Latest / The Trauma Therapist / Guest Host Series Esther Goldstein Interviews Veronica Lowenbok
Transcript
- 0:00Speaker 1: Welcome to the Trauma Therapist 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 show.
- 0:15Speaker 2: Hey everyone, I am so excited to be on Guy
- 0:18Speaker 2: McPherson's Trauma Therapists podcast today. For those of you who
- 0:22Speaker 2: know me, Hi, For those who don know me, my
- 0:24Speaker 2: name is Esther Goldstein. I'm a trauma specialist and I
- 0:29Speaker 2: have a practice in New York. My book actually just
- 0:31Speaker 2: came out with a new Harbinger EMDR for anxiety. Here's
- 0:34Speaker 2: what I'm I know, it's really exciting. Here's what I'm
- 0:36Speaker 2: really excited about today. I'm having a conversation with Veronica
- 0:40Speaker 2: Loenbook from Sweden. Super excited to have a conversation. And
- 0:46Speaker 2: this is the kind of conversation that's really going to
- 0:48Speaker 2: make you pause and really will shift the way you
- 0:50Speaker 2: show up as a therapist, psychologist, and honestly even as
- 0:53Speaker 2: a MN. So, Veronica, can you first tell us I
- 0:56Speaker 2: got to meet Veronica one of my trauma programs that
- 0:59Speaker 2: I run. They say that when you teach people. It's
- 1:02Speaker 2: not really that you teach. Actually the people you work
- 1:04Speaker 2: with teach you. And Veronica is one of those people.
- 1:07Speaker 2: So Veronica, tell us a little bit who you are,
- 1:10Speaker 2: tell us about the book that you wrote, and then
- 1:12Speaker 2: let's talk about the conversation that we're going to be
- 1:14Speaker 2: having today.
- 1:15Speaker 3: Yeah, so thank you so much for inviting me to join.
- 1:19Speaker 1: I love it.
- 1:19Speaker 3: We color coded like the awesomeness. So people listening you
- 1:23Speaker 3: can't see, but me and Esther were like, what are
- 1:26Speaker 3: you going to wear to?
- 1:26Speaker 2: They did not coordinate it we got.
- 1:33Speaker 3: So yeah, Veronica eleven book. I work as a therapist.
- 1:38Speaker 3: I have like the foundational psychotherapy training from Sweden, and
- 1:42Speaker 3: then I had your program and I've added some stuff
- 1:46Speaker 3: and for me, the core is affect focused therapy and
- 1:52Speaker 3: body based that a body oriented methods, and I specialize
- 1:59Speaker 3: on nervus system really, which is what I wrote my
- 2:01Speaker 3: book about. I've also worked as a research assistant in
- 2:07Speaker 3: a study where we used body based body oriented therapy
- 2:13Speaker 3: on complex post traumatic stress disorder. So the body as
- 2:17Speaker 3: the vehicle for exploration and the body as the way
- 2:21Speaker 3: in to understand and get to know myself in therapy
- 2:27Speaker 3: because like you know, and like you also work as
- 2:32Speaker 3: it's been so mind heavy and focused for so long
- 2:36Speaker 3: that it's like how how can we not use the body?
- 2:40Speaker 3: Like where's the body? And so I'm really appreciative of
- 2:43Speaker 3: the growth in awareness regarding nervousystem regivation. I've been working
- 2:52Speaker 3: with this for so many years and in the place
- 2:56Speaker 3: that it's taking not only in trauma, but also in
- 2:58Speaker 3: like the public eye, the public knowledge, and with the
- 3:03Speaker 3: growth of that, maybe some things need need just a retake.
- 3:09Speaker 3: So so we have your understanding of what it actually
- 3:12Speaker 3: is that we do.
- 3:13Speaker 2: Yeah, and I know one of the things that Veronica
- 3:16Speaker 2: was saying she is she's written a book and has Instagram.
- 3:20Speaker 2: Will talk about that after I will k it up
- 3:22Speaker 2: on the show notes. But one of the things Veronica,
- 3:24Speaker 2: I know I asked you was like tell me about
- 3:25Speaker 2: the research, and you said that it's like private and
- 3:28Speaker 2: it's not yet you can't talk about it. But we
- 3:30Speaker 2: are going to have a conversation for those of you
- 3:32Speaker 2: all that are on here is that there's so much
- 3:34Speaker 2: hype and talk about working with a nervous system, working
- 3:37Speaker 2: with a body, but like what does that actually mean.
- 3:40Speaker 2: We're going to give some terminologies to help us as
- 3:43Speaker 2: therapists and as humans really embody that and also speaking
- 3:47Speaker 2: to the concept of introception and what's actually happening between
- 3:54Speaker 2: the person's understanding or theory and actually somatic skills, to
- 3:59Speaker 2: how the clients actually metabolize the somatic work, because a
- 4:04Speaker 2: lot of what we notice and Veronica, you and I
- 4:06Speaker 2: were talking is there can be concepts that the nervous
- 4:11Speaker 2: system could take in, and there can be exercises that
- 4:13Speaker 2: the nervous system cannot. And I know, Veronica, you were
- 4:16Speaker 2: talking about even in terms of the research piece which
- 4:18Speaker 2: like bless your soul, in terms of what you're working on,
- 4:21Speaker 2: which is going to be published. You know, you talk
- 4:25Speaker 2: about like between research and actually getting out there in
- 4:27Speaker 2: the general public. For therapists, for workplaces, for school environments,
- 4:32Speaker 2: it's usually seventeen years until people actually get data, and
- 4:34Speaker 2: we're kind of like working on spreading more knowledge. And
- 4:38Speaker 2: I know for you, your research paper is really like
- 4:40Speaker 2: collapsing that timeline of no, let's get this data out
- 4:43Speaker 2: there so people can suffer less and there could be
- 4:46Speaker 2: more knowledge so people can actually feel more whole. So
- 4:49Speaker 2: let's talk about can we can you tell us the
- 4:51Speaker 2: topic that you're researching and you can't go into the results,
- 4:53Speaker 2: but let's have our conversation about what's the topic that
- 4:56Speaker 2: you're looking at, and really believe this conversation is for
- 5:01Speaker 2: therapists to want to deepen their understanding one of the
- 5:05Speaker 2: body based work and where they get tripped up and
- 5:09Speaker 2: where their clients get tripped up, and how we can
- 5:12Speaker 2: help them better understand what's happening so they could feel
- 5:16Speaker 2: calmer and also give their clients like the digestible enzymes
- 5:20Speaker 2: to use the somatic work. Now we're going to go
- 5:22Speaker 2: right into the deep dive.
- 5:24Speaker 3: So yeah, yeah, So what my study looked at is
- 5:28Speaker 3: a part of a bigger study and it's only like halfway.
- 5:32Speaker 3: That's why the So it's not secret in itself, but
- 5:37Speaker 3: we can't close the results too early because that's how
- 5:40Speaker 3: research work. So I looked at if a body oriented
- 5:45Speaker 3: therapy would increase the perceived safety in the patients so
- 5:50Speaker 3: compared to control group that did not get the treatment.
- 5:54Speaker 3: And more specifically, I looked at if interception the part
- 6:01Speaker 3: interception play or not play in in facilitating the increase
- 6:05Speaker 3: in perceived safety because in body oriented therapy, one of
- 6:12Speaker 3: the main key factors or components is interception is that
- 6:16Speaker 3: we aim direct the attention to our body, to our sensations,
- 6:21Speaker 3: and there is there's some research done on an interception
- 6:25Speaker 3: or no, I want to adjust myself. There is plenty
- 6:28Speaker 3: of research done on interception, but in the in the
- 6:33Speaker 3: area or in in the in the frame of body
- 6:39Speaker 3: oriented therapy and also connected with the therapeutic alliance, there is
- 6:44Speaker 3: no research. So that's where I wanted to like said
- 6:47Speaker 3: bridge to therap because as we know working with with
- 6:51Speaker 3: trauma patients, we it's not always helpful to aim the
- 6:55Speaker 3: direction towards the body because many times that is the uh,
- 7:00Speaker 3: the perceived threat that they want to avoid. So if
- 7:05Speaker 3: I have a patient that has anxiety, or if I
- 7:08Speaker 3: have a patient that has a traumatist that is triggered,
- 7:10Speaker 3: or if I have a patient that has affect phobia,
- 7:13Speaker 3: if I say, so what are you feeling? Tell me
- 7:15Speaker 3: what you're feeling, go in threat, Go in threat. The
- 7:18Speaker 3: perceived threat will increase and the defenses consciously and unconsciously
- 7:23Speaker 3: will be increased, so they will move away. The ability
- 7:29Speaker 3: to perceive and understand and meet the perceived threat or
- 7:36Speaker 3: the body sensations, it will increase. So why is it
- 7:40Speaker 3: that sometimes when we use interceptions, it is helpful and
- 7:43Speaker 3: sometimes it is not helpful. What part does the therapist
- 7:47Speaker 3: play in helping to up the odds for the intervention
- 7:53Speaker 3: to be successful?
- 7:55Speaker 2: Love it? So I was just pulling up. I wasn't distracted.
- 7:57Speaker 2: I was just looking at the definition I want to
- 7:59Speaker 2: give for people on the concept of introception. I just
- 8:03Speaker 2: want to give the I want to give, like the
- 8:07Speaker 2: generic definition of introception for anyone who's listening, who doesn't
- 8:13Speaker 2: know or wants to actually get a refresher, Can I
- 8:16Speaker 2: do that? Introception is the sense that allows the brain
- 8:20Speaker 2: to receive, interpret, and integrate signals from inside the body. Okay,
- 8:24Speaker 2: So in well, there is introception acting as an internal
- 8:30Speaker 2: monitoring system for psychological condition. Okay, it's kind of like
- 8:34Speaker 2: the eighth sense. It's often called like an internal sense. Okay.
- 8:38Speaker 2: And the reason that I'm that we're sharing this right,
- 8:41Speaker 2: sensation arising from stimuli produced within the organism, right, And
- 8:46Speaker 2: basically what's really important for us to look at Well,
- 8:49Speaker 2: obviously you could talk about it more. Is that we
- 8:52Speaker 2: often talk about in introception is basically, well, we could
- 8:57Speaker 2: talk about the difference introsection intro you want to define
- 9:01Speaker 2: the difference between introception and introception, do you want to
- 9:05Speaker 2: do yeah, yeah, Okay, and then we're going to talk
- 9:07Speaker 2: about what happens, because the second piece that you're speaking about,
- 9:11Speaker 2: which is really important, is not just the knowledge, but
- 9:14Speaker 2: then we're going to look at the specific piece between
- 9:16Speaker 2: therapists and client. Okay, so I want to go there.
- 9:18Speaker 2: And then just the backdrop of.
- 9:20Speaker 3: So introception is the felt sense, like the sensations. I
- 9:27Speaker 3: can feel space in my body, or I can feel
- 9:30Speaker 3: the closeness or the heaveness. I can feel boterflies in
- 9:34Speaker 3: my stomach, or I can feel when I'm working out,
- 9:37Speaker 3: I can feel my muscles. So the physical sense of
- 9:40Speaker 3: what happens in my body, and introspection is reflecting upon
- 9:46Speaker 3: like having the cognitive aspect, the meta analysis of what
- 9:53Speaker 3: the meaning do I describe or connected this? And then
- 9:58Speaker 3: also I want to add that there's proper reception, that
- 10:01Speaker 3: is the understanding of the sense of my body in space.
- 10:06Speaker 3: So if I have like a coffee mug, then I
- 10:09Speaker 3: know I know I have seen my coff mug, and
- 10:11Speaker 3: I can close my eyes and when I reach out
- 10:13Speaker 3: my hand, I will grab the coffee I won't knock
- 10:15Speaker 3: it over because I know where it is. And prop
- 10:17Speaker 3: perception is my understanding knowledge, a sense of my body
- 10:21Speaker 3: in space. I know how fast and I when to stop,
- 10:24Speaker 3: and now how hard or soft I should need to grip,
- 10:27Speaker 3: what amount of grip I need to use to raise
- 10:29Speaker 3: this coffee cup. And the cool thing here is that
- 10:33Speaker 3: if I think the coffee mug is full and then
- 10:36Speaker 3: I'll raise it up and it's empty. No, it's the
- 10:38Speaker 3: discrepancy because the propreception has this is the prediction that
- 10:43Speaker 3: the brain makes, and it was the error prediction error,
- 10:46Speaker 3: So oh, I need to correct and then okay, And
- 10:49Speaker 3: then there's extraception with it, which is like I can
- 10:51Speaker 3: see the house, I can see the now, I can
- 10:53Speaker 3: hear you talk, I can smell, and these senses is
- 10:57Speaker 3: what creates like the information sense my brain, and they
- 11:03Speaker 3: meet and it is joined with like my mood and
- 11:09Speaker 3: what I'm doing, and then they create like these predictions,
- 11:13Speaker 3: so together they create the experience of myself and the
- 11:17Speaker 3: world love.
- 11:18Speaker 2: It, right, So the introception is basically like this intern
- 11:21Speaker 2: It's almost like they talk about like babies kind of
- 11:23Speaker 2: can feel that like a perceived sense of safety you're
- 11:25Speaker 2: not safety. They could pick up on the mood of
- 11:28Speaker 2: mom and dad if they're angry. Right, it's basically this
- 11:30Speaker 2: nonverbal it's an energy, It's a feeling that you got.
- 11:34Speaker 2: And so what we're speaking about is like, how do
- 11:36Speaker 2: people get the sense of introception that is safe, that
- 11:39Speaker 2: is safe or perceived safe like you said, because it
- 11:42Speaker 2: could be safe, but if the perceived sense is not safe,
- 11:45Speaker 2: it doesn't feel good. Interception, right, is kind of like
- 11:48Speaker 2: the between me and others? So can I feel in connection?
- 11:51Speaker 2: Can I feel into the space between me and others? Right?
- 11:54Speaker 2: That is safety or disconnection? Like you said, Like introspection
- 11:59Speaker 2: is between me and myself, and then appropriate reception is right,
- 12:03Speaker 2: everything you're talking about like my relation to myself and
- 12:05Speaker 2: the world. And I know your yoga therapist turn the
- 12:09Speaker 2: uh right, yoga teacher turn therapists, and I love all
- 12:13Speaker 2: these pieces. And Guys, the reason we're giving these definitions
- 12:15Speaker 2: is not just because we want to be science geeky.
- 12:18Speaker 2: It's because this directly correlates to now what we're going
- 12:20Speaker 2: to be talking about, which is basically you. When we're
- 12:24Speaker 2: meeting with the client, it is so incredibly important for
- 12:27Speaker 2: us to understand where is the disconnect or what is
- 12:30Speaker 2: the perceived experience of their bodies, their energy, themselves, perceived
- 12:36Speaker 2: safety right in the world, the way that they understand
- 12:39Speaker 2: themselves and then with others right. Because essentially all of
- 12:42Speaker 2: that implicit backdrop is directly impacting, like what you said,
- 12:47Speaker 2: am I going to be like ah right? Or it's
- 12:49Speaker 2: like splashes on my face or I'm like grabbing for
- 12:51Speaker 2: someone when they're right there and they can say, just
- 12:54Speaker 2: talk to me regular, just reach for me regular, and
- 12:56Speaker 2: I'll respond, And so it directly impacts how safe or unsafe,
- 12:59Speaker 2: how incient, or how trusting or fearful the person feels. OK,
- 13:04Speaker 2: So I'm just giving that backdrop. Now I want to
- 13:07Speaker 2: talk about this piece like you were just saying, is
- 13:09Speaker 2: when you offer somatic intervention, when you offer a somatic awareness,
- 13:13Speaker 2: it makes a really big difference on one client, Like
- 13:16Speaker 2: you said about the controlled study. One client can feel
- 13:19Speaker 2: like they can take that in and be like, wow,
- 13:21Speaker 2: so I noticed something, and another client, you're actually aggravating
- 13:25Speaker 2: the nervous system because all they feel is lack of
- 13:28Speaker 2: safety or all they feel into or they senses danger cues.
- 13:32Speaker 2: So it's and it seems like right, there's a ton
- 13:34Speaker 2: of research anyone could look at it right on introception
- 13:38Speaker 2: or even interception, but there's not a lot of research
- 13:42Speaker 2: on Now can we look at the specific elements of
- 13:45Speaker 2: how that plays into the therapeutic dynamic. So can you
- 13:49Speaker 2: tell us a little bit more about what you're noticing,
- 13:52Speaker 2: like what happens?
- 13:54Speaker 3: Yeah, so there's different components to this. Obviously, the patient's
- 13:58Speaker 3: previous experience this affects their ability to to aim the
- 14:06Speaker 3: awareness and attention to their bodily sensations. But also like
- 14:12Speaker 3: there's things that we can do as a therapist if
- 14:15Speaker 3: I have a clear framework and I communicate this framework
- 14:20Speaker 3: to my patient, like we're doing this and this is
- 14:23Speaker 3: this is why, like rational in Swedish, like I'm explaining
- 14:28Speaker 3: the reason and and and and the purpose. And here
- 14:33Speaker 3: we have the balance that some patients are really good
- 14:40Speaker 3: at intellectualizing. So if if I start to explain why
- 14:44Speaker 3: and they want to give me the book, okay, so
- 14:46Speaker 3: just just like a brief like I know why I'm
- 14:48Speaker 3: doing this, and I want you to know so that
- 14:52Speaker 3: you can you don't have to you can like rest
- 14:56Speaker 3: that part of the brain like I know why, and
- 15:00Speaker 3: then let the it's it's a collaborative exploration where I,
- 15:08Speaker 3: as a therapist, I suggest that this is what I
- 15:10Speaker 3: what we're doing, and I suggest the pace. But it's
- 15:14Speaker 3: always the patient who decides the pace. Because if I,
- 15:17Speaker 3: as a therapist, decide the dosage, the pace, what you do,
- 15:23Speaker 3: then the patient's nervous system it yeah, it feels like
- 15:32Speaker 3: I can't this is going to faster me like, I
- 15:39Speaker 3: can't affect.
- 15:40Speaker 2: Yeah, I can't control it.
- 15:41Speaker 3: I can't control it. Yeah yeah, so so and that
- 15:45Speaker 3: is something that reduces safety. So if if I, as
- 15:50Speaker 3: a therapist say okay, this is what we're doing, and
- 15:53Speaker 3: this is why you can always at the pace. This
- 15:55Speaker 3: is just suggesting you decide, then I increase the perceived
- 15:59Speaker 3: safety because then the patient fail. Okay, so I can
- 16:02Speaker 3: affect this. If it's going too fast, I can slow
- 16:05Speaker 3: it down. If we're going somewhere that I feel I
- 16:08Speaker 3: don't like this, I can say no. So that's a
- 16:11Speaker 3: really important part, like the collaboration, and it also strengthen
- 16:15Speaker 3: not only the precede safety, but it also strengthened the
- 16:18Speaker 3: agency which we want to cultivate in our patients.
- 16:24Speaker 2: So I love one of the things you're saying is like, look,
- 16:26Speaker 2: we know all of this data and that sounds really nice,
- 16:29Speaker 2: but we're not doing a constant temperature check because that's
- 16:31Speaker 2: actually what our client's nervous system is doing. So on
- 16:34Speaker 2: the bigger scheme of things, we're actually wanting to push
- 16:36Speaker 2: for more perceived and felt sense, like that feeling in
- 16:40Speaker 2: the body of safety. And how do we do that
- 16:42Speaker 2: when we're aware of the fact that you're basically saying,
- 16:45Speaker 2: Obviously their past experiences will direct the impact how they
- 16:49Speaker 2: will or won't take in therapy, and so our responsibility
- 16:52Speaker 2: is I love what you're saying is basically to say
- 16:55Speaker 2: to give them almost like a rundown of Hey there,
- 16:58Speaker 2: I'm going to be offering some self reflection or some
- 17:02Speaker 2: prompts and the and the reason is right, just to
- 17:05Speaker 2: help their bring no instead of just saying check and
- 17:06Speaker 2: side and check and side could be a member. Once
- 17:08Speaker 2: a client said to me, did you ever watch this
- 17:11Speaker 2: movie called Jumanji?
- 17:12Speaker 3: Have you ever watched Ye Williams h yeah.
- 17:15Speaker 2: It's terrifying. She's like, I'm going into Jumanji. And I
- 17:18Speaker 2: was like, yeah, do you not know we're not checking inside.
- 17:21Speaker 1: You know?
- 17:21Speaker 2: So it was like we're not so we almost have
- 17:24Speaker 2: to orient it. There's different ways of checking inside, there's
- 17:27Speaker 2: different ways of even becoming aware of your skin, so
- 17:29Speaker 2: it doesn't just feel like you have that itching sensation
- 17:31Speaker 2: yeah or right. So we're almost saying to them like,
- 17:35Speaker 2: here's what we're doing and here's why we're doing it.
- 17:39Speaker 2: So like what you said, obviously not that they're going
- 17:41Speaker 2: to climb into their intellectual ladder, but enough information that
- 17:45Speaker 2: their system knows what they're doing, what we're doing and
- 17:47Speaker 2: why right directly linked up to their treatment goal. And
- 17:50Speaker 2: then I love how you're saying that you're also giving
- 17:52Speaker 2: them amazing by the way that you have this in
- 17:54Speaker 2: your in this language agency over the treatment process, because
- 17:58Speaker 2: it's like you're getting to choose how much you get
- 18:01Speaker 2: to control the valve of how much we're allowing and
- 18:04Speaker 2: how little. But you us as the therapists, are incredibly clear,
- 18:09Speaker 2: and that, I think is why is so important that
- 18:11Speaker 2: we do have the language and we do have the
- 18:13Speaker 2: somatic skills, so we are coming up as a very
- 18:17Speaker 2: clear and confident and grounded guide because they feel into
- 18:21Speaker 2: that right, like if we have that energy that's calm
- 18:23Speaker 2: and I know you speak all that nervous system work.
- 18:26Speaker 2: Then our clients kind of and Alan Shore talks about this,
- 18:29Speaker 2: they feel our nervous system trust and so we can
- 18:32Speaker 2: kind of help them as a guide while they're almost
- 18:36Speaker 2: like ty trating the work, but we have our finger
- 18:39Speaker 2: on the pulse on exactly what's going on.
- 18:41Speaker 3: Yeah, And I think that's also very important because if
- 18:44Speaker 3: I if I just say no, you do you, it's
- 18:48Speaker 3: too it's too big, it's too unknown, it's too unpredictable.
- 18:53Speaker 3: So if I say, okay, so I have this suggestion again,
- 18:56Speaker 3: not I have this thing we should do. I have
- 18:57Speaker 3: this suggestion like I'm inviting you let's let's explore this.
- 19:01Speaker 3: I mean, I'm invite you to export this and this
- 19:04Speaker 3: is why. Then I show that there's a there's an idea.
- 19:08Speaker 3: I have a plan. I know what I'm doing. I
- 19:11Speaker 3: am the guide. It's not planless, but it's also adaptable,
- 19:18Speaker 3: and it's also individually paced, and and and.
- 19:24Speaker 4: H.
- 19:25Speaker 3: The predictability and the plan and me being like I
- 19:30Speaker 3: know what I'm doing. This creates the safe structure and
- 19:33Speaker 3: the safe borders. But within these walls you can do
- 19:37Speaker 3: whatever you want. I got you, I got you, I
- 19:39Speaker 3: got you. And when you feel because when the safety
- 19:42Speaker 3: is increased, then the patients will start. But I want
- 19:46Speaker 3: to go outside the wall. Of course, let's go outside
- 19:48Speaker 3: the wall. It's not it's not a prison. It's just
- 19:51Speaker 3: that let's start here. So so it's like you can
- 19:54Speaker 3: overview you, you have your map, you know, you can navigate,
- 19:57Speaker 3: but when it comes from within the patient, I want
- 19:59Speaker 3: to go faster. I want to go outsidside the wall. Yeah,
- 20:02Speaker 3: of course, remove the wall. Let's go. I'm with you.
- 20:05Speaker 3: So it's it's not about limiting them. It's it's about like, okay,
- 20:09Speaker 3: I'm holding you. I'm with you. So we create, we
- 20:14Speaker 3: we cultivate the agency so that you can choose. When
- 20:17Speaker 3: we remove the wall, you can choose. It's like no
- 20:20Speaker 3: bowling when we have the and then you want to okay, down,
- 20:23Speaker 3: I want to try, or like when when we ride
- 20:26Speaker 3: the bicycle and we have the support wheels and like
- 20:28Speaker 3: I want to show okay. So when this is like
- 20:32Speaker 3: my I have a pet peeve. When we see this
- 20:34Speaker 3: motivational like this is your safety zone and away out here,
- 20:37Speaker 3: that's what the magic happens. I'm like, no, no, no, no, no,
- 20:40Speaker 3: go back to the safety zone. Because when we're when
- 20:42Speaker 3: we actually cultivate safety. When we increase safety, then the
- 20:47Speaker 3: internal motivation will increase and they will themselves say I
- 20:51Speaker 3: want to go outside. Of course, of course it's not
- 20:53Speaker 3: scary there. But when when the motivation is in strengt
- 20:57Speaker 3: when it comes from inside, then you the page and
- 21:00Speaker 3: is better equipped and have more resilience to be in
- 21:05Speaker 3: the unknown compared to if someone else.
- 21:09Speaker 2: I love what you're sharing. I like, am I gonna
- 21:12Speaker 2: pull out a paper because they always say, like, in
- 21:14Speaker 2: terms of therapy, this is kind of what you're referring to.
- 21:18Speaker 2: It's like they always say where the magic happens. It's
- 21:22Speaker 2: almost like, right, that window of tolerance that we all
- 21:24Speaker 2: know about. So I'm just gonna draw this. So there's
- 21:29Speaker 2: these two lines, right, and people say, right, this is
- 21:33Speaker 2: obviously like you're in the window of tolerance. This is
- 21:36Speaker 2: like hyper arousal, very anxious, and this is hyper arousal
- 21:40Speaker 2: very depressed or down. And then here is kind of
- 21:43Speaker 2: the optimal where we want to be. And it's so
- 21:45Speaker 2: interesting because people say, yeah, you have to be in
- 21:47Speaker 2: this zone to do the healing work, and actually, what
- 21:50Speaker 2: I'm hearing you say is no, you have to meet
- 21:52Speaker 2: the client where they're at and then the magic happens
- 21:56Speaker 2: when you meet them. Because the magic, and they always
- 21:58Speaker 2: actually say, is actually the real healing happens when we're
- 22:02Speaker 2: teetering on the edge, when we're teetering on the edge
- 22:06Speaker 2: between where we're like in the window of tolerance and
- 22:10Speaker 2: we're going towards this activation, or actually when we're teetering
- 22:14Speaker 2: on the edge of here, because really this is where
- 22:16Speaker 2: they're struggling. And I love what you're saying. It's like
- 22:19Speaker 2: you're not saying, only once we're in here and we're
- 22:21Speaker 2: in la la land, can we do processing. You're saying,
- 22:25Speaker 2: go with where your client is so we can work
- 22:27Speaker 2: on you know, obviously going through the ups and downs.
- 22:29Speaker 2: But really what they say is, and I love what
- 22:31Speaker 2: you're talking about, because that's developing safety, that's developing self
- 22:35Speaker 2: trust and capacity to be with this discomfort. And actually
- 22:39Speaker 2: this is what happens. And the goal is actually to
- 22:42Speaker 2: widen the window of tolerance. So as we work with
- 22:45Speaker 2: what we're doing, you're actually making their window of tolerance bigger. Right,
- 22:49Speaker 2: It's like, we're not going to control those emotions, but
- 22:51Speaker 2: the dysregulation that comes up around those emotions, actually it
- 22:57Speaker 2: doesn't throw you off as much, and so this becomes
- 22:59Speaker 2: less active eating because we just created a much wider
- 23:02Speaker 2: window of tolerance, right and.
- 23:05Speaker 3: Esther, Yes, yes, yes, yes, And this is like one
- 23:08Speaker 3: of the biggest Okay now now now you get me aroused.
- 23:11Speaker 5: Okay, so okay, I'm excited because okay, two thoughts. First,
- 23:17Speaker 5: one of the biggest misconcept conceptions is that we should
- 23:21Speaker 5: always regulate and that we should always downregulate. Yeah and no, no, no,
- 23:27Speaker 5: that's like you can pen pencil and not write it down.
- 23:33Speaker 3: No, big no, just because if we the only thing
- 23:38Speaker 3: we're practicing is to downregulate, then the only thing we
- 23:44Speaker 3: will be good at is to downregulate, and we will
- 23:46Speaker 3: only be stable or have resilience or be finer ground
- 23:52Speaker 3: in low arousal. What we want to do, what a
- 23:55Speaker 3: resilient nervous system is is a nervous system that is strong,
- 24:00Speaker 3: capable and save the regardless of the arousal level. But
- 24:06Speaker 3: the thing is then we if we work with trauma,
- 24:09Speaker 3: then the window tolerance is probably a very small window.
- 24:13Speaker 3: So it's very small resilient and and probably it's a
- 24:18Speaker 3: false window up or down. So the I don't I
- 24:22Speaker 3: don't like to use the word the term stuck because
- 24:24Speaker 3: because but there's a tendency to only be at a
- 24:28Speaker 3: certain arousal level that we can we can phrase like that,
- 24:31Speaker 3: so the false high window or the false low window.
- 24:35Speaker 3: And so if we take people who are at a
- 24:38Speaker 3: false high level falls high window, and then we say
- 24:42Speaker 3: so that the temp the arousal is HIGHATAA do a
- 24:45Speaker 3: lot of stuff Ta da da da, And I have projects,
- 24:47Speaker 3: and I would this an attatata Okay, sit down and
- 24:50Speaker 3: meditate the descripancy between the known, the comfortable, the yeah, yeah, familiar,
- 25:01Speaker 3: thank you, the familiar arousal and what I'm saying, the
- 25:06Speaker 3: telling the patient to do it is too large of
- 25:08Speaker 3: a discrepancy. So the nervous system will call this as alarm, alarm, alarm,
- 25:13Speaker 3: we're crashing. No no, no, get up, get up, get up,
- 25:15Speaker 3: get up, And they would actually increase the arousal to
- 25:18Speaker 3: get back to your familiar level. So we need to Okay,
- 25:21Speaker 3: so you have a high arousal, maybe you have a
- 25:24Speaker 3: false window. Okay, let's go out and run. Let's push
- 25:28Speaker 3: each other's hands. That puts the.
- 25:29Speaker 2: Love you're like me the arousal level. It's like the
- 25:33Speaker 2: whole reason why telling people to calm down does not work.
- 25:36Speaker 2: Don't tell me to meet PA. Don't tell me to
- 25:38Speaker 2: calm down. If I have this activation, meet me there, yes,
- 25:42Speaker 2: and then help widen or make more right, like allow
- 25:47Speaker 2: me to have the panic and the fear, but how
- 25:48Speaker 2: allow my nervous system to not feel as aggravated by
- 25:51Speaker 2: it exactly, but that I can move through this better.
- 25:54Speaker 3: Because also if I meet you where you're at, it's
- 25:58Speaker 3: familiar and it it's it's maybe comfortable or maybe, but
- 26:03Speaker 3: it's still it's familiar. So so the nervous system chooses
- 26:07Speaker 3: the hallib nose before the like angel doesn't know and
- 26:11Speaker 3: then okay, so you're not. And we also we skip
- 26:14Speaker 3: the because so many people feel like they fail because
- 26:17Speaker 3: they can't meditate or they feel because they feel like
- 26:19Speaker 3: they fail because they can to X y Z. So
- 26:22Speaker 3: if I meet you where you are and like, okay, again,
- 26:25Speaker 3: cultivate the aid agency and you get to choose. Okay,
- 26:28Speaker 3: so what do you want to do? Oh what I
- 26:30Speaker 3: like to do? Ten squads? Okay, let's do ten squads.
- 26:32Speaker 3: And also when we have done this extortion and we
- 26:37Speaker 3: have activated, we have like you know, been strong, and
- 26:41Speaker 3: then the the natural thing programmed in our nervous system.
- 26:46Speaker 3: After we have strength in our muscle or use the
- 26:48Speaker 3: muscle is to down regulate, So there will come an
- 26:52Speaker 3: own self regulation that maybe maybe not to the to
- 26:55Speaker 3: the optimal tolerance we know, but a small step down.
- 26:59Speaker 3: Oh yeah, I can feel like I'm less tense in
- 27:02Speaker 3: my shoulders. Ah awesome, Okay, you want to stay with that?
- 27:05Speaker 3: Oh this is really pleasant. Oh maybe you want to
- 27:07Speaker 3: sit down? Oh okay, yes, okay, And then we provide
- 27:11Speaker 3: the patient with another experience that because if we're up there,
- 27:15Speaker 3: we don't feel like I can't I can't relax, I
- 27:18Speaker 3: can't relax. That's like the narrative. But yeah, we just
- 27:21Speaker 3: created that. You can't really giving them.
- 27:23Speaker 2: Yeah, you're saying to them like we're gonna follow your
- 27:25Speaker 2: innrvous system's pathway. And that's often what's a missing experience.
- 27:30Speaker 2: Like they always talking tomatic work, and it's almost like
- 27:32Speaker 2: I'll meet you there and I will also be a
- 27:34Speaker 2: guide and I will follow because there's always you know,
- 27:37Speaker 2: they always say in trauma work, it's like like, don't
- 27:40Speaker 2: go to what's distressing, But then they also say, if
- 27:42Speaker 2: the client's already distressed, go there because avoiding it or
- 27:46Speaker 2: trying to compartmentalize or to com them. It's not gonna
- 27:49Speaker 2: help if they're already activated. And so I love how
- 27:51Speaker 2: you're saying. It's actually if you mean, it's almost like validation. Imagine,
- 27:54Speaker 2: tell me how stressed you are, and I keep telling
- 27:56Speaker 2: asking you about the spot instead of me like meeting
- 27:58Speaker 2: you in the stress. Yeah, helping to coregulate, meet you there,
- 28:03Speaker 2: and then there is going to be a point where
- 28:04Speaker 2: your body settles down and you're right, maybe it's going
- 28:06Speaker 2: to be five percent, and maybe the numbers will look
- 28:08Speaker 2: at sexy on my notes, but what looks a lot
- 28:11Speaker 2: healthier for your nervous system is you're having the experience
- 28:14Speaker 2: of five percent less activation. And you're starting to notice
- 28:17Speaker 2: that when you're understood or when you could actually express
- 28:20Speaker 2: what that sensation or whatever emotion is, you actually can
- 28:23Speaker 2: settle a little bit. And so you're already learning the
- 28:26Speaker 2: capacity there. And I love what you're sharing because I
- 28:29Speaker 2: think it's like the I think it's also the wisdom
- 28:32Speaker 2: and the capacity for the therapist to tolerate and to know, like,
- 28:37Speaker 2: how can we work with this activation and what are
- 28:40Speaker 2: Obviously there's different skills and tools for therapists to use
- 28:44Speaker 2: when a client is in the hyper activation versus hypo
- 28:47Speaker 2: and offering tools or even connection in that space. And
- 28:52Speaker 2: obviously I know for some clients like people think over here,
- 28:56Speaker 2: but here is kind of like where we want them
- 28:58Speaker 2: to be. And I love what you're saying. The magic
- 29:01Speaker 2: actually happens on the journey. Now, they say, like, I
- 29:04Speaker 2: want to get to where I want to get to.
- 29:05Speaker 2: All of us feel that way, right, We all have goals,
- 29:07Speaker 2: and we often forget that the journey is where the
- 29:10Speaker 2: magic happens. Our clients are journeying through life. You and
- 29:13Speaker 2: I were journeying through life. And if somebody can teach
- 29:16Speaker 2: us like, actually, the magic is happening when you're here.
- 29:20Speaker 2: The magic is happening when you're here. The magic is
- 29:22Speaker 2: going to happen when you're here. I want you to
- 29:23Speaker 2: actually learn to feel more safe in your body and
- 29:26Speaker 2: in connection with self and other and the world. When
- 29:29Speaker 2: you're in these spaces, it's really uncomfortable. But the magic
- 29:32Speaker 2: is happening on your journey down and back up because
- 29:35Speaker 2: we're learning the most golden information about you and this
- 29:39Speaker 2: builds trust. Yeah, they might hang out here, and you
- 29:41Speaker 2: know what, it's funny because I wrote that book on
- 29:44Speaker 2: emd R for anxiety and one of my friends was like, so,
- 29:46Speaker 2: does that mean you never have anxiety? And I said, no,
- 29:49Speaker 2: it means that I am a person who's conscious of
- 29:52Speaker 2: my nervous system, and I have a responsibility to myself
- 29:56Speaker 2: to keep tweaking and aligning because what worked from to
- 30:00Speaker 2: regulate the anxiety in my teens or twenties or thirties
- 30:05Speaker 2: is different than what I'm going to need in my forties,
- 30:08Speaker 2: fifties and sixties. My child's needs, my personal needs, my
- 30:12Speaker 2: professional needs. Like no, this is like can I be
- 30:15Speaker 2: aware of the templates that keep shifting? And I love
- 30:18Speaker 2: how you're saying this stuff. I guess I wonder if
- 30:22Speaker 2: we could just kind of if could we give a
- 30:24Speaker 2: sample or could you give a sample of the difference
- 30:27Speaker 2: between It doesn't have to be from your research, Like
- 30:32Speaker 2: is there a sample of what a therapist might do
- 30:34Speaker 2: when they are aware or tapped into the safety for
- 30:38Speaker 2: the client or introception for the client versus not, like
- 30:42Speaker 2: what are the what are the differences that you're noticing?
- 30:45Speaker 2: Or yeah, and how its clinical work?
- 30:49Speaker 3: Yeah, I think an important thing here is to be
- 30:53Speaker 3: aware as a therapist of my own tolerance of sensations
- 31:02Speaker 3: and anxiety, because how much I can stay with it
- 31:06Speaker 3: also depends on how how I can join, how how
- 31:11Speaker 3: long I can join, or how to which extent I
- 31:15Speaker 3: can follow my patient, because if I as a therapist,
- 31:20Speaker 3: I value some reactions more than others, I value some
- 31:24Speaker 3: emotions more than others, And then I think that I
- 31:28Speaker 3: will have like this unconscious agenda like you should cry,
- 31:32Speaker 3: you should scream when you should you should do this this,
- 31:35Speaker 3: this is how you should emote, and this is how
- 31:37Speaker 3: you should process your emotions. So so that's I think
- 31:42Speaker 3: one of the most important things is too okay. So
- 31:45Speaker 3: I'm I'm not only saying that I invite you. I'm
- 31:49Speaker 3: I actually mean it, like this is a suggestion and
- 31:52Speaker 3: if you want to go there, as they go there,
- 31:53Speaker 3: if you when when I work with my patients, it's
- 31:57Speaker 3: like okay, so if they start to notice thing and
- 32:00Speaker 3: I say okay, So imagine it's a pool. If you want,
- 32:03Speaker 3: you can die dive into the pool. You can like
- 32:05Speaker 3: be totally be with the sensation and emotions, or you
- 32:08Speaker 3: can stay on the edge and watch the pool, or
- 32:10Speaker 3: it can go outside, like just watch the building. Like
- 32:13Speaker 3: you decide how much you want to approach be with
- 32:18Speaker 3: the sensations and emotions. And again I'm like reiterating the agency.
- 32:24Speaker 3: You get to choose, you get to control the pace.
- 32:26Speaker 3: I'm here. If you want to go in the pool
- 32:29Speaker 3: like I'm Baywatch baby, I will get you. I like,
- 32:32Speaker 3: you're not lost, you won't drown. But if you don't
- 32:35Speaker 3: want to go in there, then don't go in there.
- 32:37Speaker 3: It's like, then we do it next time or maybe
- 32:39Speaker 3: the time after that, with like there is no urgency,
- 32:42Speaker 3: there's no there's no external time schedule that we need
- 32:45Speaker 3: to follow. You design the time schedule, and that also
- 32:48Speaker 3: increases the imperceived safety that I can do this in
- 32:52Speaker 3: my pace. I'm not I'm not slow, I'm not broken,
- 32:56Speaker 3: I'm not doing anything wrong. I can I can choose,
- 33:00Speaker 3: And yeah, that creates so much safety.
- 33:03Speaker 2: I feel like I need to underline, like, if there's
- 33:05Speaker 2: anything anyone gets from this besides for some knowledge, if
- 33:09Speaker 2: there's one golden tidbit exists honestly, Veronica, because at the
- 33:16Speaker 2: end of the day, and everyone says this, it's really
- 33:18Speaker 2: like our nervous system and our capacity and who we
- 33:22Speaker 2: are as humans that will dictate our client's clinical outcomes
- 33:28Speaker 2: and how they can get to experience themselves and the
- 33:31Speaker 2: world and safety and okayness. And I love how what
- 33:37Speaker 2: you just said, because what essentially you're saying is, can
- 33:43Speaker 2: you the therapist tolerate? Can you the therapist celebrate? Can
- 33:47Speaker 2: you the therapist hold? Can you the therapist be with
- 33:51Speaker 2: no matter what happens in today's session, tomorrow, sessions, any sessions,
- 33:56Speaker 2: because success is not success if it doesn't actually create
- 34:00Speaker 2: more felt sense safety. And what I'm hearing you say
- 34:04Speaker 2: is it's interesting somatically. I remember in a training we
- 34:06Speaker 2: were learning and I teach this as well, right, like
- 34:10Speaker 2: when a client is stuck in a trauma state or
- 34:13Speaker 2: a trauma time and there's a somatic intervention of kind
- 34:16Speaker 2: of pulling the client out, or if somebody feels like
- 34:18Speaker 2: they were stuck in a grass or a reach and
- 34:20Speaker 2: they really needed an adult or someone to reach for
- 34:23Speaker 2: them and they could put their hands in And with
- 34:26Speaker 2: clients who are more anxiously attached, they will often go
- 34:29Speaker 2: for that reach. The clients who are more avoidantly attached
- 34:32Speaker 2: or afraid, they will not go for that reach. And
- 34:35Speaker 2: a lot of the pieces that's important is like you
- 34:39Speaker 2: still need to offer whatever you need to offer as
- 34:42Speaker 2: a secure attachment regardless of what your client says or
- 34:45Speaker 2: your client wants, because they are always tracking. That's the safety.
- 34:49Speaker 2: Remember when selling to a client, she was all alone
- 34:51Speaker 2: and there was a certain core belief somatically and emotionally.
- 34:54Speaker 2: And I said, I wonder if it would be all
- 34:56Speaker 2: right for us to try an experiment. And I'll tell
- 34:58Speaker 2: you what the experiment is, and if you want it, great,
- 35:01Speaker 2: if not, imagine a garbage bucket right next to you
- 35:03Speaker 2: and just let it trash right there. And I said,
- 35:06Speaker 2: I want to actually reach for. I want to take
- 35:08Speaker 2: my hands and I'm going to show you with I'll
- 35:10Speaker 2: tell you first of my words, and then with my hands.
- 35:13Speaker 2: I want to reach for that young girl who felt
- 35:15Speaker 2: so alone, and she doesn't have to reach back to me.
- 35:18Speaker 2: I just want her to notice, in her little body,
- 35:20Speaker 2: and for you to notice in your forty seven year
- 35:22Speaker 2: old body, what it's like for me when I say this,
- 35:26Speaker 2: and if it's okay when I go for that reach,
- 35:28Speaker 2: just what happens. You don't have to reach back, okay?
- 35:31Speaker 2: And so then I slowly kind of like went for
- 35:33Speaker 2: the reach and put my hands out and her own stuff,
- 35:36Speaker 2: her own fullbic avoidance of her in your experience came
- 35:39Speaker 2: up of like you don't want to, or why would
- 35:41Speaker 2: you want to? Whatever it was. I think I've shared
- 35:43Speaker 2: this a few times and she was like, but I
- 35:45Speaker 2: don't know and I don't want you and I said,
- 35:47Speaker 2: you totally don't have to. I am totally fine, Like anyway,
- 35:52Speaker 2: I think I told you, like I said, I can
- 35:54Speaker 2: reach my hands as many times as I want or
- 35:56Speaker 2: as I need or as just to experiment what happens inside.
- 36:00Speaker 2: I think I shared it was like three or four
- 36:01Speaker 2: sessions later. She said I think I'm ready and I
- 36:04Speaker 2: said ready for a lunch. She's like for you to
- 36:06Speaker 2: go for that reach and I said, okay, and I
- 36:08Speaker 2: just want to remind you you don't have to reach
- 36:10Speaker 2: your hands back out. Let's just notice what's happening inside.
- 36:13Speaker 2: And she got very emotional. She eventually did go back
- 36:15Speaker 2: for the reach right, and she put her hands in
- 36:17Speaker 2: and she was bowling. And I reason I bring this
- 36:19Speaker 2: up was me tolerating I look like a dufas or
- 36:24Speaker 2: it doesn't actually matter, and there's magic happening in the
- 36:27Speaker 2: fact that she's even noticing that someone is reaching because
- 36:29Speaker 2: that's secure attachment. Right, Secure attachment is you saying to
- 36:32Speaker 2: your partner or your child, hey, I'm ready to have
- 36:35Speaker 2: the conversation about what happened that upset you so much.
- 36:39Speaker 2: Whenever you're ready and not needing to control, they might say,
- 36:42Speaker 2: well I'm not ready, Okay, well you know what I am.
- 36:44Speaker 2: Whenever you are right. And I love that you're saying this, Veranda,
- 36:48Speaker 2: because that's really our internal world of can you feel confident?
- 36:53Speaker 2: What do you need to feel to embody that secure base.
- 36:57Speaker 2: You don't have to come to your colleagues tomorrow and
- 36:58Speaker 2: be like, wow, I had the most breaked recession. Like
- 37:01Speaker 2: I actually had a session with a client the other
- 37:03Speaker 2: day and I was like, this is not going anywhere,
- 37:06Speaker 2: and I'm like, you know what, just just go with them.
- 37:08Speaker 2: And we had the most profound session, Like the last
- 37:10Speaker 2: five minutes. The client ended up opening something up and
- 37:13Speaker 2: I'm like it's because I let go and I was like,
- 37:15Speaker 2: let me just in whatever. So I love what you're saying, honestly,
- 37:19Speaker 2: vern a commiss because that is the magic, right.
- 37:22Speaker 3: And I think like we also, like in our profession,
- 37:26Speaker 3: of course, we want to to help our patients and
- 37:30Speaker 3: like give this revolutionary I heal you like this is
- 37:34Speaker 3: my one everything is fine, but that's not the work.
- 37:39Speaker 3: That's not how it works. And if I can tolerate
- 37:43Speaker 3: sometimes being clueless or like, if I can tolerate okay,
- 37:47Speaker 3: so this is the pace that it's going in, then
- 37:50Speaker 3: I won't insist that. Then the patient will actually feel
- 37:54Speaker 3: like it's okay for me to not get it or
- 37:58Speaker 3: not go for the reach or like not nothing happened
- 38:01Speaker 3: quote unquote today, but it was good work because we
- 38:05Speaker 3: did the.
- 38:05Speaker 4: Work, and so my intention and my capacity to stay
- 38:13Speaker 4: with it's it's so it's super sin.
- 38:17Speaker 2: I love that, And I also want to say I
- 38:19Speaker 2: think it actually a lot is happening. I think we
- 38:22Speaker 2: sometimes as human beings, especially in like today's generation, but
- 38:25Speaker 2: I think therapists, at the end of the day, we
- 38:27Speaker 2: are all wounded healers. We all have some unconscious agenda
- 38:31Speaker 2: of wanting to help people heal, and I think it
- 38:33Speaker 2: asks us to renegotiate. And I'm excited to find your
- 38:36Speaker 2: research as well. I think it's renegotiating what our role
- 38:39Speaker 2: really is. I know I learned this again and again
- 38:41Speaker 2: and again as a mom, Like I'm humbled every day
- 38:47Speaker 2: because I don't care about the scientific research. I don't
- 38:49Speaker 2: care about how much knowledge I have. We know this
- 38:51Speaker 2: right in our relationships, in our lives, we're always learning
- 38:54Speaker 2: new things. And I think there's something about the magic
- 38:58Speaker 2: is unfolding and the information is actually happening. The fact
- 39:01Speaker 2: that you're able to reject the fact that you're on
- 39:04Speaker 2: your rest, the fact that you know and you know
- 39:06Speaker 2: what if it takes ten sessions or it takes six months,
- 39:09Speaker 2: or it takes a year, and there is these small
- 39:11Speaker 2: moments of shifts that are happening because they feel safer
- 39:14Speaker 2: in their body regardless of what it looked like. That's incredible,
- 39:19Speaker 2: And I think it's us also being able to obviously,
- 39:21Speaker 2: like I think what we both know is getting our
- 39:24Speaker 2: own good mentorship, being in our own counseling learning tools,
- 39:28Speaker 2: so we feel confident and we know that we're doing
- 39:30Speaker 2: good work regardless of the shape, size, profundity of the session.
- 39:36Speaker 2: I think that's really the important piece. And also bringing
- 39:40Speaker 2: our clients along for the journey and really trusting, right,
- 39:44Speaker 2: like trusting their pacing and trusting in the work. And yeah,
- 39:47Speaker 2: I think that's actually one of like the most That's
- 39:49Speaker 2: what I've learned, Like I'm like to me, like having
- 39:52Speaker 2: good mentorship, having good people supporting me, having good peers
- 39:55Speaker 2: and colleagues, and reflecting on my own self, I think
- 39:58Speaker 2: is what allows then the work to unfold. But tell me,
- 40:03Speaker 2: because I know I'm being mindful of time, tell me
- 40:05Speaker 2: if there's one or two tips or one piece of information,
- 40:09Speaker 2: because I know so much of this can sound esoteric
- 40:12Speaker 2: and like practical level, Like what's like a one piece
- 40:16Speaker 2: of information or one tool that you would tell a
- 40:20Speaker 2: younger therapist to a newer therapist that wants to be
- 40:22Speaker 2: able to develop more of that safety between them and
- 40:25Speaker 2: our and our clients. What would you say?
- 40:29Speaker 3: So I would if you want to explore how to
- 40:41Speaker 3: involve the body in the therapy room, then like go
- 40:46Speaker 3: to the hands and the feet because there's they are
- 40:50Speaker 3: usually not loaded, not triggering for the for the patients,
- 40:54Speaker 3: and like for yourself, you know that they're safe, so like, yeah,
- 41:00Speaker 3: you just massage your hands, just like wiggle your toes
- 41:03Speaker 3: because then you can also as a therapist, you can
- 41:06Speaker 3: set the pace for yourself. So it's not about okay,
- 41:09Speaker 3: let's go in the deep emotions and like let's scream
- 41:12Speaker 3: and let's cry, because then when the when the patient
- 41:14Speaker 3: have their emotional reaction, they're like, oh my god, what
- 41:17Speaker 3: am I doing? Do this correct? And so so like
- 41:21Speaker 3: create for yourself the best context, like like you know,
- 41:29Speaker 3: set the table for the optimal way for you to
- 41:33Speaker 3: start to practice because there and and yes, I'm seeing things.
- 41:42Speaker 3: I'm seeing things not not like you know, visually.
- 41:47Speaker 2: Yeah.
- 41:48Speaker 3: Yeah, So I'm just trying to put that in you know,
- 41:50Speaker 3: Swedish and English. And I think that sometimes or like
- 41:55Speaker 3: the most of the times that the biggest challenge I
- 41:58Speaker 3: hear from therapists is that I think that it's like
- 42:02Speaker 3: difficult to use the body like it should be like
- 42:06Speaker 3: these extreme explicit actions or movements or like exercises, and
- 42:19Speaker 3: it's just like notice your feet, notice your hands. It
- 42:23Speaker 3: doesn't have to be complicated, just because our patients so
- 42:27Speaker 3: many of them, Oh oh I have hands, Oh oh
- 42:32Speaker 3: I have feet, Like it doesn't have to be difficult,
- 42:35Speaker 3: it doesn't have to be like grandiose. It's just aim
- 42:38Speaker 3: their attention to the body and to explore it. Again
- 42:42Speaker 3: also like be be transparent. Okay, So like I'm not
- 42:49Speaker 3: sure how this will how you will react. So I'm
- 42:51Speaker 3: thinking we can start with our hands and our feet
- 42:53Speaker 3: and just see we can stay there. So again the
- 42:56Speaker 3: co creation.
- 42:58Speaker 2: I love that. I love it you're saying all of
- 43:00Speaker 2: this in terms of like go with what's like neutral, right,
- 43:03Speaker 2: go with just something so simple like your hands, right.
- 43:06Speaker 2: Somatic practice is very simple of like hands and feet.
- 43:10Speaker 2: And I also think that what you're speaking about, maybe
- 43:12Speaker 2: we could have another conversation about this another time, is
- 43:15Speaker 2: so much of somatic where people think it's like what
- 43:17Speaker 2: Peter Levine talks about like an act of triumph, because
- 43:20Speaker 2: obviously when our clients are stuck in like fight, flight, free, submit,
- 43:24Speaker 2: or attach, usually there's like the fight that was inhibited.
- 43:28Speaker 2: So sometimes we want to go for like a void
- 43:30Speaker 2: a words coming out of the throat, or a push
- 43:33Speaker 2: or a flight is kind of like stuck and you
- 43:35Speaker 2: want to kind of help them move their body and
- 43:37Speaker 2: their feet. But like what I think a lot of
- 43:40Speaker 2: people forget about is the developmental piece exactly what you're
- 43:43Speaker 2: speaking about, which pat Ogden talks about in terms of
- 43:46Speaker 2: somatic sequencing and somatic sequencing are the much slower movements,
- 43:51Speaker 2: the much slower processing of Wow. So there's like a
- 43:54Speaker 2: little tingling in my hands. It's almost like I just
- 43:57Speaker 2: I'm just feeling like I'm actually noticing a little bit
- 43:59Speaker 2: of like a raw or warmth in my arms that
- 44:02Speaker 2: can be just as powerful or more powerful then pushing
- 44:05Speaker 2: for a big act of triumph. I shock trauma, developmental trauma,
- 44:09Speaker 2: which is most of our clients when it comes to
- 44:12Speaker 2: lack of safety, lack of attumin not you know, really
- 44:14Speaker 2: not feeling like they're okay or worthy or whatever it is. Right,
- 44:18Speaker 2: the themes of like safety, belonging responsibility and worthy right
- 44:24Speaker 2: safety belonging, worthiness, responsibility, some of those more subtle themes
- 44:28Speaker 2: are actually going to work with, Like and I feel
- 44:30Speaker 2: my chest tightening, so just notice the tightness and the loosening,
- 44:33Speaker 2: like these small consistent sensations. It's not like I've seen
- 44:38Speaker 2: how clients will hold themselves up straight, are or they
- 44:41Speaker 2: feel calmer in their belly, And it's not those like
- 44:43Speaker 2: overnight booms. So I think that's the whole. I love
- 44:46Speaker 2: what you're speaking about. It's like, I think what we're
- 44:48Speaker 2: speaking about is the small actually becomes the big, and
- 44:52Speaker 2: can you actually create the small elements that actually create
- 44:57Speaker 2: the big elements of safety and are completely why not
- 45:00Speaker 2: all therapy is equal, right, clients can go to like
- 45:03Speaker 2: you're talking about the control study or not controlled study.
- 45:06Speaker 2: If there is safety and there's an understanding for the
- 45:08Speaker 2: therapist and how to cultivate safety, that client will have
- 45:11Speaker 2: a completely different experience in therapy and in their lives
- 45:15Speaker 2: than the therapist who might have similar training but doesn't
- 45:18Speaker 2: have that nuanced awareness.
- 45:20Speaker 3: Yeah.
- 45:22Speaker 2: Yeah, is there any last pointer word or quote that
- 45:24Speaker 2: you will leave our listeners to before you share how
- 45:27Speaker 2: people could find you or follow you? Any last thoughts?
- 45:36Speaker 3: Allow yourself to be curious, just as we encourage our
- 45:41Speaker 3: patients to be curious, and instead of being the detective
- 45:48Speaker 3: or instead of being the judge and referee, be detective,
- 45:51Speaker 3: like what can we find here? So if you have
- 45:55Speaker 3: a curiosity for your patients' reactions or sensation or capacity
- 46:01Speaker 3: to explore, then again this is what creates or or
- 46:08Speaker 3: contributes to the perceived safety.
- 46:10Speaker 2: Love that I love you saying curiosity, because sometimes we
- 46:13Speaker 2: unconsciously like guide people and it's like, don't like ask
- 46:16Speaker 2: questions or know yes, that's a lot of the somatic work,
- 46:20Speaker 2: but kind of gather the data that they are sharing
- 46:22Speaker 2: versus what you have in hypotheses about Yeah, obviously, when
- 46:25Speaker 2: you deepen the somatic work, you know what to touch
- 46:28Speaker 2: on what to hypothesize about that. I love what you're
- 46:30Speaker 2: saying about the curiosity. I love that so much, Veronica.
- 46:34Speaker 2: I love this conversation. I still appreciate I'm with.
- 46:37Speaker 3: You so grateful Esther, Yeah, thank you.
- 46:39Speaker 2: I love I actually want to just say like, I
- 46:41Speaker 2: appreciate you and how much effort and energy it takes
- 46:44Speaker 2: to do the translation. I want to name that because
- 46:48Speaker 2: I feel like that that's a real piece. Tell us
- 46:52Speaker 2: how people can find you if you want to follow
- 46:54Speaker 2: your work or find you.
- 46:55Speaker 3: Yeah, yeah, so Veronica love a book on inst My
- 47:01Speaker 3: web page is don't get over a book. Book, that's say.
- 47:03Speaker 3: I also have a podcast in Swedish so for together
- 47:07Speaker 3: cyclogie or embodied psychology, and I'm starting a training in
- 47:12Speaker 3: nervous system regulations for professionals. So if you're a coach
- 47:15Speaker 3: or therapist psychologist in Sweden or Norway or Finland and Denmark,
- 47:19Speaker 3: you can find me and we practice this. So it's
- 47:23Speaker 3: very like a very practical training, not just talking, not
- 47:27Speaker 3: just because you know, we need the body as the
- 47:29Speaker 3: way and as the vehicle for exploration. So I'm super
- 47:32Speaker 3: stoked to find more professionals in Sweden to collaborate with
- 47:38Speaker 3: and to share and explore and expand this work.
- 47:42Speaker 2: I love that, Veronica, I love speaking with you. I
- 47:46Speaker 2: love the work that you're doing. I'm really excited about
- 47:49Speaker 2: the wisdom that you're sharing with professionals to deepen this
- 47:51Speaker 2: like nervous system piece, because at the end of the day,
- 47:53Speaker 2: the more we embody it, like you and I, the
- 47:56Speaker 2: more we kind of could share the knowledge and actually
- 47:58Speaker 2: trickle down to our families. I loved on our workplaces
- 48:01Speaker 2: and our communities, and then there's just so much more
- 48:03Speaker 2: felt and safety. Thank you so much for being on here,
- 48:07Speaker 2: and I look forward to speaking with you soon.
- 48:09Speaker 1: Yeah.