Podcasts about prolonged exposure

Evidence-based psychotherapies for post-traumatic stress disorder (PTSD), such as Prolonged Exposure and Cognitive Processing Therapy, are the best tools we have to treat PTSD for most people–at least as long as those in need are able to access these therapies. A number of barriers may exist, such as availability of trained therapists, insurance coverage (or lack thereof), or even life stressors standing in the way. During the COVID-19 pandemic, trauma exposure exploded exponentially while at the same time access to care due to lockdowns and social distancing was severely diminished. In this episode of Practical for Your Practice, we chat with Dr. Sheila Rauch, one of the authors of the Prolonged Exposure Therapist Guide, about her many exciting projects to expand access to effective care for PTSD. As she explains, “the more doors that we have for people with PTSD to enter and get effective treatment, the more people are going to actually do that.” Join us for one of our new favorite episodes to hear about self-help approaches, PE in primary care, immediate interventions in emergency departments, and shifting the name of PE to “Processing Emotions.”Sheila A.M. Rauch, Ph.D., ABPP, co-led design and now serves as Deputy Director of the Emory Healthcare Veterans Program and Director of Mental Health Research and Program Evaluation at the Joseph Maxwell Cleland Atlanta VA Medical Center. For over 20 years, Dr. Rauch's work in VA and Academic Medical settings focuses on developing programs, conducting research, and providing PTSD and Anxiety Disorders treatment with the goal to improve access to effective mental health treatment. Her research focuses on examination of mechanisms involved in the development and treatment of PTSD and improving access to effective interventions. She has led several PTSD treatment outcome and mechanisms trials including pharmaceutical and therapy trials focused on moving interventions for PTSD into medical and primary care settings. She has published over 220 peer-reviewed scholarly articles as well as many chapters and six books on anxiety disorders and posttraumatic stress disorder (PTSD). She developed an effective primary care based PTSD intervention that is in use across VA and many civilian settings and has also worked to get treatment out of the clinic and into the hands of those who need it with apps, self-guided workbooks, and web-based interventions. Her work examines neurobiology and factors involved in the development, maintenance, and treatment of anxiety disorders, psychosocial factors in medical settings, and the relation between physical health and anxiety. Her recent books include Retraining the Brain and Making Meaning of Difficult Experiences.Resources mentioned in this episode:Rauch, S. A. M., & Rothbaum, B. O. (2023). Making Meaning of Difficult Experiences: A Self-Guided Program. Oxford University Press.Virtually Better. (2024). Messy Memories [Mobile app]. Available on Google Play and Apple App StorePE in Primary Care training: VA and military providers can reach out to Margaret.venners@va.gov for training, and civilian providers can reach out to jgarlick@med.umich.eduPractical for Your Practice voice mail: speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.eduCalls-to-action:Remember that emotions aren't dangerousGet training in brief treatment models (e.g. PCPE. see above)Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email at https://deploymentpsych.org/CDP-MED-Opt-In

What if the air freshener in your car was more dangerous than the pollution outside? In this explosive episode, Darin reveals what's really inside those “harmless” little trees hanging from car mirrors—and why they could be silently damaging your health. Backed by real science and peer-reviewed studies, Darin uncovers the shocking truth about volatile organic compounds (VOCs), the health effects on the brain and lungs, and the corporations that won't label them. You'll also learn how to detox your air, reclaim your health, and even start a grassroots movement to get a fragrance-free option in ride shares like Uber and Lyft. Studies: There's this study called “Volatile Chemical Emissions from Car Air Fresheners”—and wow. Researchers analyzed 12 popular car fresheners—those trees, clips, sprays, gels—you name it. Here's what they found: 546 volatile organic compounds. That's VOCs. Out of those, 30 were considered potentially hazardous—things like formaldehyde, benzene, and other stuff you definitely don't want marinating your brain. And you know what's wild?
Not a single one of those hazardous chemicals was listed on the label.
(Steinemann et al., 2020) There's a study called “Fragranced Consumer Products: Effects on Asthmatics”—and it found that over 64% of people with asthma reported real symptoms from these scented products: wheezing, headaches, even full-on asthma attacks. And 41% said air fresheners were the trigger (Steinemann, 2017). Another one? “Migraine Headaches and Fragranced Consumer Products.” Nearly half of the people who get migraines said air fresheners specifically set them off (Steinemann & Nematollahi, 2020). And if you're neurodivergent—like folks with autism? This next one breaks my heart.
In the study “Fragranced Consumer Products: Effects on Autistic Adults,” 83.7% of autistic individuals said fragranced products triggered serious neurological and respiratory problems—and 63% said air fresheners were one of the worst offenders (Steinemann, 2018). In a study out of Nigeria, researchers exposed mice to a solid commercial air freshener. After a few weeks, the mice showed increased anxiety, depression-like behavior, memory loss, and signs of oxidative stress in the brain. Their brains were literally under chemical assault.
The study's called “Neurobehavioral Effects of Prolonged Exposure to Solid Air Freshener in Mice.” Check it out—it's eye-opening (Umukoro et al., 2019). Sorry to tell you… greenwashed products aren't any better. In the same 2020 study I mentioned earlier, researchers tested “natural” versions too—and found no meaningful difference in the chemicals they released (Steinemann et al., 2020).     What You'll Learn in This Episode: 00:00 – Introduction: The truth about air fresheners 00:44 – Why Darin refuses to use ride shares with scent trees 01:50 – The hidden study on VOCs in popular car air fresheners 02:30 – 546 chemicals discovered—30 considered hazardous 03:00 – Where is the regulation? Why there are no labels 03:55 – Formaldehyde, benzene, and what they do to your body 05:00 – The link between asthma, headaches, and fragrances 05:45 – 64% of asthmatics report fragrance-triggered symptoms 06:25 – What these chemicals do to neurodivergent individuals 07:10 – Mice studies: anxiety, memory loss, oxidative stress 08:40 – Ubers, Lyfts, and chronic chemical exposure 09:15 – “Greenwashed” products are just as toxic 10:00 – No regulation, no labeling: the wild west of scent marketing 10:50 – A call to action: the Uber/Lyft fragrance-free movement 12:02 – How to tag and campaign for safer ride shares 13:00 – What you can use instead: baking soda, charcoal, and nature 14:40 – Exactly how to ask a driver to remove chemical air fresheners 15:41 – Final message: take your air—and your health—back     Don't Forget... I just launched my brand new program Superlife Supermind. Visit my website https://superlife.com/ to learn more about how you can get rid of stress, improve sleep and overall health today.     Connect with Darin Olien: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences   Key Takeaway: "Your car shouldn't smell like a fake ocean breeze—it should smell like clean, chemical-free life." – Darin Olien     Bibliography: 1. Steinemann, A., et al. (2020). Volatile chemical emissions from car air fresheners. Link 2. Steinemann, A. (2017). Fragranced consumer products: effects on asthmatics. Link 3. Steinemann, A. (2018). Fragranced consumer products: effects on autistic adults. Link 4. Steinemann, A., & Nematollahi, N. (2020). Migraine headaches and fragranced consumer products. Link 5. Umukoro, S., et al. (2019). Neurobehavioral Effects of Prolonged Exposure to Solid Air Freshener in Mice. Link

Hosted by Jennie Berkovich, DO, this episode dives into the complexities of trauma, its effects on the mind and body, and the latest advancements in treatment. Dr. Kobernick, a trauma specialist, shares her expertise on the most common types of trauma she encounters, the evolution of our understanding of its impact, and the critical role early childhood experiences play in shaping resilience. Together, they explore evidence-based treatments like CBT and DBT, debunk common misconceptions, and discuss how families can support loved ones on their healing journey. Whether you're a healthcare professional, someone affected by trauma, or simply curious about the field, this conversation offers valuable insights and actionable advice.Dr. Kobernick is a licensed clinical psychologist and the Founder and Director of The CBT/DBT Center. She received her doctorate at Long Island University – Post Campus where she studied under Dr. Jill Rathus, co-developer of DBT for adolescents. She completed training at New York Presbyterian Hospital's personality disorders unit where she provided individual and group Dialectical Behavior Therapy (DBT) and participated in case consultation with Otto Kernberg, M.D. She then provided Cognitive Behavior Therapy (CBT) and comprehensive DBT at Northwell Health's Behavioral Health College Partnership. Upon completing her training at Northwell Health, she recognized the need for trauma-focused training for her DBT clients who completed stage 1 DBT. At Rutgers University's college counseling program, she focused her training on evidence-based trauma treatments including Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT).Dr. Kobernick has advanced training in DBT and specialized training in adaptations of DBT for adolescents and children. She has been supervised by Francheska Perepletchikova, PhD, developer of DBT for children (DBT-C), and is a trainer for DBT-C. While Dr. Kobernick enjoys practicing DBT, she is trained in other evidence-based modalities and is passionate about training and supervising other clinicians in her hopes to disseminate these modalities within the Orthodox Jewish community. She has also received specialized training in suicide prevention, evidence-based approaches in addiction treatment, CBT for insomnia, Motivational Interviewing, Psychological First Aid, Teaching and Supervising CBT from the Beck Institute, Behavioral Parent Management Training, Trauma Art Narrative Therapy, Prolonged Exposure, Cognitive Processing Therapy, and Trauma-Focused CBT for children. She has co-led therapy groups on CBT for social anxiety and Mindfulness-Based Cognitive Therapy (MBCT) for people with repeated episodes of depression.Dr. Kobernick's research interests include implementation and dissemination of evidence-based treatments within the Orthodox Jewish community, suicidality and nonsuicidal self-injury, and education and training in health service psychology. She has published and presented on these topics at the local and national levels.__________________________________________________________ Sponsor the JOWMA Podcast! Email digitalcontent@jowma.org Become a JOWMA Member! www.jowma.org Follow us on Instagram! www.instagram.com/JOWMA_org Follow us on Twitter! www.twitter.com/JOWMA_med Follow us on Facebook! https://www.facebook.com/JOWMAorg Stay up-to-date with JOWMA news! Sign up for the JOWMA newsletter! https://jowma.us6.list-manage.com/subscribe?u=9b4e9beb287874f9dc7f80289&id=ea3ef44644&mc_cid=dfb442d2a7&mc_eid=e9eee6e41e

In this episode Dr. Megan McElheran, a clinical psychologist with over 20 years of experience working with uniformed service personnel delves into Dr. McElheran's development of upstream training programs aimed at preparing military and public safety professionals to manage stress before it becomes overwhelming. Marcus and Dr. McElheran explore the concepts of post-traumatic growth, the importance of action-oriented stoic philosophy, and practical steps for emotional regulation. Dr. McElheran shares her journey into psychology, the creation of the Before Operational Stress (BOS) program, and data-backed evidence of its effectiveness. Episode Highlights: 12:45 The Role of Stoicism in Uniformed Services 24:28 The Importance of De-escalation and Self-Care 25:26 Training Gaps and Operational Stress 26:15 The Duality of Tactical Skills and Trauma 32:43 Facing Fear and Taking Action Dr. Megan McElheran is a dedicated trauma therapist specializing in helping first responders, active-duty members of the Canadian Forces, and community members navigate the aftermath of traumatic events. With expertise in evidence-based practices such as Prolonged Exposure, EMDR, and Accelerated Resolution Therapy, Megan provides a safe, structured environment for clients to process and heal. Her work emphasizes resilience and the profound capacity for change, as shared in her 2011 TEDx talk, Trauma, Change, and Resilience. Megan’s compassionate approach empowers individuals to rebuild their lives, transforming the impact of trauma into growth and strength. You can learn more about Dr. McElheran here: https://www.wayfound.ca/dr-megan-mcelheran Take the course with discount code BOSPOD: https://education.beforeoperationalstress.com/pages/our-courses Learn more about the gift of Adversity and my mission to help my fellow humans create a better world by heading to www.marcusaureliusanderson.com. There you can take action by joining my ANV inner circle to get exclusive content and information.See omnystudio.com/listener for privacy information.

In this episode of "Among Therapists: Practical Tips," Dr. Barbara Rothbaum explores cognitive-behavioral treatments for PTSD, focusing on stress inoculation training, cognitive restructuring, and prolonged exposure therapy. Learn how these methods help patients confront trauma reminders, manage anxiety, and challenge dysfunctional thoughts. Particular emphasis is placed on prolonged exposure therapy, the most empirically supported treatment for PTSD. Join us for valuable insights to enhance your therapeutic practice. Faculty: Barbara Rothbaum, Ph.D. Host: Jessica Díaz, M.D. Script Editor: Anderson Garcia, Ph.D. Learn more about: Trauma Training Pathway: Proven ACT, DBT, and Prolonged Exposure Techniques Prefer to read? Here's a text version: CBT for PTSD: Basics and Rationale.

Send us a Text Message.Eloise Cherian is the Communications Coordinator at Sunstone Therapies. Which is one of the Nations top healing centers for both Psychedelic therapy and clinical trials. Join us as we explore the efficacy and healing potential of these powerful medicine. Inspired by her studies in neuroscience and Michael Pollan's "How to Change Your Mind," Eloise shares her research experiences with ketamine therapy at the Minneapolis VA, uncovering promising data on psychedelics like psilocybin and ketamine. Discover why these substances could offer sustainable mental health solutions that go beyond traditional pharmaceuticals, and hear about the ongoing efforts to reschedule MDMA for therapeutic use.  Ever wondered how MDMA can foster empathy and social engagement crucial for trauma healing? In this episode, Eloise explains the neurochemical mechanisms behind MDMA and discusses its potential FDA approval for PTSD treatment. With extensive clinical trials showcasing its efficacy and safety, we delve into why MDMA-assisted therapy requires careful preparation, dosing, and integration with a therapist. We also broaden our discussion to other psychedelics like psilocybin and LSD, emphasizing the importance of supervised use and the risks of unsupervised ketamine therapy. Eloise Cherian attended Pomona College in Claremont, California where she studied Neuroscience. During the summer of 2022, she worked at the Minneapolis Department of Veteran Affairs as a research assistant on a clinical trial investigating the efficacy of ketamine and Prolonged Exposure therapy for PTSD. Currently, she is the Communications Coordinator for Sunstone Therapies, a mental health company dedicated to the research and delivery of psychedelic-assisted therapy, located in Rockville Maryland. If you enjoy our content, sign up for our Patreon and get access to additional content, bonus episodes, and access each episode before they drop on Spotify or iTunes. We greatly appreciate you and your support, so please remember to LIKE, FOLLOW, SHARE, and SUBSCRIBE!Patreon: securityhaltpodcastInstagram: @securityhaltX : @SecurityHaltTik Tok: @security.halt.pod Follow Sunstone Therapies on all of there Social Media channels to find out more!Website: Sunstone TherapiesLinkedIn: Sunstone TherapiesX: @SunstoneHealsInstagram: sunstonehealsSupport the Show.Produced by Security Halt Media

What if you could successfully treat PTSD in 2 weeks instead of 12? Massed delivery of PTSD treatments such as Cognitive Processing Therapy and Prolonged Exposure are gaining empirical support. But how does it work and could you offer it to your patients? Our guest in this episode is at the forefront of research answering these questions. We're joined by Dr. Cynthia Yamokoski, the Associate Director of the PTSD Mentoring Program at the National Center for PTSD. She shares the benefits and challenges of massed treatment for PTSD and provides suggestions for how to get started in your clinical practice. Of course, she also shares her “EBP Confession,” describing how she let her EBP pendulum swing too far. Listen in as Dr. Yamokoski leads us “through the fog.”Cynthia Yamokoski, PhD is a clinical psychologist and the Associate Director of the PTSD Mentoring Program at the National Center for PTSD. She is a Senior Clinical Instructor at the Case Western Reserve University. She earned her doctorate from the University of Akron.Dr. Yamokoski and her colleagues in Cleveland have developed and implemented an intensive 2- and 4-week PTSD program utilizing massed delivery of evidenced-based psychotherapy for PTSD, and she is facilitating the implementation of this model in additional PTSD programs within the VA system.Resources:This American Life “Ten Sessions”: https://www.thisamericanlife.org/682/ten-sessionsThe PTSD Consultation Program at the National Center for PTSD: https://www.ptsd.va.gov/professional/consult/index.aspThis article provides a good summary of the massed treatment research to date: Wachen, J.S., Dondanville, K., Evans, W., Morris, K., & Cole, A. (2019). Adjusting the Timeframe of Evidence-Based Therapies for PTSD-Massed Treatments. Current Treatment Options in Psych. DOI 10.1007/s40501-019-00169-9 Calls-to-action: For example:Learn more about massed treatments by listening to the “Ten Sessions” episode of This American Life and reading relevant research.Utilize consultation as you start implementing massed treatment. Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Share your EBP fears with us on www.speakpipe.com/cdpp4p

Just about everyone in the world has experienced something that can be characterized as a trauma. Humans are resilient, and most people recover on their own and function well. Some continue to be affected by trauma long after the fact, and it is not always easy to identify who that may be and how a history of adversity may impact our interactions. There is a difference between trauma-specific care (such as Cognitive Processing Therapy or Prolonged Exposure therapy) and trauma-informed care. Join us and our amazing guest, Dr. Lydia Bartholow, as we discuss trauma-informed care and how we can reorient from a “What's wrong with you?” to a “What happened to you?” approach and implement psychological “universal precautions” to transform our systems to acknowledge a history of adversity.Lydia Bartholow, DNP, PMHNP, CARN-AP, is a doctorally prepared psychiatric nurse practitioner specializing in addiction medicine and trauma-informed care. She currently staffs and directs a trauma-informed urgent substance withdrawal management center. She is on faculty at UCSF, where she teaches in the psychiatric nurse practitioner program. She speaks nationally on topics such as co-occurring disorders, harm reduction, and substance use disorder care system improvement. She focuses all parts of her practice on radical public health, harm reduction, and anti-oppression work. Lydia lives in Portland, OR, on Chinook, Kathlamet, Clackamas, and Kalapuya land.Resources:Lydia Bartholow's website: https://www.lydiabartholow.com/ (6:58)Trauma-Informed Oregon: https://traumainformedoregon.org/ (33:08)SAMHSA.gov Trauma-informed Care: https://www.traumapolicy.org/topics/trauma-informed-care (33:29)Center for Healthcare Strategies's Trauma-Informed Care Implementation Resource Center: https://www.traumainformedcare.chcs.org/ Calls-to-action: For example:Trauma-Informed Psychoeducation skill: (from motivational interviewing) Elicit–Provide–Elicit: 1) elicit previous information/experience and ask permission to provide more information, 2) provide new information, 3) elicit their feedback about how they might apply/use/integrate the information providedCheck out the resources at Trauma-Informed Oregon and SAMHSA (links above). Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Share your EBP fears with us at www.speakpipe.com/cdpp4p

They lied to us in every instance of the process. They said their vaccine was safe and effective. Yet now people are getting long covid. If you think about it if you took the vaccine and five other boosters why are you not immune to covid. The doctors are now saying some insane cover up about how you get long covid if you are exposed to other people that have covid for too long. But once again I have to ask the question why is it that people that have taken the covid bite are still getting covid. Could it be that it was all a sham.

On this episode, I had the chance to connect with a good friend of mine named Joella. She shares a great deal of experiences that she went through and how it has allowed her to be efficient in her role as a therapist. Joella has been a therapist over 5 years and shares how meaningful this work has been to her. Joella went to Temple for undergrad and then after a few years went to a school in Kutztown to receive her Masters. Joella is certified in Prolonged Exposure and CBT therapy. Joella also has her certification in Dream Interpretation. Be sure to tune in to learn more about her. Be sure to follow her on Instagram at joeybadass_xo to stay connected with her! Be sure to become part of the JD Inspo community by subscribing to my podcast! Be sure to send me ratings and feedback! Make sure you tell a friend so they can tell a friend as well about my podcast! Thank you!

For 37 years, Rick Doblin has been pushing the F.D.A. to approve treating post-traumatic stress disorder with MDMA, better known as Ecstasy. He tells Steve why he persisted for so long, why he doesn't like calling drug use “recreational,” and what he learned from his pet wolf.  RESOURCES:"MDMA-Assisted Therapy for Moderate to Severe PTSD: A Randomized, Placebo-Controlled Phase 3 Trial," by Jennifer M. Mitchell, Marcela Ot'alora G., Bessel van der Kolk, Scott Shannon, Michael Bogenschutz, Rick Doblin, et al. (Nature Medicine, 2023)."MDMA Therapy Inches Closer to Approval," by Rachel Nuwer (The New York Times, 2023)."Psychedelics Reopen the Social Reward Learning Critical Period," by Romain Nardou, Edward Sawyer, Young Jun Song, Gül Dölen, et al. (Nature, 2023)."The Social Costs of Keystone Species Collapse: Evidence from the Decline of Vultures in India," by Eyal Frank and Anant Sudarshan (SSRN, 2023)."Global Health, Climate Change and Migration: The Need for Recognition of 'Climate Refugees,'" by Saverio Bellizzi, Christian Popescu, Catello M. Panu Napodano, Maura Fiamma, and Luca Cegolon (Journal of Global Health, 2023)."Comparison of Prolonged Exposure vs Cognitive Processing Therapy for Treatment of Posttraumatic Stress Disorder Among U.S. Veterans," by Paula P. Schnurr, Kathleen M. Chard, Josef I. Ruzek, et al. (JAMA Network Open, 2022)."MDMA-Assisted Therapy for Severe PTSD: A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study," Jennifer M. Mitchell, Michael Bogenschutz, Alia Lilienstein, Charlotte Harrison, Rick Doblin, et al. (Nature Medicine, 2021)."Inner City Blues: Children Raised in Inner-Cities Face Comparable PTSD Causing Conditions and Consequences as Military Veterans and Deserve Our Attention," by Eric Citizen (SSRN, 2019)."Intergenerational Transmission of Trauma Effects: Putative Role of Epigenetic Mechanisms," by Rachel Yehuda and Amy Lehrner (World Psychiatry, 2018)."Durability of Improvement in Post-Traumatic Stress Disorder Symptoms and Absence of Harmful Effects or Drug Dependency After 3,4-Methylenedioxymethamphetamine-Assisted Psychotherapy: A Prospective Long-Term Follow-Up Study," by Michael C. Mithoefer, Mark T. Wagner, Rick Doblin, et al. (Journal of Psychopharmacology, 2013)."RETRACTED: Severe Dopaminergic Neurotoxicity in Primates After a Common Recreational Dose Regimen of MDMA ('Ecstasy')," by George A. Ricaurte, Jie Yuan, George Hatzidimitriou, Branden J. Cord, and Una D. McCann (Science, 2002).EXTRAS:"Why Aren't All Drugs Legal? (Replay)," by People I (Mostly) Admire (2022)."Can the Big Bad Wolf Save Your Life?" by Freakonomics Radio (2022)."How Are Psychedelics and Other Party Drugs Changing Psychiatry?" by Freakonomics Radio (2020).

Interview with Denise M. Sloan, PhD, author of Written Exposure Therapy vs Prolonged Exposure Therapy in the Treatment of Posttraumatic Stress Disorder: A Randomized Clinical Trial. Hosted by John Torous, MD, MBI. Related Content: Written Exposure Therapy vs Prolonged Exposure Therapy in the Treatment of Posttraumatic Stress Disorder

Interview with Denise M. Sloan, PhD, author of Written Exposure Therapy vs Prolonged Exposure Therapy in the Treatment of Posttraumatic Stress Disorder: A Randomized Clinical Trial. Hosted by John Torous, MD, MBI. Related Content: Written Exposure Therapy vs Prolonged Exposure Therapy in the Treatment of Posttraumatic Stress Disorder

The post Rebroadcast: Prolonged Exposure Therapy, PTSD and Eating Disorder Recovery appeared first on Seven Health: Eating Disorder Recovery and Anti Diet Nutritionist.

Join Samuel and Julie as they go off the beaten path with licensed clinical psychologist Jenny Hughes. Jenny specializes in the treatment of trauma and PTSD. As a clinician, she practices EMDR, Cognitive Processing Therapy, and Prolonged Exposure therapy. Jenny has published a workbook designed for clients to use on their own or with their therapist called the PTSD Recovery Workbook, which can be found on Amazon. Through her clinical work, Jenny has been able to also support helpers and healers through the common experience of vicarious trauma. As the founder of The BRAVE Trauma Therapist Collective, Jenny helps trauma therapists go from feeling drained and demoralized to energized and empowered. Members of BRAVE work with Jenny to become more aware of how to identify and overcome vicarious trauma, allowing them to thrive in their professional and personal lives. You can find Jenny at: https://www.braveproviders.com/ https://www.facebook.com/groups/thebravevicarioustraumacommunity http://www.instagram.com/braveproviders   -- Our links: https://linktr.ee/communityroutes Please rate us on iTunes and Spotify! We need all the help we can get to spread the word about mental health. Reach out and start a conversation with us! We would love to hear from you on Facebook or Instagram or you can email us at communityroutes.pod@gmail.com Special Thanks to Julie Richards for hosting, Steve Dodge for the theme song, and Alexander Wells for the logo. Can't get enough? Support the show through our Patreon.  

Maddy Ellberger is a therapist specializing in DBT, with extensive training in Cognitive Behavioral Therapy (CBT), Mindfulness Based Stress Reduction and Prolonged Exposure and Cognitive Processing Therapy for trauma. She joins the show to discuss how to use DBT skills to change behavior including common impulsive habits we all engage in (overeating, stress eating, impulsive texting etc). She answers listener questions including how to build trust with ourselves while continuing to act in ways we would like to change, how to break bad habits, how to find joy in the mundane, how to practice acceptance, how to sleep better, how to not be dependent on external circumstances & so much more.    This episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct, or indirect financial interest in products, or services referred to in this episode.   Get 20% off your first order of Sakara at www.Sakara.com/Blonde or use the code BLONDE at checkout.    This show is sponsored by BetterHelp. Find more balance with BetterHelp. Visit BetterHelp.com/Files today to get 10% off your first month.   Athletic Greens is giving you a FREE 1 year supply of Vitamin D and 5 FREE travel packs with your purchase. Head to AthleticGreens.com/BlondeFiles to redeem.    For a limited time, Alo Moves is offering my listeners a free 30-day trial PLUS 50% off an annual membership at AloMoves.com and all caps code BLONDE    For a limited time, House of Macadamias is offering listeners a free box of their best-seller, Namibian Sea Salted Macadamia Nuts (worth $35) with your purchase at houseofmacadmias.com/blonde  +20% your whole order with code BLONDE   Visit CleanSimpleEats.com and use code BLONDE at checkout for 20% off your first order.   Produced by Dear Media

This episode is all about exposure therapy! Exposure is one of the most effective techniques that help a person learn to overcome the symptoms they experience from childhood sexual abuse. I describe how exposure works, as well as provide details on the therapy called Prolonged Exposure, which is the gold standard treatment for PTSD. I'm very honoured to have been featured on Feedspot's top 35 podcasts on Childhood Sexual Abuse! Check out: the list at https://blog.feedspot.com/child_sexual_abuse_podcasts/

Jenny Hughes is a licensed clinical psychologist specializing in the treatment of trauma and PTSD. As a clinician, she practices EMDR, Cognitive Processing Therapy, and Prolonged Exposure therapy.   Through her clinical work, Jenny has been able to also support fellow trauma therapists through the shared experience of vicarious trauma. As the founder of The BRAVE Trauma Therapist Collective, Jenny helps trauma therapists go from feeling drained and demoralized to energized and empowered. The work done in The BRAVE Collective is ideal for any traveling therapist as our community becomes your home away from home, no matter where you are in the world!   Check out Jenny's upcoming FREE workshop, The BRAVE Vicarious Trauma Workshop LIVE, on February 28th at 4pmPST/7pmCST (7-day replay included!). Sign up at braveproviders.com/vtworkshoplive   Learn More About: What is the relationship between vicarious trauma and traveling?  Understanding vicarious trauma, how to acknowledge it, and seeking support from a community.  Giving permission to pick the right level of clinical intensity in your caseload for where you are in your life.   Have you heard of Alma? As you may know, I have a variety of resources available to therapists who want to build insurance in their private practice. I have a comprehensive membership to teach you how to build on your own. But I also refer mental health practitioners to companies like Alma who can do your billing for you if you don't want to hire billers or do it on your own. If this sounds like the kind of support you need in your insurance-based private practice, consider joining Alma to get the tools and support you need to manage and grow your private practice accept insurance, and focus on what matters most delivering high-quality care to your clients.    My personal referral link is here if you want to schedule an appointment and check them out: https://helloalma.com/for-providers/?grsf=kimberly-wqqc1l     Connect with me: Instagram: TheTravelingTherapist_Kym  Signup to learn more about life as Traveling Therapist: https://landing.mailerlite.com/webforms/landing/l2v7c3  The Traveling Therapist Facebook Group: https://www.facebook.com/groups/onlineandtraveling/  Bill Like A Boss Insurance Billing Community: https://kymtolson.kartra.com/page/blab Subscribe to the Podcast Apple iTunes | Spotify | Google Podcast | Stitcher | Amazon | Castbox

isredivsredivo Dr. Jenny Hughes is a Licensed Clinical Psychologist specializing in the treatment of trauma and PTSD. As a clinician, she practices EMDR, Cognitive Processing Therapy, and Prolonged Exposure therapy. Jenny recently published a workbook designed for clients to use on their own or with their therapist called the PTSD Recovery Workbook. Through her clinical work, Jenny has been able to also support fellow trauma therapists through the common experience of vicarious trauma. As the founder of BRAVE Providers, LLC, Jenny supports trauma therapists go from feeling drained and demoralized to energized and empowered. Members of BRAVE work with Jenny to become more aware of how to identify and overcome vicarious trauma, allowing them to thrive in their professional and personal lives. Topics Discussed: Jenny's path towards the mental health profession Her early years and the challenges she overcame What it means to “authentically show up yourself” Sharing experiences helps clients heal What is vicarious trauma, and how does it impact our lives Why trauma therapist are highly at risk for burnout Diversity, equity, and inclusion in helping professions Learn about the Brave Providers Collective Learn helpful tips for taming vicarious trauma You can find Jenny Hughes here: Website | www.braveproviders.com/ Facebook Community | www.facebook.com/groups/thebravevicarioustraumacommunity Instagram | @braveproviders Tik Tok | @braveproviders Own Your Journey! In our fast-paced world, many of us struggle with overthinking and worry which leaves us feeling overwhelmed or stuck. Hi! I'm Maria Grace Wolk. I'm a Filipina American entrepreneur, Psychotherapist, wife, and mom of two boys; My mission is to amplify diverse perspectives, break the mental health stigma, and inspire you to own your journey to wellness and fulfillment. Is there anything keeping you from changing your life? Watch my TEDx talk https://youtu.be/r0A2FXwyAsw to learn what happened when I left my comfort zone

Psychologist Talk with Michaela KadambiMichaela Kadambi Ph.D., R. Psych. (she/her): is a BIPOC (South Asian/European) registered psychologist in Edmonton who specializes in anxiety disorders and traumatic stress. Having the highest levels of education and training experiences required for psychologists in Alberta, she offers in-person and telehealth services to individuals and couples. Her clinical work is deeply informed by current research, best practices, advanced clinical training, and over two decades of professional experience. Dr. Kadambi is a Certified Perinatal Mental Health Professional through Post-Partum International and is a certified consultant in Prolonged Exposure therapy through the Center for the Treatment and Study of Anxiety (Division of Pennsylvania State University). Diversity is celebrated in her practice. Clients from all backgrounds, religions, sexual orientations, and gender expressions are welcomed for individual or couples counselling.DescriptionPsychologists assess and diagnose behavioral, emotional and cognitive disorders, counsel clients, provide therapy, conduct research and apply theory relating to behavior and mental processes. Psychologists help clients work toward the maintenance and enhancement of psychological, physical, intellectual, emotional, social and interpersonal functioning. They work in private practice or in clinics, correctional facilities, hospitals, mental health facilities, rehabilitation centres, community service organizations, businesses, schools and universities, and in government and private research agencies.Job ForecastFor Psychologists, over the period 2019-2028, new job openings (arising from expansion demand and replacement demand) are expected to total 15,700 , while 13,700 new job seekers (arising from school leavers, immigration and mobility) are expected to be available to fill them.With regard to labour supply, psychologists are a regulated occupation and in most provinces in Canada workers need to have a doctorate degree in order to be able to work. Without a PhD degree, workers must work in some closely related occupations for some years before being granted the right to work as a psychologist. As a result, occupational movers are projected to account for the majority of job seekers.Employment RequirementsA doctoral degree in psychology is required in order to use the designation “Psychologist” in Quebec, Ontario, Manitoba and British Columbia.A master's degree in psychology is required for the designation “Psychologist” in Newfoundland and Labrador, Nova Scotia, New Brunswick, Saskatchewan, Alberta and the Northwest Territories.A master's degree in psychology is required in order to use the designation “Psychological Associate” in Ontario and Manitoba.In Prince Edward Island, a doctoral degree is required to work in private practice, or a master's degree with practice limited to institutions and agencies.Need More?Check out our Career Crisis Interview Series: https://thejobtalk.com/help

Have you ever thought, “I want to implement EBP's effectively with my clients, but I'm running into barriers!”. Well, help is here! Listen in as we sit down with Dr. Lisa Cuccurullo, whose job it is to help solve the problems people face every day in their clinical practice. We dig into some clinical barriers, what mechanisms need to be in place administratively to do these treatments with fidelity, and how to do these treatments in the real world with all of the chaos of day-to-day life. We all need that “clinical family” to support our work, so join us to find out about resources to expand yours! Come hear about common challenges, potential solutions, and Dr. Cuccurullo's uplifting consultation story! Lisa-Ann Cuccurullo, Ph.D., is a clinical psychologist at the National Center for PTSD, where she works on a team that facilitates the use of empirically supported treatments for veterans in rural areas. Her clinical work has focused on cognitive behavioral treatments for PTSD (and other post-trauma-related symptoms), such as Prolonged Exposure, Cognitive Processing Therapy, Acceptance and Commitment Therapy, and Dialectical Behavior Therapy. She is a national Prolonged Exposure consultant in VA. Before joining the staff of the National Center for PTSD, she was the Military Sexual Trauma Coordinator and Assistant Director of Psychology Clinical Training at the Southeast Louisiana Veteran's Health Care System and a clinical instructor at Tulane University School of Medicine. Dr. Cuccurullo's current research interests focus on the implementation of empirically supported treatments and posttraumatic symptom presentation. Dr. Cuccurullo received her doctorate in clinical psychology from La Salle University and completed her clinical internship and a PTSD-focused fellowship at the Southeast Louisiana Veteran's Health Care System.Resources mentioned in this episode: VA's Consultation Service: https://www.ptsd.va.gov/professional/consult/index.asp CDP's Consultation Service: https://deploymentpsych.org/resources/consultation-servicesNCPTSD Patient Education tools: https://www.ptsd.va.gov/publications/print/index.aspGet EBP training from CDP: https://deploymentpsych.org/training Calls-to-action: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Take one of CDP's EBP's (PE, CPT, CBT-SP, CBTi, ACT and more!): https://deploymentpsych.org/training

In this episode, Dr. Barbara Rothbaum shares an overview of the structure and main components of prolonged exposure (PE) therapy. The PE manual gives a detailed structure of the therapy process, and of each session promoting effectiveness in the processing of traumatic experiences.  Faculty: Barbara Rothbaum, Ph.D.  Host: Jessica Díaz, M.D.  Script Editor: David Barragán, M.A.  Learn more about “Learning Prolonged Exposure for PTSD: A Comprehensive Guide for Clinicians” and earn 7 CE/CME credits. Prefer to read? Here's a text version: PE Therapy Sessions: Structure and Main Components.

In 2016 Jason Kander was a rising star in the Democratic Party. After narrowly losing the race to become one of Missouri's Senators, he began laying the groundwork for a Presidential run. Jason unexpectedly pivoted to declaring his candidacy for the 2019 Kansas City mayoral election, and quickly became the clear favorite. Three months into that campaign he ended his candidacy and stepped back from public life after revealing that he had suffered from PTSD and depression after serving as an intelligence officer in Afghanistan in 2006 and 2007On today's episode of Being Well, Jason joins Forrest to talk about his personal journey recovering from PTSD, the impact of his time serving in Afghanistan, imposter syndrome and shame, having a mental health challenge in public, and what we can do to better support veterans. About our Guest: Jason is a former Missouri Secretary of State and member of the Missouri state legislature. He's current the President of National Expansion at Veterans Community Project, a non-profit organization dedicated to fighting veteran suicide and homelessness. He's also the host of Majority 54, a popular political podcast, and the author of Invisible Storm: A Soldier's Memoir of Politics and PTSD. If you're in crisis, are thinking about suicide, or are concerned about a loved one, please call 1-800-273-8255. The Lifeline network is available 24/7 across the United States.Watch the Episode: Prefer watching video? You can watch this episode on YouTube.Key Topics:0:00: Introduction1:45: Jason's experience coming to accept having PTSD3:45: Symptoms5:50: How the military (mostly doesn't) address PTSD8:00: Chronic stress, public perception, feelings of failure, and uncertainty of recovery13:40: Jason's Veterans Affairs (VA) experience15:40: Veteran's Community Project and other resources for veterans20:00: Therapeutic practices Jason did27:50: Physical sensations associated with PTSD31:40: Imposter syndrome related to being a combat veteran33:05: Working through shame and comparison36:15: How Jason's view of therapy progressed through the process42:30: What Jason would do differently for his mental health if he ran for office again47:05: More on Veterans Community Project and their tiny house program51:50: Recap Support the Podcast: We're now on Patreon! If you'd like to support the podcast, follow this link.Sponsors:Access over 30 at-home lab tests from Everlywell, and head to everlywell.com/beingwell for twenty percent off your next test.Join over a million people using BetterHelp, the world's largest online counseling platform. Visit betterhelp.com/beingwell for 10% off your first month!Want to sleep better? Try the Calm app! Visit calm.com/beingwell for 40% off a premium subscription.MDbio is a plant-based medicine company with natural products that address sleep, anxiety, pain, and immunity. Get your FREE 10-count sample pack by going to mdbiowellness.com and entering the promo code BEINGWELL at checkout!Connect with the show:Subscribe on iTunesFollow Forrest on YouTubeFollow us on InstagramFollow Forrest on InstagramFollow Rick on FacebookFollow Forrest on FacebookVisit Forrest's website

Prolonged Exposure (PE) therapy is among the most effective, empirically supported treatments for posttrauamtic stress disorder.  Importantly, there is a growing literature around the neuroscience of PE which has important implications for the delivery of PE.  Drs. Sheila Rauch & Carmen McLean, join us for a review of some of the core themes in their book Retraining the Brain: Applied Neuroscience in Exposure Therapy for PTSD.  In this discussion we cover:   why Drs. Rauch & McLean wanted to write this booka brief overview of Prolonged Exposure (PE) therapycomparing & contrasting the theoretical mechanism underlying PE vs. research findingsconsidering the window of tolerance in PE through the lens of applied neuroscienceimpact of length of session on treatment from a brain lensthe relative (and interactive) impact of in vivo &. imaginal exposurewhether tailoring the clinical approach (e.g., PE vs CPT) is necessary depending on the client's presentation the potential utility for PE in addressing moral injurya consideration of whether PE could be experienced differently within the brain depending on the client's stance to the treatment i.e., high vs. low willingnessthe provision of PE through virtual platforms best practices around combining medications with PEPsychedelic/MDMA assisted psychotherapy - caveats and opportunitiesnovel augmentation methods for PE avoiding clinician burnout/vicarious traumatization in the context of PE Comments or feedback?  Email the show: oicbtpodcast@gmail.com.  If you are finding value in the podcast, please leave us a rating (or even better, a review!) at Apple podcasts. Thank you!  Sheila A.M. Rauch, Ph.D., ABPP, is Deputy Director of the Emory Healthcare Veterans Program and Director of Mental Health Research and Program Evaluation at the Atlanta VA Healthcare System. She has published scholarly articles, chapters, and books on anxiety disorders and posttraumatic stress disorder (PTSD) focusing on neurobiology and factors involved in the development, maintenance, and treatment of anxiety disorders, psychosocial factors in medical settings, and the relation between physical health and anxiety. She is an author of the second edition of the Prolonged Exposure manual and patient workbook as well as the PE for Intensive outpatient programs manuals.  She is a fellow of the Association of Behavioral and Cognitive Therapy (ABCT), was granted membership in the American College of Neuropsychopharmacology, and serves as a member of the Board of Directors and Scientific Council of the Anxiety and Depression Association of America.  Dr. Carmen McLean is a licensed clinical psychologist and researcher with the Dissemination and Training Division of the National Center for PTSD at the Palo Alto VA Health Care System and a Clinical Associate Professor (Affiliate) at the Department of Psychiatry and Behavioral Sciences at Stanford University. Her research examines ways to increase the reach of exposure therapy for PTSD by addressing implementation barriers and testing eHealth interventions. She is currently Co-PI of a DoD-funded study testing a tailored process improvement approach to increasing the use of evidence-based treatment for PTSD in the U.S. military health system. She is PI of a FEMA-funded trial testing an intensive, integrated treatment for PTSD, insomnia, and nightmares in firefighters.  Dr. McLean serves on several journal editorial boards and is currently Associate Editor of the Journal of Anxiety Disorders and Cognitive and Behavioral Practice. She has over 125 scholarly publications including a book on applied neuroscience in exposure therapy for PTSD co-authored with Dr. Sheila Rauch and published by APA.

In this episode, John sits down with Jenny Hughes, licensed clinical psychologist and founder of the The BRAVE Trauma Therapist Collective. As a clinician, she practices EMDR, Cognitive Processing Therapy, and Prolonged Exposure therapy. Jenny recently published a workbook designed for clients to use on their own or with their therapist called the PTSD Recovery Workbook. Through her clinical work, Jenny discovered that her true passion is to support other trauma therapists through the common experience of vicarious trauma. Members of BRAVE work with Jenny to become more aware of how to identify and overcome vicarious trauma, allowing them to thrive in their professional and personal lives. Get in touch with Jenny here: BRAVEproviders.com Free 5 Days to Sustainable Self-Care Challenge: https://bit.ly/braveselfcare Instagram and TikTok @braveproviders Work with John here: https://www.privatepracticeworkshop.com/workwithme/ Thanks to our sponsor, Jane! Learn more by heading to https://jane.app/mentalhealth and booking a demo. Plus, mention my name at signup for a 1-month grace period applied to your new account.

Jenny Hughes is a licensed clinical psychologist specializing in the treatment of trauma and PTSD. As a clinician, she practices EMDR, Cognitive Processing Therapy, and Prolonged Exposure therapy. Jenny recently published a workbook designed for clients to use on their own or with their therapist called the PTSD Recovery Workbook, which can be found on Amazon.Through her clinical work, Jenny discovered that her true passion is to support other trauma therapists through the inevitable experience of vicarious trauma. While trauma work is incredibly rewarding, Jenny knew the therapists making space for this healing deserved to be cared for too. This inspired her to create The BRAVE Trauma Therapist Collective, a membership site that helps trauma therapists go from feeling drained and demoralized to energized and empowered. Members of BRAVE work with Jenny to become more aware of how to name VT, develop realistic ways to tame VT, and ultimately reframe VT by thriving in their professional and personal lives.In This EpisodeJenn's websiteBrave Providers WebsiteBrave Providers on InstagramBrave Providers on TikTokThe Brave Vicarious Trauma Community on FacebookThis show is part of the Spreaker Prime Network, if you are interested in advertising on this podcast, contact us at https://www.spreaker.com/show/5739761/advertisement

In this episode of Mississippi Stories, Mississippi Today Editor-At-Large Marshall Ramsey sits down with Dr. Alyssa Killebrew to talk about her life and incredible resilience in the face of crushing loss and grief and her work to help kids work past their trauma. Dr. Killebrew knows about working past trauma. In December of 2021, Dr. Killebrew's longtime husband Keath, a successful farmer, died in a plane crash in South America. This is after losing the couple lost their unborn child to COVID-19. You will be inspired by her incredible strength and positive outlook. She talks about her and Keath's creation of a camp called SEK Intensives to honor their youngest daughter and help both adolescents and their parents deal with life's challenges. Dr. Killebrew is a Licensed Clinical Psychologist (No. 54-946), a Licensed Professional Counselor and Licensed Professional Counselor Supervisor. In 2005, she earned a Master's degree of Education (M.Ed.) in Community Counseling from Delta State University. In 2008, she obtained a Doctor of Philosophy (Ph.D.) in Clinical Psychology from Jackson State University and completed a residency at Valley Mental Health in Salt Lake City, Utah. She completed her post-doctoral year with the Mississippi Department of Corrections, where she was the Mental Health Director of the Youthful Offender Unit. She started her private practice, Killebrew Psychological Services, LLC, in 2016, focusing her services primarily on mood disorders, PTSD, addiction and personality disorders. She specializes in Biofeedback, Cognitive Behavioral Therapy, Prolonged Exposure, and Modified Dialectical Behavior Therapy (DBT). 

In this crossover episode, Libby Bates talks with Dr. Paula Schnurr, executive director for the National Center for PTSD about the difference between prolonged exposure therapy versus cognitive behavioral therapy for veterans with PTSD. Prolonged exposure therapy focuses on helping a person get control over their traumatic memories to break the cycle. Whereas cognitive behavioral therapy focuses on the thoughts of guilt and shame that often accompany the traumatic experience.Visit the National Center of PTSD at https://ptsd.va.gov/Stay up to date and gain early access to new podcasts and upcoming events by signing up for our newsletter at Coming Home Well Newsletter"Thank you to BetterHelp for sponsoring today's episode!Behind the Service listeners can get 10% off by visiting:https://betterhelp.com/behindtheserviceFollow us on IG @cominghomwell_bts and @behindtheservicepodcastFacebook at Coming Home Well or Behind The ServiceLinkedIn at Coming Home WellSupport the show

Lori Bean welcomes Registered Psychologist Erin Bonner back to the show to discuss trauma, how it can present, and the different modalities of support that can assist trauma sufferers in finding peace and wellness. Erin Bonner counts working through trauma as one of her specialities and she is not hesitant to share her own personal experience with PTSD to help illustrate how healing is possible. Erin and Lori examine how working through trauma does involve sitting with unpleasant and traumatizing emotions, but Erin also shares how different therapies can help clients with emotional tools and resilience before they embark on, perhaps, work in Prolonged Exposure, EMDR, or ​​Dialectical Behavior Therapy modalities. Lori and Erin's message is one of hope in connecting with the wisdom of the right therapist that can guide you through trauma healing.About Erin Bonner:Erin Bonner is a Registered Psychologist with a Master's of Arts in Counselling Psychology. She is passionate about her role in helping others navigate their individual paths towards wellness. In her 20s she tragically lost her younger brother and then her mother shortly after. Through her own therapeutic journey, she discovered her calling to help others work on understanding and processing emotions to achieve personal growth and well-being.Erin is trained in Cognitive and Dialectical Behavioural Therapies, Prolonged Exposure, Exposure with Response Prevention, Emotion-Focused and Mindfulness-Based Therapy. She specializes in treating depression, anxiety, PTSD, cPTSD, ADHD, emotion dysregulation, grief, OCD, and in helping individuals learn to love themselves and develop strong relationships with the people in their lives. She also offers Sport Psychology to equestrian athletes on an individual or group basis.In addition to working with adults, she has a special interest, passion and gift for working with adolescents aged 14 and older.— Maliya: website | instagram | facebookErin Bonner | Registered Psychologist: website | linkedin TranscriptionLori Bean As we all know, women in today's day and age need a different level of care. We invite you to join us as we explore the world of holistic care, what it means and how it can really benefit you.Alyssa Rabin We're going to be providing you with really insightful and practical information as to what our practitioners here at Maliya do, who they are, and how their specific modalities can support your well being.Lori Bean We're going to be having candid conversations with women of all ages, sharing their stories, their journeys, their struggles, and all of their relatable experiences.Alyssa Rabin Absolutely. As well, we're going to be informing you on how Western and Eastern medicine can really work together to help you to become and to show up in the world as the woman you are really meant to be. Lori Bean  00:55Welcome to today's podcast. My name is Lori Bean. And we are here today. Joining us again, Erin Bonner, registered psychologist here at Maliya. Hi, Erin. Erin Bonner  01:08Hello. Lori Bean  01:10Welcome back! Erin Bonner  01:11I'm so excited to do another one of these. Lori Bean  01:13So fun. So fun. And I think we decided today that what we're seeing a lot here at Maliya is a lot of people coming in with trauma. And I think Erin is the perfect person to dive into this a little more deeply. So we're gonna discuss, I guess, the intersection of trauma and wisdom. So welcome, Erin. What does this mean to you? Erin Bonner  01:39So I agree, we see so many different types of trauma and I, in my therapy, use the word trauma really liberally. And I usually give a disclaimer to all of my clients that this is a word that I bring up. And I really try and normalize because trauma is an experience that doesn't have to make sense. It's not you were in a car accident therefore you have trauma, you were assaulted therefore you have trauma. It can happen in such small moments in ways that lots of the world invalidates. And so the way that we're seeing trauma show up here, at Maliya, and in my own practice, is pretty vast. And so a lot of the work that I do, because trauma is one of my specialties, PTSD in particular, complex PTSD, which is kind of a new age term, it's not technically a diagnosis, and it fits for a lot of people. There's this desire, this hoping that healing trauma will, you know, make us know everything or really help us understand ourselves and the world. And I think there's kind of this, this concept of, if you have trauma, therefore you will be wise. And I think it's more than that. And I think that pairing can actually just invalidate the experience of trauma a little bit, it devalues. Erin Bonner  01:40Oh are you speaking to like - oh, that's interesting that you say that - you know, the narrative that everything happens to you for a reason, and you've had this experience that changed your whole life? And so you bring that into the world, and you're going to be wiser, more profound, more.... is that kind of what you're referring to? Erin Bonner  03:10Absolutely, absolutely. I think there's this, this pairing that our world has of, you know, what doesn't kill you makes you stronger. And in a sense, that can be true. And at the same time, it's perfectly reasonable to wish that whatever terrible thing happened in your life didn't happen. I wish we could cultivate the same knowing, the same awareness, without having, you know, the crap happen. Lori Bean  03:31Yeah. So the expectation you think people are having is they come in, they see you to kind of resolve this trauma that's sort of holding on to them and affecting their lives at present. But if we resolve it, I'm gonna emerge as this like incredible functioning human being. And you're saying that's not necessarily true. Erin Bonner  03:50It's true and it's not true. I think that, you know, healing trauma, and no matter what type of trauma it is, what's happened has happened in our lives. I wish I had a magic wand where I could go alright, and memory gone. And I don't. And I think where the misunderstanding about treating trauma, whether it's physical trauma or emotional trauma or cognitive trauma, kind of wherever it sits for us as an individual, there's this, I just wanted to be gone. I wanted it to be wiped from my memory, I want to be able to move forward and be completely untethered to the stuff that's happened in my life in previous moments. And I think that's unrealistic, and not in a Debbie Downer kind of way. It's, I think, an important part of our individual histories to go, okay, things have happened in my life. And it's up to me to figure out, well, what do I do with that? And I think that's where this idea of wisdom can kind of fold itself in in a helpful way. Lori Bean  04:45You know, I often think about, you know, some people have had really what I would discern as horrible trauma, they end up functioning really well in the world. And then there's some people who I would say, they're traumatized by an experience, but I personally, maybe judgmentally, would say well that wasn't such a big deal. And they're not functioning at all. So the fact that if you've gone through trauma, you should be wiser... why do some people flourish and others don't? Erin Bonner  05:16As I said in the previous podcast - I'm a little bit of a nerd and I really like to dig into the science piece, the biology piece - and science and research really doesn't know all of those answers, which, you know, for somebody who likes to know what's going on - me - that's kind of been a big pill to swallow. That there isn't a ton of research that tells us why one person is traumatized by something and the next person isn't. And I think it really comes down to sometimes our brain heals itself. And sometimes it doesn't. Lori Bean  05:46Is there a piece around, you know, if you're more nurtured when you were younger, and you have a better sense of safety, and I read something that up until the age of six, there's an imprint? And what about that piece? Erin Bonner  05:59I think it plays a role. And at the same time, I know I was diagnosed with PTSD in my early mid 20s. And I had a wonderful upbringing, emotionally supported, validated. My parents were kind and compassionate human beings, and really, you know, did everything from my perspective and the way, they couldn't, they couldn't have done a better job. And so, yes and no, as I speak from my own experience in that, and I think there is something to be said about those formative years, you know, if we're growing up with childhood trauma, the likelihood that our brain is going to be impacted is absolute. Lori Bean  06:33And so how do you navigate that expectation? So they come to see you, and you're going to work with them on this trauma, and maybe the outcome isn't going to be what they expect. Because I think people, some people have gone for 20 years to therapy, and they're still in the same place, and they're not getting through it, they're being supported, nothing's changing, or they're reverting back to old habits, or-- Erin Bonner  06:58I have lots of clients that have had very similar experiences to what you describe. And a big part of the way I practice - and this is where, like, I get into the nitty gritty of ethics - I don't guarantee outcomes, I really make that clear. And I start off any sort of treatment, if we're kind of going into, you know, PTSD treatment, or we're going into an empirically supported treatment with knowledge about the treatment itself, you know. Here's the research, here are the stats, this is how this therapy is going to unfold. And I make that really, really clear before we jump in, because we have to be in an effective place for trauma work to be effective. There's so many variables that make treatment effective or not. And it's not just, you know, I want it to work. And so that's just one kind of aspect that I really, I really hone in on because a) I have to have the person you know, ready and willing to do the work. And I often will say like sorry/not sorry, like, this is gonna be unpleasant in moments. We're gonna sit in some really big unpleasant, traumatizing emotions, traumatizing in your history. So your brain can habituate and process and heal itself, the brain is an amazing, powerful tool that has the capacity to heal itself when we set it up in the way that it needs. And that's where each person might be different, where one style of trauma treatment might work beautifully for one person, and absolutely does not work for the other person. Lori Bean  08:24And do you kind of navigate that as you go along? Erin Bonner  08:26Absolutely. I think in the world of mental health, there's a little bit of... actually a lot a bit of trial and error, you know, with meds, with therapy styles, with therapists even. That, you know, finding that perfect storm in a nice way match in terms of you know, you find the therapist you jive with, you find the modality that fits for you as a human, and it's that, you know, moment in your life where brain is ready and open to do that type of work. It is a bit of a trial and error game sometimes. And so I know in my history as a therapist, and in the type of treatment that I do for PTSD is called prolonged exposure, which involves revisiting a memory repeatedly and recording it. And so having this exposure and what we're looking for is flooding of emotions. We want the intense ones to show up in the room, we want to put your brain in that emotional state that you might have been in that moment where the trauma was occurring. So some of the theory behind why flooding is an effective treatment for trauma is that the trauma response ends up kind of remaining and lingering and being unhealed by our brain's capability of healing itself. It often comes about after emotional processing is blocked. So what I mean by that is if you were to have an emotion, say something jumps out of the wall here and scares so we both feel some fear, there's like a wave of an emotion. If you were to be hooked up to a brain scan, it would look like a wave on the screen. And so the theory is that if something interrupts that wave, so maybe more trauma, maybe brain shuts itself down, maybe it kicks into fight or flight as a way to, you know, survive that moment... our brain isn't able to finish that. You can't see me but I'm like doing this wave motion in the air in front of myself here... that the theory is that, you know, lingering trauma, PTSD, trauma that does not heal itself, it's a product of something interrupting, or maybe your brain dissociates. You know, dissociation is a built in, you know, safety mechanism that every human brain has when we're in the worst moments of our life. We kind of hope that it trips the switch and blunts, you know, our sensory and emotional awareness temporarily as a way to survive that moment. And so if that happens, our brain can't actually process because it changes where our brain is functioning. Lori Bean  10:39So is that why this whole thing like this whole Gabor Mate movement where emotions are stored in the body and illness and all these things, so you block the process of processing the trauma, and then it starts manifesting in the body. Like are people presenting often with physical illness, that kind of thing? Erin Bonner  10:59They can. And this is, again, where there are so many different presentations of trauma. And it's cool that, you know, talking to the other practitioners here, like figuring out where all of our different types of treatment fit, because for one person, it might show up in physical ailment. I know for me, I developed an autoimmune disease after my experience of PTSD. It also came with some pretty intense emotional symptoms and some really, really nasty nightmares for a long time. And that's where it kind of manifested in me and so I had to go this whole kind of natural health route to figure out how do I fully heal myself, you know, with the help of professionals that I worked with over the years. And for another person, it might purely be mental, emotional, behavioral. And so it doesn't necessarily have to look one for one for it to be called the same thing, which is PTSD or sub-threshold PTSD, and whether it's diagnoseable or not. Lori Bean  11:51Interesting. So a ton of people that I know have developed autoimmune diseases after whatever their trauma was, whatever their interpretation of the trauma was, for them. Yeah, that's kind of fascinating. So let's say you have had trauma that's unresolved. But you kind of look at it like, 'Oh, that wasn't a big deal'. But somehow you're not functioning in the world, you're sick, you're whatever. How do you know, in your own physicalness, that what you're experiencing physically is actually a trauma response? Erin Bonner  12:30That's a good question. I think that's where - I mean, we're talking about this idea of wisdom today - I think there's a piece where we can trust our wisdom a little bit in the type of therapy and the theory that I really pull from, it's called dialectical behavior therapy, there's a concept called the wise mind. And it's this idea that every single person has this well within, this inner wisdom, that we might just not know how to tap or may not have access yet. We all have it. And so often, we teach it, and we talk about this, like, sense of knowing. And so I think that's a piece where if you're going through life, and something has happened, and we're doing this, you know, self invalidation thing of like, 'Oh, it's not a big deal, I'm fine. I don't need help. I can, you know, tough it out.' Whether we're doing that to ourselves, or the world around us is doing that to us, having that, like, lingering feeling, that sense of knowing of like, something's not right. I mean, that might be a great time to, you know, talk to somebody. Talk to your doctor, go see a therapist. Lori Bean  13:24I believe, personally, that when one ailment shows up, and then another ailment shows up, and you're seeing your doctor 7000 times, and nothing's getting better, there's pieces that are missing, there's some trauma work that really needs to happen. I think, I think that's a huge sign. And it's so interesting to me, like I think about people that keep going to doctor and doctor and they're getting drugs, and really they're putting band aids on the issue. But what is a little deeper than that? And I think we invalidate our traumas, like, oh it was just a breakup. Oh, my kids just left home, or - because we're all going through the same experiences, so it didn't affect Sally when her kids left, but I'm a mess. So it can't be that that's causing me to be unwell mentally, physically, emotionally, whatever, like, all of them are fine. My group of friends are fine, and I'm falling apart. I think we need to really respect our feelings, which we don't do. Erin Bonner  13:25I agree. Lori Bean  13:25And have compassion for ourselves that means it's time to reach out. If you can't resolve emotional issues, and they can be as simple as your hamster died. Erin Bonner  14:39Absolutely. Lori Bean  14:40I mean, and I'm not exaggerating when I say that, because I've sort of been around this experience where it became a suicidal experience because this gentleman's hamster died. I didn't understand it, but now that I understand trauma, everything affects everybody differently and we really need to respect what feelings and emotions we're having, and what we're holding on to, and get support other than putting a bandaid on it. I just think we don't do that for ourselves. Lori Bean  15:09A lot of that should be done simultaneously. Like I think about our guts, right? Often our gut, what is it our second brain, whatever, so a lot of our emotion gets held in the gut. So you're not feeling well, whatever, you go and you get gut support. But what about if, at the same time, you're healing your gut, and you're getting emotional support, because you probably couldn't sit through a talk therapy session if your gut is a disaster. We forget to look at the body as a whole, there's so many pieces to us. And you're right. Like, especially, I mean, if your anxiety is through the roof, you can't even sit and talk to somebody, if you need meds for that, wow. Imagine if you get meds for support. And then you can actually sit through some therapy and get support. Erin Bonner  15:09I agree. And I mean, this is the piece where people will ask me, you know, as a psychologist, 'Well Erin, what do you think? Is it all about talk therapy or is all about meds?' And I firmly believe both. That sometimes those band aids are absolutely necessary to, like, stop the blood flow. You know, for a lack of a different metaphor in this moment. Sometimes we need that medication to help us get to the place where we can do some of the work. And that work, I totally agree, you know, sitting in a therapy room with a therapist who's trained in in modalities that fit for you that can treat trauma, I think is essential. That we don't, you know, learn how to be different unless we do the therapy work. We might feel different because of those meds, and then we get dependent on those meds. And so figuring out how we can kind of integrate this both thing, I think, is really, really important. Erin Bonner  16:36And I've worked with people that that has been the case, that there was no way they could have sat in a therapy room without doing, you know, some sort of medical intervention, medication and/or other therapy leading up to trauma work that, you know, one of my specialties is I treat trauma. It's one of my specialties. I also work with a lot of very emotionally sensitive humans. And that's a term that a client once said to me, 'Erin, I'm taking the term emotionally sensitive back' and I loved how she said that, because it's this idea that, you know, if we're emotionally sensitive, it's a bad thing. And I think it's not, I think it's a fantastic, amazing superpower. Yet, we're never told how to harness it. And so if you were an emotionally sensitive human, you might have to do a whole bunch of work before you can actually heal trauma. You might-- Lori Bean  17:14Wait, what is that? Erin Bonner  17:15So this is where DBT - dialectical behavior therapy - plays a really, really big role for lots of people. I will kind of preface this as I'm going in with a new client, if they're kind of presenting or they're talking in that first session about emotional sensitivity, I'm a firm believer that we have to have tools in our back pocket, coping strategies, emotion regulation strategies, tools that can help us sit with emotion. If we don't have that, trauma work actually isn't going to be helpful. Lori Bean  17:39Because you become super dysregulated. Erin Bonner  17:40Exactly. It might actually just be re-traumatizing. I know, you and I've talked about, you know, EMDR and hypnotherapy, which they work for a lot of people. And then there's other people where it ends up just being re-traumatizing. Lori Bean  17:53Because they don't have the initial coping skills? Erin Bonner  17:56Absolutely. Or their brain is one of these emotionally sensitive type brains where, you know, doing that bilateral stimulation, or going into that trance state, actually just activates, you know, fight-flight-freeze, that trauma response. Lori Bean  18:05So that's funny you say that. So I had an EMDR session once. And that's exactly how I felt. I actually wasn't prepared for it. This was my second counseling session. And we did EMDR and I'm like, I am not... I became this weird, bitchy person. Like, I knew that this fear was coming. I was not ready for that. And so you're right. Like, we need tools before we do some of that. Erin Bonner  18:30Yeah. And I think that's a, you know, part of my job as a professional to, like, kindly disappoint clients who are like jumping in my room. And they're like, alright, let's do it. I want to jump in tomorrow. Let's do the trauma treatment. And I have to go whoa, whoa, whoa. It's my job to assess that you're in a place where that's going to be helpful, because, you know, it feels counterintuitive to go to therapy to get traumatized. You know, just my opinion. And it's a really big part of us as therapists, and us as clinicians, learning how to do kind of assessment for the treatments that we offer. We got to know that this person has the capability to sit in big emotions, because really, regardless of the modality, sort of, there's gonna be some component that we're sitting in emotion. You know, if it's P E, we're revisiting this memory over and over, and we're flooding the brain with with emotions. Lori Bean  19:19What's PE? Erin Bonner  19:20Prolonged exposure, that's the form of treatment that I do, or EMDR. For doing this bilateral stimulation, which I don't do EMDR I'm not trained in that. What comes up are big emotions, our brain unlocks, emotions are tough. And I know for me, I treated my PTSD with EMDR with a therapist who was trained, a really great therapist. And the experience that I have, I'm an emotionally sensitive human, and my bread and butter is, you know, coping skills and emotions. And so I live and breathe these coping skills. And so, I know for me, in hindsight, if I didn't have all of those tools to sit with an emotion, I don't think it would have been successful. Because the emotional wave was fast and intense for me. And so figuring out how to sit with an emotion is a really big kind of part of that orientation. And that's where sometimes we jump the gun because, you know, as clinicians and I have this too that, like, I want to help. I want to get in there, I see your suffering, I see your pain, and I want to, you know, help you stitch those pieces back together. And so we can get kind of like, excited, as therapists. And we go, oh, this is going to work with this modality and like, let's do the thing. I think sometimes we can accidentally kind of jump ahead of what's helpful, which, I mean, talking about this wisdom thing, that's where wisdom has to be part of the room on the therapist side as well. It's not just, you know, by the book clinical, sometimes we gotta do a little adaptation depending on who's sitting with us in the room. Lori Bean  20:40So I find it interesting, like even the whole topic of trauma and wisdom. But I see a lot of people that live their lives, unwell. Like mentally unwell, physically unwell. So are they just not connected to the wisdom? And how do you wake up out of that? So you go, 'Whoa, I need some help, I need...' Because there's a lot of that, you get kind of caught up in your story, but you're not really getting the help you need. Actually, now that I think about that, I think I might even have a little bit of an answer, because we have a lot of people that come here who are unwell. And I think you do need somebody objective looking in on the situation. And I think, actually, I just answered my own question. We have a wellness specialist here at Maliya. And so if you are experiencing all these different things, she's really good at looking at what is going on and feeling into what type of support you may need. And then, like, she'll reach out to somebody like Erin and say, this, to me, sounds like big trauma. Are you a fit for this? And Erin might say, yeah, or might say, no. Maybe there's another therapist that might be better. Maybe it's as simple as a massage. Someone touching the body, someone meeting them where they're at before we dive into that, but I really think when we're dysregulated in any capacity, sick, no energy, chronic pain, chronic fatigue, we just need that person to give us some space, hold some safety and listen, and then we can invite in the right people. Because I think we don't know, like a lot of the time. You know, I've had some major trauma that happened many, many years ago. And it's just kind of hitting me more now. I think I've been fortunate to be able to navigate it. But I don't think I realized how much it impacted me till 20 years later. Erin Bonner  22:38Yeah, absolutely. Lori Bean  22:39We don't know what we don't know. Erin Bonner  22:40Absolutely. Well I think, I think kind of separating this concept between functional and well, I think is a really big one. That like, we can be super functional and have unhealed trauma. And so there's a difference. There's a difference between like being able to go through emotions and do the thing that we call, you know, having a job and a family or a relationship. And that's where that piece of wisdom really comes in. If I'm not in wellness, I'm not in contentment. And that's something I really like to, I don't know, educate on the goal isn't happiness. Happiness is an emotion that comes and goes, just like fear and anger and sadness and shame, and all these other emotions. The goal is to live content. I want like a pretty decent baseline that I can go up and down from. Lori Bean  23:18Yeah, but you're not running in fight or flight. Erin Bonner  23:20Absolutely. I even joke about shame. Lots of my clients will, their lives will be dictated by shame when they first show up in therapy. And so we'll make the joke and not a joke along the way somewhere. You know, we don't actually want to get rid of shame. Shame is pretty helpful. Have you ever had like an accountability buddy for going to the gym? You know, I'm telling my friend in Vancouver, oh, I'm going to work out tonight. Yeah, and she goes me too. Okay, great. Yeah. And then tonight comes and I'm like, I don't really want to. Let me tell you how helpful shame is in that moment that I go if I don't work out I have to tell her that I didn't work out. And I'm gonna feel really icky about myself. Shame can be really helpful to help us, you know, be motivated to do the things that we don't necessarily want to do yet we know we probably could, or we would benefit from. And so having this experience of, you know, accessing wisdom, a lot of people don't know how to access it. And so figuring out, you know, this piece of, if I'm not in that contentment maybe there's something more I can do. Lori Bean  24:16Okay, it's so fascinating because... so I've always said, but I'm functioning. I always use that phrase. I've been functioning for 20 years, I'm functioning and functioning and functioning. So I'm turning 51, I just had all my bloodwork done for perimenopause/menopause through the naturopath here, and I discovered that my cortisol levels are one of the highest levels they've ever seen. And my progesterone was super low. That was the point where I learned, okay, I haven't dealt with my shit. Because I shouldn't be running in fight or flight. I'm very functional. I function at a level that is like a little very extreme. Erin Bonner  24:56Let me ask you, how are you at relaxing? Lori Bean  24:58Yeah, shut up Erin. Exactly! So like you talked earlier about that kind of balance. I don't have that. So I kind of have known that I didn't have, I've known that for 20 years. But when I actually took the test, I don't know there was something about seeing it on paper. That, yeah, Lori, you've been functioning in fight or flight, your cortisol is through the roof. I always kind of knew that. But it was like I needed to see it to make a shift. Erin Bonner  25:02Absolutely. And I think I normalizing that experience, I think, is really, really powerful. That, you know, we live in this world where, you know, a broken leg gets treated different than a panic attack. And so I think really as people who are trying to cultivate wellness, whatever that looks like for us, having that, you know, test on a piece of paper. It's really normal to go 'oh, now I'll do it'. Oh, now I see, oh, oh, I feel better about the work that I'm doing. Because, you know, there's this medical piece of paper that's actually backing me up, or a diagnosis that a doctor has said, is backing me up. I think that's a really, really, really, really normal experience. Because, you know, the whole world of mental health has evolved and shifted, and it's getting way more press, I guess you could say, and we're still in this place where like, 'Oh, you're not coming to work because you're depressed? What?' There's this inherent judgment that happens. And so I think that's a really normal experience to go, 'Oh, my gosh, this test validates this wisdom piece that I've been ignoring', because the world would judge me if I did ignore it. Lori Bean  26:25I've known, I've known that I've been like running from what I probably really deeply need to deal with, until I saw like results. Because it's affecting my body now. It's not just my mind. It's my body and my wellness, like you said, so am I functional? Yes. Am I well, yes, but could I be - what's the word, more well? Weller? Erin Bonner  26:39Weller, we'll coin it right now. Lori Bean  26:52Yeah. But I wonder how many of us this happens to, like I can just imagine. Erin Bonner  26:58Something I have had lots of clients say to me, kind of through the course of, like, the early stages of treatment is this shift. Well, I can survive, like, you can survive with the best them, you know. And if you've experienced trauma, your brain is probably real good at surviving. It kicks into that fight or flight mode and it pulls you through those moments. And so it's probably excellent at surviving. Thriving, on the other hand, that's where, you know, I tongue in cheek asked that question, because I know that Lori has said, I don't relax all that well. Lori Bean  27:28I don't know what you're talking about. Erin Bonner  27:30We're practicing that together. And, and figuring out, you know, how do I get into this other part of my brain that lets me thrive, I think is part of that. Maybe it's learning how to access that wisdom. Lori Bean  27:43And I'll share, like, so I'm doing the mindfulness program with Erin. And I think for some of us, I speak for people, it's terrifying to... I think I thought if I started diving in a little bit, stuff would come up - we've talked about this - that I just don't want to experience. But it's very gentle. I think it's kind of like baby steps. And so nothing is coming up that's like, I can't handle. I don't have to go to places I don't want to go. It's kind of like with mindfulness, I'm learning, it's coming in and out and just gently touching the edge of the surface and then coming back out. But it's not overwhelming. It's not scary. It allows me to be a little more present, not be in fight or flight all the time, because I have to get the cortisol down. But I can do it in a very gentle way. Erin Bonner  28:35That's cool. That's, I mean, that's exactly what I mean by we need some of these strategies, these skills, these behaviors, before we actually can jump in and do the work. Because as you said it's terrifying to do trauma work. Who wants to sit in like the worst moment of your life? I didn't and still don't. Lori Bean  28:51This is so interesting. If I would have done this before, then I probably wouldn't have reacted to EMDR. Because I would be in my brain in a way that wasn't so scary. Maybe. Erin Bonner  29:03And I love the term baby steps. And I think that's where, you know, again, there can be this shame response that we have as humans of like, 'oh, I should be able to handle it'. I just, I'm going to jump up four steps of the staircase and like hope that I don't fall on my face, when in reality, like that's not how we learn as humans, we need to learn in these small ways where we go, 'oh I can do it, oh I can do it, oh I can do it' and build those success steps to develop this ability that, you know, if I'm going to sit down and do trauma work with somebody, whether it's formal, prolonged exposure, or you know, some adaptation where we're doing some sort of flooding and, you know, we're improvising a bit, that that there has to be this ability to go 'Okay, so we're gonna do mindfulness today, we're gonna do mindfulness of the worst moment of your life though, and the emotions that go with that'. That takes a lot of practice. That's where that sorry/not sorry, comes in. This isn't going to be pleasant. And it's maybe going to heal your brain. If we've set it up properly, and set it up effectively. Lori Bean  29:56And I think about like the whole neuroplasticity thing. That if you spent so many years rewiring your brain to a certain state, you can't just rush in and rewire it back. Like, I'm assuming it's a process that happens with baby steps, piece by piece. Erin Bonner  30:13Absolutely, it's a lot of repetition that, if you've ever done PE, you know, it's a lot of repetition. In fact, often, you know, after we're done visiting a memory of a certain trauma, you know, at the very end, I'll get the report from clients, I'm like, I'm actually really sick of that story. I'm really sick of that moment in my life, not in a fear based way, in a I'm like, I'm just tired of hearing that story over and over and over again. Because the brain learns, I don't have to have that emotional reaction, because I'm not in that mode anymore. It does what we call habituation. It heals itself, it trains our kind of new way of being, in that we can have access to the parts of our brain that we need to do that cognitive processing. Have those conversations that are restorative and healing, and help us move forward. It's not about moving on. It's not about leaving things in the past. It's about saying, hey, this is part of, you know, my life and my experience and maybe part of who I am as a human. Okay, now, what are those next steps? I really pride myself - I was talking to another clinician in Calgary, actually, a week ago - we were talking about how we really enjoy being real with our clients. I don't mind sharing bits and pieces of my story with my clients, because I wouldn't be a therapist, if I hadn't been diagnosed with PTSD. Like I wouldn't be sitting right here right now, if I hadn't gone through the experience that I had. Do I wish I had gone through that experience? No! Absolutely not. I would love to get those years back. And at the same time, this kind of meaning that I've taken from that, that wisdom that I've cultivated, this ability to sit in a room with someone who is going through the whole experience of treating trauma and having that diagnosis of PTSD, I wouldn't be the clinician I am now, I think, without my experience. And so this is where that kind of wisdom piece. It's not a guarantee trauma equals wisdom. It's how do we access the help to, you know, help us cultivate this experience, this awful trauma experience, in whatever shape or form that ends up being for us, into this cultivation of learning about ourselves as humans, about the world. Lori Bean  32:11I love that. Yeah, I'll just finished with saying I think when - I'm not a psychologist - but when I've been able to do some coaching or helping people from my perspective, my strength has been able to share my story, which I'm very comfortable with, I have many, because I think it just creates this level of safety and familiarity. And even though our stories are a little bit different from one another, somehow they have this similar note or they're, I don't know, there's always something in somebody's story that you can relate to, right? Erin Bonner  32:44And if you've experienced something traumatic, whether you know, it's assaults, accidents, whatever they are, or, you know, you have big emotions, and that's been traumatizing through your whole life. We end up often developing as like compassion for others. Sometimes, you know, we're blocked from that compassion because we're really thick in our own suffering. Lori Bean  33:01Oh and that's part of the journey. Erin Bonner  33:02Absolutely.  And so I think for lots of people, though, just knowing that somebody's been through something in that realm, there's this humanness that I think bonds us together. Lori Bean  33:12I love that. I love that. Well, thank you. Erin Bonner  33:16You're welcome. Lori Bean  33:17I just want to say that I think there's hope for people. Like I think, don't give up and say that, you know, because you've had a really horrible experience that there isn't support to get you through it. And I love that what we do here is we're not going to make you do anything that you're uncomfortable with, and it is baby steps and finding the right practitioners or modalities that really fit your needs in the moment. Because you're right, you might not be ready, let's find out what you're ready for to take those baby steps. Erin Bonner  33:48And I like the concept of hope that, you know, Brene Brown famously says like, hope is not an emotion, it's a concept. You know, hopeless is an emotion, hope is this idea that we can, you know, see some sort of light at the end of a tunnel. And I really hold on to that. I had a colleague share a quote, and I honestly can't remember the book, so I give my former colleague credit for the book that he shared with me. And it was a line in the book that I've absolutely borrowed and used with lots of clients because it rings so true to my to my heart and my soul. When we connect with those people who are experts in the field of healing, we don't actually have to hold the hope because they can hold it for us. And so I say this to clients often. It's okay if you don't have it right now, or don't know how to find it, because I have enough for both of us. Lori Bean  34:28I love that. And you have to find the right people, and they exist - trust me - who are there to support you. I love that. Thank you, Erin. Erin Bonner  34:39You're welcome Lori Bean  34:40Until next time. Bye.

In this episode, stepping in for Tyler, is our guest host Libby from our sister podcast Behind the Service. Libby talks with Dr. Paula Schnurr, executive director for the National Center for PTSD about the difference between prolonged exposure therapy versus cognitive behavioral therapy for veterans with PTSD. Prolonged exposure therapy focuses on helping a person get control over their traumatic memories to break the cycle. Whereas, cognitive behavioral therapy focuses on the thoughts of guilt and shame that often accompany the traumatic experience. Visit the National Center of PTSD at https://ptsd.va.gov/Stay up to date and gain early access to new podcasts and upcoming events by signing up for our newsletter at Coming Home Well NewsletterCheck out our other podcasts: Beyond The Frontline, Be Crazy Well, Veteran Et CeteraFollow us on IG @cominghomwell_bts and @behindtheservicepodcastFacebook at Coming Home Well or Behind The ServiceLinkedIn at Coming Home WellThank you to BetterHelp for sponsoring today's episode! Coming Home Well listeners can get 10% off by visiting betterhelp.com/cominghomewellSupport the show

In this episode Barbara Rothbaum, Ph.D., talks about the PE mechanisms of change. Since PTSD is a disorder of avoidance, emotional engagement is crucial for stimulating change. Other mechanisms discussed are the modification of erroneous cognition and diminishment of distress stemming from trauma.  Faculty: Barbara Rothbaum, Ph.D.  Host: Jessica Díaz, M.D. Script Editor: David Barragán, M.A.  Learn more about “Learning Prolonged Exposure for PTSD: A Comprehensive Guide for Clinicians” and earn 7 CE/CME credits. Prefer to read? Here's a text version: Mechanisms of PE in PTSD: Emotional Processing and Cognition Modification.

I enjoyed interviewing Dr. Amy Lappen, a Clinical Psychologist in private practice in Long Beach, California. She specializes in the treatment of PTSD, and has expertise in in using Prolonged Exposure Therapy for trauma and PTSD. Aside from PTSD and Trauma treatment, Dr. Lappen specializes in the treatment of depression, anxiety, intimate partner violence, anger management, disordered eating, maternal depression (peri-partum and post-partum depressions and/or anxiety), fertility issues, and parenting.

Lori Bean and Alyssa Rabin address the very vital subject of trauma, release, and the importance of collaboration between practitioners in providing trauma care, with two integral Maliya practitioners. They welcome Registered Psychologist Erin Bonner, and Acupuncturist and Doctor of Traditional Chinese Medicine Dr. Megan Markow, to the show.Erin Bonner shares her personal history with PTSD and how she now uses a modality called “prolonged exposure” for the treatment of PTSD. She explains some of how brains store trauma, how trauma can manifest, and the need for assistance to process the emotions behind the trauma. Dr. Megan describes how her own interest in trauma, and her work in helping others release the emotions stored in the body through Traditional Chinese Medicine and Acupuncture, is another angle to the same help.The four really dig into how individual trauma can be for people, what treatment can assist someone looking to navigate emotional release, and why it is so important for collaboration experience in terms of practitioner care. Trauma care, and the emotions and bodily manifestations associated with it, benefits from a highly support based and cooperative approach to healing. Lori and Alyssa highlight how Dr. Megan and Erin's different modalities work beautifully together for full treatment and how such collaboration is the goal of Maliya. About Erin Bonner:Erin Bonner is a Registered Psychologist with a Master's of Arts in Counselling Psychology. She is passionate about her role in helping others navigate their individual paths towards wellness. In her 20s she tragically lost her younger brother and then her mother shortly after. Through her own therapeutic journey, she discovered her calling to help others work on understanding and processing emotions to achieve personal growth and well-being.Erin is trained in Cognitive and Dialectical Behavioural Therapies, Prolonged Exposure, Exposure with Response Prevention, Emotion-Focused and Mindfulness-Based Therapy. She specializes in treating depression, anxiety, PTSD, cPTSD, ADHD, emotion dysregulation, grief, OCD, and in helping individuals learn to love themselves and develop strong relationships with the people in their lives. She also offers Sport Psychology to equestrian athletes on an individual or group basis.In addition to working with adults, she has a special interest, passion and gift for working with adolescents aged 14 and older.About Dr. Megan Mankow:Megan Markow completed her schooling at the Canadian Institute of Traditional Chinese Medicine in Calgary, AB. She learned about the many aspects that contribute to health while earning the title of Doctor of Traditional Chinese Medicine and Registered Acupuncturist. She has always had a passion for healthcare and helping people feel their best, most aligned self.Megan gravitates to helping people in areas of their life that are often left in the shadows such as sexual, mental and digestive well-being. All parts of a person deserve to be healed and celebrated. Megan is a trauma informed practitioner who understands the complexity and unique differences between each person.Megan will meet you wherever you are on your wellness journey to give you the opportunity to gently heal and allow your true essence to shine through. When she is not working with patients, she replenishes herself by hiking, foraging, and learning about plants. She loves challenging herself to use new ingredients in cooking and to create unique flavour combinations.Resources discussed in this episode:Maliya servicesDSM-5-- Maliya: website | instagram | facebookErin Bonner | Registered Psychologist: website | linkedinDr. Megan Mankow | Acupuncturist & Doctor of Traditional Chinese Medicine: about | linkedin TranscriptionLori Bean  00:59Hi, this is Lori Bean. Alyssa Rabin  01:01And I'm Alyssa Rabin. Both  01:03And welcome to The Holistic Shift. Lori Bean  01:09Today we are going to be speaking about trauma. Alyssa Rabin  01:14Everyone knows trauma. Lori Bean  01:15Yeah. And we have with us, our clinical psychologist, Erin Bonner, and our Doctor of Chinese Medicine and Acupuncture, Dr. Megan Mankow. Hi guys! Erin Bonner  01:30Hello. Dr. Megan Mankow  01:30Hello. Lori Bean  01:31And we felt it was really important to share, especially since we at Maliya are about collaborative care, and we wanted to give some awareness as to how some of these modalities that we offer work together. We really believe here that there isn't one practice, one practitioner, one modality that is really the answer to your care. And we'd really love to share with you why something like psychology and acupuncture can work beautifully together to support in navigating and releasing trauma stored in the mind and in the body. Yeah, I think maybe we'll let Erin introduce herself first. Hi. Erin Bonner  02:15Hi. So I am a registered psychologist and trauma is one of my specialties. It's a bit of a passion of mine, partially because I'm so intrigued by how the brain works, and how we process and heal from trauma, and partially because of my own personal story. I was diagnosed with PTSD in my mid 20s. And I was treated for PTSD. And so I kind of have some personal experience in the trauma treatment process and how the heck do you understand trauma, especially as a highly emotional, sensitive human being? What do I do? My claim to fame is that if you're a client of mine I will probably cry in a session with you at some point, and I have really no shame about it. I'm just a human with emotions. So it's part of why I really am intrigued by the concept of trauma and how it is something that we can train ourselves to process and understand and heal from. Lori Bean  03:09As a clinical psychologist, what methods do you use personally, to help navigate trauma? Erin Bonner  03:15Yeah, so the modality that I use is a theory called prolonged exposure. And it is a empirically supported treatment for the treatment of PTSD. And it really focuses on strategical flooding of emotions, which I introduce that idea and most people go, oh sounds gross, and it kind of is sometimes. And it's really important for our brain to be able to learn how to process emotions that have been stored because of a trauma response from past moments in our lives, whether it's big T little t traumas. I use that word trauma pretty liberally, because we can use exposure as a treatment for any moment that our brain has, for one reason or the other, not kind of completed an experience of an emotion in a traumatic event. Lori Bean  03:58Hmm. And so that shows up as, what? Like what are these people... like, what is PTSD? What are they experiencing? Erin Bonner  04:08Yeah, so PTSD.... And I really like to think about PTSD - yes, it is a diagnosable mental disorder from the DSM 5 - and it's also something that we can kind of understand sub clinically, that you don't have to have a diagnosis of PTSD to know hey, my body's holding onto trauma from an experience. Whether it's the experience of having big emotions and being invalidated or having, you know, a series of events in our lives that our brain has kind of stacked on top of each other, or having some of those big T traumas. Think about, like, accidents, assaults, anything that our brain and society would go, 'whoa, that's a traumatic event'. We can kind of create that response from lots of different experiences in our lives. Lori Bean  04:45Speaking from, like, a psychologist standpoint, that could show up as anxiety, fear, depression. Erin Bonner  04:58Yeah, two of the big emotions that are linked to PTSD are fear or anxiety and shame. And so, experiences of shame and anxiety over time absolutely can lead to something like depression or even just patterns of emotion dysregulation or we don't feel like we have control. We're not in the driver's seat of the vehicle when it comes to our emotions. Yeah, it can feel pretty chaotic sometimes. Lori Bean  05:23Okay, so that's showing up emotionally and intellectually. Erin Bonner  05:30Absolutely. And relationally. Lori Bean  05:31And relationally. Yeah, you're not being able to have healthy relationships or navigate relationships. Erin Bonner  05:40Yeah. Lori Bean  05:41Okay, so now I'm getting that piece. So, welcome Dr. Megan. Now, from the body perspective.... Alyssa Rabin  05:49Physical perspective. Lori Bean  05:50Actually, I'll let you speak. Tell us about how trauma shows up in the body. Alyssa Rabin  05:57First, tell us about you. Lori Bean  05:58Oh, yeah. Hi Dr. Megan. Dr. Megan Mankow  06:03Yeah, so my name is Dr. Megan Mankow. And I'm a Doctor of Traditional Chinese Medicine and Acupuncture. And yeah, I've taken a really special interest in trauma, again, like through my own experiences, and just learning how helpful acupuncture and psychology can be. And I use that for myself, both acupuncture and psychology and just, it was just key, like the pieces fit together so perfectly. And so I'm just so excited that me and Erin get to do this interview and talk a little bit about what we're passionate about. Erin Bonner  06:33Totally. We've had some solidly nerdy moments about working together. Dr. Megan Mankow  06:39Yeah. And so to me, the definition I really like of trauma is: too much, too fast, with not enough support. Alyssa Rabin  06:48Love that. Dr. Megan Mankow  06:49Yeah, because I think sometimes when people talk about trauma, they think there has to be this huge event and, like, just catastrophic, but it's not always that way. And me and Erin have talked before that sometimes an experience happens, and you're like, 'this is why I'm, like, having this PTSD' but it's not always the biggest event that you would think it would be. It's a lot about who was there to support you, like, how it happened, when it happened. And then, yeah, from there, after a traumatic experience, these emotions come up. And oftentimes trauma gets stored in the body. So if someone comes to me, and they say, 'oh, I have anxiety', I usually ask where do you feel that. And usually, people are a little taken aback, it takes them a second, but I haven't had anyone not be able to tell me, like, where it is. Like either, 'oh, like, my stomach just drops' or 'I feel it in my chest, like, this chest tightness' or 'a lump in my throat'. So I just love being able to work with that. And acupuncture can stimulate the central nervous system. That's how it works. So when we do that, it releases chemicals like in the brain, spinal cord, and the local tissue. And so that's why acupuncture can work on the physical and emotional level at the same time. And that's why I love it. Alyssa Rabin  08:01And then once you experience all of that physical release, I guess, that's when all of the emotional aspect would come, which is why Erin would be brilliant to navigate - Lori Bean  08:17Navigate emotions that are coming up. Okay, so when you talked about, like, anxiety, or what have you, showing up in the stomach, of course we know what that feels like. Or a headache, because it's stressful. But what about things like autoimmune disease or knee pain or unusual ailments that show up in the body? Do you think those could be trauma related as well? Dr. Megan Mankow  08:43Definitely, I think that there's a pattern that happens. So your mind starts to go someplace, and then you react physically, like, even sometimes I'm sure you've noticed when people are telling the story, like, you'll notice they tense up their shoulders, like pull back, or bring their knees to their chest. And we don't even realize that we're doing this, but we are. And so then after a while, like, our mind and our body, you're just like, okay these go together. And so it can show up differently for everyone, like, I don't think there is a set definition of like, oh, this is how it's gonna look for you. So it could be, yeah, autoimmune, knee pain, palpitations. It's different for everyone. And I guess that's part of the medicine, figuring out which system is affected. Lori Bean  09:27So what about - sorry, my mind goes to all these different areas - but, like, what about sexual trauma? Does that mean that's always going to show up in the sexual organs? Or not necessarily? Dr. Megan Mankow  09:37I don't think so necessarily. Yeah, people hold trauma in different places. I think a lot of it is constitution-based. Like, I think a common thing is people feel tension in their shoulders and neck. And that's, like, a common place but, for example, me, my tension, it shows up in I curl my toes, I clench my feet and that's like a family thing. But, so... and that has nothing to do with the anxiety I'm feeling, like in my feet. Same with, like, sexual trauma, even though it occurred in the reproductive system, it doesn't always manifest there. Erin Bonner  10:14Yeah, I think we want to put those connections together and trauma doesn't necessarily, or trauma responses in our body, I should say, they don't necessarily have to make sense given the trauma that we've experienced. That, I think that's one of the most common reports that I get from clients. And definitely, in my own experience, it shows up in these ways that kind of make us feel nuts. It changes our behavior, it changes what we're willing to do, it impacts different parts of our body. And it doesn't necessarily have to make sense, it's this product of our brain. Having this experience in our body, having this experience that it doesn't really know how to put pieces together, or to process fully. And that's where I love us, this idea of us working together, because the first step is unlocking that emotional part of trauma. The cognitive processing comes later, but until we have that kind of healing release in our body, we can think ourselves all the way through it, we probably tried to and maybe hit this wall, because our body's holding on to trauma somewhere. Lori Bean  11:08So how would you know, Erin - like, I think this is a question I get asked - so I'm seeing Erin for psychology. How would Erin know when I need to see Megan? Or vice versa? Megan, how would you know? And when would you suggest and the why piece, like... Alyssa Rabin  11:26And if. If you would suggest it, as well. Erin Bonner  11:28I know in the past I've had clients where we've done PE - prolonged exposure - and, like, in the least clinical sense, what we're looking for is the ugly cry, essentially. That we want to unlock that emotion from our brain, to be able to kind of bring it into the room to go sit with it. And sometimes that does everything we need to do. And sometimes it doesn't. And so I find that any of my clients who are still having trauma responses that are really body related, that's where I see Megan's therapy really fulfilling kind of this holistic treatment of trauma. That if I'm going in, you know, emotionally and cognitively, there is this piece that can be left out, if it's that we need to, you know, unlock things in the body before the brain will kind of allow for that emotional release. Alyssa Rabin  11:30Absolutely. Dr. Megan Mankow  11:32Yeah. And like, I think, personally, everyone should be in therapy, it's just so important to understand the brain. So, one, I almost always recommend therapy, if someone's not in it no matter what. But the thing for me, like when I'm working with patients, is the acupuncture can really move emotions. So things start to come up. I've had patients say like, 'oh, I've just been really thinking about past relationships, like, the week after our appointment'. And sometimes it can be overwhelming, people don't have the coping strategies. And so that's when I would refer them to Erin to talk through your problems. And also, yeah, so that Erin can teach you some coping strategies, and you're able to process and manage all these emotions that are coming up and being unlocked from the body. We need a place to process that. Alyssa Rabin  13:04Like, for instance, you, Dr. Megan, just had a client in about an hour ago, and I noticed that after she was done, she was very emotional. And she was saying how incredible she felt, and she felt like she had unlocked so much. And then I said, 'okay, now you need to deal with those emotions, and you need to book in with Erin'. Lori Bean  13:30No, it's true. And I think a big piece of why Maliya has come to fruition is, myself being a cranial sacral therapist, I will get a phone call three or four days after, which is a similar reaction to emotional release like Megan would have from the body, and then they're either completely distraught or all these memories are coming up. And even though we've sort of prepared the client that that could possibly arise, when it happens it's sort of shocking and you do not know how to navigate it. Every single client I've ever had, when there's emotional release, it's still a surprise. Memories do surface. And, you know, Megan's brilliant at being a doctor of Chinese medicine and an acupuncturist, but she is not a psychotherapist or a counselor or what have you. And Erin's specialty is psychology. You know, we all have our specialties, and I think to be able to offer a place to go either way. So after, you know, you have this emotional release, then counseling is available for you to process. It's such an important piece and I think it's important to offer the acknowledgement that when emotional trauma does surface - it could even be after a massage actually. It could be as simple as the tissues releasing trauma or the organs, our spleen, our liver, whatever is being catered to in this session, emotions often come up later. And we feel like maybe something is wrong with us. Like what is happening? Why are these memories, why am I such a mess? Why am I so emotional? Why am I dysregulated? It's actually completely normal. And we need the counseling piece to follow up for that. Or, it really does work the other way, where Erin, you could be counseling somebody, and then there's all this body tension that arises that we need facilitation with through somebody buddy like Megan through acupuncture. Alyssa Rabin  15:34Well, doing psychology, you're talking about your feelings, it can make you stressed and tense, and you do, you need everything in your body to relax and let go. Which is why it's so brilliant that the two of you are working on the same thing yet focusing on different things. Do you know what I mean? Yeah. Lori Bean  15:59And I love that, you know, we need to bring awareness to this because being a holistic practice, holistic means spiritually, mentally, physically, like, it really is all connected - Alyssa Rabin  16:15- our whole being. Lori Bean  16:16Our whole being. And we really need to navigate the body that way. Dr. Megan Mankow  16:21Can I share one of my favorite patient stories? Alyssa Rabin  16:24Yes, please. Dr. Megan Mankow  16:25I had this person come in and they were seeking treatment for anxiety and dissociation, like, they couldn't tell really reality from dreams. Like there was just - he explained it as, like, no joy in life, wasn't able to laugh for years. And so I did a treatment, it was a lot of, like, moving emotion. I do warn people, I say 'you know, emotions might come up, and that's okay, like, you might cry, you might get a little irritable, and that's okay'. But then I left the room and let him relax with the needles in for a couple of minutes. And then I  come back. And he said, 'Megan, guess what happened? Like I laughed for the first time in two years. And I, like, forgot how to laugh.' And all this came up. And I was just so ecstatic. Like that was the best. Lori Bean  17:08So what...So what happened? So the emotions were trapped in the nervous system, or the tissue or the organs? Like, how would you explain that? Dr. Megan Mankow  17:19Yeah, you know, like, it's hard to say. It could have been any of them. Like, with Chinese medicine, I'm working with a system. And so these organ systems, they encompass the tissue, the emotions, they have a bunch of things correlated to it. So I don't actually know if that was stored in muscle tissue, memory, like, whatever it was, I just know that it's time to release it. But I really wish that I would have known Erin, because then that would have been perfect, like, the dissociation piece, I can kind of coach patients into feeling into your body, notice the sensations. But there was, as amazing as that treatment was, there was still some psychological intervention needed. Erin Bonner  18:04Because dissociation is, it's kind of a failsafe, all of our brains have built into it. That when we're hit with a really intense moment, be it, you know, sensory or emotional stimuli, we have this kind of safety mechanism in our brain which is dissociation. Our brain will, you know, blunt the perception of what's happening. Which can be a good thing if we're in a terrible moment, and it can also be what actually creates a trauma response in the first place. That it prevents us from being able to ride the wave of an emotion in a moment, which, you know, in a really awful moment might actually be a good thing. And sometimes our brain will heal that on its own, and sometimes it won't. And so when it lingers, like it sounds like for this fella, somehow we have to unlock that. And the cool thing is, again, it doesn't have to make sense, whether it's we're going in, we're doing something like I'm having you retell me the memory of the experience that was traumatic for you over and over and over and facilitating flooding, which is pleasant as it sounds - not that pleasant - until it is because your brain will habituate and heal itself. Or it's through, you know, tapping into tissue or meridians and your body kind of taking over and doing that work. It's really cool that it doesn't have to make sense. As long as they're facilitating that process of that, like, unblock. Lori Bean  19:14And supported. Alyssa Rabin  19:15Well, and it's because everybody is so different. And it's trapped in so many different areas of the body, in the system, in the brain. And it's almost like you could do the exact same thing to Lori and I and we could both have totally and completely different responses. Dr. Megan Mankow  19:31And I think people, yeah, aren't aware that it doesn't always make sense. And I don't know Erin if you agree, but I think that's where the shame and guilt plays a big role too, because people are like, 'I shouldn't be reacting this way, like it wasn't a big deal or, like, this happens to lots of my friends'. But it does. It doesn't play out the same for everyone. And it's important that you listen to your body and your mind and some things will affect one person at this time in their life differently than the other. And so don't downplay how you're feeling. Lori Bean  20:00I remember I had a client once who, interestingly enough, reached out to me because he was suicidal, because his hamster had just died. And he was genuinely suicidal. And it was a moment for me, where I recognized that all of our trauma is different. Kind of like you were saying earlier, Megan. Trauma is trauma, it could be insignificant to one person, my idea of it might be, but to them, it's this unsurmountable experience. And, you know, perhaps for that individual, being in a car accident might have not had the same impact on him as the hamster dying. I mean, I think trauma is such an interesting thing. I think it has a lot to do with our childhood, our regulation from birth, as an infant, as we grow up, how our nervous system was regulated, what kind of support we had to be able to have a regulated nervous system. And I think we really need to honor, as individuals, that we are at where we're at, and there shouldn't be shame or guilt for the way we are feeling about things. We're here to support at any level with any issues. And we will just guide you through that process with those practitioners and modalities that can help facilitate your well being. Erin Bonner  20:01One of the things I like to add, because shame is such a common experience when there's, you know, subclinical or diagnosed PTSD, that it makes sense because there's this kind of 'don't ask, don't tell' experience when it comes to trauma. You know, we're supposed to, you know, get up, do the thing, go to work, meet with our family, do all the things, you know, human every day. And so it really makes sense why we have shame, it might be because of these societal expectations, and it doesn't help us to be stuck in it. And that's, I think, one of the biggest things when it comes to, I think, the treatment have anything to do with our bodies, whether it's our brain or our body. That hopefully we get to this place, and I think we're getting there sort of, to really allow us to go, hey, something's not right, I just need to figure out who I can access to help me get through whatever it is I'm trying to get through. Whether it's trauma or, you know, day to day stuff. Alyssa Rabin  22:21And to actually take care of yourself, and say, 'it's okay to need this help, and it's okay to reach out'. And let Maliya, more or less, take your health situation and your ailments and guide you on to what is the right path, which are the right practitioners. And we have multiple practitioners here, not every practitioner is right for every client, and vice versa, which is why we create a health plan specifically for each individual. Because it's not going to be the same with - Lori Bean  22:58No, and it's who you're safe with, and who you're comfortable with, and who you align with, to really help figure out, get to the root of what's going on. Alyssa Rabin  23:07Absolutely. Erin Bonner  23:08One of the things - and I don't know if you feel the same way, Megan - that from the practitioner perspective, I mean, I'm a person in the helping role because I like to help people. Which comes with, you know, the feeling of 'I have to help every single person that comes to the door' and like I'm the worst therapist if I can't help you, or your struggle, or your experience doesn't fit within, you know, my modality. And having this kind of openness and saying, 'you know what, I might not be the answer for you, yet here are some other options that might be the answer for you' takes a weight off my shoulders. It allows me to just jump in and do what I do, and then say, 'hey, I think you're going to be better served by someone like Megan'. Alyssa Rabin  23:45And that's what's so incredible here, is you would never know who is a doctor of whatever, whatever, compared to me being a life coach, you know? You would never know because every person here is here for the exact same situation and the exact same reason: to help people. There's no competition. There's no - Lori Bean  24:10- and we support one another in - Alyssa Rabin  24:12- immensely. Lori Bean  24:13- in whatever our clients need. Alyssa Rabin  24:15Yeah, absolutely and completely. Lori Bean  24:16That's kind of the way it works. Maybe it's a naturopath, maybe it's functional medicine, maybe it's just a massage, self care, maybe it's a yoga class. Alyssa Rabin  24:24Absolutely. Absolutely. Lori Bean  24:27I think it's important that we're here to work together and support you for whatever it is you need. Dr. Megan Markow  24:34Well, and when you think about the definition of trauma that I said - too much, too fast, with not enough support - that support piece is huge. And, like, so even, that's what we're here to provide. And that's, like, the shame and the guilt, if you feel like you can't talk to friends and family about a situation, that trauma just builds and gets worse. And that's why we are here as professionals to help support you. And, yeah, every - like you guys were saying - everyone needs different medicine at different times in their life. And so it's very important. Like, I love that we're collaborative because, yeah, like Erin said sometimes you want to be able to help someone so bad but sometimes you can't. And like, that's just, yeah. Erin Bonner  25:16And it doesn't mean we're the worst practitioner in the world in that moment. Dr. Megan Mankow  25:28Yeah, but I just think we all recognize that not one person is everything. And that connection piece is so important, even, like, among one modality, like, psychologists - I might connect with Erin, and someone else exact same, like, modalities, they use the same techniques, were trained by the same person, I'm going to get better with the practitioner that I feel supported by and connected to. Alyssa Rabin  25:53Absolutely. Lori Bean  25:54The one thing I can tell you, and you probably will all attest to this when you come into our space, it is a very safe and very loving, very nurturing, and we all will do our best to make sure that you get the care that you need. You will never be left alone. You will always be followed up with and supported, and we will do our best to find you the right practitioners and the right modalities for your care. So thank you, ladies. Alyssa Rabin  25:55Thank you, girls, for joining us today. Lori Bean  26:26It was so great, and see you on the next episode.

Lori Bean and Alyssa Rabin welcome Registered Psychologist Erin Bonner back to the podcast to take everyone on a deep dive into psychology and how therapy works. Erin breaks down when diagnosis is useful in selecting a therapeutic modality, how different therapies treat behaviors and emotions, and how to go about selecting the right therapist for your needs.Erin believes everyone should know something about therapy, modalities, types of therapists, and how to find a therapist. To that end, Erin details exactly what her speciality - clinical counseling psychology - means and what modalities her training specifically focused on. She explains the differences between clinical and subclinical and what the idea ‘diagnosis directs treatment' looks like in terms of the type of therapy that would be best for an individual. Lori and Alyssa explore the differences between DBT (Dialectical Behavior Therapy) and CBT (Cognitive Behavioral Therapy) with Erin. They discuss the CBT triangle, what a DBT skill like the TIPP skill would assist with, and how important personal connection with a therapist is to effective therapy. This episode addresses your brain, your thoughts, and any feeling or trauma you may have that a psychologist or therapist can help with. This imparts important knowledge on how to choose therapy that is best for you.About Erin Bonner:Erin Bonner is a Registered Psychologist with a Master's of Arts in Counselling Psychology. She is passionate about her role in helping others navigate their individual paths towards wellness. In her 20s she tragically lost her younger brother and then her mother shortly after. Through her own therapeutic journey, she discovered her calling to help others work on understanding and processing emotions to achieve personal growth and well-being.Erin is trained in Cognitive and Dialectical Behavioural Therapies, Prolonged Exposure, Exposure with Response Prevention, Emotion-Focused and Mindfulness-Based Therapy. She specializes in treating depression, anxiety, PTSD, cPTSD, ADHD, emotion dysregulation, grief, OCD, and in helping individuals learn to love themselves and develop strong relationships with the people in their lives. She also offers Sport Psychology to equestrian athletes on an individual or group basis.Erin believes in holistic wellness and that integrating various modalities of treatment enhances the benefits of therapy. She encourages her clients to be curious about how they can cultivate lifestyle changes to think, emote and behave in ways that foster personal wellbeing and contentment; this is paramount in her approach to therapy.In addition to working with adults, she has a special interest, passion and gift for working with adolescents aged 14 and older.Resources discussed in this episode:TIPP skillCBT triangle-- Maliya: website | instagram | facebookErin Bonner | Registered Psychologist: website | linkedin TranscriptionErin Bonner  00:59Hi guys. Alyssa Rabin  01:01How are you? Erin Bonner  01:02I'm good. I'm excited to chat. Lori Bean  01:06Let's do it. We need some answers to the questions we're getting. Alyssa Rabin  01:11Totally. Erin Bonner  01:13Maybe I should start with contrary to popular belief, therapists don't know everything. We are all work-in-progresses ourselves. Lori Bean  01:20Oh. Alyssa Rabin  01:21That's not what you told me. Erin Bonner  01:22I know. You know the... speak with confidence and then everybody just believes everything you say. Lori Bean  01:30Maybe I should become a clinical psychologist. Erin Bonner  01:36I think it's important, though, to kind of know about therapy, about, you know, what kind of therapist fits for you and kind of how to maybe even choose a therapist. Because I was talking to a new client and they were wildly overwhelmed with just the process of finding, like, who the heck can help me. And so I think maybe we can uncover some of that because it's overwhelming, Alyssa Rabin  02:00Totally and completely. Finding the right fit and feeling comfortable to pour your heart out. And absolutely. So why don't you first tell us, what specifically do you specialize in? Erin Bonner  02:15My specialty is in clinical counseling psychology. And what that means is that my training is in modalities that are empirically supported for the treatment of mental disorders. So I am trained in treatments to treat borderline personality disorder, major anxiety disorder, depression, OCD, PTSD. And so a lot of the training that I have, really is designed for individuals with kind of clinical disorders, and anybody who might even be subclinical, or anybody who just is highly emotionally sensitive and emotions run their life. Alyssa Rabin  02:53What's subclinical? Erin Bonner  02:54Subclinical means you might not actually meet diagnostic criteria, according to, you know, the set diagnostic criteria in the Diagnostic and Statistical Manual. And that emotion pattern, you know, depression, anxiety, trauma experiences, they're pretty controlling in your life, that we as psychologists have to have, you know, a gradient. You either meet criteria for diagnosis or you don't. And if you have four out of nine criteria for something and not five out of nine criteria, where five out of nine is that threshold, having four out of nine is still pretty life altering. Lori Bean  03:30So if you recognize, like, let's say you had a trauma that's still affecting you today, you don't know if it's PTSD, you're just not functioning. Erin Bonner  03:37Yeah. Lori Bean  03:38It's controlling your life. Alyssa Rabin  03:39And even if it's not a trauma, if you don't recognize exactly what is going on, but why are you feeling anxious? Why are you feeling depressed? Why are you feeling all of these emotions? Erin Bonner  03:50Yeah. And I think often diagnosis, it directs treatment. And so sometimes we need a diagnosis before we embark on a treatment, because, let's face it, there are lots of different modalities out there. And they're all useful in one way or another for individuals who they fit for. And not every type of therapy is going to fit for every person. So sometimes, you gotta get the diagnosis first. You gotta kind of know what you're working with before you choose a path down therapy, because it's exhausting to go down a whole therapeutic pathway and feel like it doesn't do a darn thing. It just costs you a whole bunch of money, and time and energy and effort. And so sometimes the diagnosis is really, really important to start with. Lori Bean  04:30So where do you get the diagnosis? Erin Bonner  04:31So diagnosis typically will come from either a psychiatrist, or there are psychologists out there who specialize in assessment, it's not actually something I do. I have some solid familiarity, with the treatments that I offer, to kind of do general assessment, so I can assess for PTSD, I can assess for OCD. And I don't have as much training as someone who specializes in assessment would have. And so if I meet with a client and I think, you know what, I think we got to know what's going on here from kind of a diagnostic perspective first, I'll typically refer out. And I have a couple of referral sources that I think are really fantastic and they know their stuff really, really well. And so I'll say, 'hey, this is important to do so you aren't wasting your time'. I want to help every single person that comes through my doors, and if I don't offer the treatment that fits for that person, I can't as well as somebody who does offer that treatment. Alyssa Rabin  05:23So let's say I am feeling depressed and anxious. And I don't have a diagnosis. Do I have to go get that first to come to see you? Erin Bonner  05:33No, not at all. Alyssa Rabin  05:34Okay. Erin Bonner  05:34As the, you know, clinical professional in the room, it's a bit my job to go, 'hey, I think this is really important' or, the other piece, yes diagnosis directs treatment. And as a therapist, as a clinical counseling therapist, I am very much treating the symptoms. Yes, there are these diagnostic labels. And all the diagnostic label means is you're experiencing all of these symptoms in a way that's altering your life. Alyssa Rabin  05:58Interesting. Erin Bonner  06:00And so that's my job. To do some assessment. This is why a first session often feels a little 21 questioning. I try not to make it as 21 questioning as possible, and really have it be a conversation, but there is, over the first couple of sessions, a bit of assessment that I'm doing, to kind of conceptualize how does what I do fit for a client. Alyssa Rabin  06:19As well - actually, before this, you and I were talking about connection. Erin Bonner  06:25Yeah. Alyssa Rabin  06:26How important connection is between the client and their psychologist? Lori Bean  06:31Yeah. Erin Bonner  06:31Absolutely. I like to think about that chemistry factor, when it comes to choosing a psychologist, that you kind of want - and not in a weird, creepy way - you kind of want the same feeling if you go on a first date, and you're like, 'whoa, that was great'. Whether they were, like, nurturing or kind or, like, you just had that ease of conversation. You kind of want that feeling with a therapist in some way, shape, or form because, I mean, this is somebody you're gonna be spilling your guts to. You're going to be very vulnerable with this human. And so if you don't have that kind of spark of connection, it's really hard to be vulnerable. It's really hard to be candid, it's really hard to just show up and go with what happens in a session. And so I think, I mean, there's research that backs it up that there's a big statistic of - I don't know, I don't know the exact number - but about 60% of the game is finding a therapist you connect with. And so that's, you know, you got to understand and feel like they're their theory fits for you. You got to feel like their personality fits for you. I know, I'm a pretty conversational, I'd say casual, conversational style therapist. I fully believe in the power of a therapeutic F bomb. And so that's gonna fit for some people and it's not gonna fit for others. Lori Bean  06:38That fits for me. Erin Bonner  06:57And so I think that's a huge part of the battle which, absolutely, it makes finding a therapist overwhelming and challenging. Alyssa Rabin  07:54Which is why it's so amazing that you do offer free virtual consultation. It's like a 15 minute consultation. So you can see the person face to face and sort of get that energy. And see if it is a match, which I just think is brilliant. Erin Bonner  08:10I think it's important that I know therapy is expensive. And I know that people are investing time, energy, money, emotions into doing therapy with me. And so at least if they have that thought of, like, I'm kind of interested in speaking to her again, before they, you know, shell out that that fee for the first session, I think is important. And it's something that I really I like to do because I'm a human too. And we get in a session and our therapeutic or conversational selves don't fit? It's uncomfortable for everybody. Alyssa Rabin  08:43Yeah, absolutely. Lori Bean  08:46So what are some of the - do you call them processes that you use? Erin Bonner  08:51Yeah. So theories or modalities. Or processes, absolutely. So I would classify myself as someone who falls into the category of behaviorist. And so what that means is, all of the theories that backup my practice, that I'm really pulling from when I'm doing therapy, have to do with human behavior. It's one of kind of the, I think there's six kind of different categories or genres. Yeah, I like that word. So I'm a behavioral therapist. And so my training is in dialectical behavior therapy, cognitive behavioral therapy, I can tell you what those are in a minute. And then a lot of the exposure based treatments that I use, so prolonged exposure to treat PTSD, exposure with response prevention for the treatment of OCD, any, like, mindfulness based therapies that are really behaviorally mindfulness based therapies, emotion focused, there is this behavioral element that I bring. Lori Bean  09:44Okay, so let's say - Alyssa Rabin  09:46- you're revisiting - Lori Bean  09:48- you're re- yeah, that's the word you use. Revisit. So what if it's something like, maybe it's something you've repressed? Erin Bonner  09:55Yeah. Lori Bean  09:56Or something that happened a long time ago as a kid and you do don't really remember. How do you revisit something like that? Erin Bonner  10:04I like that question. Because I think we have this urge, if we know there's trauma, or there's, like, a question mark about where there's trauma, we want to figure it out, we want to dive in and do the thing and heal ourselves. And my approach, that's the goal, the goal is to have this kind of holistic healing, and sometimes we have to train our brain how the heck to do that before we actually have the ability to do revisiting. And a big part of my training is in dialectical behavior therapy, which is a very behavior focused, it's probably the most behavior focused type of therapy you can get. Alyssa Rabin  10:38Which is, explain it a little bit. Erin Bonner  10:40Yes. So the concept of dialectical behavior therapy - so, DBT - is that it accounts for biology. So it was a therapy designed in the 80s by a gal named Marsha Linehan, who is this brilliant clinical social worker, I believe. Don't come for me, DBT community, if she's a psychologist. I think she's a clinical social worker, she has borderline personality disorder and went through every single therapy in the book. Luckily, she's also unbelievably brilliant. And so she kind of picked and chose parts of therapies that were helpful, even though no one therapy helped her. Lori Bean  11:17Okay. Erin Bonner  11:17And so what DBT does, it accounts for this biology, this emotional sensitivity, and not in a judgmental way. It's, 'hey, if my brain has a brain that feels emotions more intensely than the average person, I am emotionally sensitive'. Me too, absolutely! Alyssa's raising her hand. I absolutely am this way and so probably this is why I've connected with this therapy. Because sometimes our emotion system overrides our ability to think straight, to be, you know, rational, to know what we know. And so DBT really takes that into account in its approach, through behaviors, but also through treatment processing. So in order to revisit sometimes, to revisit the past, which might look like, you know, conversation about past experiences, it might be, you know, formal trauma treatments, like prolonged exposure. It might be understanding self in a different way. And so, you know, cracking into that egg of self identity, and, you know, breaking it down so we can rebuild it up. Sometimes, before we actually can do that, we actually need to train our brain how to experience an emotion first. Lori Bean  12:17Oh, interesting! Erin Bonner  12:19Yeah. Have you ever had an experience or an emotion happens - I'm maybe looking at Alyssa since she did volunteer - have you ever had a moment where an emotion has happened, and all you can see is that emotion? Alyssa Rabin  12:31Yes. Erin Bonner  12:31Like there isn't rational and you're in that place of emotion. And all we can think about is, like, how the heck do we survive this emotion? Alyssa Rabin  12:38Absolutely. Erin Bonner  12:39And our brain has built in some, like, you know, survival mechanisms. You know, the old fight, freeze, or fly. And that absolutely is survival, except it's often not functional in our day to day life. And so unless, you know, we're being attacked by a mountain lion, then yeah, I want to do all of those things. And I want to, you know, biologically save myself. In those moments where we're flooded with emotion, sometimes we need to train our brain to know what to do to be able to get access to the smart part of our brain, to, you know, challenge thoughts or to think critically, or to sit with an emotion without having to do anything about it. Alyssa Rabin  13:16So before you actually dive into the past quote/unquote trauma, you teach your brain first and the person how to deal with those emotions that will probably come about. Erin Bonner  13:32Absolutely. Lori Bean  13:33Oh, that is so interesting! Alyssa Rabin  13:36See, I could be a psychologist. Lori Bean  13:46Brilliant,. Alyssa Rabin  13:46I love that. Erin Bonner  13:47It's neat, because, I mean, we're all unique and different and complex, but we're all pretty simple as humans to. And so the truth is to process past experiences, to heal trauma, we have to do this revisiting. And, you know, there are some people that you know, biologically, genetically got that scratch off ticket that was a winning ticket, and their brain is just able to do it. Hey, let's start off and dive into trauma, great! So this is people that, like, that really benefit from, you know, therapies like maybe some somatic work or EMDR, or even like life coaching. Absolutely. Brain says I know how to do the processing thing, I just gotta have a space to talk about it. Not everybody has that, though. Alyssa Rabin  13:55So then you would, quote/unquote, pass those off to somatic therapists. Erin Bonner  14:35Potentially, yeah. Alyssa Rabin  14:37Interesting. Lori Bean  14:38So what's the difference between DBT and CBT? Erin Bonner  14:41I love that question. This is where my, like, nerdy psychologist comes. And that's a word I've reclaimed, it's not a judgment. I love this part about myself because I get really excited about this because it's not something that people know. We hear all of these different therapies and we hear all these different names and brain goes, 'great, I just want to feel better'. And knowing the therapies is actually a really important part in us choosing, like, what path we're gonna go down, who we're going to connect with. Because if I'm talking about behaviors and then someone is, like, 'what' and I want to talk about, you know, my inner child, it's probably not going to connect. And so knowing a bit about the therapies, I think it's really important. So here - I wish I had like a flowchart I could show everybody as I'm describing this. Lori Bean  15:25PowerPoint. Erin Bonner  15:26Absolutely. Vanna White over here. So everyone listening can just imagine that I'm doing that. I don't have a, you know, a nice dress like Vanna, but - Alyssa Rabin  15:37- but you look really cute. Erin Bonner  15:38Thanks. So the difference between CBT and DBT is that DBT can kind of be thought of as like advanced CBT. And not in a, like, you graduate and you do DBT. Alyssa Rabin  15:48What does DBT stand for? Erin Bonner  15:50Dialectical Behavior Therapy. Alyssa Rabin  15:52Okay. Erin Bonner  15:53So CBT is often what we think about when we think about talk therapy. It's the whole change your thoughts, feel different, do different. Alyssa Rabin  16:02So what does CBT stands for? Erin Bonner  16:05So CBT stands for Cognitive Behavioral Therapy. And so in CBT, often what we're looking at is we're understanding how our behaviors and our thoughts influence each other and how they impact our emotions. There's a diagram that lots of CBT therapists will draw, it's a triangle, it's a really fancy diagram. On the top they'll write T, and on one of the bottom corners, they'll write a B, and on the other corner, they'll write an E or an F for feelings. And so in CBT, there's this triangle, the CBT triangle. And so it's that thoughts impact behaviors impact emotions. And then we'll draw, like, these arrows between all of those three corners and go, okay, emotions impact thoughts and thoughts impact emotions. Thoughts impact behaviors, behaviors impact thoughts. Behaviors and emotions, they both impact each other. And so CBT really is this idea that we want to understand our thoughts first, how do we change thoughts so it impacts our behavior, which then impacts our emotions. And so if we can change that cycle, that feedback cycle, we're probably going to feel better. Alyssa Rabin  17:03Okay, so thoughts such as, like, I'm not worthy. Erin Bonner  17:08Absolutely. A solid shame thought. Uncomfortable. Alyssa Rabin  17:12Absolutely and completely. Lori Bean  17:14Which would impact a behavior of not showing up for something. Erin Bonner  17:20Totally. Or, like, self sabotage or never seeing no, never having boundaries. Absolutely. And so from a cognitive behavioral perspective, we look at that thought and go, 'okay, so how do we challenge that thought, so then behaviors and emotions, so the emotion of shame in that instance, can actually shift'. We're creating new patterns in our brain that change our functioning. And so the difference in DBT is we're actually doing the same thing, but we're going behavior first. And we go behavior first, because - and this is the nerdy part, ready? So when we are in a moment where emotion is really high, whether it's due to our biology, so maybe we're a highly sensitive person, maybe we have something like borderline personality disorder, which I think is a highly stigmatized diagnosis. And it really just means that we're a person with incredibly high emotions. And then we've had an environment where we've been invalidated a lot for it. Maybe with trauma, maybe not. I can get on a soapbox about that and I won't for the sake of today. Or maybe we've had major traumas, maybe it's been childhood trauma that's happened over, you know, years and years. Maybe it's been instances, and it doesn't necessarily matter what type of trauma, it's that it happened. I think sometimes we associate highly sensitive people with, like, sexual trauma. Not necessarily it can be kind of any type of trauma. I often think of even if we're a person that just has a higher than normal, not normal, higher than average emotion experience, the experience of our own emotions can be pretty traumatizing. Alyssa Rabin  18:50Totally, Erin Bonner  18:52if anyone's had a panic attack, yeah, that can be pretty dang traumatizing. And so if we've had this experience, what ends up happening is our brain functioning is altered. We don't have access to the, you know, intelligent front part of our brain, our prefrontal cortex, in the same way. And we really need that part of our brain online all the time to be able to challenge thoughts. So that same task of 'I'm not worthy' or 'I'm not good enough', in CBT, we go alright, we got to challenge that thought. If we have that emotion experience that's pretty high, the likelihood that we have the brainpower to challenge that thought and it stick, isn't there. Lori Bean  19:28So interesting. Erin Bonner  19:30So in DBT, we go - and the people that have invented DBT and turned it into the therapy that is today and the theory that it is today, they take that biology piece into account - and they go 'okay, so maybe we have to do behaviors first to change brain functioning'. So having skills, is the DBT lingo, to be able to address our physiology so we can turn all parts of our brain back on, maybe reduce intensity of emotion slightly, so we have full access to our brain. So we can biologically do that changing thinking thing. Lori Bean  20:01So what does that look like? Give us an example of when you approach a behavior first. Erin Bonner  20:06Yeah. So the classic... and it's often if I, you know, meet somebody and I go, 'okay, we need some skills here, this is maybe more DBT informed type therapy' because even though I'm trained in DBT, I came from a practice that was full fidelity. If somebody needs full fidelity DBT, I will send my client to that clinic, they are fantastic at what they do. If you need full fidelity, the whole shebang of DBT, I don't offer that anymore. I offer DBT informed practice. What that means is, in the first couple of sessions, I would teach somebody a skill, like the TIPP skill, and what the TIPP skill - everything in DBT is acronym - so it stands for Temperature, Intense exercise, Paced breathing, Paired muscle relaxation. So TIPP. So these are four behaviors that a) increase our parasympathetic activation, our body's natural cooldown system. And so there are behaviors that we do that quickly change our physiology, which then impacts our ability to function, and it impacts our ability to access the parts of our brain that we need to be able to, you know, do mindfulness or do distraction or think critically. Lori Bean  20:07So does the client approach this TIPP when they're in a behavior? They're recognizing that they're in an irrational behavior, like let's say they're having a panic attack. Is that considered a behavior? Erin Bonner  21:25Absolutely. Panic attack is a great moment for a skill like the TIPP skill, because we're in that moment, we are flooded with emotion, the emotion is controlling everything we do, and so - Lori Bean  21:37- which is a behavior. Erin Bonner  21:38Right? And so we're in that moment of panic attack, yes, the panic is the emotion but the behaviors might be crying, the behaviors might be avoiding, the behaviors might be, you know, freezing and not being able to function. And so we need something to, like, in the least clinical way knock our brain down a few pegs in a way that doesn't have long term negative consequences. Alyssa Rabin  21:59Okay, and so that you can more or less focus on regulating yourself. Erin Bonner  22:04Exactly. Because it's our survival mechanisms, those built in behaviors that go with intense emotions, our brain comes up with behaviors to try and regulate. This is why we avoid things kind of, you know, pathologically. Or we use substances. Our brain's feeling really dang intense for whatever emotion our brain trends towards, and so, you know, you pop a pill or take some drinks and brain is numbed a little bit for a short period of time. And so I really, I take this stance with every single one of my clients that every behavior that we have identified - hey, I probably got to do something about this behavior, and I got to change it - it's actually serving a function. It's our brain's way of trying to regulate itself in any way that it can, which I take a stance because it doesn't help to, you know, add a layer of shame of like, 'oh, you shouldn't be doing that'. It doesn't help. Alyssa Rabin  22:19You're doing it almost to save yourself from something and that something is what you need to recognize. Erin Bonner  23:01Exactly. Because as humans, we're complex - I say this a lot - we're complex, but yet we're very simple. Or, and we're very simple in that our brain responds to reward and relief. And so if we engage in a behavior that offers us, like, even the tiniest sliver of relief, brain goes 'oh, that helped'. Even if later on it creates chaos. Brain only learns from that, like, immediate moment and so a skill like the TIPP skill is saying, 'wait, I'm gonna forego that, like, moment of relief for something that might actually start helping in the longer term'. Lori Bean  23:35Wow. Erin Bonner  23:36I like to call this TIPP skill my, like, nerdy therapist party trick because I can reduce your heart rate to below resting heart rate in, like, 30 to 60 seconds. Alyssa Rabin  23:44Do it. Erin Bonner  23:48Give me a little bit of space after. Lori Bean  23:51I will attest that Erin has given me that skill when I personally find my nervous system just dysregulated. That kind of feeling where you're very overwhelmed, you almost feel like you want to crawl out of your body, like, you don't, you can't really differentiate between, like, is it anxiety? Is it overwhelm? Is it stress? I'm uncomfortable, I can't process. Alyssa Rabin  24:20There's too much coming down on your brain and your shoulders. Lori Bean  24:23And you literally feel like you want to crawl out of your body. This little tip has been a lifesaver. Erin Bonner  24:31It's cool. It's neat because it's not a skill that is going to change your life. It's not solving all of your life's problems. What it's doing is it's giving you access to your brain in a moment where you might need your brain. It's giving you this window, this window of access that, you know, either we can, you know, do something. So like you said earlier, Alyssa, start regulating emotion with another behavior or thinking different. Or our brain will just go back to being triggered by whatever it was triggered with before. Lori Bean  24:59Wow, amazing. Alyssa Rabin  25:02So I just have a quick question for you. So I know how amazing you are. Erin Bonner  25:07Thank you. Alyssa Rabin  25:08How would I, as a client, choose to do therapy with you? Instead of, like, a somatic therapy, or a life coaching therapy? What would I need to know as a client? Which direction to go in? Erin Bonner  25:27I love that question. And I think there's kind of different parts to it. Part of it's gonna be personality. Alyssa Rabin  25:32Absolutely. We spoke about, yeah, the connection - Erin Bonner  25:35There's a huge statistic. If you have a connection, what the person does, like, it probably matters less. Doesn't mean it doesn't matter at all, it means it probably matters less. Alyssa Rabin  25:45Ah, interesting. Erin Bonner  25:46I don't want to discount, you know, the theory and the type of therapy altogether, because sometimes we just need a different therapy, even if we really liked that person. I know I've had that as therapist where I have this huge connection with a client and I go, 'I think we've reached our limit and you got to find somebody else, because' - Lori Bean  26:03- this approach isn't working. Erin Bonner  26:04Just becasue we like each other, that's not enough in this instance. So it's part of a big part of the picture, but not the whole picture. I think a big part of understanding what therapist is gonna fit for you, is looking into kind of the theory. And you don't have to research it, like, so you're an expert. You got to read about each of the therapies and, like, Google is great for this. Pull up the Wikipedia page. Well, what is the therapy that they offer? What's it all about? And do I kind of like it? Lori Bean  26:34Does it feel in alignment? Erin Bonner  26:35Totally. Does it speak to me? And so I think that piece is important, because, I know if somebody is a psychoanalyst, yes, there's tons of research behind psychoanalytic - that's the whole Freud stuff - if that speaks to somebody, I can tell you right now, you're gonna get 0% of that with me. I don't do it. I don't, it's not what I do as a therapist. And so if that's what speaks to your brain, we can get along and, you know, be buddies in the therapy room, and it's not going to speak to you in the same way. And so knowing kind of what theory pulls you, that's going to be a big part of deciding who you work with. And then the second piece is you you gotta kind of like them. Lori Bean  27:12Yeah, but it doesn't really mean that one is better than the other. Erin Bonner  27:15Absolutely not. Lori Bean  27:16Like I think about somatic therapy, like internal family therapy. You know, reading up about that, I was like, 'oh, this is really interesting, and kind of resonates with me as a person and what I'm in alignment with'. But it doesn't mean that the different therapies cannot approach the same issues, correct? Erin Bonner  27:34Totally. Totally. I think the one difference is, if there are, you know, something like OCD. If there is a clinical diagnosis that you're coming in with, for example, you have OCD, the likelihood that anything but exposure with response prevention is going to help you is just lower. Doesn't mean there's no other option. It means that you want to look for the treatment that is the most empirically supported treatment for your diagnosis. That's where the 'diagnosis directs treatment' idea comes in. And so, yeah, there are certain areas where you've got to be a little bit more choosy about the theory. And, for lots of people, it matters more about what speaks to you, and about that connection with the therapist. And one theory or one therapy doesn't have to solve all of what's going on for you. Maybe there are pieces. This is something that a mentor that I worked with a couple years ago said that he was kind of grappling with, 'well, I want to be able to, like, you know, help everybody that comes to this door, and I want to see their, you know, start to completion'. And as therapists, I think sometimes we have to humble ourselves a little bit. We're not all, like, saviors. Even though we might have a savior complex. I'm a little guilty of that sometimes. That maybe it's just this piece, maybe it's a piece of work that somebody does with me, and then they do a piece of work with somebody else. And that's - Lori Bean  28:52- or maybe they need something altogether different, like -  Erin Bonner  28:56- like acupuncture. Lori Bean  28:57Yeah. Or naturopathy. Or a movement class. Or some additional support. Erin Bonner  29:03Absolutely. Alyssa Rabin  29:03It's interesting, because once clients, I've had some clients ask me in the past, well, why would I choose psychology over soul coaching or life coaching or... And I kind of put it like, therapy, the psychology therapy, is almost to work on what's there. And once that's been helped, as much as it can be helped, and you're ready to move on to the next level, that's when you go on to the life coaching and life therapy. So it's, everything is a process. Erin Bonner  29:39Yeah, I had a conversation with Jadine our life coach about, like, how do we decide who is the most effective fit? And she and I had this really cool conversation about if somebody comes in the doors and they go, 'okay, I'm just feeling stuck on my next step'. They don't necessarily have trauma they want to work through or it's not the time for them to work through their trauma. Because sometimes it's important to really understand that even if you have trauma, it might not always be the time to work on it. And that's a very acceptable and probably effective choice to make for ourselves. But it's more about that I want to think future focus, I want to think about how the heck do I get myself to the next step? That's where life coaching is a great option. Lori Bean  30:17Or big life changes. Like I'm a new mom. So I just had a baby and my life is just completely changed, and how do I navigate this? Needing support around that. Erin Bonner  30:28Actually, I love that example. Because that's when we can kind of guide into two paths. Okay - so what you just said Lori - absolutely life coaching might be a fit. Whereas if there's postpartum depression or postpartum anxiety, that's where a psychologist  is probably a better fit. Alyssa Rabin  30:42As well, okay, for me - example, I've been stay at home mom for 16 years. All of a sudden, BAM, I'm working 12/13 hours a week. I need to know how to move forward with that as a mom, as a wife, as a businesswoman. But as well I need to work on my guilt for not being home, and I would see Erin for that. To just say to myself, it's okay, and I'm worth it. Erin Bonner  31:15Totally. Yeah. Alyssa Rabin  31:17Awesome. Lori Bean  31:18Thank you, Erin. Erin Bonner  31:20And if anybody wants to chat more about the biology, just come and knock on my door because I will nerd out for hours. Alyssa Rabin  31:29Thank you so much.

This episode addresses recovery from PTSD specifically from a cognitive perspective. An overview is provided for one of the top-line treatments for symptoms of trauma, anxiety, and depression. The goal of this episode is to introduce listeners to the treatment modality of Prolonged Exposure to enhance overall understanding. If you would like to reach out with show topic ideas or questions please email us at happywizardpodcast@gmail.com and our producer Tami Magaro will field all questions or topic suggestions. Shiva G. Ghaed, PhD, MPH, ABPP (aka, Dr. G) Dr. Shiva Ghaed is a nationally board certified and California-licensed clinical psychologist. She has worked in a variety of healthcare settings and with many different patient populations, including active duty service members and military veterans. She has provided individual, couples, and group therapies for psychological distress related to personal and professional difficulties. Dr. Ghaed's clinical experience includes specialization in anxiety disorders, and combat and non-combat trauma. For the past 30 years, she has worked for nationally and world-renowned organizations, and her professional activities has included research, institutional review board, presentations, and volunteer work. She has numerous publications and has received honors and awards for excellence in her field throughout the course of her career. Recent projects include www.route91therapy.com and www.loveexpands.com. For more details about Dr. Ghaed, please see drshivaghaed.com. --- Support this podcast: https://anchor.fm/thehappywizardpodcast/support

Rounding out our mini-series on different therapeutic interventions is EMDR, or Eye Movement Desensitization and Reprocessing. It's one of the more popular intervention methods due to the vast amount of evidence proving its effectiveness. It was originally designed by Dr. Francine Shapiro, who had a distressing memory come up one day while walking in the park and calmed herself down by rapidly moving her eyes between two lights in front of her. She studied this experience, coming up with the theory that bilateral stimulation of the left/right hemispheres in the brain helped process trauma into the mind's long term memory. After repeated success, she created EMDR so others could learn the method and implement it with their clients. In this episode, I will guide you through the reason behind EMDR's success in tackling trauma, what a session that uses EMDR would be like, and the resources/skills that EMDR develops in clients. Topics/Triggers: How trauma memory is timeless, highly emotional, and stored in the emotional side of the brain — the right hemisphere How EMDR processes trauma memory into the long term in order to help our brains store it in the grander narrative of our lives The symptoms of trauma, including Intrusive Memories, Hyperarousal, Anxiety Activation, Worry, Avoidance, Disassociation, Numbing, PTSD, and Depression Different therapeutic interventions, including Prolonged Exposure, DBT, Somatic Experiencing, and EMDR The exposure element of EMDR and why it differs from other intervention methods A step-by-step walkthrough of an EMDR session Why EMDR has a low rate of retraumatization post-session The window of tolerance EMDR Resources and Skills Attachment-based EMDR, as created by Laurel Parnell Using Archetypal Experiences, Places, or Figures to find peace Why we should use animals/people/fictional characters that are nurturing, protective, and wise as resources instead of our family members/partners My personal experience with EMDR ━━━━━━━━━━━━━━━━━━━ If you took anything away from today's podcast, please share it with someone who may need to hear it. And if you really want to support the podcast please give us a rate/review. If you or anyone you know is suffering through trauma contact the National Sexual Assault hotline at 1-800-656-4673 or online for 24/7 support. (This podcast is not a replacement for psychotherapy or mental health care. You can obtain a referral for mental health care provider from your primary care physician, or search on Psychology Today's Find a Therapist directory) Find more Initiated Survivor content here and on Instagram!

In this 2nd episode of our mini-series on PTSD treatments, Dr. Carmen McLean talks about Prolonged Exposure (PE), and how the mobile app “PE Coach” can help with treatment.

This week's Passion Struck podcast features Rubin Khoddam, Ph.D., a Clinical Psychologist who specializes in the treatment of addiction and trauma and mood disorders, such as anxiety and depression. He and John R. Miles discuss the importance of holistic mental healthcare and examine Cognitive Behavior Therapy, Cognitive Processing Therapy, and Prolonged Exposure for PTSD, as well as Dialectical Behavior Therapy and Acceptance and Commitment Therapy. New to this channel and the passion-struck podcast? Check out our starter packs which are our favorite episodes grouped by topic, to allow you to get a sense of all the podcast has to offer. Go to https://passionstruck.com/starter-packs/. Subscribe to the Passion Struck podcast: https://podcasts.apple.com/us/podcast/the-passion-struck-podcast/id1553279283. Have You Tried Talkspace? Talkspace: The online therapy company that believes that therapy should be affordable, confidential, and convenient. Join over 500,000 people who have used Talkspace for online treatment with their licensed therapist. Get $100 off your first month when you visit talkspace.com and use promo code PASSIONSTRUCK at sign-up. LINKS *Website: https://copepsychology.com/ *Instagram: https://www.instagram.com/cope.psychology/ *Personal Instagram: https://www.instagram.com/drrubinkhoddam/ About This Episode's Guest Dr. Rubin Khoddam Dr. Khoddam started COPE after growing his private practice and recognizing the need for quality, evidence-based mental health care. He has personally handpicked each team member and psychologist at COPE and is passionate about helping those who come to COPE learn the skills, tools, and insights they need to be able to do their life's work. ENGAGE WITH JOHN R. MILES * Subscribe to my channel: https://www.youtube.com/c/JohnRMiles * Leave a comment, 5-star rating (please!) * Support me: https://johnrmiles.com * About: https://johnrmiles.com/my-story/ * Twitter: https://twitter.com/John_RMiles * Facebook: https://www.facebook.com/Johnrmiles.c0m. * Medium: https://medium.com/@JohnRMiles​ * Instagram: https://www.instagram.com/john_r_miles PASSION STRUCK *Subscribe to Podcast: https://podcasts.apple.com/us/podcast/the-passion-struck-podcast/id1553279283 *Website: https://passionstruck.com/ * Gear: https://www.zazzle.com/store/passion_struck *About: https://passionstruck.com/about-passionstruck-johnrmiles/ *Instagram: https://www.instagram.com/passion_struck_podcast *LinkedIn: https://www.linkedin.com/company/passionstruck *Blog: https://passionstruck.com/blog/

The post 238: Prolonged Exposure Therapy, PTSD and Eating Disorder Recovery appeared first on Seven Health: Intuitive Eating and Anti Diet Nutritionist.

Steve Hable is a mental health therapist in private practice in Wisconsin. He has his own practice called Fox River Counseling Center since 2011, and was also a prison psychologist at a facility called the Wisconsin Resource Center for 27 years, from 1989-2016. This is a mental health facility that houses the department of corrections residents with mental health issues. In addition, Steve has been involved in the pole vault as an athlete or coach for almost 50 years. He was an NCAA Division III All-American at UW-Oshkosh, where he also coached pole vaulters for close to 20 years. He left coaching for over a decade, but returned to coach at his kids' high school, where he's been for the past 6 years. Steve has had extensive training in DBT and EMDR, as well as CPT, CBT, Prolonged Exposure and other types of trauma therapy. He's also worked with a variety of athletes, mostly pole vaulters, on performance anxiety and other sports-related issues.www.foxrivercounseling.com 

Masks, social distancing and hand sanitizer oh my! This week we are joined by Dr. Kelly Chrestman, one of CDP's Prolonged Exposure mavens, to talk about practical tips for doing in vivo work during the pandemic. We dig into how assigning in vivo items may or may not have changed in the midst of the pandemic and creative ways to maintain momentum. Not doing PE? There is still actionable intel for you on how to collaborate with clients to get them engaged in meaningful activities despite all the barriers of COVID. This is the time to flex new muscles and think outside the box with us as we talk about doing PE (via telehealth) during the pandemic. Bios for your guestsKelly Chrestman, Ph.D., is a Senior Military Behavioral Health Psychologist at the Center for Deployment Psychology. She provides training, support, and consultation in Cognitive Behavioral Therapy and in the Assessment and Treatment of PTSD.She works with the team at CDP to find new and better ways to link clinicians with both traditional and innovative resources that will help them implement EBPs more effectively. This includes leveraging computer technology and virtual assets to reach professionals that might otherwise have difficulty accessing high-quality training and consultation.Resources mentioned in this episode: https://deploymentpsych.org/system/files/member_resource/In_Vivo_Exposure_While_Sheltering_Final_0.pdf [13:22 ]https://deploymentpsych.org/system/files/member_resource/Patient_telehealth_checklist_0.pdf and https://deploymentpsych.org/system/files/member_resource/Moving_PE_to_Telehealth_FINAL_0.pdf [21:56 starts to talk about the forms or 23:08 is where she literally says to add the link][https://deploymentpsych.org/resources/consultation-services [26:09] Calls-to-action: Subscribe to the Practical for Your Practice PodcastCheck out CDP's COVID-19 Behavioral Health Resources page: https://deploymentpsych.org/covid19-bhresources#NEWBHSD

In this episode I talk with Drs. Sheila Rauch and Carmen McLean about their new book, Retraining the Brain: Applied Neuroscience in Exposure Therapy for PTSD. Listen and learn about the many ways in which findings from the field of neuroscience can be brought into the therapy room to bolster PTSD treatment outcomes.Dr. Sheila Rauch is a professor in the Department of Psychiatry and Behavioral Sciences at Emory University School of Medicine and serves as deputy director of the Emory Healthcare Veterans Program and director of mental health research and program evaluation at the VA Atlanta Healthcare System. For over 20 years, Dr. Rauch has been conducting PTSD treatment research, providing PTSD treatment, training other providers in treating PTSD, and publishing extensively on PTSD and anxiety disorders. She co-authored the second edition of the Prolonged Exposure Therapy for PTSD therapist guide, as well as the manual for conducting prolonged exposure in intensive outpatient programs. She also co-authored the book PTSD: What Everyone Needs to Know, which is a scientifically-supported, accessible and reader-friendly resource for understanding PTSD and its treatment. Dr. Carmen McLean is a clinical psychologist in the dissemination and training division of the National Center for PTSD at the Palo Alto VA Healthcare System and a clinical associate professor (affiliate) at Stanford University. She is a certified prolonged exposure therapy provider and supervisor and has published over 100 scholarly articles and book chapters on topics related to PTSD and anxiety. Her research aims to increase the reach of exposure therapy for PTSD by examining implementation barriers and using technology and condensed delivery of exposure to address barriers to treatment access.

Three clinical psychologists and trainers from the Center for Deployment Psychology (CDP) at the Uniformed Services University (USU) come together to talk about the good, the bad, and the ugly of actually implementing Evidence-Based Psychotherapies (EBPs). Practical for your Practice is a bi-weekly podcast featuring stories, ideas, support, and actionable intel to empower providers to keep working toward implementing EBPs with fidelity and effectiveness. In this first episode your hosts Drs. Jenna Ermold, Kevin Holloway, and Andy Santenello share the who, what, where, and why behind this podcast and more importantly how these conversations between colleagues can enhance the work you do.This podcast is produced by the Center for Deployment Psychology at the Uniformed Services University of the Health Sciences. The views expressed are those of the speakers and do not necessarily reflect the opinions of the Uniformed Services University, the Department of Defense, or the US Government. In addition, reference to any specific company, products, processes, or services does not necessarily constitute or imply endorsement by the Uniformed Services University, the Department of Defense, or the US Government.Bios:Jenna Ermold, Ph.D., is a clinical psychologist and working as Assistant Director, Training and Education at the Center for Deployment Psychology (CDP) of the Uniformed Services University of the Health Sciences (USU). She is a trainer and subject matter expert in PTSD, Prolonged Exposure therapy for PTSD, military culture, and the innovative application of technology for augmenting training and dissemination. Dr. Ermold received her Ph.D. in clinical psychology from the University of Vermont, completed her doctoral internship at Malcolm Grow Medical Center, Andrews AFB, and is a Veteran of the United States Air Force.Andy Santanello, Psy.D. is a clinical psychologist by training and is currently a senior military behavioral health psychologist at the Center for Deployment Psychology (CDP) of the Uniformed Services University of the Health Sciences. Dr. Santanello is a PTSD, Mindfulness, and Acceptance and Commitment Therapy subject matter expert at CDP. In addition to training other clinicians in evidence-based psychotherapeutic protocols and processes, he is passionate about developing new and innovative ways to use technology in training and providing mental health services.Kevin M. Holloway, Ph.D., is a clinical psychologist working as Director, Training, and Education at the Center for Deployment Psychology (CDP) and Assistant Professor of Medical and Clinical Psychology at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. He is a trainer and subject matter expert in PTSD, Prolonged Exposure therapy for PTSD, Virtual Reality Exposure Therapy, and the innovative application of technology for augmenting training and dissemination. Dr. Holloway received his Ph.D. in clinical psychology from Brigham Young University in 2004 and completed his doctoral internship at the Portland, Oregon Veterans Administration hospital.

In this episode, I talk with Dr. Lori Zoellner about prolonged exposure (PE) therapy, which is a highly effective, evidence-based treatment for posttraumatic stress disorder (PTSD). Dr. Zoellner is a world-renowned expert in trauma and PTSD. Her research and clinical work focus on the development, maintenance, and treatment of PTSD and she came on the show to share her expertise in treating PTSD with PE. Specifically, we talk about the rationale for PE, what changes people can expect to see with treatment, who can benefit from PE, and efforts to optimize PE treatment outcomes.

Chris discusses the prevailing treatments for PTSD, and the weird animus that tends to stand between them. Feel free to reach out with any questions you might have to chrisleins04@gmail.com --- Support this podcast: https://anchor.fm/chris-leins/support

Hypnose ist schon ziemlich alt, genug Zeit, dass sich eine Menge Mythen um dieses Therapieverfahren ranken können. In dieser Folge schauen wir uns an, wie Hypnose funktioniert, was sie mit unserem Gehirn macht und ob es tatsächlich einen wissenschaftlichen Nachweis über ihre Wirksamkeit gibt. Die Quellen, die wir zur Recherche des Themas genutzt haben, sind: 1) zur Geschichte der Hypnose: https://de.wikipedia.org/wiki/Hypnose 2) zur Gehirnaktivität während Hypnose: Casale, A. D., Ferracuti, S., Rapinesi, C., Serata, D., Sani, G., Savoja, V., ... & Girardi, P. (2012). Neurocognition under hypnosis: findings from recent functional neuroimaging studies. International Journal of Clinical and Experimental Hypnosis, 60(3), 286-317. https://www.tandfonline.com/doi/abs/10.1080/00207144.2012.675295 3) zur Hypnose als Therapieergänzung bei Akuter Belastungsstörung: Bryant, R. A., Moulds, M. L., Guthrie, R. M., & Nixon, R. D. (2005). The additive benefit of hypnosis and cognitive-behavioral therapy in treating acute stress disorder. Journal of consulting and clinical psychology, 73(2), 334. https://psycnet.apa.org/doiLanding?doi=10.1037%2F0022-006X.73.2.334 außerdem: 4) Seite „Posttraumatische Belastungsstörung (PTBS); Psychotherapie“ in Dorsch Lexikon der Psychologie, Hogrefe Verlag. https://dorsch.hogrefe.com/stichwort/posttraumatische-belastungsstoerung-ptbs-psychotherapie 5) Seite „Psychoedukation“ in Dorsch Lexikon der Psychologie, Hogrefe Verlag. https://dorsch.hogrefe.com/stichwort/psychoedukation 6) Seite „Prolonged Exposure“ in Wikipedia, Die freie Enzyklopädie. https://de.wikipedia.org/wiki/Prolonged_Exposure 7) Seite „Kognitive Umstrukturierung“ in Wikipedia, Die freie Enzyklopädie. https://de.wikipedia.org/wiki/Kognitive_Umstrukturierung 8) Seite „Kognitive Um-/Restrukturierung“ in Dorsch Lexikon der Psychologie, Hogrefe Verlag. https://dorsch.hogrefe.com/stichwort/kognitive-um-restrukturierung

Trauma reflects among the most dynamic and profound of human experiences and can present significant challenges for the mental health clinician and consumer alike; however, effective, time-limited & evidence-based treatments are available.  Experienced trauma clinician, Dr. Michele Todd, C. Psych joins host Dr. Pete Kelly, C. Psych for an extensive discussion of the conceptualization and treatment of trauma from a CBT lens.  In this discussion they cover:   Dr. Todd's journey towards a practice focused on trauma therapy a brief description of the clinical features of PTSD and the ways it can affect individualsthe prevalence rates of trauma generally, as well as as a function of trauma typepotential cultural overlays to the concept of PTSDdifferentiating between Complex PTSD & Borderline Personality Disorder over-diagnosis of PTSD & clinician observed "drift" in the communication of diagnoses of PTSD for challenging experiences not matching the DSM-5 criteria for trauma (e.g., workplace bullying).   conceptualizing PTSD from a CBT perspective a review of the major CBT treatments for trauma including Prolonged Exposure Therapy, Cognitive Processing Therapy & EMDRtrauma therapy in the context of video or teletherapycommon myths & misconceptions around PTSD and trauma therapyfactors contributing to treatment resistence in trauma therapyidentifying and preventing so-called "vicarious" trauma among trauma therapy providersadvice for family members with a loved one struggling with PTSDDr. Michele Todd completed her PhD at the university of Toronto and residency in clinical psychology at St Joseph’s healthcare. She has completed training for Prolonged Exposure for PTSD with the Center for the Treatment and Study of Anxiety in Philadelphia.  Dr. Todd provides and disseminates evidence based assessment and intervention for PTSD and other trauma related symptoms, including depression, anxiety disorders.

Funktionell analys på PMS och PMDS - ett klientfall för behandlare.    Bli en bättre behandlare med Lena Olsson-Lalor. Gäst: Maria Gröndal   Detta är ett klipp från avsnitt 190. Du kan lyssna på hela avsnittet genom att köpa en prenumeration på KBT-podden här.   I avsnittet: Hur går kartläggningen för PMDS till? Vad börjar man med att registrera? Hur ser den funktionella analysen ut? Vad kan man påverka och inte påverka med psykologisk behandling? Varför är återhämtning så viktig vid PMDS i den ”icke-PMDS”-perioden och hur ser det ut för vår klient? Hur prioriterar man vad som ska behandlas om klienten också har en annan diagnos t ex  depression? Vilka fokusområden i behandlingsplanen blir det för vår klient? Är det här ett till område som bör få uppmärksamhet vid kartläggningen av alla menstruerande personer som kommer för behandling? Hur går det för vår fiktiva klient Katja?   Lena Olsson-Lalor hjälper dig att sortera, informerar och inspirerar dig till att bli en bättre behandlare.   Lena Olsson-Lalor Leg.psykoterapeut, handledare och lärare i psykoterapi - KBT, MI-trainer, certifierad i Prolonged Exposure samt rektor för grundläggande psykoterapiutbildning, KBT i Luleå. Maria Gröndal Leg.psykolog och doktorand   Här kan du se boktips, ladda hem gratismaterial, läsa sammanfattning mm och köpa din prenumeration   KBT-podden publiceras av KBTarna - Bli en bättre behandlare BBB   Kontakt: http://www.blienbattrebehandlare.se  info@blienbattrebehandlare.se 

Dr. Carmen McLean is a Clinical Psychologist with the Dissemination and Training Division of the National Center for PTSD and an Adjunct Assistant Professor of Psychology in Psychiatry at the University of Pennsylvania Education: Exchange (Psychology) Lancaster University, 2001. B.A. (Psychology) University of British Columbia, 2002. M.A. (Psychology) University of Nebraska - Lincoln, 2005. Ph.D. (Psychology) University of Nebraska - Lincoln, 2008. Post-Graduate Training Psychology Intern (predoctoral training), Department of Psychiatry, University of Chicago Medical Center, Chicago, 2007-2008. Clinical Research Fellow, National Center for PTSD, VA Boston Healthcare System, Boston, 2008-2010. Teaching Fellow, Division of Psychiatry, Boston University School of Medicine, Boston, 2008-2010. Instructor B, Center for the Treatment and Study of Anxiety, University of Pennsylvania School of Medicine, 2010-2011. In This Particular Episode You Will Learn: Carmen's background and experience Research in Prolonged Exposure Therapy Avoiding therapy to protect the clinician Veterans seeking resources in the middle of the night Training for providers Finding the right clients for Prolonged Exposure Preparing a veteran to recall experiences Informing clients about treatment --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/changeyourpov/message Support this podcast: https://anchor.fm/changeyourpov/support

Cerebral Electoralosis: Stupidity Exacerbated by Prolonged Exposure to Election Coverage     Has the coming election turned YOUR friends, family, and co-workers into morons? Hoo-BOY is this a tough problem! You can just about hear the droplets of sweat trickle down the ashen faces of our trustee solutioneers as they grapple with one of the BIG conversational No-Nos—politics. But we knew it couldn't be avoided. Someone was bound to call up begging for help with the common problem of being surrounded by idiots durning a heated (and unnaturally long…) election season. Seth and Lex do their best to grapple with The post Problem Solvers…ish #3 — Election Woes: Living in an Idiocracy? appeared first on The Greylock Glass.