Latest / The Trauma Therapist / Getting To The Why with Rachel Siegfried, PhD
Transcript
- 0:00Speaker 1: Welcome to the Trauma Therapists podcast. My name is Gamiferson.
- 0:04Speaker 1: I interview incredible people who've dedicated their lives to helping
- 0:07Speaker 1: those who've been impacted by trauma. A big thank you
- 0:11Speaker 1: to our sponsors and our guests who are supporting this
- 0:14Speaker 1: show by for me two and one our folks, welcome
- 0:19Speaker 1: back to the podcast. Very excited to have as my
- 0:21Speaker 1: guest today, Doctor Rachel Siegfried, Rachel, welcome, Thank you, so
- 0:26Speaker 1: excited to be here. Awesome. Rachel is a licensed clinical
- 0:29Speaker 1: psychologist in New York City with extensive experience treating trauma
- 0:33Speaker 1: across diverse populations. She holds a BS from Cornell and
- 0:36Speaker 1: a doctorate from LIU Brooklyn, who is trained in major
- 0:40Speaker 1: New York City hospitals and clinic settings, working with individuals
- 0:44Speaker 1: including trauma survivors, veterans nine to eleven, first responders, undocumented individuals,
- 0:50Speaker 1: LGBTQIA clients, and emerging adults. She recently authored a chapter
- 0:54Speaker 1: on complex PTSD for book on Trauma and the Law,
- 0:58Speaker 1: helping legal professionals better understand trauma psychological impact. Doctor Sigfried
- 1:04Speaker 1: is particularly interested in exploring moral injury and how entry
- 1:07Speaker 1: to trauma is often misdiagnosed as personality pathology rather than
- 1:13Speaker 1: recognized as PTSD. All right, Rachel, obviously, just a little
- 1:18Speaker 1: bit about you before we could go and share with
- 1:19Speaker 1: the listeners where you're from originally and where you are currently.
- 1:24Speaker 2: I'm a born, born, and brid raised New Yorker, so
- 1:29Speaker 2: still in my hometown, New York City.
- 1:32Speaker 1: That's it. You ain't leaving.
- 1:34Speaker 2: I tried to get away from Cornell for a chapter
- 1:38Speaker 2: Smester in Spain, but drew me back.
- 1:41Speaker 1: All right, so let's go back. How does this start
- 1:45Speaker 1: for you? How does this interest start for you?
- 1:49Speaker 2: Well, if you ask my mom, it was in elementary
- 1:52Speaker 2: school when she goes to the you know guy and
- 1:55Speaker 2: meet all the teachers at a parent teacher conference, and
- 1:58Speaker 2: she goes to meet the school count and introduce herself,
- 2:02Speaker 2: and she's already very aware, well aware of who I am,
- 2:05Speaker 2: because I've been bringing classmates to him who are arguing
- 2:09Speaker 2: so that they can go work through their issues. So
- 2:12Speaker 2: she would say, then, I would say that I've always
- 2:16Speaker 2: just been really interested in people. I really liked observing people.
- 2:24Speaker 2: I never really grew out of the why phase of
- 2:26Speaker 2: wanting to know why, and my I just I started
- 2:33Speaker 2: taking small psychology classes here and there in high school
- 2:36Speaker 2: and things, but it really formulated in college. I actually
- 2:41Speaker 2: wrote my college essay about people watching and my love
- 2:44Speaker 2: of people watching, which luckily they didn't find weird. And right,
- 2:51Speaker 2: what do I enjoy sitting on the New York City
- 2:53Speaker 2: bus and you know, just live their lives?
- 2:56Speaker 1: Have you heard of stalking?
- 3:01Speaker 2: And then at in college, I was studying human development
- 3:07Speaker 2: and there was a course on risk and Resiliency in
- 3:10Speaker 2: childhood and Adolescents. And I really fell in love with
- 3:16Speaker 2: that course, with understanding trauma and with childhood and adverse events.
- 3:23Speaker 2: And so this professor would use books and memoirs, right
- 3:29Speaker 2: like we read on Finding Fish, and we read the
- 3:35Speaker 2: book that Pressures is based on to really understand kind
- 3:38Speaker 2: of these childhood narratives. And so I liked the professor
- 3:42Speaker 2: Janis Whitlock so much that I joined her Non Suicidal
- 3:45Speaker 2: Self Interest Behavior Lab, where I spent a very uplifting
- 3:50Speaker 2: summer just listening from nine to five to interviews from
- 3:58Speaker 2: adolescents who were engaging non suicidal self interest behavior and
- 4:02Speaker 2: then interviews with their parents about what they were experiencing.
- 4:07Speaker 2: And I was just spending over a month coding these interviews,
- 4:11Speaker 2: and in that the big theme we found was that
- 4:14Speaker 2: these kids wanted something called respectful curiosity. They really just
- 4:19Speaker 2: wanted to be listened to. They wanted someone to want
- 4:22Speaker 2: to know the why. And I mean as a podcast interviewer,
- 4:27Speaker 2: right you, this is what you do. You get to
- 4:29Speaker 2: know people's why.
- 4:32Speaker 1: And so if we can just pause there for a second,
- 4:39Speaker 1: what what fill that out for us? Because you have
- 4:44Speaker 1: these these kids here who are injuring themselves what through
- 4:49Speaker 1: all various means, not not suicidal, but at the at
- 4:58Speaker 1: the core there's that need. Yes, I guess, uh, I
- 5:11Speaker 1: guess I'm a little surprised. I'm not here, We're we're
- 5:16Speaker 1: I mean in there, there's got to be a lot
- 5:18Speaker 1: of pain, right, I mean, you just don't hurt yourself.
- 5:22Speaker 1: So talk more fill that out for us more.
- 5:26Speaker 2: So these kids. You know, the interesting part of the
- 5:30Speaker 2: studies it didn't go at that moment too much into
- 5:33Speaker 2: maybe the individual's traumas or emotion and regulation pieces that
- 5:38Speaker 2: were leading to the self injury.
- 5:40Speaker 1: They did.
- 5:40Speaker 2: That was part of it. Of course, the kids told
- 5:42Speaker 2: their stories, but what was going on was these kids
- 5:46Speaker 2: were struggling with recovery and why could they not either
- 5:52Speaker 2: stop or what was stopping them from being able to
- 5:54Speaker 2: address us with their parents, that so much of self
- 5:57Speaker 2: injury relies on the secret, and that nobody knows what's happening.
- 6:04Speaker 2: And you know, this was two thousand and ten, no,
- 6:08Speaker 2: twenty eleven, the this wasn't you know. It's been an
- 6:15Speaker 2: even more increasingly studied topic since then, And a lot
- 6:20Speaker 2: of the parents thought their kids were acting out trying
- 6:22Speaker 2: to get attention, right, We've all heard those words in
- 6:25Speaker 2: the field, and that really wasn't what was happening for
- 6:29Speaker 2: these kids. And so the more that they were just
- 6:31Speaker 2: being told that they were acting out for attention, the
- 6:34Speaker 2: more disconnected, the less understood they felt, and the more
- 6:37Speaker 2: they wanted to harm themselves because it was the only
- 6:41Speaker 2: way that they were either regulating expressing, and often the
- 6:44Speaker 2: way that they were self injuring had so much meaning.
- 6:47Speaker 2: What they were using to self injure, where they were
- 6:50Speaker 2: making the marks, what were they spelling out words or
- 6:54Speaker 2: number or did they have a number of them? And
- 6:58Speaker 2: all of this was just being missed because of course
- 7:00Speaker 2: the parents are panicked seeing their children who they love
- 7:04Speaker 2: in danger, but because they're so focused on that and
- 7:08Speaker 2: aren't really regulating themselves in that moment, they're really just
- 7:12Speaker 2: not engaging with that curiosity.
- 7:15Speaker 1: So how do things unfold for you after that? With
- 7:18Speaker 1: your work, et cetera.
- 7:20Speaker 2: After that it really drove, you know, that interest in
- 7:23Speaker 2: the why became even bigger. And I think that really
- 7:26Speaker 2: made me curious about specifically trauma and write that risk
- 7:30Speaker 2: and resiliency piece. And so I joined more research labs
- 7:35Speaker 2: and eventually go to grad school. And in graduate school,
- 7:38Speaker 2: it was in the clinical practice that I really started
- 7:41Speaker 2: to develop an interest in complex PTSD specifically because when
- 7:47Speaker 2: working with patients who could identify a trauma, whether that
- 7:51Speaker 2: was sexual assaults or write a shock trauma such as war,
- 7:55Speaker 2: they were showing up much more like a personality disorder
- 8:02Speaker 2: would be characterized. And that's why sometimes supervisors would point out.
- 8:05Speaker 2: They'd say, Oh, this diagnosis is borderline personality or this
- 8:08Speaker 2: one is narcissism. And I was just very struck that
- 8:14Speaker 2: we wouldn't with these clients and these trauma histories, we
- 8:18Speaker 2: couldn't do all of these amazing manualized trauma treatments that
- 8:22Speaker 2: were out there, because so much of that work was
- 8:27Speaker 2: just building trust and getting to understand why was this person?
- 8:35Speaker 2: Why was the person's character and sense of self so
- 8:41Speaker 2: impacted in a way where they couldn't have this intimate
- 8:45Speaker 2: relationship that would help them eventually heal. And so I
- 8:50Speaker 2: then started going to places like World Trade Center and
- 8:54Speaker 2: the VA and seeing what it looked like when trauma
- 8:57Speaker 2: went untreated and when people had a foundation even before
- 9:00Speaker 2: nine to eleven or before being you know, before their deployments,
- 9:07Speaker 2: where their childhood foundation of either neglect or physical abuse
- 9:13Speaker 2: or sexual abuse how played a significant role in their
- 9:15Speaker 2: inability to have safe, loving relationships in the heir. Now, so.
- 9:24Speaker 1: This is tough stuff, I mean hard stuff. How are
- 9:30Speaker 1: you when you start doing this? Even with going back
- 9:34Speaker 1: to the kids in that research project, I mean that's
- 9:39Speaker 1: for a lot of people really hard to hear. How
- 9:42Speaker 1: are you doing that? How are you managing that?
- 9:54Speaker 2: I there's a quote. Have you ever read Theater of
- 9:58Speaker 2: War by Brian Dowries Mm hmm, ten out of ten
- 10:01Speaker 2: recommend It's an amazing book. And he runs these huge
- 10:09Speaker 2: productions where major plays like Greek works are taken and
- 10:14Speaker 2: performed in front of audiences like veterans or people in
- 10:18Speaker 2: Guantanamo Bay, and through acting through these narratives, he has
- 10:26Speaker 2: the community actually come together to see their pain through theater.
- 10:30Speaker 2: And he has this wonderful quote where he says, trauma
- 10:33Speaker 2: narratives comfort the afflicted and afflict the comfortable. And maybe
- 10:44Speaker 2: because I am the grandchild of Holocaust survivors, There's just
- 10:48Speaker 2: never been a time in my life where I can
- 10:51Speaker 2: remember there not being narratives of trauma, but not in
- 10:57Speaker 2: an overwhelming way as a child, but that the world
- 11:01Speaker 2: is filled with people who have been through incredibly tough
- 11:04Speaker 2: experiences that shape who they are. And so the idea
- 11:06Speaker 2: of not listening to that narrative or not being interested
- 11:09Speaker 2: in that narrative, I guess hasn't really ever overwhelmed me.
- 11:13Speaker 2: It just makes me feel closer to people.
- 11:16Speaker 1: And when you started doing that work, and I'm guessing
- 11:20Speaker 1: this wasn't necessarily conscious, but was there What kind of
- 11:26Speaker 1: a poll was there towards these people, towards the stories
- 11:31Speaker 1: they were telling. Were you feeling that somehow you wanted
- 11:37Speaker 1: to quote unquote help or listen or what.
- 11:43Speaker 2: I thought that listening was helping that somebody.
- 11:48Speaker 1: One.
- 11:49Speaker 2: People like talking about themselves, but people when we feel
- 11:53Speaker 2: seen and heard the termine. So much of trauma work
- 11:56Speaker 2: is bearing witness when we feel that somebody wants to
- 11:59Speaker 2: bear witness to our pain, that we don't have to
- 12:02Speaker 2: carry it alone. I think that's when we feel safest
- 12:07Speaker 2: and we can really heal, and that that's what trauma
- 12:10Speaker 2: so disrupts, especially complex trauma from childhood, that ability to
- 12:14Speaker 2: trust and connect with others. So right, the idea that
- 12:18Speaker 2: relationships can be what break us and hurt us, they
- 12:20Speaker 2: can also be what heals us. And so I've always
- 12:23Speaker 2: just really loved the opportunity, whether that was as a
- 12:25Speaker 2: friend or as a therapist, to be in that role.
- 12:30Speaker 1: Let's talk about this topic of moral injury and untreated trauma,
- 12:38Speaker 1: how it's misdiagnosed, How did that resonate become resonant for you?
- 12:49Speaker 2: It was really so while we're using the word right,
- 12:53Speaker 2: people get diagnosed with a personality disorder with untreated trauma.
- 12:57Speaker 2: I always really loved the more jargon a clinical term
- 13:01Speaker 2: of characterological disruptions, because I think when we understand trauma
- 13:07Speaker 2: as disrupting a character and that ability to build our character,
- 13:15Speaker 2: it really helps understand us understand why, right, somebody who
- 13:20Speaker 2: experienced trauma at age six is going to show up
- 13:26Speaker 2: very differently than somebody who didn't and again it was
- 13:35Speaker 2: through working and getting to see first nine to eleven
- 13:40Speaker 2: responders rarely who were sharing that they had built their
- 13:47Speaker 2: world on being part of a system, right, that they
- 13:52Speaker 2: would help others, and there was some kind of justice
- 13:56Speaker 2: in the world. For some of these responders, they had
- 14:01Speaker 2: childhood like a childhood experience of again either physical abuse, neglect,
- 14:08Speaker 2: or sexual abuse, where they had learned to mistrust, to
- 14:13Speaker 2: not trust authority figures, to not trust the system, and
- 14:20Speaker 2: they became, you know, people who could help other people.
- 14:24Speaker 2: That was one of the ways that they survived. They
- 14:28Speaker 2: found structure in these jobs. Right, there's so much structure
- 14:31Speaker 2: in being an officer, being in the fire department. And
- 14:37Speaker 2: then right, seventeen years later, after nine to eleven, after
- 14:40Speaker 2: this major trauma in which it wasn't just the physical
- 14:44Speaker 2: trauma of what happened on nine to eleven or working
- 14:47Speaker 2: in the pit for months after, it was the moral injury, right,
- 14:52Speaker 2: the betrayal of what is right that America let them down. Right,
- 14:59Speaker 2: they not given the benefits they needed, They were not
- 15:02Speaker 2: given the medical or psychological support that they deserved, and
- 15:06Speaker 2: they were just not given any financial resources that they needed.
- 15:11Speaker 2: And so seventeen years later, all of that is compounding
- 15:15Speaker 2: into a complete mistrust of the world and a mistrust
- 15:19Speaker 2: of me in therapy. Right in you're saying you're here
- 15:23Speaker 2: to help me. I've heard this before. Why should I
- 15:25Speaker 2: trust you? And that's what really did it for me,
- 15:29Speaker 2: being asked, right, what makes you so special that I
- 15:32Speaker 2: should trust you? When this has never worked before?
- 15:37Speaker 1: So what do you do with that knowledge? How does
- 15:39Speaker 1: that impact your work? What's important to you?
- 15:44Speaker 2: I think so much of that work has been informed
- 15:47Speaker 2: really by Judith Hermann's work about establishing safety and that
- 15:52Speaker 2: being the first thing we do. And you know, in
- 16:00Speaker 2: our field, that's something that I think is not so unusual.
- 16:04Speaker 2: It's not definitely not unique to me, the idea of
- 16:07Speaker 2: really establishing trust in safety and psychological report, but in
- 16:11Speaker 2: other fields it's quite foreign, right with You might just
- 16:16Speaker 2: develop a professional relationship as a lawyer or a doctor,
- 16:20Speaker 2: but the idea that you have to win over someone's
- 16:23Speaker 2: trust is not necessarily as common. And so I think
- 16:28Speaker 2: I also have really developed a passionate interest in how
- 16:31Speaker 2: to help people with complex trauma or how to help
- 16:34Speaker 2: other professionals bridge that gap.
- 16:40Speaker 1: That's interesting, So talk more about that. How do you
- 16:46Speaker 1: translate that how do you communicate that to a professional
- 16:51Speaker 1: who for who maybe that that is a foreign concept
- 16:56Speaker 1: not in their wheelhouse, if you will.
- 17:00Speaker 2: So, I actually come from a family of many lawyers.
- 17:05Speaker 2: I'm the black sheep as the psychologist, and my so
- 17:12Speaker 2: my experience when I'm you know, interacting with family or
- 17:16Speaker 2: other lawyers that I know is so often you can
- 17:22Speaker 2: make a case out of anything, but you have to
- 17:24Speaker 2: have your evidence. Does your argument make sense? And there's
- 17:28Speaker 2: a you know, there's a lot of love of the rational,
- 17:33Speaker 2: and complex trauma does not love rational right, and they're
- 17:41Speaker 2: what I love. What I love about psychology in the
- 17:44Speaker 2: mind is right with the why is there's always if
- 17:47Speaker 2: you go far enough, you will get to the why
- 17:49Speaker 2: and it will make sense. But you have to take
- 17:51Speaker 2: the journey to get there. And that is what I
- 17:54Speaker 2: really enjoy helping other professionals understand, is to have that
- 17:57Speaker 2: patience to get there.
- 18:00Speaker 1: That you do you find yourself having to explain and
- 18:05Speaker 1: or justify why that why is important.
- 18:08Speaker 2: Absolutely. I think helping other professionals understand when the basis
- 18:16Speaker 2: of complex trauma, where it's coming from, right, how disrupted
- 18:20Speaker 2: this person's trust system and sense of self. Is that
- 18:25Speaker 2: when you're coming in and telling them you do this right.
- 18:30Speaker 2: If you, you know, don't get into any arguments or
- 18:34Speaker 2: fights while you were, you know, incarcerated, it's going to
- 18:38Speaker 2: look better to the judge. Makes total sense when you
- 18:42Speaker 2: say it that way. However, when your client, something happens, right,
- 18:46Speaker 2: your client gets into a fight, gets into an argument,
- 18:50Speaker 2: something happens with another inmate. Lawyers can get frustrated. You're
- 18:57Speaker 2: hurting the case. Right, there's your clients now hurting the case.
- 19:00Speaker 2: They're not working with you, and there might be an
- 19:04Speaker 2: inclination to reprimand right, you can't do that, you shouldn't
- 19:08Speaker 2: do that, and helping lawyers and other pressions understand that
- 19:15Speaker 2: that isn't what the person needs in that moment. The
- 19:17Speaker 2: person has been chastised and berated and humiliated really by
- 19:22Speaker 2: authority figures and systems their whole life. And so in
- 19:25Speaker 2: this opportunity, starting with why did you get in the fight?
- 19:30Speaker 2: Why did that happen? I know you know that that's
- 19:33Speaker 2: not a good idea, so why there had to be
- 19:35Speaker 2: a reason. And then once you get to the reason,
- 19:38Speaker 2: then you can kind of work with the person and
- 19:40Speaker 2: say I completely understand where that came from and let's
- 19:44Speaker 2: talk about how that isn't That behavior isn't going to
- 19:46Speaker 2: help our joint goal.
- 19:50Speaker 1: Is is that their job? Though? Would at night? Would
- 19:58Speaker 1: it not be more? And I guess every example is different,
- 20:02Speaker 1: or every circumstance is different, but maybe it would even
- 20:05Speaker 1: open the door for them to say, you know what,
- 20:08Speaker 1: let's bring in doctor Rachel Siegfried speak with her. This
- 20:13Speaker 1: really sounds like you're dealing with a kid right who
- 20:18Speaker 1: is having explosive behavior, and we're berating that kid for
- 20:22Speaker 1: all the explosive behavior when we're not really looking at
- 20:25Speaker 1: what the hell's going on behind the scenes here with
- 20:27Speaker 1: this kid.
- 20:28Speaker 2: Absolutely, I think bringing in a psychologist is great. There
- 20:33Speaker 2: are a few things when you have to have the
- 20:35Speaker 2: money and resources for that, right and you have to
- 20:39Speaker 2: get your client to agree and to trust to that.
- 20:42Speaker 2: If your client doesn't already trust you, they're not exactly
- 20:44Speaker 2: going to be in client, especially if they come from
- 20:46Speaker 2: a background where psychologists stigmatized that they're going to say,
- 20:50Speaker 2: you're now you think I'm crazy? Right now, you're just
- 20:53Speaker 2: going to send me to a shrink. There was a
- 20:55Speaker 2: totally real reason I did that, you know So I
- 21:00Speaker 2: think that there's I love when people would bring in
- 21:02Speaker 2: a consultation that I think the lawyer also has to
- 21:06Speaker 2: be able to work with the person, and the person
- 21:08Speaker 2: has to be able to trust their lawyer. And so
- 21:10Speaker 2: I think that's where sometimes asking the why and knowing
- 21:15Speaker 2: your limits, right, if you feel that you're not able
- 21:17Speaker 2: to navigate that conversation, maybe it's bringing in a professional
- 21:21Speaker 2: who can and having them there with you.
- 21:23Speaker 1: But so in the bio, I mentioned that you authored
- 21:32Speaker 1: a chapter. What was that about? Specifically? Are you able
- 21:36Speaker 1: to talk about that a little bit?
- 21:38Speaker 2: It's specifically actually about this. It is going through and
- 21:41Speaker 2: breaking down a lot of the jargon that is in
- 21:48Speaker 2: complex trauma research and explaining kind of that foundation of
- 21:53Speaker 2: the loss of autonomy, the loss of trust, feelings of inferiority,
- 22:00Speaker 2: and how those will play out can play out within
- 22:02Speaker 2: the system and with your clients, and how to even
- 22:05Speaker 2: maybe start seeing flags to even think about the question
- 22:08Speaker 2: of trauma. Is your client being labeled as difficult? Do
- 22:14Speaker 2: they carry multiple diagnoses of different mood or psychotic disorders?
- 22:21Speaker 2: And that I think a lot of the times those
- 22:26Speaker 2: can be really great indicators that is the person really
- 22:31Speaker 2: that difficult or is the person pushing back because they're
- 22:35Speaker 2: feeling disregulated or trapped or victimized.
- 22:39Speaker 1: Again, feels like you're educating a whole population. I mean,
- 22:48Speaker 1: does this come Is this something that's like a brief
- 22:54Speaker 1: workshop in law school? If at all, are they I
- 23:00Speaker 1: would that would you know? Are they taught this any
- 23:03Speaker 1: portion of this? No?
- 23:05Speaker 2: Not that it in my experience, No that I've heard.
- 23:09Speaker 2: I've never heard of people saying that in law school
- 23:12Speaker 2: they got a class on maybe like you know, how
- 23:16Speaker 2: to use psychology in vordear or something else, but not
- 23:21Speaker 2: how to deal with clients who are struggling with mental
- 23:24Speaker 2: illness and how to really question trauma as a basis.
- 23:29Speaker 1: What we talk more specifically about why this became important
- 23:35Speaker 1: to you.
- 23:40Speaker 2: So all of my training was within hospital systems, and
- 23:44Speaker 2: my last year was at Elmhurst, and it was during
- 23:48Speaker 2: the pandemic UH and it was really hard to see
- 23:58Speaker 2: when our clients were already struggling in world where everything's
- 24:01Speaker 2: shut down. But so often when I was working on
- 24:05Speaker 2: inpatient units, I was getting called to the unit to
- 24:09Speaker 2: handle my patient because the patient wasn't cooperating with the psychiatrist,
- 24:14Speaker 2: the patient had gotten into a fight with the nurses,
- 24:16Speaker 2: or and so it felt like I was constantly being
- 24:19Speaker 2: a parent called to school right because your kid did
- 24:22Speaker 2: something and it didn't feel right for the client. Right.
- 24:27Speaker 2: These patients are here because they're really struggling right there there,
- 24:32Speaker 2: because they've had a psychotic break or wanted to done
- 24:34Speaker 2: their life, and nobody it didn't feel like people weren't
- 24:39Speaker 2: necessarily trying to understand them because it's an overwhelmed public
- 24:42Speaker 2: hospital system. There were absolutely people who did, but in
- 24:46Speaker 2: that overwhelmed system, you can't spend as much time as
- 24:49Speaker 2: you want to with each client, right, and so right
- 24:52Speaker 2: when clients aren't taking their medication, it's we're going to
- 24:55Speaker 2: go to court or you're gonna have to take it,
- 24:57Speaker 2: And well, why don't you want to take it? Right?
- 25:00Speaker 2: I've heard clients say, because I'm drowsy. This is a
- 25:03Speaker 2: co ed unit. I don't feel safe. That's a great
- 25:07Speaker 2: reason if you've experienced sexual trauma and people are saying, well,
- 25:11Speaker 2: they didn't tell me that. They didn't tell me that
- 25:13Speaker 2: during intake. Of course they didn't. They hadn't built any
- 25:17Speaker 2: trust yet.
- 25:18Speaker 1: Mm hmm. What do you think allows you to do
- 25:21Speaker 1: this work? Because you seem I asked that question because
- 25:25Speaker 1: there's a particular obviously curiosity that you have or almost
- 25:31Speaker 1: like a need you have to get in there. And
- 25:37Speaker 1: what listen ask these questions? What is it?
- 25:45Speaker 2: I feel like I've just always felt this. It's just
- 25:48Speaker 2: everybody does make sense at the end of the day,
- 25:51Speaker 2: like there's a grain of truth at the end of
- 25:53Speaker 2: the day. And I just I love a puzzle. I do.
- 25:57Speaker 2: I loved to puzzle so much. You know, I'll spend
- 26:02Speaker 2: way too much time on sadogu.
- 26:04Speaker 1: So and is it is it like we need to
- 26:07Speaker 1: find out what's behind or beneath We're at the core
- 26:14Speaker 1: of this, And that's important because why.
- 26:20Speaker 2: I think once we understand where our behaviors and our
- 26:26Speaker 2: feelings are coming from, we can have so much more
- 26:28Speaker 2: empathy for ourselves. And right if we feel that we're
- 26:33Speaker 2: doing something and it doesn't make sense to us or
- 26:36Speaker 2: to anyone else, that's incredibly painful. Right when we feel
- 26:41Speaker 2: that we are doing something right, maybe it's that I
- 26:45Speaker 2: push away everyone I feel close to. Maybe I understand that,
- 26:51Speaker 2: but if nobody else understands why, I'm going to feel
- 26:54Speaker 2: incredibly lonely, I'm gonna feel even lonelier than I already did,
- 26:57Speaker 2: because I'm not being seen, and that if I don't
- 27:00Speaker 2: understand why I'm doing it now, I just I feel crazy.
- 27:04Speaker 2: I feel disconnected, And I think I've such a gift
- 27:09Speaker 2: to be able to feel that we make sense to
- 27:11Speaker 2: ourselves and that others can then also understand us.
- 27:14Speaker 1: I think it's interesting to be doing this as a psychologist,
- 27:19Speaker 1: but it takes on a different aura or you when
- 27:24Speaker 1: you were educating other popular or other other professionals about this.
- 27:30Speaker 1: Right again, it's it's it's it's a language that they
- 27:33Speaker 1: don't normally use, and it's asking. I feel it's asking
- 27:39Speaker 1: them to do something that. Okay, it doesn't matter to
- 27:43Speaker 1: me why they're doing it. They they created this problem
- 27:46Speaker 1: or this X, and why happened. We now we got
- 27:49Speaker 1: to deal with all that. Why are you asking me
- 27:51Speaker 1: to deal with why? Why is that important? Why is
- 27:55Speaker 1: why important?
- 27:59Speaker 2: You know? I definitely I've gotten this from my parents
- 28:01Speaker 2: when they last at different points, like I've got this case.
- 28:04Speaker 2: I'm thinking, oh, if you thought about asking here, and
- 28:06Speaker 2: they're like, uh, you know, go down that road, and
- 28:11Speaker 2: I think that it is. My answer is always kind
- 28:16Speaker 2: of you don't have to do right, You don't have
- 28:18Speaker 2: to go down the road of the y. But the
- 28:22Speaker 2: person you're deeming difficult, they're gonna stay difficult, have fun. Right,
- 28:27Speaker 2: you're not going to get any trust. You might do
- 28:30Speaker 2: a great job on their behalf. I don't doubt that
- 28:32Speaker 2: there's write that ethic there. You might do a wonderful
- 28:35Speaker 2: job as their attorney. Can you do more? Can you
- 28:40Speaker 2: be a different experience for this person? Does that matter
- 28:43Speaker 2: to you? And my answer is I hope yes. It
- 28:48Speaker 2: isn't their job, but you can be, as you know,
- 28:52Speaker 2: you can be a different chapter in someone else's story
- 28:54Speaker 2: through these small acts, and.
- 28:57Speaker 1: Which I mean just right, I mean it's very into
- 29:00Speaker 1: seem to say, well, it's not you know, as I said,
- 29:02Speaker 1: it may not be their job, it may not be
- 29:06Speaker 1: part of their job description. But it's also interesting to
- 29:09Speaker 1: think that people who you know necessarily maybe go into
- 29:15Speaker 1: that field. Maybe that's not part of their makeup to
- 29:19Speaker 1: ask that particular question, right, and whereas for you or
- 29:22Speaker 1: myself it would be. But as you're saying, it's crucial
- 29:27Speaker 1: to working with the people they're going to be working with.
- 29:34Speaker 2: Wow, it matters to the clients. And right, if you're
- 29:37Speaker 2: saying I wanted you write by the client, then here's
- 29:39Speaker 2: another tool in that toolkit that can really surf you
- 29:43Speaker 2: also can serve their defense, right that understanding that this
- 29:47Speaker 2: person might have done something violent or criminal, and can
- 29:54Speaker 2: we also understand the foundation of trauma and how that
- 29:56Speaker 2: could have had an impact or mitigating factors. There's also
- 30:00Speaker 2: a legal you know, if you add in, hey, this
- 30:03Speaker 2: could benefit your legal defense or your legal strategy. It
- 30:06Speaker 2: isn't tech that I think that part is a little
- 30:07Speaker 2: bit more enticing too.
- 30:10Speaker 1: So as we kind of wine down here, Rachel, in
- 30:13Speaker 1: what capacity now are you working? Who do you work with?
- 30:18Speaker 2: I'm currently in transitioning to private practice and this spring
- 30:23Speaker 2: I'm starting my own private practice. I work with individuals
- 30:29Speaker 2: across a range of dimensions, not just complex trauma, but
- 30:34Speaker 2: with relationships, stress work, stress, depression, anxiety, and I also
- 30:41Speaker 2: work with couples and I really love that work as well.
- 30:45Speaker 2: Just getting back to the whys, right, everybody in this
- 30:48Speaker 2: relationship has a why for what they're doing, and can
- 30:52Speaker 2: you see your partners why? I love that work. So
- 30:55Speaker 2: that's who I'm working with these.
- 30:56Speaker 1: Days, all right, And we'll have links for all your
- 31:00Speaker 1: stuff up here at the show notes page at the
- 31:04Speaker 1: Trauma Therapist podcast dot com. So good all right, Rachel,
- 31:08Speaker 1: thanks so much for taking to take care all right,