Latest / The Trauma Therapist / There's No Pill for Shame with Rob Gent
Transcript
- 0:00Speaker 1: Welcome to the Trauma Theriporist podcast. My name is Guimi Ferson,
- 0:03Speaker 1: and I interview incredible people who share the story of
- 0:07Speaker 1: how trauma has shaped their lives. And a big thank
- 0:10Speaker 1: you for sponsoring today's episode goes to my guest and
- 0:13Speaker 1: our sponsors. So five four, three, two and one, our folks,
- 0:25Speaker 1: welcome back to the podcast. Very excited to have as
- 0:28Speaker 1: my guest today, Doctor Robert Gent.
- 0:30Speaker 2: Robert Welcome, Yes, thanks Guy, good to be here.
- 0:34Speaker 1: Doctor Gent is an accomplished clinician and expert in psychotherapeutic development,
- 0:38Speaker 1: with a distinguished career that spans over two decades. He's
- 0:42Speaker 1: currently the chief Clinical Officer at Pacific Quest, where he
- 0:46Speaker 1: oversees the clinical program and sharing the highest standards of
- 0:49Speaker 1: care and leading a dedicated team of professionals. All right, Rob,
- 0:54Speaker 1: obviously just a little bit about you, but before we
- 0:56Speaker 1: get going, share with the listeners where you're from originally
- 0:59Speaker 1: and where you are currently.
- 1:01Speaker 3: Dive in terrific guy originally from southern California, a small
- 1:05Speaker 3: little town called San Clemente, California. So I've been in
- 1:10Speaker 3: the water and surfing has been a big part of
- 1:12Speaker 3: my life for a long long time. And then the
- 1:14Speaker 3: finished graduate school and moved out to Missouri, of all places,
- 1:18Speaker 3: to start a behavioral health company and treating adolescents with
- 1:24Speaker 3: trauma issues, developmental trauma, relinquishment histories. And had an amazing
- 1:29Speaker 3: career for eighteen years building a behavioral health company. We
- 1:32Speaker 3: expanded across the whole US and was living in Phoenix,
- 1:37Speaker 3: Arizona for the last seven years. That was our corporate headquarters,
- 1:40Speaker 3: and then within this last year have relocated to the
- 1:43Speaker 3: Big Island of Hawaii to do focus on integrative medicine
- 1:49Speaker 3: and psychotherapy for young adults, in adolescents in their families.
- 1:55Speaker 1: Wow, damn, as I say, so, how did this start
- 2:01Speaker 1: for you? This passion start for you?
- 2:05Speaker 3: I like that, you say that, guy, I early on, I,
- 2:10Speaker 3: of course, I think we're all in the business to
- 2:12Speaker 3: a little bit try to heal ourselves.
- 2:14Speaker 2: So I have a little bit.
- 2:14Speaker 3: Of trauma in my life, understanding where my family come from,
- 2:19Speaker 3: and it's forced me to become I'm high emotional and
- 2:24Speaker 3: high analytical, and so it served me well to really
- 2:27Speaker 3: understand what is this thing.
- 2:29Speaker 2: We call relationship.
- 2:30Speaker 3: And when I started to hear about therapy, and I
- 2:33Speaker 3: went to graduate school and I really wanted to take
- 2:35Speaker 3: it apart and understand the science around development and what
- 2:40Speaker 3: happens in relationship. Of course, that led me quickly to
- 2:43Speaker 3: doctor Dan Siegel Lewis cause Alino, these guys to be
- 2:47Speaker 3: able to understand interpersonal neurobiology was by really became the
- 2:52Speaker 3: foundation of what I wanted to do, and it was
- 2:56Speaker 3: really in an effort to I'll just put it this way,
- 2:59Speaker 3: after all these years understanding, I've been looking how to
- 3:02Speaker 3: integrate my own shame and recognize how much shame is
- 3:06Speaker 3: in other people and how trauma impacts that shame. So
- 3:09Speaker 3: that's that became my passion. And then I read a
- 3:13Speaker 3: book by a man named doctor or His name is
- 3:16Speaker 3: Ryan Holiday. He wrote a book called Ego Is the Enemy,
- 3:20Speaker 3: and I quickly realized, oh, I need purpose rather than passion,
- 3:26Speaker 3: And so I was able to spend the last couple
- 3:28Speaker 3: of years really focusing on what is my purpose as
- 3:32Speaker 3: a human being, what's my purpose as a therapist, and
- 3:35Speaker 3: how do I best serve And that it came to
- 3:37Speaker 3: me that my purpose is really about developing trust and
- 3:40Speaker 3: creating trust and how important trust.
- 3:41Speaker 2: Is and what that means a neurobiological level.
- 3:46Speaker 1: Would you recommend that book for those apps trying to
- 3:52Speaker 1: maybe rediscover their purpose.
- 3:54Speaker 3: I'd gree I think Ryan Holiday ego is the Enemy
- 3:57Speaker 3: is a really great place to start, can you know,
- 4:01Speaker 3: Simon Sinek, start with why is a good book as
- 4:03Speaker 3: well to really understand, you know, what is my why?
- 4:08Speaker 2: Start with why?
- 4:08Speaker 3: But it really is about understanding where does purpose come from?
- 4:13Speaker 2: Lots of times.
- 4:14Speaker 3: Our ego and our insecurities get in the way and passion.
- 4:19Speaker 3: Passion can actually be a little fleeting rather than purpose
- 4:22Speaker 3: gives us orientation.
- 4:24Speaker 1: M Yeah, love that. So when you were younger, you
- 4:28Speaker 1: kind of refer to someone some stuff going on in
- 4:31Speaker 1: your own life. How did you manage that? How did
- 4:37Speaker 1: you how were you operating?
- 4:40Speaker 3: I didn't manage it very well, guy.
- 4:43Speaker 2: I barely graduated from high school. I missed a ton
- 4:46Speaker 2: of school.
- 4:47Speaker 3: I was a wayward soul relationships where I was good
- 4:53Speaker 3: in relationships, but I was always insecure in relationships, and
- 4:57Speaker 3: I was found myself in a very tenuous place with
- 5:01Speaker 3: do I.
- 5:01Speaker 2: Go to school? I just was really lost.
- 5:04Speaker 3: I was not living up to the expectations. I felt
- 5:07Speaker 3: a tremendous amount of shame everywhere, and so I was
- 5:10Speaker 3: compensating for that shame. Looking back, now it was like,
- 5:13Speaker 3: oh my gosh, I was just I was compensating everywhere,
- 5:16Speaker 3: and it just felt I was concerned about what I
- 5:19Speaker 3: was seen as and I couldn't live.
- 5:21Speaker 2: Up to that.
- 5:22Speaker 3: And I was just in this cycle of just really
- 5:24Speaker 3: feeling bad and sabotaging relationships. Romantic relationships in particular were
- 5:30Speaker 3: very overwhelming, and I would get angry and I noticed
- 5:33Speaker 3: that I had just this incredible temper and it was yeah,
- 5:36Speaker 3: I compensated it in very destructive ways.
- 5:40Speaker 1: Actually was this kind of before college.
- 5:48Speaker 3: Yeah, before college, and even through college's I noticed some
- 5:52Speaker 3: of those patterns coming up. But college I was able
- 5:56Speaker 3: to find a place that I found a place through
- 6:01Speaker 3: understanding psychology. I remember taking a few psychology courses graduate
- 6:05Speaker 3: level psychology in my undergrad taking some very difficult psychology courses,
- 6:11Speaker 3: and it really the light bulb came on for me,
- 6:14Speaker 3: to be honest with you, It was so I remember
- 6:18Speaker 3: taking my first few psychology courses and being able to
- 6:22Speaker 3: You might laugh at this. I sat in one and
- 6:24Speaker 3: the teacher handed out he said. The professor said, listen,
- 6:28Speaker 3: I take a sheet of paper. All I want you
- 6:31Speaker 3: to do is a pen a sheet of paper. I
- 6:33Speaker 3: want you to draw a house, a tree in a
- 6:36Speaker 3: person and that's it. And I had no idea what
- 6:40Speaker 3: that was guy, and he gave me about twenty five
- 6:43Speaker 3: minutes to do it. The whole class did it, and
- 6:46Speaker 3: he not pointing the finger at me. He totally generalized,
- 6:51Speaker 3: but went through the description and it absolutely described me to.
- 6:56Speaker 2: A d Wow. It was amazing.
- 6:58Speaker 3: So this projective house person we've in the psychological field,
- 7:02Speaker 3: it's been around since you know, forty fifty years or
- 7:05Speaker 3: whatever it is actually, and it absolutely turned the light
- 7:08Speaker 3: bulb ont for me. That's somebody who didn't know me
- 7:11Speaker 3: and just completely in this projective test.
- 7:14Speaker 2: It was me to a t.
- 7:15Speaker 3: And so I became so fascinated to be able to
- 7:18Speaker 3: understand what makes people tick, how do we develop these personalities?
- 7:23Speaker 3: What goes into that? You know, it's combination of all
- 7:27Speaker 3: sorts of nature and nurture. And so it started my
- 7:30Speaker 3: path to be honest with you and my interest.
- 7:34Speaker 1: So talk a little bit about you reference, like in
- 7:38Speaker 1: your interest in the developmental psychology and human development this adolescence,
- 7:46Speaker 1: How did that start to forge that.
- 7:50Speaker 3: Interest during my adolescence?
- 7:54Speaker 1: Your interest in working with adolescents interesting?
- 7:59Speaker 3: Yeah, I don't think that it was ever. Initially it
- 8:02Speaker 3: was my focus. It wasn't I wasn't going to graduate
- 8:05Speaker 3: school saying I'm going to work it out in adolescence.
- 8:08Speaker 3: What happened was I was very fortunate we had I
- 8:11Speaker 3: was hooked up with a common friend. I was just
- 8:14Speaker 3: finishing graduate school and this friend said to me, Hey,
- 8:17Speaker 3: I know this acquaintance of mine. They're starting a program.
- 8:21Speaker 3: And I was like, what's a program? And they said,
- 8:24Speaker 3: it's called residential Treatment center, But it's not adjudicated kids,
- 8:29Speaker 3: it's none of that stuff, and they're looking to do
- 8:33Speaker 3: something completely different. But what they do is they take
- 8:35Speaker 3: adolescence young adolescents and adolescents who have had all kinds
- 8:41Speaker 3: of traumatic pass and it's too hard for them to
- 8:44Speaker 3: live at home. There's all these symptoms, they're maybe self harming, suicidal,
- 8:49Speaker 3: acting out, and would you be interested? So I began
- 8:54Speaker 3: to look into it and delve into it, and.
- 8:58Speaker 2: So I got in.
- 9:00Speaker 3: We started our very first program in Missouri, and our
- 9:04Speaker 3: focus became interesting is adolescents with adoption histories or relinquishment histories,
- 9:10Speaker 3: and so that was a perfect venue for me to
- 9:13Speaker 3: begin to understand and I climbed into books. I was
- 9:17Speaker 3: trying to understand what this development research, what is developmental trauma?
- 9:21Speaker 3: What does that mean? Understanding the science and that's what
- 9:24Speaker 3: led me to certainly Dan Siegal's work I worked with
- 9:29Speaker 3: very closely with. His name is doctor Dan Hughes. Diatic
- 9:31Speaker 3: developmental psychotherapy is what he developed and was able to
- 9:35Speaker 3: work with those guys. I started to become a member
- 9:38Speaker 3: of the ATTACH ATTACH is what it's called the Attached Foundation.
- 9:44Speaker 3: They have large conferences. So my life quickly went into
- 9:47Speaker 3: this really working with adolescents with developmental trauma. And I
- 9:51Speaker 3: quickly saw that the relinquishment in the adoption was significant.
- 9:56Speaker 3: But we were seeing some of these patterns with all
- 9:59Speaker 3: kinds of adolescents and just turning the screws and doing
- 10:03Speaker 3: behavior modification wasn't a super effective guy, to be honest
- 10:08Speaker 3: with you, and we wanted to do it a different way.
- 10:13Speaker 1: Prior to that time or even during this time, were
- 10:16Speaker 1: you had you started like working on yourself, had you
- 10:21Speaker 1: were going through your own healing process or what?
- 10:24Speaker 3: Boy? Great question, Yeah, I've I've been I would say
- 10:32Speaker 3: working on a relationship with my father for the last
- 10:36Speaker 3: forty something years. It's been I will often say my parents.
- 10:41Speaker 3: Now I can say This gave me the gift of shame,
- 10:45Speaker 3: a bit of a tumultuous relationship at times, and so yeah,
- 10:50Speaker 3: I was I was becoming more aware of what was
- 10:53Speaker 3: happening in me, this sense of shame, how early trauma
- 10:58Speaker 3: for me impacted those relationships. So I saw much of
- 11:01Speaker 3: myself showing up in these kids, and they had similar
- 11:05Speaker 3: family situations and I wasn't adopted, but it was really
- 11:08Speaker 3: fascinating to me that I was demonstrating some of these
- 11:10Speaker 3: similar behaviors. So I was absolutely working on myself at
- 11:14Speaker 3: that time, climbing into books, trying to understand what this was.
- 11:19Speaker 3: And yeah, still working on You know you don't forget,
- 11:23Speaker 3: is that as you integrate trauma, you don't forget, But
- 11:26Speaker 3: it doesn't impact me as much. I'm consciously aware of that,
- 11:29Speaker 3: and it's really given me, given me a gift to
- 11:32Speaker 3: work with adolescents and families and now young adults and
- 11:36Speaker 3: working with couples because it was interesting, as you know, guy,
- 11:39Speaker 3: are attachment stories. Everybody's got one, Franklyn, what does.
- 11:46Speaker 2: It mean to work on it?
- 11:47Speaker 1: Yeah, So before we get into how you transitioned to
- 11:55Speaker 1: what you're doing now and why and with the understanding
- 11:59Speaker 1: that you know, everyone's different, but what were you seeing
- 12:02Speaker 1: in these kids and how were you working with them?
- 12:05Speaker 1: How did you find to discover to get to these kids.
- 12:14Speaker 3: So, as I was learning and growing and studying and
- 12:19Speaker 3: all of that, I had the privilege of being in
- 12:21Speaker 3: practice at the same time, and I was recognizing so
- 12:25Speaker 3: keenly as I was learning that the structure of the brain,
- 12:30Speaker 3: I'll use Dan Siegal's and model the brain, the.
- 12:32Speaker 2: Structure of the brain was.
- 12:35Speaker 3: Using cognitive talking strategies weren't effective for these kids. Lots
- 12:40Speaker 3: of traumatized kids have very high IQs and they can talk,
- 12:44Speaker 3: and they can talk, but their behaviors and their emotional states,
- 12:48Speaker 3: their nervous systems were still on high alert. I could
- 12:50Speaker 3: film my own nervous system on high alert. I knew
- 12:54Speaker 3: that I would try to compensate and use my brain
- 12:56Speaker 3: to think my way out of my emotions, and it
- 12:59Speaker 3: wasn't working. Guy, it just wasn't working. And so for me,
- 13:05Speaker 3: what I saw show up with them in particular as
- 13:07Speaker 3: I worked with them, that we need to create experiences.
- 13:11Speaker 3: And it was such a gift to me to understand
- 13:13Speaker 3: that the limbic system, when we talk about the subcortical system,
- 13:17Speaker 3: the abigdala below. That central nervous system doesn't have capacity
- 13:22Speaker 3: for words, and it needs experiences in order. You know,
- 13:27Speaker 3: you can't really you're never going to talk anybody out
- 13:29Speaker 3: of their shame because of where shame exists. You need
- 13:32Speaker 3: experiences to be able to create and repetitive, reliable experiences.
- 13:37Speaker 3: I mean, I know you've had Bruce Berry on your
- 13:41Speaker 3: on your on your show, and uh yeah, absolutely right,
- 13:46Speaker 3: you know all those.
- 13:46Speaker 1: Are what kind of experiences are we talking about here?
- 13:51Speaker 3: So it's experiences of acceptance. Really, even when we look
- 13:55Speaker 3: at gosh, having some closeness, what does it mean to
- 13:59Speaker 3: be able to be close to somebody. Receptivity to physical touch,
- 14:03Speaker 3: I mean, eye contact, all of these things that are
- 14:06Speaker 3: so hard for a traumatized system to even do. As
- 14:09Speaker 3: you know, it's like to reach out to somebody who's
- 14:12Speaker 3: been traumatized, don't touch me. They can have a visceral
- 14:15Speaker 3: response to that. Their neuroception is just can be on fire.
- 14:19Speaker 3: Or we saw I was seeing a lot of the reverse.
- 14:22Speaker 3: We would we'd be treating girls and I'd noticed they'd
- 14:25Speaker 3: actually come in too close for indiscriminate touch, and then
- 14:28Speaker 3: the affectional on the sexual stuff was completely flip flopped.
- 14:32Speaker 3: So it wasn't don't touch me, it was like touch
- 14:34Speaker 3: me in a way that doesn't match up with the
- 14:37Speaker 3: emotion relationship. So those experiences were at that time for us,
- 14:43Speaker 3: it was about all this nonverbal stuff. I mean, we
- 14:46Speaker 3: would certainly use language, but we were looking to do
- 14:49Speaker 3: what be beside them be able to do interventions. I
- 14:53Speaker 3: love sensory MOTORCYCLEO therapy. Pad Augden's work is really great
- 14:56Speaker 3: about that.
- 14:57Speaker 2: How do we.
- 14:58Speaker 3: Create movements, how do we even.
- 15:00Speaker 2: Do the clasping? How do we do these things that get.
- 15:03Speaker 3: Beyond and below that rational brain that is frankly lots
- 15:07Speaker 3: of times the lid iss flipped. So one thing we
- 15:10Speaker 3: did early on was we looked at canine therapy. This
- 15:15Speaker 3: was huge for us, and I love this because canines
- 15:18Speaker 3: don't talk to you in verbal.
- 15:19Speaker 2: Ways, but what do they do.
- 15:22Speaker 3: They are safe relationships, They give you feedback. This is
- 15:25Speaker 3: why I love equine therapy. And a horse is as
- 15:28Speaker 3: safe as they can go. They immediately tell you where
- 15:31Speaker 3: you're at. They get a feel for this. So early on,
- 15:35Speaker 3: this was many years ago. We still have this program,
- 15:37Speaker 3: but we I think currently sixty Golden Retrievers pure big
- 15:42Speaker 3: Golden Retriever in the programs working with the kids. These
- 15:46Speaker 3: kids have adoption histories, would actually go in and learn
- 15:50Speaker 3: to take care of and we called it transferable attachment.
- 15:53Speaker 3: They would take care of them, and then when they
- 15:54Speaker 3: left the program, they would actually adopt one of the
- 15:57Speaker 3: Golden Retrievers and.
- 15:57Speaker 2: Take it home.
- 15:58Speaker 1: WHOA, oh my god.
- 16:01Speaker 2: Pretty amazing stuff.
- 16:02Speaker 1: And we that sounds amazing.
- 16:04Speaker 3: Yeah, you talk about experiences, I mean profoundly changing their neurobiology.
- 16:12Speaker 4: So so so you you figured out the significance of
- 16:21Speaker 4: experiences through or after.
- 16:26Speaker 1: Trying to work with words with these kids.
- 16:29Speaker 2: The words weren't working.
- 16:31Speaker 1: The words weren't working.
- 16:32Speaker 2: With the parents. I would always.
- 16:33Speaker 3: Say them, you know, mom and dad, you have your
- 16:36Speaker 3: rational bat you continue to sprinkle with love and compassion,
- 16:39Speaker 3: and we wail away absolutely well intentioned. But they're what
- 16:45Speaker 3: I call it, it's well intentioned misattunements.
- 16:48Speaker 1: Yeah, all right, let me just remind everyone I'm speaking
- 16:52Speaker 1: with Rob jen a pacific quest. So what are you
- 16:55Speaker 1: doing now in Hawaii? Why did you switch shift gears
- 17:01Speaker 1: in a sense?
- 17:02Speaker 2: Great?
- 17:02Speaker 3: Yeah, So after many years of working with this behavioral
- 17:07Speaker 3: health company, I started to really get into and understand
- 17:10Speaker 3: I was. I was traveling around doing conferences and stuff,
- 17:13Speaker 3: but I was still privileged to work with families. And
- 17:15Speaker 3: I was noticing that therapists at that time, I'd get
- 17:20Speaker 3: this all the time, that they'd be frustrated, like, hey,
- 17:22Speaker 3: I'm trying to work with his family and they're just
- 17:25Speaker 3: not it seems like they're lethargic. Are the meds right?
- 17:28Speaker 3: All of this stuff? And quickly I said, I cluded
- 17:31Speaker 3: into this. I said, did you ask them how much
- 17:33Speaker 3: sleep they've had? Did you ask them what they've had
- 17:36Speaker 3: to eat? And no, surprise, Gee, they're not really that
- 17:41Speaker 3: engaged in stuff. And come to find out they've been
- 17:43Speaker 3: surviving on a bag of tackies and a couple of
- 17:45Speaker 3: oreos for the last four days. And I'm like, wait
- 17:49Speaker 3: a second. So I really started to get into gut
- 17:52Speaker 3: brain health. When we look at these integrative type of approach,
- 17:57Speaker 3: how are microbiome actually relates to our cognitive, social, emotional
- 18:02Speaker 3: affect type of stuff related to mood?
- 18:05Speaker 2: Mood is food, as.
- 18:07Speaker 3: You guys have heard. So for me, the integrative piece
- 18:10Speaker 3: became really pronounced for me, and I think there's this
- 18:13Speaker 3: huge need.
- 18:13Speaker 2: To do that.
- 18:14Speaker 3: So going out to Hawaii, there was this program called
- 18:17Speaker 3: Pacific West, and they have been really an amazing integrative
- 18:20Speaker 3: physician out there, and we have an integrative psychiatrist as well,
- 18:24Speaker 3: and so me bringing the developmental psychotherapy piece allowed us
- 18:29Speaker 3: to really bring these three components.
- 18:31Speaker 2: And I'm just so excited about a guy.
- 18:33Speaker 3: We're doing blood work, we're doing all kinds of genomic testing,
- 18:37Speaker 3: doing all the while, we're doing the psychotherapy relational piece.
- 18:42Speaker 3: As you know, as good as psychopharm psychopharmacology is right now,
- 18:46Speaker 3: there's still.
- 18:46Speaker 2: No pill for shame doesn't exist. So this is exciting
- 18:51Speaker 2: for me.
- 18:52Speaker 3: So this is what brought me to this program in particular,
- 18:55Speaker 3: and we're very excited to be building out in the
- 18:57Speaker 3: work we're doing to look at really integrative, an integrative
- 19:01Speaker 3: approach to health in a different way.
- 19:04Speaker 1: So who who are you working with? Individuals or families?
- 19:10Speaker 3: So adolescents, young adults and families.
- 19:14Speaker 1: Okay, okay, the whole adolescence piece is very fascinating to me.
- 19:20Speaker 1: And your story reminded me of an experience I had
- 19:25Speaker 1: where I was working in a clinic, multidisciplinary clinic, and
- 19:32Speaker 1: we were treating and assessing young kids who were showing
- 19:36Speaker 1: early signs of psychosis. And we had to deliver or
- 19:41Speaker 1: administer this forty page assessment to these kids, fourteen, fifteen, sixteen, seventeen,
- 19:50Speaker 1: eighteen year old kids. And you know, as you can
- 19:54Speaker 1: imagine having a kid sit there for you know, oftentimes
- 19:59Speaker 1: two hours, maybe three hours. It was nuts. And we
- 20:04Speaker 1: would work with a colleague. So there'll be two of
- 20:08Speaker 1: us administering this to this these these kids. And I'll
- 20:11Speaker 1: never forget this. You know. I was maybe a year
- 20:16Speaker 1: or two out of graduate school, had my degree, you know,
- 20:20Speaker 1: I was taking workshops and trauma, and I was so
- 20:25Speaker 1: excited to you know, learn utilize all of my knowledge,
- 20:33Speaker 1: you know, and I'll never forget as we were, I was,
- 20:36Speaker 1: I was giving this assessment to this this young woman,
- 20:40Speaker 1: a young girl, and it was just not getting anywhere.
- 20:45Speaker 1: She was just not being receptive and she was just like,
- 20:47Speaker 1: you know, one word answers. And I had never done
- 20:52Speaker 1: this before, and I was thinking to myself, what what
- 20:57Speaker 1: is wrong with what am I doing? What am I
- 20:59Speaker 1: not doing? I should be able to get to connect
- 21:02Speaker 1: with this person. And Rob, I had this assessment in
- 21:07Speaker 1: my hand and I just like stopped everything. I leaned
- 21:11Speaker 1: back and I closed up the assessment and I just
- 21:16Speaker 1: put it down on the desk and I said, all right,
- 21:19Speaker 1: you don't forget this, call her Dorian Dorien. You know,
- 21:26Speaker 1: I shifted everything. I shifted my position, took my glasses off,
- 21:33Speaker 1: changed the whole state just in a very natural way
- 21:36Speaker 1: of myself. And I said, okay, forget this. Let me
- 21:40Speaker 1: ask you a question. What is it that your mother,
- 21:46Speaker 1: your parents out there in the waiting room are not getting.
- 21:49Speaker 1: What is the other therapist that you've seen, your dot
- 21:54Speaker 1: what do they need to hear? And it was that
- 21:59Speaker 1: all of that experience, what you're talking about in the sense,
- 22:03Speaker 1: shifted the whole dynamic, disrupted this whole crazy assessment and
- 22:10Speaker 1: process and open things up, and not only for her
- 22:16Speaker 1: but for me, you know, and it really.
- 22:20Speaker 5: Allowed me to understand the value of kind of what
- 22:25Speaker 5: you're talking about, is this experience and how we connect
- 22:29Speaker 5: with people, especially young kids.
- 22:33Speaker 2: I love that guy.
- 22:34Speaker 3: Yeah, And it's it's I can't emphasize enough. And you're
- 22:38Speaker 3: seeing probably this in your career as well as this
- 22:40Speaker 3: diadic experience. This this diadic it's really this exchange between
- 22:45Speaker 3: the two. Doctor Dan Hughes labels an inter subjectivity, right,
- 22:50Speaker 3: this exchange of oxytocin what happens in this. You know,
- 22:54Speaker 3: there's some release a little bit of dopamine, but the
- 22:56Speaker 3: oxytocin is just really so connected to between the two,
- 23:00Speaker 3: and that's what you're expressing that it shifts everything because
- 23:03Speaker 3: what is their homeostasis. I'm going to meet with a
- 23:06Speaker 3: professional and they're going to talk at me, have me
- 23:08Speaker 3: do this very cerebral cognitive stuff, and it get stuck
- 23:12Speaker 3: to my cognitive brain, and yet my nervous system is
- 23:15Speaker 3: probably on fire.
- 23:18Speaker 1: How do you, with all of your experience, when you
- 23:25Speaker 1: step into a room with let's say a young adult
- 23:28Speaker 1: or whomever, how do you begin that interaction?
- 23:36Speaker 2: That's such a great question.
- 23:37Speaker 3: I'm looking to really match their when I would say
- 23:41Speaker 3: match their energy and their affect, not if they're so dysregulated.
- 23:45Speaker 3: But I'm not necessarily Calm does not always equal regulated
- 23:50Speaker 3: for me, you know what I'm saying. There's kids, yeah,
- 23:53Speaker 3: and they're depressed, but it could be calm, but it
- 23:57Speaker 3: doesn't mean they're regulated. So I need to come in
- 23:59Speaker 3: and be able to meet them where they're at. So
- 24:01Speaker 3: I'm actually looking for what I call these indicators of coregulation.
- 24:05Speaker 3: I'm actually seeing how close can I get to them?
- 24:07Speaker 3: And can they give them eye contact? Is their congruence
- 24:10Speaker 3: of affect. A big one for me, and you know
- 24:13Speaker 3: this is no surprise, is the use of empathy. How
- 24:17Speaker 3: do they respond to empathy? Empathy is such a crucial
- 24:21Speaker 3: experience that gets below the cortex into a place, into
- 24:25Speaker 3: an experience of real acceptance because how many people, how
- 24:28Speaker 3: many parents, how many whatever are they're trying to fix
- 24:33Speaker 3: rather than be able to embrace there.
- 24:36Speaker 1: Can you give me an example.
- 24:39Speaker 3: So you know, I'll come in And I always like
- 24:42Speaker 3: to say this to parents if your kid gets really
- 24:44Speaker 3: frustrated and they fail to test or they didn't do good,
- 24:47Speaker 3: and they come in and they say what, Oh, I'm
- 24:49Speaker 3: so stupid.
- 24:50Speaker 2: And the parents says, what, Well, no, you're not.
- 24:55Speaker 3: Oh you're not in right.
- 24:57Speaker 2: Many of reasons why you're not stupid.
- 25:01Speaker 3: And in that moment, the kid is saying what, it's
- 25:04Speaker 3: not about being stupid, He's having it. He's emotionally telling
- 25:07Speaker 3: us something. I don't feel smart enough, I don't feel
- 25:09Speaker 3: like I'm going to measure up.
- 25:10Speaker 2: I don't do this.
- 25:11Speaker 3: But the shift of the empathy is to go towards it,
- 25:14Speaker 3: because there's a certain amount of loneliness that all of
- 25:17Speaker 3: these a lot of people feel, but some of that
- 25:20Speaker 3: emotion is really tired. So if I try to change loneliness,
- 25:23Speaker 3: it only exacerbates the loneliness. But if I can go
- 25:26Speaker 3: towards it and say, if I'm you, loneliness feels like
- 25:30Speaker 3: what I'm feeling, just absolutely separate from everybody. I'm feeling
- 25:34Speaker 3: a sense of I'm just going to be alone and
- 25:36Speaker 3: I don't have value. And if I can go towards
- 25:39Speaker 3: it and hold it, now I'm sharing their loneliness. I
- 25:42Speaker 3: actually trick their brain. I rea wire their brain through
- 25:47Speaker 3: this neural plastic connection. That also I'm tricking them. I'm
- 25:51Speaker 3: actually sharing their loneliness without a bunch of contingency, and
- 25:54Speaker 3: I'm not expecting a response other than for them to
- 25:57Speaker 3: create wonderment, for them to be able to just wonder,
- 26:00Speaker 3: oh gosh, And I'm sharing this with them. We checked
- 26:02Speaker 3: their brain and now loneliness is not so lonely. And
- 26:06Speaker 3: guess what we can do next time, but talk about loneliness.
- 26:10Speaker 3: I love this stuff because I'm like experience through all
- 26:14Speaker 3: of these nonverbals, getting close to doing this and kind
- 26:17Speaker 3: of hitting them with empathy. And that's so when I
- 26:20Speaker 3: come into a room I'm looking to do all of
- 26:23Speaker 3: that with a person.
- 26:28Speaker 1: When you first started doing this work, did that come
- 26:34Speaker 1: naturally for you?
- 26:39Speaker 2: That's a great question.
- 26:40Speaker 3: It is a It's a skill to be practiced and learned.
- 26:45Speaker 3: I will say that because lots of us have a
- 26:47Speaker 3: lot of compassion and want people not to suffer and
- 26:52Speaker 3: to change, which is really great.
- 26:55Speaker 2: But it's.
- 26:57Speaker 3: It's been a long road to learn how to what
- 27:00Speaker 3: actually creates empathy, what actually creates this ability to we
- 27:07Speaker 3: can say, I'm not a big fan of the term connect,
- 27:10Speaker 3: but it really is to create this sense of safety
- 27:13Speaker 3: and intimacy with somebody else where. It's creating experiences of acceptance.
- 27:18Speaker 3: That's been a lesson to learn because that can be missed.
- 27:22Speaker 3: That can absolutely be missed because lots of people they
- 27:25Speaker 3: get rooted in their sense of I'm not acceptable and
- 27:28Speaker 3: they have this force field up, you know what I mean.
- 27:31Speaker 3: There's people who are just like I'm hurting in my
- 27:35Speaker 3: place of being non acceptable. But I've learned to build
- 27:39Speaker 3: that up and protect it because it kind of hurts
- 27:40Speaker 3: so good. How many people hold on to their pain
- 27:42Speaker 3: so tightly. So for me, it's been it's been a
- 27:46Speaker 3: long practice to be able to get to this place
- 27:49Speaker 3: to understand that my empathy.
- 27:51Speaker 2: Let me give you a quick example.
- 27:53Speaker 3: Empathy is only as effective as a person's boundaries are
- 27:57Speaker 3: reliable and predictable. It took me a long time to
- 28:01Speaker 3: learn this, and I'll give you a little bit more.
- 28:03Speaker 3: Have you ever received or tried to receive empathy from
- 28:07Speaker 3: somebody who didn't trust m How does that feel?
- 28:14Speaker 1: Nope?
- 28:16Speaker 2: Guy, you said it. I actually I don't want it.
- 28:18Speaker 3: It feels patronizing, It doesn't do all this. How many
- 28:20Speaker 3: kids don't trust their parents? How many parents don't trust
- 28:23Speaker 3: their therapists?
- 28:25Speaker 2: Say? How does that make you feel?
- 28:26Speaker 3: Come on, mom and dad like, just give them a
- 28:29Speaker 3: little bit of empathy, and the kids are like, I
- 28:31Speaker 3: don't trust you. So I made the mistake early in
- 28:33Speaker 3: my career trying to push parents to be empathetic and
- 28:37Speaker 3: there was no foundation of trust because parents might have
- 28:39Speaker 3: been enmeshed, they don't have clear boundaries, and so the
- 28:43Speaker 3: empathy was actually not effective. And we all know this.
- 28:46Speaker 3: What is Berne Brown? Actually, Dan Siegel says it to
- 28:50Speaker 3: empathy is the antidote to shame.
- 28:57Speaker 1: You had mentioned coming back to that word trust. As
- 29:00Speaker 1: we kind of wind down here, you had mentioned that
- 29:03Speaker 1: was one of your did you say purpose? I think
- 29:07Speaker 1: developing it is.
- 29:08Speaker 3: My purpose statement is to create experiences of trust so.
- 29:12Speaker 2: We can build up of trust, of trust.
- 29:15Speaker 3: So belonging creativity is huge for me. That that is
- 29:20Speaker 3: now I've refined it over these That is my purpose
- 29:23Speaker 3: statement is to create experiences of trust with people.
- 29:27Speaker 1: And trust Because why why? I mean I understand when
- 29:32Speaker 1: you were just talking about empathy and trust, but why
- 29:35Speaker 1: why trust?
- 29:38Speaker 3: After all these years, I've learned that this ability to trust.
- 29:44Speaker 3: Am I a reliable, trustworthy person caregiver? That actually I'm
- 29:49Speaker 3: a safe I'm as the case we talk about secure base.
- 29:54Speaker 3: You know, all my so much of my attachment, my experience,
- 29:57Speaker 3: my PhD, all of that is an early developed little
- 30:00Speaker 3: attachment and all of that stuff. But I think about
- 30:02Speaker 3: John Bowlby, who really was the father of attachment, talking
- 30:05Speaker 3: about that life is about moving from a secure base
- 30:09Speaker 3: out and exploring the world and back to the secure base.
- 30:12Speaker 3: That that sense of trust to be able to trust
- 30:15Speaker 3: a kid. They can be dysregulated, they can be untrustworthy,
- 30:20Speaker 3: but they can still trust that I will do what
- 30:22Speaker 3: is developmentally best for them. That's what it means to
- 30:25Speaker 3: be a parent. That's what it means to be a
- 30:27Speaker 3: secure based caregiver. They can push and pull it, but
- 30:30Speaker 3: if they can trust that I will, I am absolutely
- 30:33Speaker 3: committed to doing what's developmentally best for them. Guy, I've
- 30:37Speaker 3: seen it with even really traumatized kids acting out, kids,
- 30:42Speaker 3: kids who have avoid an attachment. That has been the
- 30:45Speaker 3: one single point that's been most effective. That they knew
- 30:50Speaker 3: that I would follow it. They could trust that I
- 30:52Speaker 3: would do what's developmentally best for them. Maybe that means
- 30:55Speaker 3: I'm not their friend, their pal. Maybe we go through
- 30:57Speaker 3: some really tough stuff, But what's the most loving thing
- 31:00Speaker 3: you could do for a kid? Provide them reliable and
- 31:03Speaker 3: predictable boundaries flat out. So for me, that's trust. It
- 31:08Speaker 3: came from my own experience as a child for sure,
- 31:11Speaker 3: for sure, but I've been I feel like I've been
- 31:15Speaker 3: gifted this just you know, if they're reading and perseverance
- 31:19Speaker 3: to be able to understand. Wow, people who can actually
- 31:23Speaker 3: trust somebody else, what that does for their nervous system,
- 31:26Speaker 3: their limbic system, and their cognitive integration is just unbelievably effective.
- 31:33Speaker 1: And just quick, very quickly before before we leave it.
- 31:36Speaker 1: So you're getting so many things here. I want to
- 31:38Speaker 1: touch base on You said, uh, connection, not really big
- 31:43Speaker 1: on connection? We say more.
- 31:48Speaker 2: So connection for me.
- 31:49Speaker 3: I always ask people people say I want to connect.
- 31:53Speaker 2: I said, that's great.
- 31:54Speaker 3: How many definitions of connection are there? If you've dealt
- 32:01Speaker 3: with people who have some kind of developmental trauma or
- 32:04Speaker 3: abuse in there, connection might be I got hit, Connection
- 32:08Speaker 3: might be I was sexually abused. Connection might be have
- 32:12Speaker 3: we have a visceral lower response? We can have a
- 32:15Speaker 3: neuroceptive response if you will, to what connection means. And
- 32:19Speaker 3: I just don't want to go into connection to doing
- 32:22Speaker 3: therapy and using this term connection with presuppositions because we
- 32:27Speaker 3: just a lot of us, even as therapists.
- 32:29Speaker 2: We've been doing this for a long time. We use
- 32:30Speaker 2: the term connection.
- 32:31Speaker 3: We have assumptions of what that means.
- 32:34Speaker 2: It's sort of like the term respect.
- 32:36Speaker 3: How many parents are like I demand, like a boundary
- 32:40Speaker 3: is we respect each other in this household? And all
- 32:43Speaker 3: I can do is kind of smile guy, And I'm like,
- 32:46Speaker 3: do they even know what that means? Do they have
- 32:48Speaker 3: an experience of what respect means? And it's filled with
- 32:52Speaker 3: all this assumption. So it's not that I don't like
- 32:54Speaker 3: the term. What I like to do is work towards
- 32:56Speaker 3: a work building a experiential definition of what connection and
- 33:01Speaker 3: intimacy is.
- 33:03Speaker 2: How about that.
- 33:03Speaker 1: Beautiful, beautiful, beautiful? All right, Rob, how do people learn
- 33:07Speaker 1: more about what you're doing? Best way to get in
- 33:10Speaker 1: touch with you?
- 33:11Speaker 2: Great?
- 33:11Speaker 3: Yeah, so you can email me, but go on to
- 33:14Speaker 3: our website, Pacific quest dot org. You can look up
- 33:18Speaker 3: what our program is, what we're all about. Please reach
- 33:20Speaker 3: me at doctor Robjent at Pacific Quest dot org. Email me.
- 33:26Speaker 2: I'd love to yeah, be able to talk.
- 33:29Speaker 3: There's some videos out there, I've done some podcasts, I've
- 33:32Speaker 3: done some other things. But yeah, feel free to reach
- 33:35Speaker 3: out look at Pacific Quests and I'd love.
- 33:37Speaker 2: To talk to you more for sure.
- 33:38Speaker 1: All right, and we'll have that all that linked up
- 33:40Speaker 1: here at the show notes page at the Traumath Therprist
- 33:43Speaker 1: podcast dot com. Rob awesome, love to have you back
- 33:47Speaker 1: at later date. You just you're so inspiring, man, appreciate you.
- 33:52Speaker 3: Oh, thanks for having me feel pleasure to be.
- 33:54Speaker 1: All right, man, we'll be in touch all right. After
- 34:01Speaker 1: of the two ated the moment possible fo