Latest / ADHD with Confidence | Overcome Anxiety & Self-Doubt, Christian ADHD Coach, ADHD in Women / 169 // ADHD Nervous System Dysregulation, with Dr. Roseann Capanna-Hodge
Transcript
- 0:00Hey friends, welcome to the ADHD with Confidence podcast. I'm your host,
- 0:04Kelsey, and today I'm joined by Dr. Roseanne. She's a board-certified clinician
- 0:09with over 30 years of experience and more than 10,000 brain scans on children.
- 0:14She's also the founder of the Global Institute of Children's Mental Health and
- 0:18the host of the Disregulated Kids podcast. Dr. Roseanne, welcome.
- 0:24Hello! I'm so excited for this conversation and talking about all things ADHD.
- 0:29Yeah, well, thanks for taking the time to be with us here today.
- 0:32I'm excited to talk about your book, The Disregulated Kid.
- 0:36But before we get into that, can you just give us a little bit of a history
- 0:40on the type of work that you do?
- 0:44Yeah, well, for 30 years, I taught kids, teens, adults, families, really how to.
- 0:53Really regulate their nervous system and how that if you didn't regulate your
- 0:57nervous system first, before you did treatment or you tried to learn or heal
- 1:02yourself, because a lot of people came to me with physical,
- 1:05ailments, that nothing was going to stick.
- 1:09And the reason why I taught that is it's the biology of the nervous system,
- 1:12the way the nervous system works.
- 1:14So I've had the privilege of helping thousands of people over these years and
- 1:19just loved, really spent a lot of time with kids.
- 1:23And I love kids because they don't know that they can't get better or something can't be changed.
- 1:29They're just so much more willing to change themselves.
- 1:31And I just loved that. And when a kid changed in a family, I always worked with the family.
- 1:38Like, I never just worked with a kid. It was required to do the resetting had
- 1:44to also occur on a family level because otherwise you fall back on the same patterns.
- 1:50Absolutely. And that's something I want to get into later that you had mentioned before was.
- 1:54How dysregulation can affect the entire family. But I wanted to ask first,
- 1:59so I've been hearing a lot lately in different circles within the ADHD community,
- 2:04nervous system regulation.
- 2:06What's the difference between nervous system regulation and emotional regulation?
- 2:10Yeah, well, it really, nervous system is having a moment.
- 2:15It's everybody is talking about the nervous system and me being Dr.
- 2:19Roseanne, the geek who gets her daily alerts from Google, couldn't be more excited.
- 2:24So I'm so glad we're having this conversation. So what is the nervous system,
- 2:28right? Our nervous system, it manages our stress response. It does a lot of
- 2:33things, but we have something called an autonomic nervous system,
- 2:36and it's our stress management system. So.
- 2:41We don't have an unlimited capacity in our nervous system, which is why we're
- 2:45struggling, and I'll get back to that.
- 2:47But our autonomic nervous system has a relaxed state, which is called a parasympathetic state.
- 2:54And so I like to think of it in the most deep state of relaxation.
- 2:59I call it the hot tub state. You get into a hot tub and you're like,
- 3:03oh, that is going into a parasympathetic state. Then we have sympathetic dominant.
- 3:09And so when a stressor happens, you're,
- 3:13about to miss an important phone call and the phone's ringing and you're running
- 3:18to it, your cortisol, everything will jack up your adrenaline and you go into
- 3:24a sympathetic dominant state.
- 3:26Now, if you're regulated, it goes back down into a calm state.
- 3:32What is happening, however, and by the way, at the tippy top of sympathetic
- 3:37dominant, we have fight, flight, or freeze. These are biological responses that
- 3:41your body perceives as stress, a danger.
- 3:45Doesn't matter if it's real or imagined. If your body sees something as a threat,
- 3:50it's going to go into fight, flight, or freeze.
- 3:52Now, what's really happening is we are constantly adding stress to our stress cup.
- 4:00And just like you think about a regular cup, if you keep dripping things in,
- 4:04like before we got on, I realized that we weren't using video.
- 4:09So I said, hey, Kelsey, do you mind if I turn the lights off?
- 4:12Because too much light for me causes my nervous system to overload.
- 4:17So it could be an argument you had with your spouse. It could be a boss not
- 4:22understanding your ADHD. It could be a snarky kid.
- 4:24And all of a sudden, all day, all these stressors build up in your cup.
- 4:28And it might not just be all day, too. It might be the days before,
- 4:31the weeks before, the months before.
- 4:33And you start moving into a constant sympathetic dominant state.
- 4:38And when you get overloaded, the cup overflows.
- 4:41And so when we talk about what's happening, that is what a dysregulation of the nervous system is.
- 4:48And emotional dysregulation is a form of dysregulation. So we have signs of
- 4:54understimulation and we have signs of overstimulation.
- 4:57Overstimulation would be emotional dysregulation. Okay, so essentially,
- 5:03in that state of being dysregulated, we're staying too high in that sympathetic
- 5:09nervous system in fight, flight, or freeze. Mm-hmm.
- 5:12Yep. And, you know, some people, right, I had something very,
- 5:16very stressful happen to me last week, and I am like a stress slayer.
- 5:21Like, I am like, you want me there when something bad is happening.
- 5:26I am so, I go into a zone, and I am like the problem solver. I don't freak out.
- 5:32But I had something really bad happen in the sense that essentially almost,
- 5:38I don't even want to say, but essentially somebody tried to extort money from me.
- 5:42Okay, we're going to leave it like that. So I'm super, integrity is my highest
- 5:46value. And I was like, this is a professional. So like became upset. What happened to me?
- 5:51I get digestive unrest and my stomach physically hurt.
- 5:57And then I go into a shutdown. But again, this is so rare for me.
- 6:02And why did I go into a shutdown? Because I was like, oh, you got to take care
- 6:05of your nervous system. You got to get it back online.
- 6:08So one person might do that. Another person might have emotional dysregulation
- 6:12and start swearing and freaking out. And then you might have times of in-between.
- 6:17So everybody's response is unique to themselves. We just don't think about shutdown
- 6:22as dysregulation. We only think about those big behaviors.
- 6:27You know, with kids or ourselves, big tears, you know, arguing and things like
- 6:32that. But that's not true. You can have a range of responses.
- 6:37So within that, when you're talking about what it looks like to look dysregulated,
- 6:42what are some examples that we could see in our kids or in ourselves that would
- 6:48tell us that we are dysregulated? Yeah.
- 6:51So when we think about dysregulation and we think about the behaviors of our
- 6:56kids, they're not necessarily so different from adults, right?
- 7:00It's just that we, as parents, are managing our kids' behavior.
- 7:05And let me tell you, we think half the time, or 90% of the time,
- 7:08we think our kids are doing things on purpose just to make us mad.
- 7:12That's really not the truth. What's happening is kids are increasingly dysregulated because of not.
- 7:19Getting stress out of their stress cup and because other people around them
- 7:22are dysregulated, including their parents, peers, teachers, we're moving into
- 7:28incredibly dysregulated society.
- 7:30So what are things you could see from your kid, right? So maybe it is backtalk.
- 7:35Maybe it's a quick no.
- 7:37All of a sudden, your kid's a no-er. Like, no, no. You know,
- 7:40you're like, do you want the blue shirt or the red shirt? And they're like, no.
- 7:43You know, like, that's a dysregulated nervous system, right?
- 7:47Maybe it's that you or your kid hate relaxation.
- 7:52You hate the hot tub. You hate the shavasana in yoga.
- 7:57You hate breath work. I guarantee you you're dysregulated.
- 8:01If you hate going into a relaxed state, there's something in you is like,
- 8:07I don't like that feeling of safety, right?
- 8:09Maybe you were somebody that had that, but it can be being really unfocused.
- 8:14So, you know, in all these years, I did over 10,000 brain maps.
- 8:1850% of the time somebody came to me with ADHD, they didn't have ADHD.
- 8:23What they had, because they had a brain scan. So you're able to see what's going
- 8:27on in the brain. This isn't just me clinically trying to be like,
- 8:30oh, yeah, let me have a conversation with you. No.
- 8:32So it's a clinical intake plus a brain map. Please know I no longer do these.
- 8:37I've retired from clinical care, so don't contact me because that's usually what happens.
- 8:42But what would happen is I would go in and look at the brain and I would see
- 8:47extreme overcommunication in the brain, which was a sign of a lot of stress.
- 8:52I would see other things, but I didn't see evidence of.
- 8:56What ADHD, nor did the history substantiate it. What would happen is they would talk about stress.
- 9:02And so when you are in a highly distressed state, in a sympathetic dominant
- 9:06state, which could occur from a single bad event,
- 9:10but what I've seen happen in these 30 years is it's less likely about a single
- 9:15bad event and a whole bunch of triggers that are happening all the time that
- 9:19are just constantly just causing us to jack our nervous systems up.
- 9:24But when we are seeing this distress, you know, your frontal lobes go offline.
- 9:30This is biology. And you lose the ability to think through things,
- 9:35take action, you know, working memory, all that stuff.
- 9:39Because you're prehistoric cavemen, you're supposed to only go into fight, flight, or freeze.
- 9:45You're not supposed to start the dishwasher or finish your homework or whatever
- 9:50all the things that you're doing, you're just too activated.
- 9:53Now, that is an excuse not to do the dishes, people.
- 9:56That is really about, darn it, you know, but like what you're supposed to do
- 10:04is regulate yourself and then attempt it.
- 10:07And, you know, and especially, and even for kids, but especially for adults,
- 10:12when you have a history of failure all the time and people criticizing you for not doing things.
- 10:17Why do you even attempt to do things? Like, this is what happens.
- 10:20People have shame and they shut down.
- 10:23So this is about rethinking what we see as behaviors. Now, that doesn't mean you might not have ADHD.
- 10:30It just means that when you're activated, your ADHD is going to be 10x worse.
- 10:35So we have to do this. For me, I created this whole regulation first.
- 10:42And regulation first is about having to regulate yourself before you go to therapy
- 10:48or before you head out the door in the morning or you start a big project at
- 10:53work or you do the dishes, whatever you got to do.
- 10:56You have to take moments to regulate yourself so your nervous system can help you complete the task.
- 11:03So within that, a question that I have when you're saying, so regulate yourself
- 11:06first before you go to therapy, before you go to work, before you leave the house.
- 11:10I imagine that would also apply in regulating ourselves before we try to help
- 11:15our children. So two questions with that.
- 11:17The first one is, how do we practice regulation for ourselves?
- 11:21And then the second part of that question is, how do we help our kids to regulate?
- 11:26Is that something that we model for them?
- 11:29Is that something that we leave them to do? Is that something that we actively
- 11:33participate in with them?
- 11:36Yeah. So let's start with the
- 11:38second question because then we'll go to the first. So here's the reality.
- 11:43Your kids are regulating off of you. They have essentially a sonar.
- 11:50And they are literally picking up, like, look at mom's face expression.
- 11:55You know, ooh, mom's tone doesn't sound so nice. You know, and you could think
- 12:00about this in your everyday life, whether you're talking to a boss or your partner
- 12:04or whatever. I mean, you know, like saying, you know, to somebody like,
- 12:09oh, yeah, I really like your bangs, right? And you just got your hair done versus,
- 12:17oh my gosh, I really like your bangs. Like, it's totally different,
- 12:22right? And we said the same thing, you know?
- 12:25So they are picking up off of you, okay? And I don't say this to make anybody feel bad, okay?
- 12:31And I don't want to hear that you had a trauma background.
- 12:35I don't want to hear any of that because the nervous, and I'm sorry if you do,
- 12:40and that's not fair, okay, but you are here for your kids and your kids didn't ask to be born.
- 12:46So you got to put your big girl or big boy pants on and you're going to make this happen.
- 12:52And the other part of this is your nervous system has no idea if you're stressed
- 12:58from something bad or good. It's going to respond in the same way,
- 13:01which is shocking to people.
- 13:03So let go of the idea that something is holding you back. Is it going to be
- 13:07harder for you? Of course.
- 13:10You got a trauma background. Is this going to be harder for you if you're neurodiversion
- 13:13or you're struggling with mental health? Yes.
- 13:16But these things work. They worked with thousands of people with the most extreme
- 13:21mental health. People used to fly in from all over the world to come to reset,
- 13:26their kid's nervous system, their family nervous system.
- 13:28So your kid is picking up on you.
- 13:32OK, that is that is a lot. And nobody's asking you to be perfect.
- 13:36I talk about being 80 percent awesome.
- 13:39OK, it's a B minus. So two out of every 10, you can make a mistake.
- 13:43If you're really struggling, you've got to get help.
- 13:46So you have to put that oxygen mask on. You cannot assist your child in a dysregulated state.
- 13:54You can't yell at your kid to stop yelling.
- 13:57You can't do these things. It just doesn't work. You already know it doesn't
- 14:00work. I'm just Dr. Roe telling you what you already know.
- 14:03But the reason why the missing ingredient in this sauce is the regulation.
- 14:08So our kids will learn to regulate first by just absorbing our calm.
- 14:17They really do absorb calm.
- 14:20Yes, you explicitly teach it because kids are not born regulated despite what
- 14:25you think And despite your own memories about yourself being an easy kid,
- 14:30because guess what? Even Dr. Rowe was an easy kid.
- 14:34Big surprise there, a saucy little Italian girl. So we have to walk them through it.
- 14:41But you can't walk them through it when you're irritated and annoyed.
- 14:45So your first question is, how do we do this, right? How do we do this?
- 14:49So I wanted to make something so simple.
- 14:53And so what I did is something called the love pause.
- 14:57And the love pause is as simple as it gets, okay? And it is three seconds.
- 15:05You're going to pause. You're going to breathe. If you can't breathe,
- 15:09we're going to talk about different things you could regulate.
- 15:11And then you respond. If you took three seconds before you responded to that
- 15:17annoying middle manager at work, for somebody who didn't hold the door open,
- 15:23for you and you want to make something snarky or your kid who says something
- 15:26snarky. You paused and you just breathed three seconds.
- 15:31And you just breathed three seconds.
- 15:32And then responded you're going to give the response you want to give
- 15:37and you're going to respond from calm not reactivity this is how we start breaking
- 15:42this cycle this is not a one-off deal right we are americans we think
- 15:48you know the world thinks we are quick everything is overnight and there's like
- 15:53a magic wand or a pill for it that's not the way it works,
- 15:57and the more we do this, the more we find calm for our nervous system,
- 16:01the easier it becomes. It will do it automatically.
- 16:05The more you dysregulate, that will be more likely that your nervous system
- 16:09will have that response.
- 16:11So, you know, that I want to empower you with that. So when you're like,
- 16:15oh my gosh, it doesn't work.
- 16:17It's because your nervous system just wants to go back to its dysregulated state.
- 16:21You've got to pull it back. And it is capable. I saw it thousands of times in
- 16:28the most extreme situations.
- 16:30So I know these things work, plus the science tells us it works.
- 16:34So essentially, we're training ourselves for one response or the other.
- 16:38If we're increasingly dysregulated, we respond in that sympathetic nervous system.
- 16:44That's right. We're like, freeze, fawn.
- 16:46Versus if we practice, and like you said, it's not going to be easy necessarily,
- 16:51but practice telling our nervous system you are safe by taking that deep breath and pausing.
- 16:56Whereas if you had some catastrophic event happening or something that was life-threatening,
- 17:01you probably wouldn't pause for those three seconds.
- 17:04That's right. And you know, the thing is, is that I'm a big fan,
- 17:08right? So we're telling people, you know, you need to do meditation for 20 minutes
- 17:12or half an hour, you need to go for a jog and you need to do a yoga class and a massage.
- 17:17These are all amazing things, okay? Dr. Rowe, I go to get a lymphatic massage every other week.
- 17:25I couldn't even begin to tell you what my daily practice is.
- 17:28I just do things constantly all the time.
- 17:30What the mistake we're making is we're not teaching people things that are less
- 17:35than two minutes and that they can just integrate into their daily lives.
- 17:40This is not about adding more.
- 17:43It's about shifting those dysregulation periods into regulation periods.
- 17:49But we're actually trying to regulate in moments of calm.
- 17:53And so when we regulate in moments of calm, just like I had a lousy week last
- 17:58week, I was able to get through, by the way, and deal with these banana people, right?
- 18:04So, And that is only because I have practiced regulating all the time,
- 18:11right? It was a serious situation where I need to buck up and do things a certain
- 18:16way, a very legal way and all this other stuff.
- 18:20And I share these things because I like to share extremes, right?
- 18:24But if you think about all the things that happen in your day,
- 18:28right? Like we're waiting for some major storm to happen where I am.
- 18:32And I'm like, oh my gosh, is this going to go out? What's my plan A? What's my plan B?
- 18:38I'm not freaking out about it. I thought about it in a calm way and I have a plan B.
- 18:43But everyday life, what's happening is that little bit, a worry about a storm
- 18:48happen, causes our cup to overflow.
- 18:51And this is what we're seeing in our kids. Like, we have words like deeply feeling
- 18:56kids and all this other stuff.
- 18:58And I'm not saying kids aren't sensitive and sensitivity isn't a bad thing.
- 19:02But sensitivity is a bad thing when you dysregulate all the time because you're
- 19:06training your nervous system to dysregulate.
- 19:09So when parents or people, parents say about their kids, my gosh,
- 19:13how do I get my kid to stop this? Like, how do I get them to not dysregulate?
- 19:18How do I get myself to not dysregulate? What they're bringing into the table is nothing worked.
- 19:23And what I'm saying is nothing worked because you're not adding micro moments
- 19:28of regulation throughout your day.
- 19:30And so until you do that and you make it so much easier, you're going to just
- 19:35be spinning your wheels.
- 19:37And that's really where, Kelsey, the focus comes offline, the working memory,
- 19:43the lack of executive functioning.
- 19:45You know, we always talk so much about attention, but it's really executive
- 19:49functioning because you're not completing or starting things that gets us into trouble, right?
- 19:55We spend so much energy when we are in that dysregulated state, right?
- 20:02It's exhausting, it's tiring, and I can imagine that it wouldn't leave much,
- 20:06capacity for executive functioning, which is what we're already dealing with.
- 20:12You talked about those micro moments. And I think that's something I want to
- 20:15touch on for a second. So you said the love pause, taking those three seconds,
- 20:20the awareness, the deep breath, and then you're going to respond.
- 20:24What are some other micro moments? Because even so when you were talking about.
- 20:30If you go for lymphatic drainage massage or whatever the thing is,
- 20:33or you work out, I find it interesting and more helpful to think about micro
- 20:38moments because if I do my workout, but my kids interrupt me mid-workout and I snap at them.
- 20:44I'm still pretty dysregulated.
- 20:46I'm still frustrated and jumpy. Or if I go for a massage, but I get lost on
- 20:52the way there and as I leave, somebody cuts me off or whatever it is,
- 20:55I'm immediately back into this dysregulated state.
- 20:58And then it feels like I've, you know, spent this time and this money trying
- 21:02to get out of this and I know further along.
- 21:05So I really appreciate that concept of micro moments, making it manageable.
- 21:10So can you share what are some other micro moments that would help regulate
- 21:13us? And I want to say this. What you said is so important because what you're
- 21:18talking about is real life.
- 21:20And so you're like, geez, why do I even go for this massage or why am I even
- 21:23working out? The reason why it feels so big is because you're waiting for big
- 21:30things to try to regulate you, and they only last so long.
- 21:34We have to reinforce, right?
- 21:36A muscle like, you know, a premier athlete practices every day.
- 21:42Why are they practicing every day? So that it's innate in their muscle memory.
- 21:47So that they get out on the field and they do whatever they're doing.
- 21:50They're not even thinking in the same way.
- 21:54Their body is reacting in that response, right? So when I say I'm awesome at
- 21:58stress, it's because I literally just go right into a zone.
- 22:04And I will start my techniques that bring me down.
- 22:08And, you know, I love when people take my blood pressure because,
- 22:11like, if it's ever high for whatever reason, I'm like, can you just watch this?
- 22:15And I literally can just bring it right down based on just techniques that I do, really breath work.
- 22:22So let's people know that I just don't want you to think these things are a
- 22:26waste of time. We're doing them incorrectly, okay?
- 22:30So what we have to do is we have to really talk about what are the little things
- 22:36you can do throughout the day?
- 22:38And let's talk about some of the easiest, these are all free things, right?
- 22:43So the number one thing you can do to actually pull you into a parasympathetic
- 22:49state is diaphragmatic belly breathing, okay?
- 22:53That is the quickest way you can regulate yourself, okay?
- 22:58And I know people are like, I hate it, it doesn't work. No, it doesn't work
- 23:03because when you try to do it, when somebody, you know, cut you off and almost
- 23:08had a car accident, you're already at super level 10 activated.
- 23:12That's just biology. That is a threat to you, right?
- 23:16So I found that about half of
- 23:19the people I worked with over these years actually were breathing wrong.
- 23:23So the first thing you want to do is if you are breathing into your chest and
- 23:29not your belly, and your belly isn't filling up like a balloon,
- 23:33you are breathing wrong.
- 23:35When you breathe just into your chest, you actually activate your sympathetic
- 23:39stress response, which is probably
- 23:41why you're like, well, that didn't work because it didn't work, right?
- 23:46Right. So you have to breathe in. And I like a four, seven, eight breath.
- 23:51That's my favorite. It's easy. And it's just so calming. So you're breathing
- 23:56in for four seconds. You're going to fill up your belly. If you're like,
- 23:59Roseanne, what are you talking about?
- 24:01Just put your hand on your belly and breathe in.
- 24:04And it should go out, not in. If you're going in, you're doing it wrong.
- 24:10So try to push, imagine something on your belly or take something soft on your
- 24:15belly and try to get it to rise. Put your cat on your belly or puppy or a little stuffed animal.
- 24:21And then you're going to hold for seven seconds and you're going to exhale longer for eight seconds.
- 24:27If 4, 7, 8 is too long, then do, you know, 4, 5, 6. Like do it so you can get
- 24:35it to the point where you're good at And you want to do that three times in a row minimum, okay?
- 24:41So what I recommend is that people do it as soon as they wake up in the morning. They do that.
- 24:50And then they do it at night before they go to bed and then set a timer for
- 24:55three other times during the day.
- 24:57So you're doing it five times a day. And I want you to really do this for a
- 25:02minimum of seven days, but ideally 30 days.
- 25:05And you're going to train your nervous system like those high performing athletes
- 25:10to be like, oh, I don't have a stressor, go to relax.
- 25:14I don't have a stressor, go to relax. Now, if you have a trauma background or
- 25:17you're highly in a very, you know, high stress situation, all I'm going to do
- 25:22is create more capacity for you. I might not get you out of a sympathetic dominant
- 25:26state and you might need more things.
- 25:29Right. And we can talk about that. But breath work is the quickest,
- 25:33easiest way to do it. My next favorite thing, Kelly, is something called a heart hug.
- 25:39It comes out of somatic therapy. It's so awesome. them.
- 25:43It makes you feel comforted. And so you take your right hand,
- 25:47you put it over your heart, okay?
- 25:50Then you take your left hand and you put it on your right shoulder and you press down.
- 25:54Ideally, you are standing up or sitting down and your feet are on the ground
- 26:01and you just sit there and you hold. If you can add a couple of deep breaths in there, great.
- 26:06It's just going to make it work better. I have a lot of people who do this same
- 26:11thing before they get out of bed, even though their feet are on the ground. That's okay.
- 26:15And it is such a great safety signaler to the nervous system.
- 26:20I never have people who aren't like, wow, that was really nice.
- 26:25And then other things you can do that are scientifically proven,
- 26:2810 minutes of reading, not on a device, but a real book.
- 26:35Prayer, especially prayer for others, is very lifting.
- 26:41And getting outside and letting the sun on your face, particularly in the morning,
- 26:47is a great resetter of the nervous system and your sleep cycle.
- 26:52And again, what are you doing when you're outside? You could be doing gentle
- 26:56movement. You could do a little Tai Chi. And again, these are moments.
- 27:00You don't have to be out there for 30 minutes or an hour. You want to? Great.
- 27:04But I think people don't do things that are sustainable.
- 27:08So when you're doing things, you want to do stuff that you could do all the
- 27:12time. So I'm a big fan of Tai Chi, Kelsey. And.
- 27:18I'm a great example of this, right? So I'm doing all these things, all these things.
- 27:23And I have very high cortisol levels. And I then have very high insulin levels.
- 27:30I have a diabetic profile. It's a very long, long story to also an Epstein-Barr carrier.
- 27:36So these things all interact in my system.
- 27:39And I was working out like 90 minutes, two hours a day and nothing,
- 27:43nothing, not a freaking ounce losing. Okay.
- 27:47But I had muscle, right? So I was like, I'm going to change this because clearly
- 27:53my insulin levels, which are so high that when a doctor sees me for the first
- 27:57time, they go, have you been checked for cancer?
- 28:00Like, because it's like they're worried I have a tumor on my adrenals.
- 28:03So no, unfortunately, I mean, it's not the case, right? I'm glad it's not.
- 28:07So I started changing what I was doing and I started doing Tai Chi.
- 28:11So no work, no long workouts. And I would do between two to 15 minutes.
- 28:19And I just started doing this and doing this and doing this.
- 28:23And lo and behold, I have lost an extraordinary amount of weight because for
- 28:28me, it was not about what I was eating.
- 28:32I eat like I'm a paleo girl, I fast, I eat like near perfectly,
- 28:36like I, that's not my issue.
- 28:38Vegetables are my favorite things. I mean, you know what I'm saying?
- 28:41Yeah, yeah. Yeah. I'm like, people are like, what are your favorite foods?
- 28:44I'm like, radishes, fennel.
- 28:47Like they're like, what do you mean? I'm like, yeah, no, no, those are my favorite.
- 28:52So it was really about getting my nervous system to pull down this cortisol,
- 29:00which was keeping my insulin very high, which was then not allowing me to lose weight.
- 29:05When you have very high insulin levels, your body says, you're starving. Let me store this as fat.
- 29:12And again, I always give people a window into my door. And this is just my story.
- 29:15But high levels of stress, there's going to be an emotional,
- 29:20there's going to be a physical effect.
- 29:21You cannot live in a sympathetic state, dominant state, without having a physical
- 29:26outcome. You just can't.
- 29:29And I think we're seeing that. And people realize they're not sleeping.
- 29:33You know, other signs that people could see is overeating or undereating, not sleeping.
- 29:38You can have joint pain, you know, because your neurotransmitters,
- 29:42your cortisol, your immune system, chronic stress can lead to early menopause.
- 29:50I don't think people think about those things, you know, and these are things
- 29:54that people would come to me and they would always have health issues and mental health issues.
- 29:59And they're intricately tied and we know it, but we're not educating people.
- 30:02We're not giving anybody anything that's simple.
- 30:05So simple, simple things, heart hug, breath, prayer, gentle walking in out,
- 30:12you know, getting up and, you know, and here's the thing. I'm not against devices.
- 30:16I think devices are amazing.
- 30:19But we do need downtime from our devices and that's a big contributor to what's
- 30:24happening not just with kids peeps adults.
- 30:29Absolutely yeah no and that's i i do appreciate the the simplicity of it because
- 30:33it makes it more sustainable it makes it more possible to actually implement
- 30:38that and i think especially you.
- 30:40With ADHD, something that I struggle with is that consistency over a long period of time.
- 30:46But if I'm able to incorporate that, make it a sustainable habit over time,
- 30:51that makes it a lot more realistic.
- 30:53I wanted to make sure I'm understanding correctly. So when you talk about these
- 30:57micro moments of regulation, you're saying that we should do those in a moment
- 31:03where we aren't dysregulated.
- 31:06Is that correct? Just to essentially practice that?
- 31:08Really to practice it and train our nervous system. And when you talk about
- 31:13consistency, use your device, use your phone, set your timer.
- 31:18Don't try to pretend like your brain can remember.
- 31:21We're living, we're constantly interrupted. I don't, I have an extraordinary
- 31:26focus on executive functioning.
- 31:28I use a timer. So, because we can't just rely on that. And I think sometimes
- 31:33people, with my experience, right, and, you know, we have a very neurodivergent
- 31:38family, and there's, like, you name it, we got it in our family, you know.
- 31:43And so my experience is that, like, there's so much shame about not doing things
- 31:48well that you become resistant to things that are so freaking simple that,
- 31:52like, makes your life easier.
- 31:53You know what I mean? Like, it's sort of like when GPS came out and people were
- 31:57like, I'm not going to use it. And I'm like, why would you not use a GPS? Mm-hmm.
- 32:01I mean, come on, you know, like, so, so don't be labored by that.
- 32:06Think, this is makes my life better. Why don't I do it?
- 32:09But the micro moments, you're doing it in calm moments to drain the nervous
- 32:14system so that when things are stressful, you are going to use it,
- 32:19but you'll be able to snap right in.
- 32:21And when you say it doesn't work, it's because your body is like,
- 32:24I don't know how to use this. I don't know how to use this.
- 32:27But when it knows something, right, just like if you drive and you drive home
- 32:31every day, you're not thinking about how to get home.
- 32:35You're operating at totally subconscious
- 32:38level. So we want to teach the subconscious to do these things.
- 32:42And you'd be surprised. I mean, I see it with my own kids. I have a dysregulated,
- 32:45you know, kid. That's what this, you know, that's what the dysregulated kid is about.
- 32:50And I watch him and he gets irritated more easily than the rest of us.
- 32:55And I see him breathing and I never say a damn thing but I'm,
- 33:00doing it and then he brings himself down and then he can talk and he can work
- 33:05his way through it but you just can't expect somebody it's like asking somebody
- 33:09to learn how to swim when they're drowning,
- 33:12so we can't expect that we have to teach them how to swim.
- 33:17Safely so that when there is a moment boom you know how to swim yeah That's
- 33:22exactly what this is. Yeah.
- 33:25A question within that. So you had talked about the fact that you were exercising 90 minutes a day.
- 33:31Your cortisol levels are really high. You were dysregulated and your body was
- 33:36responding with that stress, with not being able to lose weight,
- 33:39probably not feeling as good.
- 33:41Something like exercise is typically considered as always being good.
- 33:47So how do you know when it's too much of a good thing or maybe it's the wrong form of it?
- 33:52How would you recommend to somebody to be able to decipher when it's a good
- 33:57amount of stress on your body from exercise versus when it's causing those cortisol spikes?
- 34:04Well, if you are highly distressed, you know you're distressed.
- 34:07You know you're emotionally distressed. You're overreacting.
- 34:10You're not sleeping. you're miserable.
- 34:13I don't want you to do cortisol jacking activities, okay? So I don't want you
- 34:18doing CrossFit and HIIT classes and Zumba.
- 34:23You know, I need you to do things that are going to be muscle building,
- 34:28but also regulating yourself.
- 34:31So you want to bring that activity level down.
- 34:34You want to slow it down. That's important. Then you have to look at,
- 34:39are you somebody like me who's resistant to losing weight?
- 34:42And what's going on in your life? Like, are you in perimenopause?
- 34:46Are you in menopause? Is your husband, does your partner have a lot of health
- 34:51issues? Like, maybe you have financial.
- 34:53Like, what's going on in your ecosystem? Because I think one of the greatest
- 34:57problems we have in health care and mental health is they never connect the dots.
- 35:04I mean, people would come to me and they'd be like, well, my doctor said this.
- 35:08And I was like, your doctor is 100% wrong, 100% all symptoms are related and
- 35:14we're going to figure it out.
- 35:16And, you know, it was always that case. I have a friend that's like this.
- 35:21He's a 5X board certified doctor. And we're always like, we're not that smart.
- 35:25But how come we're the smartest people in the room?
- 35:27Because we have common sense, you know, like, so think about what's happening
- 35:32for you, right? So exercise is great, but you're right.
- 35:36You know, why isn't that? In the million years, Kelsey.
- 35:40I could not have imagined that Tai Chi would be instrumental in me losing 65 pounds, okay?
- 35:52And that I was, that 90 minutes exercise was bad for me. You know,
- 35:57I wasn't even, like, doing extreme things. Like, I was walking,
- 36:02I was doing this, I was, you know, whatever.
- 36:05But all it does was doing was jacking up my cortisol. all.
- 36:09And so it really changed things for me. And I think that's just such a great example.
- 36:14And like even today, just so you know, like I pull my kids into my exercising
- 36:20and I'm like, oh, you're going to be doing, you know, this with me and that.
- 36:23And, you know, I have young adult males and they will even do it with me.
- 36:26But when my kids were little, we did a lot of things together.
- 36:30We did things as a family.
- 36:32But you can't ask your kid to do something that you're not willing to do for yourself, you know?
- 36:39And exercising, like, for two minutes is pretty awesome, actually.
- 36:44It's so amazing. Like, so I do 100 reps of something, and I know that takes me about two minutes.
- 36:51And so it doesn't matter where I am.
- 36:54I can always squeak in and add it up over time. In fact, I'm exercising.
- 37:00I'm never exercising 90 minutes in a day. Never.
- 37:03And so it's just, like, reshaped me. It's just, it's a crazy thing, you know?
- 37:08And so it's that same way when I get people to change their routine by adding
- 37:13in these micro moments people who couldn't sleep or who always bite in somebody's head off.
- 37:19Now, you have to regulate and then you have to actually change your freaking
- 37:22behavior. And so I think we're a culture of we've got to take a pill for it.
- 37:26You still have to change your behavior.
- 37:29You can't expect it, right? So we, you know, maybe you're somebody who's a very negative thinker.
- 37:36You know, maybe you're somebody who, you know, really gets stuck on things and
- 37:41shuts down. So these are things that we have to unwind and change it.
- 37:46It just becomes easier to do when you have capacity in your nervous system.
- 37:51And people may say, like, well, I've tried, I've tried. Again,
- 37:54you didn't have capacity.
- 37:55Nervous system is not going to allow you to do these things.
- 37:59Or if it does, it's going to be terrible, right?
- 38:02And so then people pull away. And this is a big reason why people hate therapy.
- 38:06Because they go in dysregulated. You try to learn new things.
- 38:12You get more dysregulated. And you're like, I'm not paying that for that, you know.
- 38:17But therapy is really valuable when you're in a place where you feel good enough.
- 38:22And I think people who've tried it a few times and then really found,
- 38:27you know, what was it about that
- 38:29therapist? Well, they helped you create capacity to do the work, you know.
- 38:34Something that i'm hearing in different areas of what you're talking about is that,
- 38:39i think often in society we feel like we need to do more more exercise back in the day more cardio
- 38:45or cut more calories more more more more more of everything be more productive
- 38:49be more efficient you know technology all the things a lot of times the message has been more,
- 38:55what i'm hearing you saying is that sometimes less not more is actually going
- 39:01to be what we really need even you know talking about exercise in those smaller,
- 39:05increments in a way that works for your body even just i found i think this
- 39:09was about a year ago i was burnt out i was exhausted there was a lot going on in my life and,
- 39:16i finally allowed myself to believe that rest and decreasing stress could maybe
- 39:21help me more with my fitness journey than just the exercise and tracking macros or whatever it was,
- 39:28and it was incredible it was the most restful easiest way that I've gotten in
- 39:33the best shape of my life by prioritizing rest by prioritizing my sleep by allowing myself to,
- 39:42do less and not more and so I think that's something that's.
- 39:45Good to work on reframing, rewiring, even when you're talking about these micro moments.
- 39:51It doesn't need to be these big monumental changes, but these micro moments
- 39:56that can make such a lasting impact in the end.
- 40:01I think that's something that I'm taking out of today's episode is that less,
- 40:05not more can really be what actually moves the needle.
- 40:10A hundred percent. And I think it's shocking to people. You know.
- 40:15I had somebody who had just like a horrific trauma background.
- 40:20She was literally trafficked, like just horrible, horrible, horrible.
- 40:25Her mother tried to kill her. I mean, just like horrible stuff.
- 40:28OK, so and so when I have these horrible trauma backgrounds,
- 40:33you know, so I had regulated her children and it was quite miraculous what what
- 40:39had happened with her kids.
- 40:40And what a wonderful mother this person was. What a great lady.
- 40:43And like, God, like a miracle, like truly like a miracle. We always would say,
- 40:49like, you are a miracle that you went through all those things and you're just such an awesome person.
- 40:54But in the inside, she always had the hum, the hum of anxiety, the hum of the worry.
- 41:01And so she saw what happened to their kids and she decided, I want to work with you too.
- 41:05And so a couple, about three months
- 41:08in, she said, I know you told me that you're going to, this will end.
- 41:14You will not have this. And I didn't believe you.
- 41:17But I knew I had to work on it, right?
- 41:21And she was like, it is a miracle when you do these things, like how much it
- 41:26can change your life and just the consistency of it.
- 41:30And like, just to know what she's changed for herself, you know,
- 41:35and all of it, her kids were working on their nervous system.
- 41:38So they regulated, but really it wasn't until she really regulated.
- 41:42And on the outside, you wouldn't know.
- 41:44She really worked hard to pretend.
- 41:47The kids are pretty smart. So until she regulated, they weren't capable of regulating
- 41:55in the same way. But those micro moments, less is more. And also sleep.
- 42:01So when you're dysregulated, what happens? Your sleep sucks.
- 42:05And so many important things happen in sleep.
- 42:08Your brain needs to power down, to power up.
- 42:12You know, your detoxification, 90% of brain detoxification occurs in sleep.
- 42:17We need to sleep, people, okay?
- 42:20And we need quality sleep.
- 42:23And, you know, so all of these systems happen when we're regulating.
- 42:29And again, never to dismiss anybody's history. But if you keep playing that
- 42:33old CD back there, it's, you know,
- 42:36you can say to yourself, this happened to me or I can do these things right
- 42:43it doesn't these things can exist together and you don't have to let that play
- 42:47out as your script because if you do all it does is just keep you activated,
- 42:52so and in little bits will just chip away chip away chip away just like this
- 42:56lady was like oh I didn't even think it was ever humanly possible and I'm,
- 43:02She is totally regulating and, you know, all the stuff. And she did it.
- 43:07She did it initially for her kids.
- 43:10But then she realized I need to really just do this for myself,
- 43:14you know, because it is possible. And I give her a lot of credit.
- 43:17You know, that's a big leap.
- 43:19So it doesn't have to be that hard. It doesn't you don't have to have a serious
- 43:23issue. And I everybody needs to do this. So I talk about this like brushing your teeth.
- 43:28So we brush our teeth to avoid cavities and bad things from happening.
- 43:33We have to regulate our nervous system to prevent more mental health issues,
- 43:39more dysregulation, and pretty happier, calmer homes and workplaces and all those things.
- 43:47That can only happen when we regulate. It's just biology.
- 43:51And I think that is a good reminder is I often talk to my audience about what
- 43:56is it you're hoping for from something.
- 43:58When you're setting goals, you're aspiring to something, what is it that actually
- 44:02matters to you when we look at,
- 44:04regulating and how much that can improve your own well-being,
- 44:08your perspective, your outlook on life, your contentment in life,
- 44:12your relationships, your work, all different areas of life.
- 44:15I think knowing how incredibly important that is for every area of life can
- 44:21help get past some of the hurdles. Like for me, I find I'm not very good at
- 44:25the things that are slow.
- 44:27And so for me, you know, I, I find like in the past breath work to me felt boring,
- 44:33you know, it felt, you know, oh, this is too long.
- 44:35But when it's something little like that, four, seven, eight,
- 44:39or like you said, four or five, six with your, with your counting or the heart
- 44:42hug, maybe I'm still laying in bed or, you know, whatever it is.
- 44:47When I understand why they are so incredibly important, it helps get past that.
- 44:53This feels boring. This doesn't feel like it's making a difference right now
- 44:57to understand that yes, but when you build time upon time upon time,
- 45:04it is going to make a difference and it's going to help me to reach those
- 45:09milestones, for lack of a better word, in my relationships with my kids or my
- 45:13husband or in my work and to not feel the frustration of being stuck in that
- 45:20cycle of dysregulation.
- 45:22Yeah, and you know what?
- 45:25And I'm Dr. Roseanne. Like, I've done a ton of meditation and stuff.
- 45:28And, you know, meditating for an hour is boring for me.
- 45:33And I remember there's a Buddhist monk center literally just like a quarter
- 45:38mile from my office. It's like incredible. And I remember I went to something
- 45:42and I was like, OK, I got to meditate for this whole hour.
- 45:45And he was like, I just would like everybody to know that meditation is very
- 45:49hard for me and I find it very boring.
- 45:52And here's what I do when I meditate. And I was like, thank you for saying that.
- 45:57You know, like you feel like you're just not good at it.
- 46:00But the beauty of this, as you said, Kelsey, this is just micro moments.
- 46:04And so if we, anybody can do this, and even if you feel like you have the attention
- 46:08span of a flea, like you can do this, right? And that's what those timers are
- 46:13about and that's what the reminders are.
- 46:15And the more you do it, the more your body will just start doing it automatically
- 46:19and stress becomes something you can manage, right? Just like we weren't born walking.
- 46:25We weren't born talking. We had to develop these skills, you know?
- 46:29Like this is a muscle that needs to be developed and everything else improves because of that.
- 46:36And that's why it's so important. And if you are a parent, you're setting an example for others.
- 46:42And if you're an employee, you're setting an example for others, right?
- 46:46So there's so much should be said by that.
- 46:50And I do think it is incredibly important. So where can we go to find out more
- 46:54about the work that you do, the book that you wrote, and more about dysregulation?
- 46:59Yeah. Well, you can go to drrosann.com, and that's D-R-R-O-S-E-A-N-N.com.
- 47:07That's where all my work is. And you can get the book, The Dysregulated Kid. Just search it.
- 47:13If you're getting it before it gets released on September 22nd,
- 47:17and you're pre-ordering it, you get some incredible resources that you can start using right away.
- 47:22Plus you get access to a live implementation that's part of it only for the pre-sale people.
- 47:29So there's some great stuff. And you also are interested in bringing me,
- 47:33I'm on a world speaking tour, literally in multiple countries.
- 47:37You're interested in bringing me to your school or your workplace or your religious
- 47:41institution. I'm doing all of those things. You can just go to drroseanne.com
- 47:45and, you know, and find me there.
- 47:48Amazing. Well, I will link that below in case people want to check that out
- 47:51and look at all of the different resources in the book as well.
- 47:54Thank you so much for taking the time to be with us here today.
- 47:58Yeah, thanks for letting me spread the science of the nervous system and making it easy.