Podcasts about polyvagal

Stop forcing yourself to relive the most painful moments of your life before your body is ready to handle them.Traditional therapy often skips the most critical step — building the physiological capacity to actually process what comes up. Justin Sunseri breaks down why flooding your system with past trauma makes things worse, and what to do instead.

Send a textWhen you support someone through trauma—professionally or personally—your nervous system is not a neutral observer. Secondary traumatic stress can create trauma-like symptoms through exposure to others' distress, while vicarious trauma can gradually shift your beliefs about safety, trust, and meaning. In this episode, we define both terms in plain language, explore why “empathic contagion” happens through co-regulation (polyvagal-informed), and name common signs like sleep disruption, intrusion, irritability, numbness, and saturation. We also cover practical protection strategies: boundaries as care, transitions, shared load, and ventral restoring practices. We close with a short “Return-to-Self Reset” to help you care without carrying.In this episode, you'll learnThe difference between secondary traumatic stress and vicarious traumaWhy helpers can absorb activation through co-regulation (polyvagal lens)Common signs (non-diagnostic): intrusion, fatigue, cynicism, numbness, over-responsibilityWhat helps: boundary clarity, transitions, shared load, permission to be affected without collapsing, ventral restorationA grounding/reset practice for after exposureGrounding practice (2–3 minutes): “Return-to-Self Reset”Gentle shake-out to discharge load“My name is… I'm here in…” (orientation)Hand on chest + belly (containment)Phrase: “I can care without carrying”Longer exhaleCheck the website for the free resources offered for both those affected by trauma and those supporting them.What's next: Complex Trauma & C-PTSD (Intro-Level)Support the show

Learn how to get the most out of therapy, how to choose the right therapist and how to know if therapy is right for you. Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership In this conversation, Emma McAdam and Barry Fell discuss how to maximize the benefits of therapy. They share practical tips, including the importance of setting clear goals, the therapeutic relationship, and the balance between insight and action. They emphasize the need for clients to be proactive, such as bringing a journal to sessions, and the significance of discomfort as a sign of growth. The discussion also highlights the importance of evidence-based frameworks in therapy and how to measure progress effectively. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Send a textCommunity shock happens when a public tragedy or disaster disrupts a community's sense of safety and predictability, creating a ripple of nervous-system activation far beyond those directly involved. This episode is the Trauma Types companion to S16E161, where we explored collective grief and trauma after sudden tragedy. Here, we zoom in on community shock as a trauma pathway: why people cycle through hypervigilance, numbness, anger, and exhaustion; how media exposure can keep the nervous system activated; and why meaning-making can turn into blame, rumour cycles, or polarisation. We end with a short grounding practice designed to reduce helplessness by focusing on a “circle of control.”In this episode, you'll learnWhat community shock is and how it spreads through proximity, identification, and exposureHow this episode connects to S16E161 (collective grief + trauma after sudden tragedy)Polyvagal-informed patterns: mobilised protection, shutdown, and cyclingRipple effects across groups: directly affected, witnesses, helpers, and the wider communityWhy meaning-making can intensify blame, rumours, and polarisationWhat helps: media dosing, routine, choice-based community support, body-first regulationA grounding practice to restore a sense of control and supportGrounding practice (2–3 minutes): “Circle of Control”Draw a small circle on your palmName 3 things you can control right nowName 2 supports you can lean onPhrase: “I can't control everything. I can support my nervous system today.”Check the website for the free resources offered for both those affected by trauma and those supporting them.What's next:  Helping Professionals & Partners: Secondary and Vicarious TraumaSupport the show

Alan Gordon is the author of the Way Out, he developed and tested Pain Reprocessing Therapy as an evidence based treatment for Chronic Pain Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership In this engaging conversation, Alan and I delve into the concept of neuroplastic pain, exploring how the brain can misinterpret safe signals from the body as dangerous, leading to chronic pain. One speaker shares their personal journey with chronic pain, highlighting the confusion and frustration that arises from conflicting medical opinions and the realization that many people with structural issues do not experience pain. We talk about pain as a real experience, regardless of its origin, and discuss the importance of understanding the brain's role in pain perception. The conversation also touches on the psychological aspects of pain, including how stress and anxiety can amplify pain sensations, and the significance of addressing these mental factors in pain management. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell FREE Mental Health Resources: https://courses.therapyinanutshell.com/free-resources Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Justin Sunseri dives deep into the paradox of meditation and anxiety. If you've ever felt that meditation or breathing exercises make you more anxious, you're not alone—and you're definitely not broken. Justin explains how your nervous system might be signaling for a different approach, especially for those who experience freeze dominance.

How Does Autism & the Polyvagal Theory Relate? Dr Rubin explains how pediatric chiropractors can use Polyvagal concepts with their neurodevelopmentally challenged children.

Send a textMigration and displacement can be traumatic not only because of what prompted the move, but because the nervous system loses multiple safety cues at once—home, language, social rules, community, and familiar identity. In this episode, we explore migration and displacement trauma as both a trauma pathway (chronic stress, uncertainty, vigilance) and a grief pathway (loss of belonging, status, and “nervous system home base”). Using simple polyvagal-informed language, we look at why safety cues disappear, how identity disruption adds a second layer, and what helps in realistic, culturally respectful ways. We close with a grounding practice designed to support “two homes”: honouring roots while allowing slow settling.In this episode, you'll learnA clear definition of migration and displacement trauma (loss + uncertainty + low control + low support)Why migration involves grief as well as nervous-system adaptationPolyvagal-informed patterns: hypervigilance, social anxiety, shutdown, and “in-between” functioningThe identity layer: language, status loss, and feeling “not from there / not from here”Common signs (non-diagnostic): isolation, overworking, paperwork, hypervigilance, shame, waves of griefWhat helps: rebuilding safety cues, language compassion, low-demand belonging, naming grief, informed supportA grounding practice for bridging roots and the present groundGrounding practice (2–3 minutes): “Two Homes”One hand on chest (roots), one hand on belly/thigh (present ground)4 breaths as a “bridge” between handsPhrases: “I carry my roots” + “I am here/allowed to settle, one step at a time”Orient to one neutral/pleasant objectCheck the website for the free resources offered for both those affected by trauma and those supporting them.What's next: Community Shock: Disasters & Public Events (No War Content)Support the show

Back pain and other chronic pain can be managed with pain reprocessing therapy. Alan Gordon's book The Way Out can teach you how to retrain your brain to manage chronic pain The Pain Psychology Center: https://painpsychologycenter.com/ The Way Out book: https://a.co/d/053sW1L0 Chronic Pain Playlist: https://www.youtube.com/playlist?list=PLiUrrIiqidTXq4l8CetR1bQqoQfONrh4c Somatic Tracking Exercise: https://youtu.be/HeNRMr8uJbI Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership Chronic pain isn't "just in your head"—it's often neuroplastic pain caused by a nervous system stuck in a danger-pain cycle. Discover Pain Reprocessing Therapy (PRT) from Alan Gordon's book, The Way Out. Learn the 7 techniques to retrain your brain and find relief from chronic back pain, neck pain, and headaches. Find out how somatic tracking and messages of safety can help you unlearn pain and heal your nervous system. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell FREE Mental Health Resources: https://courses.therapyinanutshell.com/free-resources Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Send a textChronic scarcity and instability can shape the nervous system in ways that look like anxiety, irritability, shutdown, or “burnout,” even when a person is working incredibly hard to survive. In this episode, we explore poverty, insecurity, and social exclusion as a society-shaped trauma pathway—where the threat is often not a single event, but ongoing conditions with limited control and limited recovery. Using simple polyvagal-informed language, we name common “invisible injuries” of scarcity stress, why shame so often gets layered on top, and what helps realistically—without pretending that regulation solves structural problems. We close with a short grounding practice designed to create a stabilising sense of contact, support, and one manageable next step.In this episode, you'll learnWhy poverty and social exclusion belong in trauma educationA clear nervous-system definition of scarcity stress (ongoing + low control + low recovery)Polyvagal-informed patterns: chronic mobilisation, shutdown, and cyclingCommon signs (non-diagnostic): sleep disruption, rumination, decision fatigue, shame, withdrawalWhat helps realistically: micro-stability anchors, 24-hour planning, buffers and community support, reducing shame exposureA grounding practice for stabilising under high loadGrounding practice (2–3 minutes): “3-Point Stabiliser”Find 3 points of contact (feet, back, hands)Press feet into the floor and release (twice)Phrase: “In this moment, I can take one step”Name one small next stepCheck the website for the free resources offered for both those affected by trauma and those supporting them.What's next: Migration & Displacement Trauma: Losing Home, Language, SelfSupport the show

 In this episode, Piers Cross is joined by Jane Barclay, a humanistic psychology practitioner, UKCP-accredited, and a member of the BACP.Jane shares her journey into counselling and trauma work — beginning with a major life move, a profound sense of disorientation, and what she later recognised as a traumatic reaction to separation. Her story moves into the heart of boarding school experience: early attachment rupture, lack of privacy, “settling in” as dissociation, and the survival strategies that can last for decades.Together, Piers and Jane explore how trauma can speak through the body, why “it could have been worse” is such a seductive defence, and why healing often requires both trustworthy relationship and the repair of community. Jane also shares her late-blooming creativity — writing songs, developing a children's musical, and using rhythm and story to support safeguarding, truth-telling, and the restoration of the heart.Guest: Jane Barclay Website: http://jbcounselling.co.uk/Key themes: Attachment and early separation • Boarding school trauma • Somatic trauma • Dissociation and the “carapace” • Trust and relational repair • Community as healing • Eldership • Creativity and rhythm as medicine--- Piers is an author and a men's transformational coach and therapist who works mainly with trauma, boarding school issues, addictions and relationship problems. He also runs online men's groups for ex-boarders, retreats and a podcast called An Evolving Man. He is also the author of How to Survive and Thrive in Challenging Times. To purchase Piers first book: https://www.amazon.co.uk/How-Survive-Thrive-Challenging-Times/dp/B088T5L251/ref=sr_1_1?dchild=1&keywords=piers+cross&qid=1609869608&sr=8-1 For more videos please visit: http://youtube.com/pierscross For FB: https://www.facebook.com/pierscrosspublic For Piers' website and a free training How To Find Peace In Everyday Life: https://www.piers-cross.com/community Many blessings, Piers Cross http://piers-cross.com/

Does a mental health diagnosis explain why you are suffering, or does it just give your suffering a name?In this episode, I challenge the traditional way we look at mental health labels. While a diagnosis (like depression, anxiety, or ADHD) can be a helpful shorthand for professionals, it often becomes a trap for the person receiving it—convincing them they are "broken" rather than adapting to their life context.To illustrate this, I share the story of two hypothetical clients: Penny and Milton. Both come to therapy with the exact same heavy symptoms.Penny receives a diagnosis, is told she has a disorder to manage forever, and leaves feeling defective.Milton is met with a nervous system perspective, learns his feelings make sense based on his history, and is given the tools to actually heal.Join me as we explore why your diagnosis is a description, not a life sentence. We'll discuss how to shift from "fighting a disorder" to building safety in your nervous system, so you can stop merely managing symptoms and start getting unstuck.In this episode, you will learn:Why a diagnosis in the DSM describes what is happening but rarely explains why.The critical difference between the "Disorder Model" vs. the "Nervous System Model."How to stop rejecting your feelings and start building safety (the "Milton" approach).Why your symptoms are likely a normal response to an abnormal situation.

Send a textDiscrimination and minority stress can create a chronic nervous-system load: not only dealing with the moment, but also anticipating bias, managing risk, and constantly scanning for safety and belonging. In this episode, we explore minority stress as an accumulation of experiences—overt discrimination, microaggressions, stereotyping, exclusion, and the invisible effort of code-switching or masking. Using simple polyvagal-informed language, we look at how chronic vigilance can keep the body in mobilised protection or shutdown, and we offer practical ways to support regulation without minimising the reality of the environment. We close with a short grounding practice focused on orienting to neutral and welcoming cues, and anchoring a sense of belonging in the self.In this episode, you'll learnA clear definition of minority stress and why it belongs in a trauma-types seriesHow accumulation and anticipation create chronic nervous-system strainPolyvagal-informed patterns: hypervigilance and shutdown in response to “not-safe-enough” environmentsThe “double load” of code-switching, masking, and constant self-monitoringCommon signs (non-diagnostic): tension, sleep disruption, avoidance, over-performing, numbnessWhat helps: low-demand belonging, boundary micro-skills, resourcing after exposure, supportive validationA grounding practice designed for belonging and present-moment safety cuesGrounding practice (2–3 minutes): “Orient + Belonging Cue”Find one neutral objectFind one welcoming cue (colour, light, texture)Supportive posture with feet on the  floorPhrase: “I belong to myself” (or “I'm allowed to take up space”)Longer exhale releaseCheck the website for the free resources offered for both those affected by trauma and those supporting them.What's next: Society-Shaped Trauma (Part 2): Poverty, Insecurity & Social ExclusionSupport the show

Send a textNot all trauma comes from a single event. Sometimes the trauma pathway is the environment itself—ongoing pressure, instability, or threat with little realistic ability to escape or recover. In this episode, we explore “chronic stress without an exit” as a nervous system pattern that can keep the body stuck in mobilised protection (wired, urgent, hypervigilant) and, over time, slide into shutdown (numb, foggy, depleted). Using simple polyvagal-informed language, we name common “invisible injuries” that can look like burnout or personality changes, and offer realistic support strategies that don't rely on toxic positivity or impossible self-care. We close with a one-minute downshift practice designed for busy, high-load lives.In this episode, you'll learnWhat chronic stress without an exit is (and why the “no-exit” part matters)Why this trauma pathway is often minimised or missedPolyvagal-informed patterns: stuck mobilisation, shutdown, and cyclingCommon signs (non-diagnostic): sleep disruption, irritability, guilt, numbness, withdrawal, fatigueWhat helps realistically: micro-recovery, load reduction, consistent support, and “islands of safety”A short grounding practice for quick nervous system downshiftingGrounding practice (1–2 minutes): “1-Minute Downshift”Unclench jaw, drop shoulders slightly3 extended exhales with a gentle humPhrase: “I'm allowed to have a small pause”Name one tiny next step that reduces the loadCheck the website for the free resources offered for both those affected by trauma and those supporting them.What's next: Society-Shaped Trauma (Part 1): Discrimination & Minority StressSupport the show

Internal family systems Founder Richard Schwartz does an IFS therapy session with Emma McAdam, we work with her inner critic and Self in IFS Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership In this conversation, Emma McAdam interviews Dick Schwartz, the creator of Internal Family Systems (IFS), a therapeutic approach that emphasizes understanding the mind as composed of multiple parts. Schwartz explains how these parts can be influenced by trauma and how IFS helps individuals connect with their true Self to facilitate healing. The discussion covers the roles of different parts, the impact of trauma, and practical applications of IFS in daily life. Schwartz also shares insights on how individuals can access their Self without a therapist and the importance of addressing legacy burdens that may affect one's mental health. The conversation concludes with a focus on the goals of IFS therapy and the transformative potential of this approach. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell FREE Mental Health Resources: https://courses.therapyinanutshell.com/free-resources Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Send a textMedical and birth trauma can happen when care meant to help also involves fear, helplessness, loss of control, or violations of consent and dignity. In this episode, we explore why “routine” experiences can still leave lasting nervous system imprints, especially when a person feels rushed, unheard, exposed, or powerless. Using simple polyvagal-informed language, we look at fight/flight and shutdown responses in medical settings, common aftereffects like avoidance of care or panic in clinics, and practical ways to reclaim choice. We close with a grounding practice that emphasises resourcing and choice—two key ingredients for nervous system safety.In this episode, you'll learnWhat medical and birth trauma is (beyond outcomes)Why consent, choice, and dignity are central nervous-system needsPolyvagal-informed patterns: mobilised protection vs shutdown in medical contextsCommon signs (non-diagnostic): avoidance of care, panic in clinics, distrust, shame, disconnectionWhat helps: reclaiming small choices, support scripts, debriefing, gentle body reconnection, trauma-informed supportA short grounding practice focused on resourcing and choiceGrounding practice (2–3 minutes): “Resourced Breath + Choice Point”Bring to mind a neutral-to-good resource imageChoose one breathing option (choice matters)Say: “Right now, I have choices” + name one small supportive choiceHand-on-body support: “Thank you, body, for protecting me.”Check the website for the free resources offered for both those affected by trauma and those supporting them.What's next: When the Environment Is the Threat: Chronic Stress Without an ExitSupport the show

What if I told you that your ability to practice Stoicism isn't just about willpower or mindset—but about the actual physiological state of your nervous system? In this episode, I dive deep into a profound quote from Epictetus that perfectly illustrates how our autonomic nervous system affects our capacity to respond wisely to life's challenges.Using the metaphor of water, light, and appearances, we'll explore:• Why some days Stoic practices feel effortless while other days feel impossible• How your nervous system state acts as a "filter" for all incoming reality• The real reason willpower alone isn't enough for lasting change• 3 practical daily practices to "steady your internal waters"• How nervous system regulation enhances (rather than replaces) Stoic philosophyKey Quote: "Such as is a dish of water, such is the soul. Such as is the ray of light, which falls on the water, such are the appearances." - Epictetus0:00 Introduction0:40 The Epictetus Quote1:17 Breaking Down the Metaphor3:32 The Coffee Example5:10 Connecting to the Nervous System8:21 How Reality Filters Through Your State9:36 Person A vs Person B13:22 What To Do About This15:39 The Problem with Traditional Stoic Practice19:06 Settling the Water20:26 Practical Steps You Can Take Today22:54 Closing & Resources

Send a textSingle-incident trauma can create a sharp “before and after” in the nervous system—where an overwhelming event leaves the body stuck in protection long after it's over. In this episode, we explore how trauma memories can be stored as sensory fragments and threat predictions, why triggers can feel like the event is happening again, and how avoidance develops as a protective strategy that can shrink life over time. Using simple polyvagal-informed language, we look at mobilised protection (fight/flight) and shutdown, and offer practical first steps for helping the nervous system update from “then” to “now.” We close with a grounding practice that uses the senses plus a temperature cue to anchor the present moment.In this episode, you'll learnA clear definition of single-incident trauma (overwhelm + stuck protection afterwards)Why the brain prioritises survival over storytelling during overwhelmThe difference between reminders and triggersPolyvagal-informed patterns: hypervigilance vs shutdown, and cycling between themCommon post-incident signs (non-diagnostic): intrusive replay, startle, avoidance, checking, sleep disruptionWhat helps: normalisation, gentle exposure, completing the stress cycle, trauma-informed supportA short grounding practice to signal “this is now”Grounding practice (2–3 minutes): “5–4–3–2–1 + Temperature”5 things you see4 things you feel3 things you hear2 things you smell (or imagine)1 thing you tasteNotice one temperature cuePhrase: “This is now. I'm here.”Check the website for the free resources offered for both those affected by trauma and those supporting them.What's next: Medical & Birth Trauma: When Help HurtsSupport the show

Send us a textWe name the paralysis many feel in the face of systemic harm and show how shutdown is a nervous system response, not a personal flaw. We share simple practices to move from freeze to small, collective actions that matter over time.• dorsal vagal freeze explained and normalized• how systems profit from burnout and paralysis• why regulation enables collective action• four-step shift: name, move, connect, act• examples of small, coordinated actions• rest and creativity as strategy for resilience• community support through The UprisingIf you appreciate this content, would like to support my work, consider joining my community, The Uprising. To learn more about this and other services, visit my website, crystalmacleancreative.comRight now, membership to The Uprising is pay what you can. If you can't afford it, just message me and I'll get you access for free.Go directly to PatreonSupport the showDisclaimer

Send us a textBetrayal trauma can be uniquely disorienting because it not only breaks trust—it can disrupt your sense of reality and self-trust. In this episode, we explore betrayal trauma as a nervous system injury that often leads to hypervigilance, rumination, shutdown, and relationship fear. Using simple polyvagal-informed language, we look at why the body moves from connection to surveillance after betrayal and how healing often centres on truth, boundaries, and rebuilding trust in yourself. The episode ends with a short “Truth Anchor” practice to stabilise the present moment.In this episode, you'll learnWhat betrayal trauma is and why dependency makes it more traumaticHow betrayal can create “reality doubt” and self-questioningPolyvagal-informed patterns: mobilised protection vs shutdown after trust breaksCommon impacts on body, mind, and relationships (non-diagnostic)What helps: clarity, boundaries as safety structures, and rebuilding self-trustA short grounding practice to anchor reality and support regulationGrounding practice (2–3 minutes): “Truth Anchor”Name 3 present-moment factsUse thumb-to-fingertip pressure as a physical anchorChoose one truth sentence: “My feelings make sense,” “I'm allowed to protect myself,” etc.Name one small next stepRelated Episode:S9 E83 Ambiguous Grief with Stephanie SarazinCheck the website for the free resources offered for both those affected by trauma and those supporting them.What's next: Single-Incident Trauma: When ‘Before' and ‘After' SplitSupport the show

Learn how the stories you tell yourself fuel anxiety, depression, and triggers—and discover practical skills like cognitive defusion to rewrite your life. Free worksheet: https://courses.therapyinanutshell.com/opt-in-4a614f1a-99a9-46dd-b2e4-69e58990c7ea Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership In this episode, you'll learn the hidden thought pattern that fuels anxiety, depression, anger, and emotional reactivity — and how to break free from it. Our brains create stories to protect us, but sometimes those stories become prisons. They shape what we notice, how we feel, and the choices we make… often without us realizing it. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell FREE Mental Health Resources: https://courses.therapyinanutshell.com/free-resources Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Send us a textIntergenerational trauma is what happens when the impact of trauma is passed down through families and communities—through nervous system patterns, emotional rules, family roles, and the stories we inherit about safety, trust, and worth. In this episode, we explore how people can carry burdens that didn't start with them, why this isn't about blaming previous generations, and how healing begins by naming what you're holding and choosing what you want to continue—or interrupt. Using simple polyvagal-informed language, we look at how children's nervous systems entrain to the adults around them, shaping a baseline of mobilised protection or shutdown. We close with a gentle practice to help you release what isn't yours to carry.In this episode, you'll learnA clear definition of intergenerational trauma and how it differs from “personal” traumaFour ways trauma gets carried: nervous system patterns, emotional rules, roles, and inherited beliefsA polyvagal-informed lens on how family stress becomes a child's baselinePresent-day signs you may be carrying an older load (guilt, loyalty binds, over-responsibility, rest intolerance)Practical first steps: naming the pattern, guilt tolerance, new rituals, support outside the systemA short grounding practice focused on release and choiceGrounding practice (2–3 minutes): “Release What Isn't Yours”Feel your feet on the groundMake a loose fist (notice holding)Open the hand (practice release)Phrase: “I honour what came before. I don't have to carry it all.”Name one small new-pattern choiceCheck the website for the free resources offered for both those affected by trauma and those supporting them.What's next: Betrayal Trauma: When Trust Becomes Unsafe Support the show

Send us a textDevelopmental trauma often forms through chronic, repeated stress during childhood—especially when safety, support, and repair are inconsistent. In this episode, you'll get a clear, non-overwhelming map of what developmental trauma is, why it affects so many areas (regulation, identity, relationships), and how it can show up later as survival patterns like scanning, pleasing, protecting, or disconnecting. Using simple polyvagal-informed language, we explore how a developing nervous system adapts to ongoing stress. We close with a gentle “pendulation light” practice to help the body experience movement between tension and neutral, supporting regulation without forcing a story.In this episode, you'll learnA practical definition of developmental trauma (chronic stress + limited escape + limited repair)Why developmental trauma can affect regulation, self-concept, boundaries, and relationshipsA simple polyvagal lens: safety/connection vs mobilised protection vs shutdownFour common survival patterns (non-diagnostic): Scanner, Pleaser, Protector, DisconnectorWhat helps as first steps: micro-doses of safety, regulation before deep processing, boundaries, and safe repairA short grounding practice that teaches the system that it can shift statesGrounding practice (2–3 minutes): “Pendulation Light”  Notice one neutral sensationBriefly notice a mild tension areaReturn to neutralRepeat onceClosing phrase: “This is a body that adapted—and it can learn safety now.”Check the website for the free resources offered for both those affected by trauma and those supporting them.What's next: Intergenerational Trauma: What Gets Carried Forward Support the show

Send us a textAttachment and relational trauma can be hard to name because it often doesn't come from one dramatic event—it forms through patterns over time: inconsistency, emotional absence, unpredictable caregiving, chronic criticism, or rupture without repair. In this episode, we explore attachment as nervous-system education through relationship, and why closeness can become a trigger for protection (anxiety, control, people-pleasing, withdrawal, shutdown). You'll learn a simple polyvagal-informed lens for understanding relational responses, plus practical starting points for repair and regulation. We close with a short grounding practice designed to support boundaries while staying connected.In this episode, you'll learnWhat attachment is (beyond “neediness”) and why it's biological as well as psychologicalHow rupture and repair shape nervous-system safetyWhat relational trauma is and how it forms over timeWhy closeness can trigger fight/flight or shutdown (polyvagal-informed, plain language)Common relational patterns (non-diagnostic): fawning, withdrawal, over-apologising, control, fear of abandonmentWhat helps: naming states, repair language, predictability, and safe connectionA gentle grounding practice that supports boundaries and connectionCheck the website for the free resources offered for both those affected by trauma and those supporting them.What's next: Developmental Trauma: A Brief Map (Building on Earlier Episodes) Support the show

Send us a textPreverbal trauma can be hard to name because it often isn't stored as a clear story. In this episode, we explore how early experiences, which occur before language development, can shape the nervous system through implicit memory and felt sense. You'll learn why people can say “nothing happened” and still carry intense body reactions, relationship patterns, or shame responses that feel bigger than the moment. Using simple polyvagal-informed language, we'll look at how early safety is wired through connection, and what helps when the body remembers what the mind cannot. The episode ends with a varied, trauma-neutral grounding practice using senses and gentle movement.In this episode, you'll learnWhat preverbal trauma is (and what it isn't)How early experiences are stored as implicit memory and felt sense rather than narrativeWhy reactions can feel “irrational” when the origin happened before wordsA simple polyvagal lens on early wiring: safety & connection vs mobilised protection vs shutdownCommon adult patterns linked to early nervous system adaptation (non-diagnostic)Practical, gentle starting points: micro-doses of safety, co-regulation, body-first tools, repair over perfectionA varied grounding practice designed to be supportive for preverbal materialGrounding practice (2–3 minutes): “Senses + Support”Notice one point of contact (feet, back, hands)Name two soundsRest your eyes on one neutral colourGentle shoulder roll or press feet into the floorA soft phrase: “In this moment, I'm here” (or “safe enough” if it fits)Check the website for free resources available to both those affected by trauma and those supporting them.What's next? The Wound in the Bond: Attachment & Relational TraumaSupport the show

There's more to me than Polyvagal Theory—I'm also a dad. And sometimes the best lessons come from the most unexpected places... like watching my son walk barefoot in sandals through a cold, rainy parking lot.In this reflective episode, I share a simple family moment that reminded me: mindfulness looks different for everyone. When my son told me he loves feeling "the air flowing between his toes," I realized he'd found his own way to be present—even if it made his parents cringe.Key Takeaways:→ Kids often know what they need and can make informed decisions (even about socks)→ Mindfulness doesn't require meditation cushions or apps—it can be as simple as cold air on bare feet→ Wise parents pick their battles; natural consequences teach better than artificial ones→ We all have our own version of "sockless mindfulness"—mine is opening the bathroom window during a hot showerA Question for You:What's YOUR unconventional mindfulness practice? The thing that grounds you that might seem weird to others?

Send us a text“Small t” and “big T” are common trauma terms meant to validate, but they can also trigger comparison, minimisation, or shame. In this episode, you'll learn what these labels usually mean, why they sometimes backfire, and how to replace ranking with a more compassionate, nervous-system-based framework. You'll also get a simple reframe list (cumulative, relational, chronic vs single-incident, acute) and a short grounding practice to help your system step out of comparison and back into the present.In this episode, you'll learnWhat people typically mean by big T and small t traumaWhy the “missing middle” matters (quiet, chronic, relational stress that still shapes the nervous system)How comparison keeps people stuck: “It wasn't bad enough” vs “I'm permanently damaged”A clearer alternative to ranking: impact + support + recoveryPolyvagal-informed understanding of why the nervous system doesn't rank events “on paper”A short, safe-for-most grounding practice focused on validation and present-moment safetyGentle remindersTrauma isn't a competition, and you don't need to justify your pain to deserve support.If you feel activated or numb while listening, that's a nervous system response; pause anytime.Check the website for free resources available to both those affected by trauma and those supporting them.What's nextNext episode: Before Words: Understanding Preverbal Trauma We'll explore how the body can carry trauma from experiences that happened before you had language and how to work with it gently.Support the show

Want to learn how to stop comparing yourself to others? Jealousy is often seen as negative, but you can learn to deal with jealousy through curiosity and values work. Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership Jealousy and envy are emotions we all feel, especially when we get stuck in comparison—seeing someone confident or attractive and instantly wondering what's wrong with us. But jealousy isn't a flaw; it's a messenger. In this Therapy in a Nutshell episode, Emma McAdam breaks down how to stop comparing yourself to others so you can actually understand what your jealousy is trying to tell you. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

"That was a long time ago. I don't think it affects me anymore."Have you ever said this about something from your past? In this deeply personal episode, Justin shares his own recent experience of discovering how past trauma still lives in the body—even when we're not thinking about it.After a major spinal surgery in 1997, Justin thought he'd moved on. But when new back issues required x-rays nearly 30 years later, he felt something unexpected surface: a saddened familiarity, an inward collapse. The past was still there, waiting.This episode offers a real-time example of what self-regulation can look like during difficult moments—and an invitation to extend more compassion toward yourself and the feelings that surface, even when they're unexpected.Key takeaways:Why "I don't think about it" doesn't mean it's resolvedHow to permit your feelings while staying anchored in safetyThe value of building your Safety Baseline before the unexpected arrivesWhat it looks like to balance difficult emotions with safety in real timeA different kind of episode. A different kind of connection.

A balloon floated down from the hotel ceiling. My son said, "Hit it back."I was sitting on a bench, quietly processing—reflecting on a loud, joyful Italian family reunion the night before, thinking about my upbringing, the conversations with my brothers, how my wife and I are raising our own kids. I wanted to stay in that quiet space.But then a wave of irritation hit me. And in that fraction of a second before the balloon touched my head, a thought arrived:This moment may never happen again.In this episode, I share a simple story from a family trip to San Jose—and what it taught me about:Recognizing when we shift out of safety and into fight or flightThe quiet power of playfulness as a pathway back to connectionWhy seizing small moments matters more than we thinkThis isn't about grand gestures or life-changing epiphanies. It's about a balloon, a 10-year-old boy, and the choice to hit it back.Consider this as me hitting a balloon to you.

If you have ADHD and your emotions feel overwhelming, fast, or hard to control—you're not broken, lazy, or “too sensitive.” In this episode of Therapy in a Nutshell, I explain the brain science behind ADHD and emotional dysregulation—including delayed prefrontal cortex development, dopamine and norepinephrine differences, rejection sensitive dysphoria (RSD), and why emotions can hit before your “brakes” have time to turn on. Up to 70% of people with ADHD struggle with emotional regulation, and there are real neurological reasons why. I'll break down: Why ADHD emotions feel so intense and reactive How executive dysfunction affects impulse control, frustration tolerance, and emotional recovery What rejection sensitive dysphoria (RSD) is and why criticism can feel physically painful Biological triggers that worsen emotional dysregulation (sleep, hunger, sensory overload) ADHD emotional “superpowers” that often get overlooked Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Send us a textIn this episode of The Nourish Nervous System, I am joined by Karen Canham, board-certified wellness practitioner and founder of Karen Ann Wellness, for a deep and grounded conversation on nervous system regulation, somatic healing, and what it truly means to heal beyond willpower.Karen shares her personal journey — from recovering from anorexia, to climbing the corporate ladder, to ultimately finding her way into nervous system work, somatic experiencing, and parts work therapy. Together, we explore how embodiment can become a powerful doorway into healing, resilience, and authentic leadership.This conversation weaves together polyvagal theory, somatic parts work, and the lived experience of learning to move from chronic stress and reactivity into regulation, clarity, and connection.In this episode, we explore:Karen's path from eating disorder recovery to nervous system–based healing workWhy the nervous system is the foundation of true resilience (not just stress relief)The role of the vagus nerve and how regulation supports healing and capacityHealing through awareness instead of willpowerWhat somatic parts work is and how it helps integrate emotions with compassionHow to work with emotions rather than control or suppress themThe nervous system “ladder” and understanding states of shutdown, regulation, and activationHow nervous system regulation supports leadership, relationships, and co-regulationWhy resilience isn't about staying calm all the time — but moving fluidly between statesA simple, accessible embodiment practice you can begin todayKaren also reframes leadership as an essential life skill — one rooted in clarity, compassion, and presence — and shares how nervous system regulation can create powerful ripple effects in families, workplaces, and communities.Guest Information:Karen Canham is a board-certified wellness practitioner and founder of Karen Ann Wellness, where she helps individuals and organizations move from stress and reactivity into regulation — clear, confident, and connected.Website: https://karenannwellness.com Resources:Ayurvedic Dosha Quick Reference Guide Abhyanga Self Massage Guide Weekend Nervous System Reset Nourished For Resilience Workbook Find me at www.nourishednervoussystem.comand @nourishednervoussytem on Instagram

High Functioning Depression looks like coping with depression by keeping busy and distracting yourself with overwork. Learn 5 ways to overcome depression in this interview w/ Dr. Judith Joseph Learn the skills to regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership Learn more about Dr. Judith's work and book: https://drjudithjoseph.com/ https://highfunctioningbook.com/ In this conversation, Dr. Judith Joseph discusses high functioning depression, a condition where individuals appear to be functioning well on the outside while struggling internally. She emphasizes the importance of recognizing and addressing this hidden depression proactively rather than waiting for a crisis. Dr. Joseph introduces her framework of the Five V's—Validation, Venting, Values, Vitals, and Vision—as a way to help individuals reclaim their joy and improve their mental health. The discussion also touches on the significance of understanding personal happiness and making small, actionable changes to enhance well-being. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

If you've ever chased chaos and called it love… This conversation will change you. In this deeply raw and transformative episode, Kelly Siegel sits down with Esin Pinarli, holistic therapist and founder of Eternal Wellness Counseling, for one of the most honest conversations ever recorded on Harder Than Life. Esin doesn't just teach trauma healing; she's lived it. From addiction and anxiety to nervous system collapse, Esin shares how unresolved trauma wires us for chaos, why we confuse intensity for chemistry, and how self-medication shows up not just as substances, but as productivity, relationships, and over-functioning. This episode is a masterclass in nervous system regulation, trauma bonds, implicit memory, emotional addiction, and real healing. If you've ever felt addicted to the wrong people, overwhelmed by your emotions, or stuck in patterns you “can't explain,” this conversation will give language to your experience and a path forward. Key Takeaways

New research shows people with anxiety have lower choline in the brain. What choline does and is choline a good supplement for anxiety Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership Break the Anxiety Cycle in 30 days: https://courses.therapyinanutshell.com/anxietyskills New neuroscience research suggests that people with anxiety disorders have lower levels of choline in the brain compared to those without anxiety. In this video I explain what choline is, how it supports acetylcholine and the nervous system, and what this study does—and does not—mean for anxiety. You'll learn: What choline does in the brain, how acetylcholine supports calm and regulation, whether low choline causes anxiety (or not), what the research actually says about supplementation, and practical, grounded ways to support your mental health ecosystem. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Stop the racing mind by talking directly to your body. Today, we perform a Vagus Nerve Reset.We often try to think our way out of stress, but when your body is tense, your brain has no choice but to produce anxious thoughts. In this episode, Martyn guides you through a powerful sound vibration technique ("The Voo Sound") that physically shakes tension out of your system and lowers cortisol levels immediately.Listen to this episode to:Manually engage your body's "brake pedal" for stress.Perform a guided biological reset in under 10 minutes.Experience the "Orienting" technique to ground yourself in the present moment.You don't have to live in overdrive. Press play to shift gears now.

Making amends, making repairs is even more powerful than self forgiveness or self-compassion. When you learn to fix the harms you've caused you can truly find emotional freedom. Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership Where to find Dr. Sarah Michaud https://www.youtube.com/@leavingcrazytown https://drsarahmichaud.com/ Ted Talk: Our story of rape and reconciliation - Thordis Elva and Tom Stranger https://www.youtube.com/watch?v=gyPoqFcvt9w In this conversation, Dr. Sarah Michaud and I explore the profound themes of self-compassion, forgiveness, and the importance of making amends. We discuss how guilt and shame can manifest in our lives and the courage required to face our mistakes. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Internalized negative self-talk trapping ND lives? In this episode of Adulting with Autism, host April unpacks Complex PTSD/ADHD mental health with Karen Dwyer-Tesoriero, NYC/FL psychotherapist (25+ years social work/child welfare/intergenerational trauma/CPTSD expert). Using EMDR/IFS/Polyvagal/somatic therapies, Karen undoes limiting beliefs for authenticity/goals; life coaching for non-NY/FL via TikTok, plus parent support for emotional regulation. Key insights: Negative self-talk: Childhood messages (e.g., "lazy" from ADHD struggles) internalized—higher CPTSD risk in ND (adverse experiences like unmet needs). CPTSD vs. PTSD: Relational/micro-traumas (e.g., single-parent absences/narcissistic abuse) vs. single events (war/accidents); leads to anxiety/depression/avoidance. Polyvagal theory: Bottom-up body focus (window of tolerance/fight-flight-freeze/dorsal shutdown); regulate via sensations (e.g., neutral feet vs. chest tension)—ADHD/autism concrete (EMDR eye movement/tappers). EMDR for ND: Bilateral stimulation desensitizes trauma memories; evolving for autism/ADHD (virtual/no light bar); process emotions concretely ("what happened next?"). Rewriting stories: Narrative/motivational interviewing challenges origins ("is it true? strengths? passions?"); experiment authenticity (small steps like "hi" to vendor). Attachment styles: Healthy (communication/vulnerability); avoidant (infidelity/avoid intimacy); anxious (constant doubt/people-pleasing); disorganized (both)—ND rejection sensitivity amplifies. Addictions/substances: Beyond alcohol/drugs (food/shopping/exercise/secrets); red flags (hiding behaviors); regulate dopamine healthily (breaks/routines). Advocacy/relationships: Therapy fit crucial (ask trainings/referrals); healthy dating (experiment/vulnerability); parents model regulation to minimize messages. For autistic/ADHD young adults navigating independence/trauma, Karen's vibe: "You're not broken—rewrite for worth." Free resources at kdtesoriero.lcsw.net; email coffeewithkaren@gmail.com. Subscribe for ND trauma hacks! Rate/review on Podbean/Apple/Spotify. Linktree: (socials/shop/Podbean). Holiday merch sale: 30% off tees/hoodies with code BLACK25 at adultingwithautism.shop—rewrite your style fierce! #CPTSDADHDND #NegativeSelfTalkAutism #PolyvagalNervousSystemNeurodivergent #EMDRTraumaRecoveryADHD #AttachmentStylesYoungAdults #RewritingStoriesNeurodiverse #AdultingWithAutism #HealthyBoundariesAutistic #PodMatch #Podcasts #BTSNeurodivergent #BTSArmy   Episode: CPTSD & ADHD in ND with Karen Dwyer-Tesoriero [00:00] Intro: ND Negative Self-Talk Trap [00:30] Karen's Expertise: 25+ Years CPTSD/ADHD Trauma Work [02:00] Negative Messages: Childhood Internalization (ADHD/Autism Struggles) [05:00] CPTSD vs. PTSD: Relational/Micro-Traumas (Adverse Experiences) [08:00] Polyvagal Theory: Bottom-Up Regulation (Window of Tolerance/Freeze) [11:00] EMDR for ND: Bilateral Stimulation/Desensitization (Concrete Processing) [14:00] Rewriting Stories: Narrative Interviewing (Challenge Origins/Strengths) [17:00] Attachment Styles: Healthy vs. Avoidant/Anxious/Disorganized (ND Rejection) [20:00] Addictions/Substances: Beyond Drugs (Food/Shopping/Secrets/Red Flags) [23:00] Healthy Relationships/Dating: Experiment/Vulnerability/Communication [26:00] Outro: Authenticity Takeaways & CTAs Resources: Website: kdtesoriero.lcsw.net (therapy/life coaching) Email: coffeewithkaren@gmail.com TikTok: (life coaching outreach) Linktree:  (socials/shop/Podbean) Subscribe on Podbean/YouTube for ND mental health tips! Share your rewrite win in comments. #NDCPTSD #AutismNegativeTalk #ADHDPolyvagal #EMDRNeurodivergent #AttachmentYoungAdults #AdultingWithAutism

Our nervous systems form the foundation of how we move through the world. It is the filter for our thoughts, behaviors, and interpretations.And when our nervous systems are dysregulated, it impacts how we show up for ourselves, our loved ones, and those we lead.Emotional regulation isn't as simple as a human equivalent of turning your computer off and on again. But it is an essential practice to learn to notice dysregulation, and develop skills and practices to bring us back when we've spiraled or disconnected.As we head into another year of challenges and uncertainty, personally and societally, I'm coming back to my conversation on Polyvagal Theory with Deb Dana from earlier this year, which also happens to be the most downloaded episode of 2025. When the stakes are high, it only makes sense that so many of us are looking for ways to cope. Polyvagal practice offers a compassionate map to ourselves, and helps us build the adaptability, curiosity, compassion, and connection that are most needed in leadership right now.Deb Dana, LCSW, is a clinician, consultant, author, and international lecturer on polyvagal theory-informed work with trauma survivors and is the leading translator of this scientific work to the public and mental health professionals. She's a founding member of the Polyvagal Institute and creator of the signature Rhythm of Regulation® clinical training series.Deb's work shows us how understanding polyvagal theory applies across the board to relationships, mental health, and trauma. She delves into the intricacies of how we can all use and understand the organizing principles of polyvagal theory to change the ways we navigate our daily lives.Listen to the full episode to hear:How regulation practices help us build the capacity to return to ourselves when we've been challengedHow subconscious survival responses hijack our ability to problem solve and narrow our optionsHow tiny moments of noticing can add up to big changes in your capacity to find regulationWhy we need skills for coming back to regulation in order to engage with discomfort and struggle in our lives and in the worldHow leaders can create connected, collaborative environments for themselves and those they leadLearn more about Deb Dana:Rhythm of RegulationLearn more about Rebecca:rebeccaching.comWork With RebeccaThe Unburdened Leader on SubstackSign up for the weekly Unburdened Leader EmailResources:Stephen PorgesThe Nightingale, Kristin HannahBlue: The History of a Color, Michel PastoureauCéline Dion, Andrea Bocelli - The PrayerHalloween Baking ChampionshipHoliday Baking ChampionshipThe Great British Baking Show

top relying on goals that fail. Learn how tiny habits, systems, and 1% improvements create real, lasting change for mental health, motivation, and daily life. Join the 31-day Emotion Processing challenge: https://courses.therapyinanutshell.com/htpe-30-skills-in-30-days-landing-page-1 Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership Tired of setting big goals on Monday and giving up by Wednesday? In this video, you'll learn why goals fail—and why building tiny habits and simple systems is the key to real, lasting change. We'll break down how to start tiny, create 1% improvements, shape your environment, and build habits that actually stick, even if you've tried and failed before. You'll learn practical steps to change your mental health, reduce stress, stop relying on willpower, and design a system that makes the better life automatic. If you've ever felt overwhelmed, unmotivated, or stuck in the “valley of disappointment,” this will give you hope—and a clear plan. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Many people experience trauma not from accidents or violence—but from medical events. ICU stays, surgery, birth trauma, or even routine procedures can leave lasting emotional wounds. In this conversation, Emma McAdam (Therapy in a Nutshell) and Christen Mullane, LMHC, unpack what medical trauma really is, how it differs from medical PTSD, and practical ways to heal. Christen explains how medical experiences can damage trust in your body and in healthcare systems, why “health anxiety” is sometimes actually trauma, and how to gently rebuild a sense of safety and empowerment. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

7 micro habits to escape the freeze response, climb the polyvagal ladder, boost energy, heal burnout, and get unstuck from dorsal vagal shutdown and depression. Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership If you feel sluggish, numb, depressed, or burnt out, your nervous system might be stuck in the freeze response. In this video, I'll teach you 7 tiny habits that activate energy, restore safety, and help your body move up the polyvagal ladder. These simple, science-backed steps help you feel more alive, more motivated, and more like yourself again. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Jan Winhall is a psychotherapist, author, educator, and the developer of the Felt Sense Polyvagal Model (FSPM), a groundbreaking framework that integrates trauma therapy, polyvagal theory, and embodied focusing to understand and treat addiction and trauma. Over more than four decades of clinical work, Jan has specialized in supporting survivors of sexual violence, complex trauma, and addiction with a deeply de-pathologizing, feminist, and body-based lens. She is the founder of the Felt Sense Polyvagal Model Institute, teaches internationally, and collaborates closely with leaders in the polyvagal community to bring more compassionate, somatically grounded approaches into trauma and addiction treatment. In this powerful and deeply validating conversation, Clarissa and Molly sit down with trauma and addiction therapist Jan Winhall, creator of the Felt Sense Polyvagal Model (FSPM). Jan weaves together feminist therapy, trauma theory, polyvagal theory, and embodied practice to completely reframe how we understand addictive behaviors like binging, purging, and compulsive eating: not as "problems" or "defects," but as adaptive state-regulation strategies that the body uses to survive overwhelming experiences. Jan shares how early work with incest survivors revealed the harms of pathologizing, top-down psychiatric approaches—and how safety, dignity, and deep listening became the foundation for her model. Together, we explore how nervous-system states, shame, trauma, ADHD, and body image intersect with ultra-processed food addiction, and how recovery becomes possible when we work with the body instead of against it. This episode is for clinicians, helpers, and anyone living with food addiction who has ever wondered: "What if nothing about me is broken—and my body has been trying to keep me alive all along?" In This Episode, We Explore: • Jan's Origins in Trauma Work o Running groups for young women who were incest survivors in a small Ontario hospital o Seeing firsthand the limitations and harm of traditional psychiatric models o How feminist therapy and the work of Judith Herman and Sandra Butler helped de-pathologize survivors   • From "What's Wrong With You?" to "What Happened to You?" o Why behaviors often labeled "manipulative" or "attention-seeking" (e.g., binging, purging, self-harm) are actually survival strategies o Understanding these behaviors as ways to regulate overwhelming nervous-system states, not moral failures   • The Felt Sense & Polyvagal Theory – Explained Accessibly o What "felt sense" really means (beyond just "sensation") o How neuroception constantly scans for safety and danger below conscious awareness o The three main autonomic states:  Ventral vagal – safety, connection, social engagement  Sympathetic – fight/flight, agitation, urgency  Dorsal vagal – shutdown, collapse, numbness, shame o How addictive behaviors help the body shift between these states to survive   • Addiction as a Trauma Feedback Loop o Why the body cannot stay in high sympathetic arousal or deep shutdown forever o How food, substances, sex, and other behaviors become "jolts" that move us between states o The idea of a "trauma feedback loop" where trauma, dysregulation, and addiction constantly reinforce each other   • Working with Trauma Without "Fishing" for It o Why Jan no longer goes "hunting" for trauma stories o The importance of Phase 1 work: establishing safety before uncovering trauma o How to help people gently reconnect with the body (starting at the edges: fingertips, earlobes, etc.) before approaching the more overwhelming inner experiences   • Shame, Addiction, and Liberation o Why shame is so central to trauma and addiction—and why Jan actually loves working with it o Reframing shame: "This is what bodies do under threat; you are not uniquely broken." o How truly believing this (in our own bodies) changes how we show up for clients o Using groups, co-regulation, and shared stories to create "moments of liberation"   • Food & Sex Addiction, Early Trauma, and Access o Why food and sex are often the earliest available forms of self-soothing for children in unsafe environments o How early masturbation and secret eating can evolve into entrenched patterns over decades o The stigma that keeps men with food addiction silent and unseen   • ADHD, Neurodivergence & Addiction o How neurodivergent folks are especially vulnerable to regulation difficulties and shame o The clash between ADHD time perception and linear, "on-time" culture o The dopamine-driven ping-pong between shame (dorsal) and activation (sympathetic), and how this sets up classic addictive pathways o The "neuroplastic paradox" – getting stuck in ruts, and how intentional practice can build new pathways   • Body Image, Misogyny & Reclaiming the Body o Why so many clients experience their body as "the enemy" o How misogyny, hyper-masculinity, and purity culture shape body hatred and silence around food addiction o The role of our own relationship with our bodies as therapists and helpers—how we co-regulate clients through our presence, not just our words   • Receiving Love & Positive Feedback as a Trigger o Why compliments, affection, and warmth can feel more threatening than criticism for many addicted bodies o How to normalize this, slow it down, and help the nervous system "update" that it is safe enough now o Using group moments of discomfort as live material to work with neuroception and triggers   • Self-Disclosure, Accessibility & Doing Our Own Work o Why Jan believes safe, boundaried self-disclosure can create powerful safety o Steve Porges' idea that "the greatest gift you can give is your accessibility" o Why clinicians must apply these models to their own lives first, so that their belief in the body's wisdom is genuine   • Changing the Addiction Treatment Paradigm o The trauma of addiction treatment itself—shaming, punitive, expensive models o Jan's commitment to bringing compassionate, somatic, polyvagal-informed approaches into 12-step spaces and beyond o The importance of connecting communities (like Sweet Sobriety and FSPM) to shift the field together   Follow Jan and the FSPM Institute: https://www.fspminstitute.com The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.  

Mapping your parts is a powerful exercise from Internal Family Systems IFS to heal from trauma Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership Today we're going to do something a little different. We're going to do an exercise from Internal Family Systems called “Mapping your Parts”. In IFS we come to see our different feelings, inner voices, thoughts, urges or habits as “parts” that interact like an internal family. Because when we can see them clearly and learn to listen to them, our parts can start to work together for our good. This exercise can help you when you're internally conflicted, or have a difficult decision to make, or when you keep reacting to a situation in a way that you don't like or understand. IFS is a respected treatment modality for working through trauma or PTSD or Childhood Trauma. Your parts can give you a lot of insight into what's going on. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

When your spouse is dysregulated, shut down, or lashing out in anger—what's really happening? And more importantly, what can YOU do about it?In this episode, I break down:✓ The biological difference between being technically safe and *feeling* safe✓ Why your partner may not identify you as a safety cue (even if you're trying)✓ The "Polyvagal Ladder"—how shutdown → anger → safety actually works✓ Why fight activation coming out of shutdown is actually a GOOD sign✓ The painful relationship cycle (and how to break it)✓ 4 practical tips to shift relationship dynamicsKEY TAKEAWAY: If you want your relationship to change, it falls on YOU to show up differently. You can't control your partner's nervous system, but you can regulate yours—and that's powerful.⏱️ TIMESTAMPS:0:00 - Introduction: Understanding Dysregulation in Relationships0:32 - Listener's Question: Navigating Marital Challenges2:01 - The Concept of Safety in Relationships7:31 - The Role of Fight Activation and Safety11:03 - Breaking the Cycle: Self-Regulation and Boundaries20:12 - Practical Tips for Changing Relationship Dynamics26:45 - Conclusion: The Journey to Self-Regulation

Feeling the heavy "grey" of the season? You don't have to force happiness today. Join Martin, your Clinical Hypnotherapist, for a gentle 5-minute morning meditation designed to soothe Seasonal Affective Disorder (SAD) and shift your mood instantly.In this episode, we move beyond toxic positivity and use the science of Polyvagal Theory to introduce you to "Glimmers"—the trending antidote to triggers. While triggers push your nervous system into fight-or-flight, glimmers are micro-moments of safety and connection that anchor you back to calm.In just 5 minutes, you will learn to:Retrain Your Brain: Overcome your mind's natural negativity bias by activating your "Glimmer radar." Soothe Winter Blues: Shift your biology from survival mode into "rest and digest" using somatic regulation. Find Magic in the Mundane: Use visualization to spot micro-joys—like the steam of coffee or a winter robin—to spark instant gratitude. Why listen? If you are struggling with seasonal depression, high-functioning anxiety, or just the weight of the dark months, this session offers a practical tool to help you feel safe, warm, and connected. Become a "hunter of glimmers" and find the light that is already there. Featured Affirmations: "I am open to seeing the magic in the mundane." "Safety and joy are available to me right now." "I choose to focus on what warms my heart."

Your nervous system has a built-in Freeze and Appease response to manage the threat of sexual assault, aka the Fawn response. Learn to forgive yourself and train to respond differently. Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership When someone experiences sexual harassment or sexual assault, their body often doesn't react the way they expect. Instead of fighting or running, they might freeze, fawn, or appease—smiling, complying, or going still, even when they feel terrified inside. In this video, we'll explore the Freeze and Fawn Response—sometimes called the Freeze-Appease Response—and how these instinctive reactions are the body's way of trying to stay safe during sexual violence or threat. You'll learn what happens in the nervous system during a freeze response, why people can't “just say no,” and how understanding this can help survivors release shame and start to heal. This is essential education for survivors, loved ones, and anyone who wants to understand trauma responses with compassion and science. If you've ever blamed yourself for how you reacted during sexual harassment or sexual assault, please know: it wasn't your fault. Your body was trying to keep you alive. Freeze Response, Fawn Response, Freeze Appease, Sexual Violence, Sexual Assault, Tonic Immobility, Trauma Response, Nervous System, PTSD Recovery, Survivor Support Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Book summary of No Bad Parts written by Richard Schwartz, it's an introduction to Internal Family Systems model aka IFS Therapy. Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Two years ago, I said AI couldn't replace therapists. I was wrong—about the technology, anyway. In late 2025, AI can now see you, hear your voice, and remember everything you say. But just because it can doesn't mean it should. In this episode, I'm exploring what's actually possible, who AI might actually help, and the uncomfortable questions we're not asking yet. This one might upset you. Good.Resources:

Have you ever felt more anxious when you've tried to calm down? Learn how to lean in to feelings with acceptance and meditation expert Thomas McConkie. Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership Check out Thomas' School: https://lowerlightswisdom.org/ Learn how to lean in to your feelings, how to sit with them and accept emotions with this exercise and debrief with Thomas McConkie, mindfulness and mediation expert. Many people try deep breathing or vagus nerve exercises to calm anxiety — only to feel more anxious. In this episode, I explore with Thomas why that happens, why it's actually a sign of progress, and how learning to stay present with discomfort can strengthen your nervous system and deepen your sense of peace. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services.