Episodes

  • 1054-Demystifying Trauma Responses 12 Signs of PTSD You May Not Know

    1054-Demystifying Trauma Responses 12 Signs of PTSD You May Not Know
    Mar 6 2025
    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. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    32 mins
  • 1053-Revolutionizing Opioid and Trauma Treatment with Neurostimulation

    1053-Revolutionizing Opioid and Trauma Treatment with Neurostimulation
    Mar 4 2025
    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. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    59 mins
  • 1052-Expert tips for setting and maintaining boundaries in relationships

    1052-Expert tips for setting and maintaining boundaries in relationships
    Feb 27 2025
    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. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    30 mins
  • 1051-Addiction Counselor's Guide to the Neuroscience of Stimulants

    1051-Addiction Counselor's Guide to the Neuroscience of Stimulants
    Feb 25 2025
    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. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    1 hr and 1 min
  • 1050-Mastering Healthy Relationship Boundaries

    1050-Mastering Healthy Relationship Boundaries
    Feb 20 2025
    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. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    7 mins
  • 1049-Mastering Trauma-Informed Screening and Assessment _ Counselor CEUs

    1049-Mastering Trauma-Informed Screening and Assessment _ Counselor CEUs
    Feb 18 2025
    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. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    1 hr and 6 mins
  • 1048-Healing the Wounded Inner Child _ Counseling CEUs

    1048-Healing the Wounded Inner Child _ Counseling CEUs
    Feb 13 2025
    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. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    1 hr and 1 min
  • 1047-Overcoming Adversity and Mastering Resilience

    1047-Overcoming Adversity and Mastering Resilience
    Feb 11 2025
    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. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    54 mins