance with our Catholic faith v. Amazing response 29 of 32 slots are filled, but there are 3 left1. Two for the Second Wednesday of the month, starting October 14 from 3:30 PM to 5:00 PM Eastern time -- gotta move quick on this. 2. One slot for the Fourth Wednesday of the month, starting October 28 from 3:30 PM to 5:00 PM Eastern time vi. Check out [insert website link]17. Patroness and Patron
EPISODE SUMMARY:In this episode, we discuss:
In this episode, we discuss:
In this episode, we discuss:* Discussions about chronic pain & cannabis/CBD*ABCs of Cannabis & CBD: What are some of the things that people might want to look to based on various things that they might be dealing with, and how they navigate this new world of pain relief & sleep aids?*CBD sources that Dr. June Chin recommends, complete with thorough third party testing (find more on her website, link below)*Dr. June recommends creating a relationship with their doctor re: dosing; what they are trying in the realm of cannabis to CBD (ratios, delivery-methods, dose, etc)?*Dr. Junes discusses how women are more sensitive to cannabis compared to our male counterparts*What are some rules of thumbs for the different types of ratios that we're delving into in the area of sleep?*How do they begin to navigate dosing? Test, test, test. Low & slow*Does Dr. June recommend particular ways of administering cannabis & cbd? Does she prefer that people start with the tinctures, vaping, capsules, patches, or creams or is it personal preference?*Detailed discussions around creams and bombs. Examining options for arthritis, back pain, knee pain. *Best practices around getting a medical marijuana card. EPISODE LINKS:Check out Dr. June's website: http://www.medleafrx.com/Get Dr. June Chin's new book: Cannabis and CBD for Health and Wellness: An Essential Guide for Using Nature's Medicine to Relieve Stress, Anxiety, Chronic Pain, Inflammation, and MoreEmail Dr. June: drchin@medleafrx.comFollow on Instagram: https://www.instagram.com/drjunechin/Follow on Facebook: https://www.facebook.com/MedLeafRx/Connect on LinkedIn: https://www.linkedin.com/in/dr-june-chin-77bbb1140/GUEST BIO: Dr. Junella Chin is an advocate for better understanding of the science and medicine of cannabis. Dr. Chin and her team of physicians consult with patients all over the world. They have been integrating medical cannabis since 2001. Her work has been featured in Forbes, LA Times, CNN, Good Morning America, among others. The book she co-authored, Cannabis and CBD for Health and Wellness, was published in June 2019. To learn more about Sleep Is A Skill: Website: Sleep Is A SkillSleep Reset Course: Sleep Is A SkillWeekly Newsletter: Sleep Is A SkillPodcast: Sleep Is A SkillLinkedIn: Sleep Is A SkillInstagram: Sleep Is A Skill Facebook: Sleep Is A SkillTwitter: Sleep Is A SkillPinterest: Sleep Is A SkillYouTube: Sleep Is A Skill ACTION STEPSFed up with your sleep? Here are 5 ways I can help you transform it starting today:1. Subscribe to The Sleep Is A Skill Podcast Get guidance from experts on all things sleep! We've got you covered from light, darkness, temperature, sound, meals (type & time), exercise, gadgets, etc. 2. Take our Free Sleep AssessmentReceive personalized feedback on where your sleep is at and what it will take to turn it around3. Check out the Sleep Is A Skill Sleep Resource RecommendationsInspired to transform your sleep but aren't clear what sort of resources will help? These will help. 4. Join our Sleep Reset Cohort and be a Case StudyI'm putting together a new sleep cohort at Sleep Is A Skill for June... stay tuned for details. If you'd like to work with me on your sleep and health... just send me a message with the words “Case Study”. *Sleep-tracker is required.5. Book a 15 minute CallWe have something for everyone, no matter where you're at with your sleep. Book a quick call to discuss what the next best steps are for you.
In this episode, we discuss:*Alisa Vitti's journey towards creating FloLiving & The Cycle Syncing Method*Discussions on stress level, what that does to sleep, & how you can manage it*What Alisa sees when she hears people talking about sleep disturbances and what there is to do about it*Discussions on the topic of what should I eat and which workout should I do during different times in my cycle*Detailed discussion on infradian rhythm*Alisa's advice on menopause and post menopause*Books and Alisa's different courses and all the things that are available in her Cycle Syncing app*How to really improve and shift the regularity and reliability of your sleep*How our hormones work*Information about Alisa's courses and app HOW TO LEARN MORE ABOUT ALISA VITTI: FloLiving: https://www.floliving.com/In The Flo: https://amzn.to/2L8zkuWWomanCode: https://amzn.to/2yHckAxCycle Syncing App: https://myflotracker.com/ To learn more about Sleep Is A Skill: Website: Sleep Is A SkillSleep Reset Course: Sleep Is A SkillWeekly Newsletter: Sleep Is A SkillPodcast: Sleep Is A SkillLinkedIn: Sleep Is A SkillInstagram: Sleep Is A Skill Facebook: Sleep Is A SkillTwitter: Sleep Is A SkillPinterest: Sleep Is A SkillYouTube: Sleep Is A Skill ACTION STEPSFed up with your sleep? Here are 5 ways I can help you transform it starting today:1. Subscribe to The Sleep Is A Skill Podcast Get guidance from experts on all things sleep! We've got you covered from light, darkness, temperature, sound, meals (type & time), exercise, gadgets, etc. 2. Take our Free Sleep AssessmentReceive personalized feedback on where your sleep is at and what it will take to turn it around3. Check out the Sleep Is A Skill Sleep Resource RecommendationsInspired to transform your sleep but aren't clear what sort of resources will help? These will help. 4. Join our Sleep Reset Cohort and be a Case StudyI'm putting together a new sleep cohort at Sleep Is A Skill for June... stay tuned for details. If you'd like to work with me on your sleep and health... just send me a message with the words “Case Study”. *Sleep-tracker is required.5. Book a 15 minute CallWe have something for everyone, no matter where you're at with your sleep. Book a quick call to discuss what the next best steps are for you.
In this episode, we discuss:* Dr. Jamie Seeman breaks down the correlation between glucose and sleep*How and why it is transformative to get a continuous glucose monitor and new startups that allow you to bypass the red tape on getting the prescription*Advice to those shifting over to a keto or carnivore diet, particularly what to expect regarding their sleep*Why women especially need to be more mindful during this transition*Hormones for women post-menopause*Suggestion regarding women that suspect that their cortisol levels might be imbalanced. Working with their ob-gyn and how to go about the inquiry for testing*The most exciting transformational findings that Dr. Jamie Seeman has seen since wearing her continuous glucose monitor and eating keto.*Discussions on the activated charcoal, apple cider vinegar, "naked carbs," night-time protein, and berberine to impact glucose levels.LINKS: Follow Dr. Jaime Seeman: https://www.instagram.com/doctorfitandfabulous/https://www.facebook.com/doctorfitandfab/https://www.doctorfitandfabulous.com/Continuous Glucose Monitor: Nutri Sense, https://www.nutrisense.io/*Code DRFIT for a discount on Sign Up Virta Health if they are a diabetic: https://www.virtahealth.com/ To learn more about Sleep Is A Skill: Website: Sleep Is A SkillSleep Reset Course: Sleep Is A SkillWeekly Newsletter: Sleep Is A SkillPodcast: Sleep Is A SkillLinkedIn: Sleep Is A SkillInstagram: Sleep Is A Skill Facebook: Sleep Is A SkillTwitter: Sleep Is A SkillPinterest: Sleep Is A SkillYouTube: Sleep Is A Skill ACTION STEPSFed up with your sleep? Here are 5 ways I can help you transform it starting today:1. Subscribe to The Sleep Is A Skill Podcast Get guidance from experts on all things sleep! We've got you covered from light, darkness, temperature, sound, meals (type & time), exercise, gadgets, etc. 2. Take our Free Sleep AssessmentReceive personalized feedback on where your sleep is at and what it will take to turn it around3. Check out the Sleep Is A Skill Sleep Resource RecommendationsInspired to transform your sleep but aren't clear what sort of resources will help? These will help. 4. Join our Sleep Reset Cohort and be a Case StudyI'm putting together a new sleep cohort at Sleep Is A Skill for June... stay tuned for details. If you'd like to work with me on your sleep and health... just send me a message with the words “Case Study”. *Sleep-tracker is required.5. Book a 15 minute CallWe have something for everyone, no matter where you're at with your sleep. Book a quick call to discuss what the next best steps are for you.
In this episode, we discuss:*Why Dr. Eric Nofzinger created a company like this one to support insomnia sufferers*The concept of temperature and sleep*Does Dr. Eric Nofzinger see a real dramatic change in the layout of the architecture when the brain is cooled?*How Dr. Eric Nofzinger got to see some real market changes or amplification of certain stages throughout the night*Background on the product*Current treatments for insomnia & how cooling can help *Dr. Eric Nofzinger understanding the various brain mechanisms at rest*How people can learn more about Dr. Eric Nofzinger's product & stay in touch with what he is doing about his findings:https://www.ebbsleep.com/ To learn more about Sleep Is A Skill: Website: Sleep Is A SkillSleep Reset Course: Sleep Is A SkillWeekly Newsletter: Sleep Is A SkillPodcast: Sleep Is A SkillLinkedIn: Sleep Is A SkillInstagram: Sleep Is A Skill Facebook: Sleep Is A SkillTwitter: Sleep Is A SkillPinterest: Sleep Is A SkillYouTube: Sleep Is A Skill ACTION STEPSFed up with your sleep? Here are 5 ways I can help you transform it starting today:1. Subscribe to The Sleep Is A Skill Podcast Get guidance from experts on all things sleep! We've got you covered from light, darkness, temperature, sound, meals (type & time), exercise, gadgets, etc. 2. Take our Free Sleep AssessmentReceive personalized feedback on where your sleep is at and what it will take to turn it around3. Check out the Sleep Is A Skill Sleep Resource RecommendationsInspired to transform your sleep but aren't clear what sort of resources will help? These will help. 4. Join our Sleep Reset Cohort and be a Case StudyI'm putting together a new sleep cohort at Sleep Is A Skill for June... stay tuned for details. If you'd like to work with me on your sleep and health... just send me a message with the words “Case Study”. *Sleep-tracker is required.5. Book a 15 minute CallWe have something for everyone, no matter where you're at with your sleep. Book a quick call to discuss what the next best steps are for you.
Vince wonders why doing something fun has not reduced his hyperarousal. Callie is invited to a trip but is afraid to say yes as sleeping away from home may be challening. Do you have trouble sleeping? Can’t sleep? Have questions about insomnia or sleep? Please leave a comment or send me an email at daniel@insomniainsight.co and I will be happy to share my thoughts as a video or audio reply. If you want to connect elsewhere I’m on Twitter @ErichsenDaniel, Instagram @Erichsen.Daniel, Facebook as Daniel Erichsen. I have a blog at bedtyme.co. If you would like direct and unlimited access to myself + a great curriculum please download BedTyme from the App Store. Is only available for Apple products for now but an Android version is in the works. Let me know if you would like a notification when it is available for Android. Best! The content of this video does not constitute medical advice, diagnosis, or treatment, and should never replace any advice given to you by your physician or other qualified healthcare providers.
Matty’s Talk, Fight, Flight, or Freeze — Releasing Organizational Trauma @ REdeploy 2018 (https://www.youtube.com/watch?v=w_ITD-l8fuo) 02:59 – Matt’s Superpower: Taking metaphors and ideas around self-help and turning them into allegories and analogies of how we could be better at technology The Five Love Languages of DevOps (https://www.youtube.com/watch?v=SGCfwvjHKGI) The Four Agreements of Incident Response (https://noti.st/mattstratton/F827sZ) 03:58 – What does healing organizational trauma mean? 05:50 – Incident Response Communication 16:00 – Trust, Hyperarousal, and Hypoarousal; Stuck On or Stuck Off 23:32 – Leading By Example, Not Being in a Rush to Solve Problems, Seeking to Understand, and Encouraging Safety 29:23 – Handling Postmortems: How to do them well and how to do them effectively 39:17 – The Hero’s Story vs The Story of the People; Crafting Our Narratives John Allspaw: In the Center of the Cyclone: Finding Sources of Resilience (https://re-deploy.io/videos/11-allspaw.html) Reflections: Coraline: The metaphors of storytelling. Matty: Creating a forum of discussion around postmortems. Janelle: Thinking about Metaphors We Live By by George Lakoff (https://www.amazon.com/gp/product/0226468011/ref=as_li_qf_asin_il_tl?ie=UTF8&tag=therubyrep-20&creative=9325&linkCode=as2&creativeASIN=0226468011&linkId=73f5c4c2470b0803b490491e0c0355e2) and how, at the foundation of our mind is essentially a system of shapes that we see the world through, that we reason about through, that we feel emotions through, and that creates the sense of gut. This episode was brought to you by @therubyrep (https://twitter.com/therubyrep) of DevReps, LLC (http://www.devreps.com/). To pledge your support and to join our awesome Slack community, visit patreon.com/greaterthancode (https://www.patreon.com/greaterthancode). To make a one-time donation so that we can continue to bring you more content and transcripts like this, please do so at paypal.me/devreps (https://www.paypal.me/devreps). You will also get an invitation to our Slack community this way as well. Amazon links may be affiliate links, which means you’re supporting the show when you purchase our recommendations. Thanks! Special Guest: Matt Stratton.
Having trouble with sleep is not just about what you do at night. How you think and behave during the day impacts on sleep and can result in the brain being over stimulated or hyperaroused at night. In this episode Moira and David discuss how the brain works in insomnia, and talk with Professor Dieter Riemann from University of Freiburg about hyperarousal. What is it? How does it impact on sleep, and what can be done about it? Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk, talking all things sleep. Leave a review and subscribe via iTunesAudio Timeline: 00:00 - 00:49 Introduction 00:49 - 02:18 What's news in sleep? Getting back up to 'work speed' 02:18 - 41:23 Theme - Hyperarousal 02:18 - 03:40 What is hyperarousal? 03:40 - 13:01 Prof Dieter Riemann - Recognising and treating hyperarousal 13:01 - 19:09 Hyperarousal, regional sleep and the Ebb Sleep device 19:09 - 22:40 Ebb Sleep device for insomnia 22:40 - 23:30 Take home messages around hyperarousal 23:30 - 25:40 Clinical tip: Pay attention to arousal levels across the day 25:40 - 41:29 Pick of the month: 25:40 - 27:00 David - Thrive 27:00 - 28:02 Moira - Smiling Mind app 28:02 - 29:26 What's coming up in sleep? Next episode: March - Sleep and Cancer (Part 1) Links mentioned in the podcast: Review article on hyperarousal by Dieter Riemann Neuroimaging of Sleep and Sleep Disorders - Book edited by Eric Nofzinger Ebb Sleep device - Product website Ebb Sleep device - Randomized controlled trial Stress Performance Curve - Video on Sleephub Thrive - Book by Arianna Huffington Smiling Mind App
If you want to understand the long term cost of not repairing a rupture, Dan Siegel, who coined the term interpersonal neurobiology, is about to illuminate your mind. We discuss how we human beings operate when our "minds" and hearts come together, trauma, and how to fight off disease with presence. This episode is powerful. It's for the science nerds and relationship geeks who want to better understand the human nervous system, mindfulness, and even trauma. SHOWNOTES The 3 facets of the mind [15:00] Where does the mind live? [18:00] What do relationships and the body share in common? [20:00] How you can strengthen your mind through "monitoring and modifying" [27:00] Hyperarousal vs hypo-arousal [31:00] The 4 F’s of a reactive state [32:00] Coming back from reactivity [37:00] What are the long-term costs of not repairing ruptures to relationship? [42:00] How presence helps fight off disease [48:00] The importance of developing an "internal compass" [60:00]
Overview: We continue our exploration of the effects of trauma with a focus on PTSD. In particular, we examine one of the primary symptoms of PTSD that keep a person on high alert as though a threat is continuously eminent: Hyperarousal. What We’ll Learn: We discuss the different ways hyperarousal can show up along with the ways that this can be debilitating and leave a person with PTSD feeling stuck in their lives. We also explore key strategies for alleviating this hyperalert danger signal in order to begin reshaping our lives in a way that brings more fulfilling experiences and memories. You can get your free mini E-book on the Countdown Coping Grounding technique here: http://www.subscribepage.com/s8i9j3 Resources Mentioned: http://www.drsallynazari.com https://chrysalispsychotherapyholisticwellness.wordpress.com/ Thank you for tuning in. You can also Subscribe to auto-download new podcast episodes to your Apple or Android device. After you listen to a few episodes, please consider leaving an honest rating and review of how the podcast has helped your transformation journey. This helps the information reach more of the people who are going through the same journey. Be sure to get an intro to Mindfulness with my cheat sheet and bonus audio sample here: http://www.subscribepage.com/w6h6i6
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 11/19
Zu den Kernsymptomen der Borderline-Persönlichkeitsstörung (BPS) zählen die Störung der Impulskontrolle und die emotionale Dysregulation, die für die sozialen und zwischenmenschlichen Konflikte sowie für das bei Patienten mit einer Borderline- Persönlichkeitsstörung (BPS-Patienten) fast immer vorhandene selbstverletzende Verhalten ursächlich verantwortlich gemacht werden. Ziel des Promotionsvorhabens war es, die Inhibitions- und Regulationsfähigkeit für Reize unterschiedlicher Valenzen und unterschiedlicher Arousalausprägungen als Grundlage der Verhaltensregulation bei BPS-Patienten mittels experimenteller Paradigmen (mit Papier und Bleistift-Methode oder am Computer) und funktioneller Kernspintomographie (f-MRT) zu untersuchen. Aufgrund der heterogenen Befundlage sollte zudem ein Beitrag zur Erstellung des neuropsychologischen Leistungsprofils bei der BPS geleistet werden. Somit stellt die vorliegende Arbeit eine umfangreiche Untersuchung von klinischen, kognitiven und neurofunktionellen Leistungen bei einer einzigen klinischen Stichprobe und einer vergleichbaren Stichprobe von gesunden Probanden dar. Nachdem das Untersuchungsmaterial (Bildersammlung) für die experimentelle Kernspinuntersuchung nach eigens für die Studie festgelegten Kriterien entwickelt und zusammengestellt und anhand einer gesunden Stichprobe bewertet wurde, konnte die klinische, neuropsychologische, experimentelle und neurofunktionelle Untersuchung der BPS-Patienten und einer gesunden Vergleichsgruppe durchgeführt werden. Die Inhibitions- und Regulationsfähigkeit für neutrale und emotionale Reize wurden mittels unterschiedlicher Inhibitionsarten (willentliche kognitive Inhibition, automatische kognitive Inhibition und affektive Interferenzkontrolle) und verschiedener emotionaler Regulationsmechanismen („Top-down-“ und „Bottom-up-Regulation“) geprüft. Im Theorieteil wird ein Überblick über das Störungsbild der BPS sowie über neuropsychologische und neurofunktionelle Befunde bei der BPS gegeben. Des Weiteren werden die für diese Arbeit relevanten Aspekte der Impulsivität und Inhibition sowie der Emotion und Emotionsregulation behandelt. Im Methodenteil Teil A wird die methodische Vorgehensweise bei der Erstellung der neuen Bilderbatterie ausführlich erläutert. Im Methodenteil Teil B werden alle eingesetzten standardisierten bzw. etablierten Instrumente sowie die experimentellen Paradigmen und das fMRT-Paradigma beschrieben. Erhoben wurden klinische Daten aus den Selbstauskunftsfragebögen, kognitive Leistungsparameter, Verhaltensdaten aus den experimentellen Paradigmen sowie aus dem fMRT-Paradigma und neurofunktionelle Daten mittels funktioneller Kernspintomographie. Die Ergebnisse werden zunächst pro Bereich und abschließend integrativ diskutiert. Die neuropsychologischen Ergebnisse suggerieren, dass die Leistungsunterschiede zwischen BPS-Patienten und gesunden Probanden sowohl im verbalen als auch im non-verbalen Gedächtnis auf Beeinträchtigungen des Arbeitsgedächtnisses und der Planungsfähigkeit für komplexe Informationen zurückzuführen sind. Insgesamt lassen sich die bei den BPS-Patienten beobachteten Einbußen einem rechtshemisphärischen fronto-temporalen Netzwerk zuordnen. Die bereits von mehreren Autoren postulierte rechtshemisphärische fronto-temporale Beeinträchtigung wurde ebenfalls im Rahmen der Emotionsregulationaufgabe beobachtet, da die BPS-Patienten bevorzugt eine linkshemiphärische Beteiligung im Vergleich zu den gesunden Probanden zeigen. Zur kognitiven Inhibitionsfähigkeit ergaben sich lediglich für die intentionale kognitive Inhibition (geprüft anhand des Emotionalen Directed Forgettings) eindeutige Ergebnisse, die die Vermutung einer erhöhten Interferenzanfälligkeit für negativ geladene Reize bei der BPS bestätigen. Sowohl aus der Prüfung der intentionalen kognitiven Inhibition als auch aus den klinischen Daten geht hervor, dass bei den BPS-Patienten die bevorzugte Vearbeitung aversiver Reize mit einer defizitären Verarbeitung appetitiver Reize bzw. das Zurückgreifen auf stressinduzierende Strategien mit einem Defizit an stressreduzierenden Strategien einhergeht. Obwohl die Hypothese, dass BPS-Patienten negativ geladene Reize im Arousal stärker bewerten als Gesunde, nicht bestätigt werden konnte, fanden wir eine stärkere Beteiligung der Amygdala sowohl für stark erregende aversive als auch bereits bei leicht erregend aversiven Reizen. Die ausgebliebene höhere Arousalbewertung trotz vorliegender limbischer Hyperreagibilität geht mit ähnlichen Befunden aus der Literatur einher (Herpertz et al., 1999; 2001) und bekräftigt die Vermutung einer Dissoziation der Reaktionsebenen als Charakteristikum der BPS (Renneberg, 2003). Im Vergleich zu den gesunden Kontrollprobanden fiel die Arousalreduktion bei den BPS-Patienten lediglich in der willentlichen Emotionsregulation durch Distanzierung signifikant geringer aus. Für die automatische Regulation durch Ablenkung zeigten sich weder bei den BPS-Patienten noch bei den Gesunden Veränderungen in der subjektiven Wahrnehmung des Arousals. Das neuronale Aktivierungsprofil unterschied sich zwischen den Gruppen sowohl in der Distanzierungs- als auch in der Ablenkungsbedingung. Mögliche Ursachen hierfür werden diskutiert. Auch in der Gedächtnisleistung zeigten sich unterschiedliche Leistungsprofile zwischen der Distanzierung- und Ablenkungsbedingung, die mit den Ergebnissen aus der Arousalbewertung und der neuronalen Aktivierung gut vereinbar sind. Die BPS-Patienten zeigten im Vergleich zu den Gesunden in der Ablenkungsbedingung mehr Fehler für aversive Bilder. In der Distanzierungsbedingung, und teilweise in der Ablenkungsbedingung, zeigten die BPS-Patienten eine Beeinträchtigung im Erinnern positiver Wörter. In der Distanzierungsbedingung ging diese Beeinträchtigung mit einer besseren Erinnerungsleistung von stark erregenden aversiven Bildern einher. All diese Ergebnisse können mit der Psychopathologie der BPS in Zusammenhang gebracht werden: Die erhöhte Interferenz für aversive Reize führt zusammen mit einer geringeren Verarbeitungsfähigkeit von appetitiven Reizen zu einem physiologischen Hyperarousal, das auf Verhaltensebene aufgrund mangelnder subjektiver Wahrnehmung und fehlenden adäquaten Strategien nicht unterdrückt werden kann und durch das Zurückgreifen von inadäquaten Strategien weiter verstärkt wird. Das Hyperarousal kommt vor allem in interpersonellen bzw. sozialen Interaktionen zum Tragen, da sie komplexe Anforderungen an das Individuum stellen und eine ständige Analyse und Interpretation der verbalen und non-verbalen Informationen sowie eine nahezu ständige on-line Regulation der parallel ablaufenden emotionalen Prozesse erfordern. Da die BPS-Patienten eine Beeinträchtigung des Arbeitsgedächtnisses und der Fähigkeit komplexe Informationen zu strukturieren aufweisen, ist es ihnen jedoch kaum möglich diesen Anforderungen gerecht zu werden. Der aversive Spannungszustand wirkt nach dem Modell von Herpertz und Saß (1997) als modulierender Faktor auf den impulsiven Antrieb und/oder auf die Impulskontrolle und führt somit zu einer erhöhten Impulsivität, die dazu beiträgt, dass die fehlerhafte kognitive Analyse verstärkt wird. Dadurch kommt es zu einem Hochschaukeln von aversiver Spannung und fehlerhafter kognitiver Informationsverarbeitung und endet schließlich in inadäquaten, selbstschädigenden Reaktionen sowie interpersonnellen Konflikten. Zum Abschluss wird die Arbeit kritisch gewürdigt und ein Blick auf die aus den diskutierten Ergebnissen sich ergebenden weiterführenden Untersuchungen geworfen.