Episodes

  • Parental Alienation Defined

    Parental alienation is not abandonment or protecting a child from abuse; it is a form of psychological abuse.

    It involves a deliberate campaign of denigration, brainwashing, and manipulation of the child to reject the other parent.

    Alienating Behaviors

    Alienation occurs when one parent actively manipulates a child against the other parent, which can be unconscious or conscious.

    These behaviors involve brainwashing, manipulating, or lying to the child, often supported by family members or other influential figures in the child’s life.

    The Impact on Children

    Parental alienation disrupts children’s primary attachment bonds, causing deep psychological harm.

    Children may develop symptoms like Stockholm syndrome, where they begin to rationalize the alienating parent’s behavior and vilify the targeted parent.

    Alienation as an Adverse Childhood Experience (ACE)

    Parental alienation is considered psychological abuse, one of the categories of ACEs.

    It often coexists with other forms of trauma, such as witnessing abuse of the targeted parent, resulting in compounded trauma.

    Long-term Psychological and Physical Effects

    The chronic stress of alienation can lead to developmental delays, emotional dysregulation, autoimmune issues, and sleep disturbances.

    Alienated children often exhibit hypervigilance, impulsivity, and distorted thinking patterns, which affect their relationships and behavior in adulthood.

    Types of Alienating Parents

    Alienating parents may have their own psychological issues, including codependency, narcissistic tendencies, antisocial traits, or borderline personality disorder.

    They often manipulate children out of their fear of rejection, unresolved trauma, or a need to control.

    Interventions for Healing

    Interventions include creating a sense of safety for the child, addressing internalized negative beliefs, and helping the child develop secure attachments.

    Therapy should focus on grieving the loss of the parental relationship and addressing guilt from the manipulation.


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  • What is Defensiveness?

    Defensiveness occurs when individuals feel emotionally or psychologically unsafe, leading them to put up barriers in communication.

    It can manifest as fight (verbal aggression) or flight (withdrawing and shutting down).

    Defensiveness often indicates past experiences of betrayal, disrespect, or invalidation that leave people on guard.

    Causes of Defensiveness

    Traumatic experiences or past emotional injuries.

    Triggers from discussing sensitive or difficult topics.

    Hypervigilance, where individuals expect others to hurt or criticize them, based on prior negative interactions.

    How Defensiveness Shows Up in Communication

    Aggressive responses like "Yes, but…", which aim to shut down feedback.

    Violation of boundaries, where defensive individuals invalidate others' thoughts and feelings to protect themselves.

    Resistance to feedback or unwillingness to listen and engage, often resulting in emotional shutdown.

    Impact of Defensiveness

    Breaks down communication, creating a barrier to resolving conflicts.

    Triggers others to respond defensively, escalating tension in personal or professional settings.

    Damages interpersonal relationships by conveying a lack of respect or empathy.

    Vulnerabilities That Lead to Defensiveness

    Physical conditions (pain, exhaustion) can increase irritability and defensiveness.

    Emotional states like anxiety, stress, or feeling overwhelmed make individuals more prone to defensive reactions.

    Environmental triggers, such as being criticized in front of peers, can make people feel attacked or embarrassed.

    Strategies to Reduce Defensiveness


    Mindfulness: Stay grounded and recognize defensive feelings before reacting.


    Active Listening: Validate others’ perspectives and try to understand their point of view.


    Boundaries: Set clear emotional and interpersonal boundaries to ensure respectful communication.


    Reframing: Shift focus from taking feedback personally to understanding that criticism is about behaviors, not personal worth.

    Managing Defensiveness in Others

    Approach defensive individuals with empathy and curiosity.

    Encourage open and respectful dialogue by providing a safe space to express feelings without judgment.

    Avoid pushing for agreement on sensitive topics—sometimes, agreeing to disagree is the healthiest option.

    Breaking the Cycle of Defensiveness

    Focus on objective facts rather than emotions when discussing issues.

    Use "I" statements to express feelings without blaming others.

    Practice self-regulation techniques, like deep breathing or taking breaks during heated discussions, to prevent defensive escalation.


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  • Understanding Psychodynamics and Safety

    The presentation begins with a focus on psychodynamics, particularly how early experiences of trauma impact one’s sense of safety.

    Trauma can manifest in emotional, physical, and cognitive symptoms that disrupt everyday life, relationships, and well-being.

    Effects of Trauma on Health

    Trauma increases inflammation, disrupts sleep, and contributes to autoimmune disorders.

    Chronic feelings of unsafety can result in a constant state of hypervigilance, impacting both physical and emotional health.

    Identifying Unsafe Feelings

    Individuals can feel unsafe in various domains, including physical, interpersonal, and emotional. Feelings of vulnerability can arise from numerous contexts, like work, home, or social settings.

    Emotional vulnerability includes situations where individuals fear rejection or criticism, impacting their ability to feel secure.

    The Role of the Inner Critic

    People often internalize negative messages from others, leading to an overactive inner critic.

    Helping clients examine these internalized messages and their origins can improve emotional resilience and self-compassion.

    Effects of ADHD and Other Disorders

    Conditions such as ADHD, when undiagnosed, can lead to feelings of rejection and criticism, further contributing to trauma.

    Mental health issues can both cause and result from trauma, creating a cycle of unsafety and helplessness.

    Physical and Cognitive Symptoms of Trauma

    Trauma can lead to physical symptoms like GI distress and increased pain sensitivity due to heightened nervous system activity.

    Cognitive symptoms include difficulties with concentration, decision-making, and distinguishing between past and present threats.

    Mindfulness and Safety Strategies

    Mindfulness and grounding techniques help individuals differentiate between past trauma and present safety.

    Creating a safe physical and emotional environment is essential for reducing trauma-related stress responses.

    The Importance of Boundaries

    Setting and maintaining healthy physical, emotional, and interpersonal boundaries is crucial for trauma survivors to feel safe.

    Recognizing and moderating triggers in various environments (work, home, relationships) helps reduce feelings of unsafety.

    Interpersonal Relationships

    Trauma can lead to difficulties in trusting others or feeling secure in relationships. People may develop coping mechanisms like clinginess or avoidance.

    Rebuilding trust in oneself and others is a key aspect of trauma recovery.

    Rewiring the Nervous System

    Healing from trauma involves retraining the nervous system to feel safe in previously triggering situations.

    Techniques like vagus nerve stimulation, slow breathing, and relaxation exercises can help reduce hypervigilance and anxiety.


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  • Types of Trauma in Childhood

    Childhood trauma can be intentional (abuse, neglect) or unintentional (caregivers unable to meet the child's needs due to issues like depression or addiction).

    Trauma affects children physically, emotionally, cognitively, and relationally, causing a sense of insecurity and powerlessness.

    Physical and Emotional Trauma

    Physical trauma includes abuse or neglect, while emotional trauma involves lack of emotional validation or support, which hinders a child's emotional development.

    Emotional neglect prevents children from learning to identify, regulate, and cope with their feelings.

    Cognitive Trauma and Environmental Disruption

    Cognitive trauma can result from gaslighting or parental alienation.

    Environmental trauma occurs when a child experiences sudden, drastic changes such as losing their home or a stable living situation.

    Impact of Trauma on Different Stages of Childhood

    In early childhood, children lack the skills to survive on their own, leading to a profound sense of disempowerment when their needs are not met.

    During adolescence, children gain more independence but still seek guidance, and trauma can severely impact their emotional regulation and impulse control.

    Egocentric and Concrete Thinking in Children

    Young children use egocentric, all-or-nothing, emotion-based reasoning. They cannot distinguish that a caregiver's actions are unrelated to their own worthiness.

    This thinking leads to personalization, where children believe their needs are unmet because they are unlovable.

    Trauma's Effect on the Brain and Body

    Childhood trauma alters brain development and body responses, leading to hypervigilance, emotional dysregulation, and chronic stress.

    Trauma survivors are at greater risk for stress-related illnesses and mental health issues later in life.

    Emotional and Behavioral Symptoms

    Trauma survivors often struggle with impulsivity, anxiety, depression, and difficulty regulating emotions.

    Emotional dysregulation results in either flat or extreme reactions, and trauma may lead to impulsivity or behaviors mimicking ADHD symptoms.

    Healing and Reprogramming the Brain

    Healing involves reducing physical and emotional stress, learning distress tolerance skills, and using fact-based reasoning to counter emotion-based reactions.

    Trauma survivors must work on recalibrating their nervous system to reduce hypervigilance and build a sense of safety and empowerment.

    Addressing Cognitive Distortions

    Survivors must confront cognitive distortions like personalization and overgeneralization, which perpetuate fear and helplessness.

    Reframing these thoughts and focusing on the present context is essential for recovery.

    Developing Boundaries and Self-Trust

    Trauma survivors often struggle with boundaries and trust due to past experiences of neglect or control.

    Building mindful awareness of personal needs and asserting boundaries is crucial for emotional healing and relationship development.


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  • Introduction to Anxiety Relief Strategies

    Dr. Dawn-Elise Snipes presents 20 strategies to help alleviate anxiety, focusing on individualized approaches based on intake assessments.

    It's important to address anxiety before it reaches a crisis point, as early intervention can prevent escalation.

    Understanding Anxiety Triggers

    Anxiety triggers can stem from concerns like loss, rejection, failure, or lack of control.

    Dr. Snipes emphasizes the importance of identifying these triggers and grouping them to understand the core issues driving anxiety.

    Vulnerabilities to Anxiety

    Vulnerabilities are factors that make individuals more susceptible to anxiety, such as poor sleep, caffeine intake, or stress from relationships.

    It's crucial to systematically address these vulnerabilities through lifestyle adjustments and coping strategies.

    Cognitive and Emotional Techniques

    Cognitive vulnerabilities, such as negative thinking patterns, contribute to anxiety. Learning to identify and reframe these thoughts helps reduce anxious responses.

    Emotional regulation techniques like mindfulness and distress tolerance aid in managing emotional triggers effectively.

    Body-Based Interventions

    Muscle tension, fatigue, and restlessness are physical symptoms of anxiety that can be alleviated with strategies like stretching, progressive muscle relaxation, and proper sleep hygiene.

    Exercise and physical activity also play a key role in managing anxiety by boosting endorphins and reducing muscle tension.

    Coping Strategies for Restlessness and Irritability

    Restlessness and irritability are common in anxiety, and Dr. Snipes suggests strategies like breathing exercises and setting healthy boundaries in relationships to manage these symptoms.

    Identifying environmental triggers that cause restlessness, such as overstimulation, helps in reducing these feelings.

    Sleep Hygiene and Nutrition

    Good sleep is critical for anxiety management. Dr. Snipes recommends establishing regular sleep routines, reducing screen time, and addressing underlying issues like pain or hormonal imbalances that affect sleep quality.

    Nutrition also plays a role, with a focus on balanced diets rich in vitamins and minerals to support neurotransmitter function and reduce anxiety.

    Mindfulness and Reframing Techniques

    Mindfulness exercises, including body scans, focused breathing, and open awareness, help individuals stay present and reduce anxiety.

    Reframing negative or distorted thoughts, such as "catastrophizing" or "all-or-nothing" thinking, aids in creating a more balanced and realistic perspective on stressful situations.

    Developing Healthy Boundaries and Assertiveness

    Establishing and maintaining healthy boundaries is essential for reducing interpersonal anxiety.

    Assertiveness training helps individuals express their needs without feeling overwhelmed or disrespected in relationships.

    Building a Resilient Mindset

    Fostering resilience involves creating a rich and meaningful life vision, accepting difficult situations, and using energy purposefully to pursue personal goals.

    Tragic optimism, which acknowledges both the good and bad in life while maintaining hope, is a key factor in overcoming adversity.


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  • Trauma vs. Traumatic Injury

    Trauma is an event that causes a sense of helplessness and horror. Traumatic injury refers to the physical, emotional, cognitive, and interpersonal effects of trauma.

    Not everyone who experiences trauma develops PTSD or complex PTSD (CPTSD).

    Symptoms Often Misdiagnosed

    Conditions like ADHD, anxiety, and addiction are often misdiagnosed when they are actually symptoms of unresolved trauma.

    Understanding the root cause of these conditions helps tailor treatment to address trauma.

    Trauma in Childhood vs. Adulthood

    Childhood trauma, especially in chaotic or abusive households, can have lasting effects on attachment styles and emotional regulation in adulthood.

    Adverse Childhood Experiences (ACEs) such as abuse, neglect, and abandonment significantly impact mental health.

    Hypervigilance and Executive Dysfunction

    Trauma survivors are often hypervigilant, constantly scanning for threats, which can impair their ability to concentrate and problem-solve.

    This can mimic symptoms of ADHD, making it difficult to diagnose correctly.

    Emotional Dysregulation and Anger

    Trauma often leads to emotional dysregulation, where individuals respond with exaggerated emotions or anger to minor stressors.

    This can be a learned response from childhood, where the fight-or-flight mechanism is over-activated.

    Cognitive and Sensory Effects

    Trauma survivors may experience sensory hypersensitivity, such as being overly alert to sounds, smells, and visual triggers that remind them of past trauma.

    They may also struggle with recognizing and labeling emotions, making emotional regulation even more challenging.

    Attachment Trauma and Relationship Issues

    Trauma, especially attachment trauma, can lead to avoidance or anxiety in relationships.

    Some survivors may withdraw from social situations, while others may be hypersensitive to rejection and constantly seek validation.

    Impact on Physical Health

    Trauma affects the body's stress response system (HPA axis), leading to issues like inflammation, cardiovascular disease, and autoimmune disorders.

    Chronic stress also impairs the immune system, increasing the risk of various health problems like diabetes and heart disease.

    Sleep Problems

    Trauma disrupts circadian rhythms, leading to insomnia or sleep disorders like sleep apnea.

    These sleep problems exacerbate mental health conditions, making recovery from trauma even more difficult.

    Emotional Numbing and Depression

    Emotional numbing, apathy, and depression are common in trauma survivors, often making it difficult for them to experience joy or motivation.

    Chronic stress impairs the brain's ability to respond to pleasure and excitement, contributing to long-term mental health issues.


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  • Introduction to Neurostimulation in Recovery

    Neurostimulation techniques, like vagus nerve stimulation (VNS), have been researched for their role in treating neurological diseases, including addiction and trauma-related disorders.

    Dr. Navid Kodaparash shares his insights into how neuroplasticity, triggered through VNS, helps the brain recover and adapt.

    Autonomic Nervous System and Its Role

    The autonomic nervous system consists of the sympathetic (fight-or-flight) and parasympathetic (rest-and-digest) systems, which work in tandem to regulate stress responses.

    Dysregulation of this system, especially in chronic stress or trauma, can lead to conditions like PTSD, anxiety, and addiction.

    Vagus Nerve: The Wandering Nerve

    The vagus nerve is crucial for regulating the parasympathetic nervous system. It's known as the "wandering nerve" because it connects multiple organs in the body.

    Stimulating the vagus nerve can promote a calming effect, reducing heart rate and helping the body relax.

    Vagal Tone and Stress Regulation


    Poor vagal tone refers to reduced parasympathetic activity, leading to higher stress and anxiety levels. Improving vagal tone can enhance overall emotional regulation.

    Techniques like breathing exercises and auricular vagus nerve stimulation can help improve vagal tone over time.

    Neurostimulation for Addiction and Trauma

    Chronic stress and trauma predispose individuals to self-medicate with substances like opioids, leading to addiction.

    Neurostimulation techniques, including auricular vagus nerve stimulation (aVNS), show promise in reducing symptoms of post-acute withdrawal syndrome (PAWS) and anxiety during recovery from opioid use disorder.

    Non-Invasive VNS
    Non-invasive VNS techniques, like ear stimulation, can offer similar benefits to implanted devices without requiring surgery. These methods have shown success in managing stress, trauma, and addiction recovery.
    Clinical Trials and Treatment


    Sparrow biomedical devices are currently being researched for their effectiveness in treating opioid withdrawal and chronic pain management.

    Trials have demonstrated the efficacy of VNS in reducing withdrawal symptoms and shortening recovery times for patients suffering from opioid dependency.


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  • Defining Boundaries

    Boundaries are behaviors that communicate what we will and will not tolerate from others.

    Think of boundaries as a door to your safe space that you control—deciding whom to let in or out.

    Types of Boundaries


    Physical Boundaries: Cover personal space, touch, and eye contact preferences.


    Affective Boundaries: Reflect the ability to empathize without being consumed by others' emotions.


    Cognitive Boundaries: Allow individuals to maintain their own beliefs and perceptions.


    Environmental Boundaries: Relate to personal belongings, space, and time shared with others.


    Relationship Boundaries: Define who you choose to spend time with and how you engage with them.

    The Impact of Healthy Boundaries

    Healthy boundaries make you feel safer and more supported, helping reduce stress, improve immunity, and enhance emotional well-being.

    They contribute to better sleep, less anxiety, and improved cognitive clarity by reducing external interference.

    Evaluating Boundaries

    Periodically evaluate your boundaries to ensure they are appropriate. They should not be too rigid or too weak.

    Overly rigid boundaries can lead to isolation, while weak boundaries can overwhelm you with others' issues and demands.

    Handling Boundary Violations

    When boundaries are violated, it’s important to assertively communicate your needs and set limits.

    You have the power to refuse to rescue or enable harmful behaviors and to protect your emotional and physical space.

    Types of Boundary Violators


    Benign Strangers: People you may not know well, but who do not pose immediate threats. You can engage with them cautiously, possibly learning from them.


    Burglars: Narcissists, sociopaths, or manipulative people who try to rob you of self-worth, confidence, and sometimes material things.


    Children: Those who respond immaturely to not getting their way, throwing tantrums until they get what they want.

    Boundary Maintenance

    Keep an eye on how your boundaries evolve in relationships. Boundaries with trusted people may become more open, while those with untrustworthy individuals should remain firm.

    Use assertiveness to communicate your boundaries clearly, ensuring others understand your limits and respecting their own.


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  • Introduction to Stimulants

    Stimulants affect the neurological system by altering neurotransmitter levels.

    Key neurotransmitters impacted include dopamine, serotonin, norepinephrine, GABA, glutamate, and acetylcholine.

    Dopamine’s Role in Addiction

    Dopamine regulates movement, motivation, and mood. It plays a major role in the brain's reward pathways, which can reinforce addictive behaviors.

    Stimulants increase dopamine release, creating feelings of pleasure and reinforcing drug use.

    Stimulant Effects on the Nervous System

    Stimulants trigger the stress response, causing a release of norepinephrine, dopamine, and cortisol.

    This results in heightened focus, energy, and mood regulation, but also leads to issues such as agitation and potential cardiovascular effects.

    Tolerance and Dependency

    Over time, the body can become tolerant to stimulants, requiring higher doses for the same effect.

    Psychological and physiological dependency can develop, leading to withdrawal symptoms such as fatigue, depression, and cravings.

    Commonly Abused Stimulants

    Caffeine, nicotine, cocaine, methamphetamines, and prescription ADHD medications like methylphenidate are among the most commonly abused stimulants.

    These substances vary in potency and half-life, but all can cause significant neurological and physical effects when misused.

    Withdrawal and Detox

    Withdrawal symptoms from stimulants can include depression, irritability, fatigue, and drug cravings.

    Post-Acute Withdrawal Syndrome (PAWS) may last for weeks or months, requiring ongoing support and monitoring during recovery.

    Impact of Stimulants on Mental Health

    Chronic stimulant use can lead to paranoia, anxiety, and even psychotic symptoms in some cases.

    Long-term use also impacts the body's ability to regulate stress, contributing to systemic inflammation and reduced immunity.


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  • Definition of Boundaries

    Boundaries in relationships are like a house: you choose who enters and how far they can go.

    Just like a house has doors and windows, you decide who to let into your personal space (physically and emotionally).

    Types of Boundaries


    Physical Boundaries: Involves personal space, touch, and eye contact.


    Interpersonal Boundaries: Defines relationship expectations, such as time alone or together.


    Emotional & Cognitive Boundaries: You are entitled to your own feelings and thoughts, without needing validation from others.


    Environmental Boundaries: Pertains to personal belongings and who has access to them.

    Trust and Boundaries

    Trust develops gradually, and boundaries adjust accordingly, whether with your physical space, emotions, or belongings.

    The more trust you have in someone, the more you're likely to share deeper aspects of yourself.


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  • Importance of Trauma-Informed Screening

    Screening must be trauma-informed, even if not directly screening for trauma.

    Trauma is at the core of many mental health, behavioral, and physical health problems, so it's crucial to recognize its role.

    Trauma and Health Problems

    Trauma, including Adverse Childhood Experiences (ACEs), can contribute to a range of health issues, such as hypothyroidism, depression, and autoimmune disorders.

    Screening should address both the physical symptoms and the underlying trauma-related causes.

    Screening and Prevention

    Early trauma screening helps prevent additional related issues, such as PTSD, addiction, or chronic health conditions.

    Recognizing the signs of trauma early on improves treatment outcomes by addressing root causes of symptoms.

    16 Principles of Trauma-Informed Care

    These principles emphasize safety, empowerment, and collaboration in clinical settings.

    It's essential to create environments that feel safe and controlled for patients, especially those with trauma histories.

    Trauma's Broad Impact

    Trauma affects a person physically, emotionally, interpersonally, cognitively, and spiritually.

    It's important to address trauma holistically to prevent revictimization and improve overall treatment outcomes.

    Environmental Sensitivity

    Clinical environments can unknowingly trigger trauma survivors (e.g., locked doors, security measures).

    Being sensitive to such triggers can help patients feel more in control and less threatened.

    Addressing Trauma Symptoms

    Symptoms of trauma, such as hypervigilance, difficulty concentrating, and emotional regulation issues, can mimic other disorders like ADHD or anxiety.

    It's important to identify the trauma-related causes to provide effective treatment.

    Intergenerational Trauma

    Trauma often perpetuates across generations, with parents passing their unresolved trauma to their children.

    Addressing trauma through early screening and prevention can help break this cycle.

    Screening for Trauma

    Screening can be conducted by various professionals, not just licensed clinicians.

    Simple screening questions can help identify trauma-related issues and prompt further evaluation.

    Creating a Trauma-Informed Environment

    From the moment a patient contacts the clinic to their interactions with staff, every step should be trauma-informed.

    Pay attention to patient needs and responses to ensure they feel safe and supported throughout their experience.


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  • What is the Inner Child?

    The inner child refers to the emotional and experiential part of an individual that holds childhood memories and trauma.

    Childhood trauma or unmet needs may result in emotional wounds that persist into adulthood, manifesting in behavior and relationship patterns.

    Impact of Trauma on the Inner Child

    Childhood trauma, such as neglect, abandonment, or emotional invalidation, can prevent children from fully processing distressing experiences.

    Without resolution, these unresolved traumas continue to affect emotional regulation, trust, and self-esteem in adulthood.

    Behaviors Resulting from a Wounded Inner Child

    Individuals may develop behaviors like avoidance, temper tantrums, or clinginess to cope with the unresolved fear of rejection or abandonment.

    These patterns often mimic survival mechanisms learned during childhood to navigate difficult family dynamics.

    Core Issues Faced by the Wounded Inner Child

    Common core issues include feelings of unworthiness, fear of abandonment, perfectionism, and a tendency to overcompensate to earn love or acceptance.

    People with a wounded inner child may struggle with emotional regulation, self-identity, and trusting others in relationships.

    Reparenting the Inner Child

    Reparenting is a process where adults provide themselves with the nurturing, validation, and care that their inner child missed during childhood.

    This involves learning self-compassion, setting healthy boundaries, and developing distress tolerance skills.

    Strategies for Healing the Inner Child

    Healing involves acknowledging the wounds of the past, processing unresolved grief, and developing new, healthier ways to cope with emotional triggers.

    Techniques include mindfulness, self-awareness, cognitive behavioral therapy (CBT), and practices aimed at fostering self-love and resilience.

    Recognizing Inauthentic and False Selves

    Individuals may develop inauthentic or false selves to gain approval or avoid rejection. This can manifest in perfectionism, people-pleasing, or suppressing emotions.

    Healing encourages authenticity, helping individuals reconnect with their true needs, desires, and emotions.

    Grieving and Letting Go

    Processing grief related to childhood trauma is a necessary step in healing. It allows individuals to acknowledge and release the pain of unmet needs.

    Forgiveness, both of self and others, can be part of the healing journey, though it does not mean excusing harmful behavior.


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  • Resilience Definition

    Resilience is the capacity to bounce back from adversity, demonstrated by emotional strength and the ability to handle crises without being overwhelmed.

    Resilience is like a ball that, when pushed underwater, bounces back to the surface.

    Characteristics of Resilient People

    Resilient individuals are self-aware, have healthy self-esteem, strong social support, and practice radical acceptance.

    They possess problem-solving skills, tolerance for distress, and maintain an optimistic outlook.

    Importance of Self-Awareness

    Resilient individuals are aware of their vulnerabilities and strengths, both emotional and physical.

    They know how to manage sources of distress, such as confusion, frustration, and negative emotions.

    Self-Efficacy and Problem-Solving

    Believing in one's ability to overcome challenges is a cornerstone of resilience.

    Encouraging people to set small, achievable goals to build confidence and self-efficacy.

    Hardiness and Commitment

    Hardiness involves commitment, control, and challenge.

    People who have hardiness are more likely to face challenges with confidence and view obstacles as opportunities for growth.

    Managing Social Support and Relationships

    Resilient individuals maintain healthy relationships characterized by empathy, trust, and openness.

    They are also skilled at managing relationships with negative or critical people, protecting themselves from being affected by these relationships.

    Distress Tolerance and Radical Acceptance

    The ability to feel emotions without needing to react immediately is key to distress tolerance.

    Radical acceptance means accepting situations that cannot be changed without judgment or resistance.

    Optimism and Positive Reframing

    Resilient people find silver linings in challenges and failures, viewing them as learning opportunities.

    Positive reframing helps to shift the mindset from helplessness to empowerment.

    Gratitude and Positivity

    Gratitude practices, such as creating gratitude jars, help individuals stay focused on the positive aspects of life, even during tough times.

    Identifying things to be grateful for can significantly improve emotional well-being.


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  • What is the Inner Child?

    The inner child refers to the collection of memories and experiences from childhood.

    These memories shape mental shortcuts, called schema, which influence how individuals interpret and react to present-day life events.

    Children’s Cognitive Development

    Children process information concretely and personally, often believing events are their fault.

    The schema formed during childhood tend to be all-or-nothing and are carried into adulthood unless evaluated and adjusted.

    Impact of Insecure Attachment

    A lack of secure attachment in childhood can result in a "wounded" inner child.

    This wounded inner child often struggles with emotional regulation, boundary-setting, and assertiveness in adulthood.

    Secure Attachment and Emotional Regulation

    Secure attachments help children identify and manage emotions.

    These children can tolerate their own and others' emotions and effectively set boundaries and communicate needs.

    Healing the Wounded Inner Child

    The goal is not to eliminate the inner child but to heal wounds through self-compassion and re-parenting.

    Re-parenting involves providing the inner child with the support and validation they missed during childhood.

    Recognizing the Wounded Inner Child

    The wounded inner child may manifest as avoidance of fun, fear, or feelings of disempowerment.

    Healing begins with creating a safe internal space where the inner child feels acknowledged and supported.

    Types of Trauma Affecting the Inner Child

    Trauma can result from various childhood experiences such as rejection, abandonment, or unfulfilled dreams.

    These traumatic memories are often stored and avoided, resulting in unresolved grief.

    Techniques for Helping the Inner Child Grieve

    Before grieving can occur, the inner child must feel safe and secure.

    Engage in practices that foster secure attachment with the self, such as validating emotions and offering consistent support.

    Mindfulness and Reconnection
    Reconnect with the inner child through activities like mindfulness, reminiscing about childhood, and engaging in joyful activities that the inner child enjoys.
    Cognitive Behavioral Approaches

    Evaluate the child’s schema to see if they are still accurate.

    Challenge all-or-nothing and self-focused beliefs formed in childhood to promote more adaptive thinking in adulthood.


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  • Biopsychosocial Impact of Pain

    Chronic pain affects not just the body but also mental health, including anxiety, depression, and self-esteem.

    Pain can disrupt circadian rhythms, causing sleep issues, and leads to grief due to loss of function or identity.

    Types of Prevention


    Primary prevention focuses on preventing pain flare-ups and pain conditions.


    Secondary prevention aims at stopping pain from worsening during a flare-up.


    Tertiary prevention works to prevent secondary issues like depression, addiction, or anxiety caused by chronic pain.

    Evaluating Pain

    Understand whether the pain is acute or chronic, its quality (e.g., stabbing, throbbing), and if it's constant or intermittent.

    Behavioral health professionals should help clients identify and differentiate between "normal" pain and distress that can be managed.

    Balance and Ergonomics

    It's important to maintain muscular balance between different parts of the body, as imbalance can lead to spasms or worsening pain.

    Pay attention to ergonomics at work, home, and even when sitting for long periods to prevent unnecessary strain.

    Exercise and Stretching

    Gentle movement like stretching, Tai Chi, or yoga can help with mobility and prevent stiffness, which contributes to pain.

    Avoid overtraining, as this can lead to setbacks in pain management.

    Nutrition and Supplements

    Omega-3s, vitamin D, and antioxidants can help reduce inflammation and improve pain management.

    Ensure a balanced diet, but always consult a registered dietitian or healthcare professional before making significant dietary changes.

    Vagus Nerve Stimulation (VNS)

    VNS, triggered through slow diaphragmatic breathing, promotes relaxation and can help reduce pain.

    Transcutaneous Vagus Nerve Stimulation (TVNS) with a TENS unit can also help manage pain and inflammation.

    Stress and Pain

    Chronic stress disrupts the body's ability to suppress pain and inflammation, often worsening pain.

    Managing stress through relaxation, reducing alcohol, and engaging in mindfulness techniques can reduce pain's intensity.

    Pharmacotherapy and Medical Interventions

    Medication can help manage pain, but it often just masks the pain rather than treating the underlying cause.

    Patients should work with their healthcare provider to find a balanced approach to pain management that may include over-the-counter options, opioids, or adjuvant therapies like muscle relaxants or corticosteroids.

    Cognitive Behavioral Therapy (CBT) Techniques

    Use CBT to help patients change the way they think about their pain, reducing emotional distress.

    Techniques like guided imagery, distraction, and radical acceptance are crucial tools for helping patients focus on what they can control and improve their quality of life despite chronic pain.


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  • What is Dopamine?

    Dopamine is often referred to as a motivation chemical rather than just a pleasure chemical.

    It regulates mood, movement, energy, sleep, libido, and pain tolerance.

    Dopamine plays a key role in cognitive functions like memory, attention, and decision-making.

    The Concept of Dopamine Fasting


    Dopamine fasting does not reduce dopamine levels but aims to reduce compulsive behaviors that overstimulate the dopaminergic system.

    This approach involves reducing stimulating behaviors intermittently (e.g., hours per day or days per week) to reset the brain’s reward system.

    Dopamine's Role in Addiction and Stress

    Excessive stimulation, like addiction or chronic stress, can desensitize the brain to dopamine, causing reduced motivation and emotional regulation.

    Conversely, trauma may cause hypervigilance, where the brain responds too strongly to stimuli due to dopamine imbalances.

    Dopamine Receptors and Tolerance


    Tolerance develops when dopamine receptors downregulate after prolonged overstimulation, requiring more of the same activity to get the same reward.

    The nervous system naturally attempts to achieve homeostasis by adjusting receptor sensitivity and dopamine production.

    Impact of Trauma on the Dopamine System

    Chronic trauma and stress can lead to neurotoxic environments, which reduce the number of dopamine receptors and damage neurons.

    Dopamine is also linked to systemic inflammation, further complicating its role in trauma survivors.

    Dopamine Fast Alternatives

    Dr. Snipes advocates for a lifestyle approach rather than short-term dopamine fasts.

    This alternative focuses on reducing overall stimulation levels daily to create a sustainable balance in the nervous system.

    Tools for Nervous System Rebalance


    Mindful breathing, reducing caffeine, and taking regular stimulation breaks are practical ways to reduce overstimulation.


    Moderate exercise, proper hydration, and practicing mindfulness can help the nervous system reset and maintain emotional regulation.

    Long-Term Benefits of a Dopamine Reset

    Reducing overstimulation helps rewire the brain to respond better to simple pleasures and mindful living, fostering emotional well-being.

    Over time, this approach decreases reliance on compulsive behaviors and promotes a balanced, more fulfilling lifestyle.


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  • Understanding Anxiety and the Stress Response

    Anxiety is a natural emotional reaction, often triggered by physical and cognitive stressors.

    It activates the body's HPA axis (Hypothalamic-Pituitary-Adrenal axis), leading to physical reactions like increased heart rate, rapid breathing, and digestive issues.

    Emotional Reasoning

    Anxiety may arise from incorrect beliefs about danger, even when no real threat exists.

    Emotional reasoning leads people to act as though their anxious feelings are facts.

    The Brain’s Bias Toward Threats

    The brain often prioritizes memories of negative or threatening experiences to keep us safe, causing anxiety when facing similar situations.

    Prior bad experiences with things like aggressive dogs or natural disasters can heighten anxiety in future similar scenarios.

    Mindfulness as a Rewiring Tool

    Practicing mindfulness encourages individuals to focus on the present moment, reducing the brain's reliance on past fears and automatic responses.

    Becoming aware of physical, cognitive, and emotional anxiety triggers allows for better emotional regulation.

    Sleep and Anxiety

    Lack of sleep increases the activity of the HPA axis, making it harder to manage stress and anxiety.

    Good sleep hygiene is essential for maintaining mental and emotional balance.

    Physical Sensations and Anxiety
    Bodily sensations like pain or low blood sugar can mimic or trigger anxiety responses, creating a feedback loop of stress and discomfort.
    Nutrition and Anxiety

    Blood sugar fluctuations, often caused by poor diet, can worsen anxiety.

    Maintaining stable blood sugar through balanced nutrition can help manage anxious feelings.

    Distress Tolerance Techniques

    Tools like slow breathing, guided imagery, and physical activity help calm the stress response and regain emotional control.


    Cognitive-behavioral strategies such as reframing anxious thoughts are effective for reducing anxiety.

    Rewriting Core Beliefs

    Writing down and challenging negative thoughts helps rewire the brain.

    Identifying cognitive distortions like all-or-nothing thinking, magnification, and personalization can improve emotional resilience.


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  • Understanding BDSM

    BDSM involves consensual sexual practices including bondage, dominance, submission, and sadomasochism.

    The core principle is that all activities must be safe, sane, and consensual.

    The Role of Counselors

    Therapists must provide a non-judgmental space for clients practicing BDSM.

    Recognizing biases and understanding the nature of BDSM relationships is essential to competent care.

    Common Myths and Misconceptions

    BDSM is not inherently linked to psychopathology or trauma.

    It does not increase the likelihood of mental illness or indicate that the person was abused.

    Relationship Dynamics in BDSM

    BDSM relationships often involve clear communication and negotiated roles, including dominance and submission.

    Role flexibility, including "switches," is common, allowing participants to alternate between dominant and submissive roles.

    Addressing Concerns in Therapy

    Counselors should address physical and psychological safety, ensuring clients do not feel judged.

    BDSM is a practice for many that fosters empowerment, trust, and intimacy.

    Physical and Psychological Risks

    While BDSM is practiced safely by many, there is potential for harm if boundaries are not respected.

    Awareness of physical risks, such as injury from bondage or breath play, is crucial.

    Consent and Communication

    BDSM requires high levels of consent and communication before, during, and after scenes (activities).

    Aftercare is essential to ensure emotional and physical well-being post-BDSM activity.


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  • Overview of Kink and Sexual Diversity

    Kink is a broad term that includes alternative sexual practices like BDSM, polyamory, and consensual non-monogamy.

    Kink behaviors often fall outside of mainstream practices, but they are a normal part of sexual diversity for many people.

    DSM-5's View on Kink

    Kink-related behaviors, including BDSM and fetishism, are no longer considered mental disorders unless they cause harm or involve non-consensual acts.

    It's essential to differentiate between consensual kink and problematic behaviors that cause distress or harm.

    Mental Health Impacts

    For many, kink activities provide empowerment, emotional expression, and fulfillment.

    However, stigma around kink can lead to shame, guilt, and even suicidal ideation if individuals feel judged or isolated for their preferences.

    Safe, Sane, and Consensual Practices

    A key principle in kink is that all activities must be safe, sane, and consensual.

    Proper training and open communication are crucial to ensure that participants engage safely and have the ability to withdraw consent at any time.

    Debunking Myths

    Kink participants are not necessarily dealing with trauma, nor is kink inherently linked to psychological issues.

    Many participants in kink lead healthy, well-balanced lives, and their practices are simply part of their sexual identity.

    Clinician’s Role

    Therapists must create a non-judgmental, supportive environment for clients to discuss kink without fear of stigma.

    Recognizing one's biases and educating oneself on kink-related practices is essential to providing competent care.

    Communication and Education

    Encouraging open, honest communication between partners in kink relationships helps maintain trust and safety.

    Platforms like FetLife and local "munches" provide safe spaces for kink individuals to meet and learn in non-sexual settings.

    Polyamory and Consensual Non-Monogamy

    Polyamory is distinct from casual or open relationships and involves committed, loving relationships with multiple people.

    Consent and communication are key, and therapists should understand the dynamics to better assist clients practicing these relationship models.


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  • Understanding Transference

    Transference is when a client projects feelings onto their therapist, often reflecting unmet needs or emotional experiences from other relationships.

    It's common to develop strong feelings for a therapist, especially if they provide safety, validation, and emotional support.

    Therapeutic Relationships as Safe Spaces

    Therapists often provide one of the first healthy, secure relationships for clients, leading to feelings of attachment.

    The feeling of security and validation in therapy can be a source of comfort, which might cause clients to think about their therapist outside of sessions.

    Recognizing Dependency

    Continuously thinking about your therapist or watching their videos might signal emotional dependency.

    It is essential to differentiate between the therapist’s tools and personal presence in providing support.

    Addressing the Issue in Therapy

    Clients are encouraged to discuss feelings of attachment with their therapist to work through them.

    If emotional support from the therapist is lacking, it’s crucial to communicate these needs and seek a solution.

    Impact on Romantic Relationships

    Feelings towards the therapist may arise due to unmet emotional needs in a primary relationship, such as a spouse.

    Exploring how the therapist meets emotional needs can help clients work towards fostering similar feelings of safety and validation with their partner.

    Managing Therapy Termination

    Ending therapy can be difficult for clients who feel strongly attached to their therapist.

    Gradual termination, where sessions decrease in frequency, helps clients adjust to applying therapeutic tools independently while maintaining the option of returning if needed.


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