PTSD - Episode 6

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Episode Transcript

(00:00):
Hi everyone, I'm Danielle Bartley alongwith Merrimar Weeks. Hi everyone, Welcome
to us Psycho Babble dash Me.This is episode six. Today we're going

(00:24):
to talk about post traumatic stress disorder. Before we do that, we want
to put out a disclaimer that thisepisode may be triggering for some people,
and there's no way meant to replaceprofessional mental health treatment or therapy. So
let's start with a few statistics.Danielle. Yes, So I was looking
this up and I found a centercalled the National Center for PTSD and they

(00:47):
estimate that six out of every onehundred people will experience PTSD in their lifetime.
Oh yeah, Now, many willrecover without any any need for psychiatric
intervention, and then some other peopleit just doesn't doesn't go away, just
gets worse and worse. They saythat roughly thirteen million Americans have PTSD in
any given year, and that menare less likely to develop it than women.

(01:11):
Four out of every hundred men getit and eight out of every one
hundred women will get it. Andalso, sadly, veterans are more likely
to develop PTSD than non veterans,and veterans that have been deployed to a
war zone are three times more likelyto develop PTSD than those not deployed,
and also in those statistics are thehistory of military sexual trauma and the cause

(01:34):
of PTSD and veterans. So PTSDis triggered by terrifying events. Either someone
will experience it or they will witnessit right, and this can be anything
from a threat of death, injuryor sexual violence, car accidents, write
any sort of trauma. So someof the signs and symptoms include hashbacks,

(02:00):
nightmares, severe anxiety, uncontrolled thoughtsabout the event right, people have unwanted
memories, physical reactions when exposed toreminders, such as like increase heart rates,
sweating, increase in blood pressure,their pupils will dilate, and people

(02:23):
often avoid things that remind them ofthe trauma. So these signs and symptoms
get worse for months or years andinterferes with the patients or person's daily living
right and the technically be diagnosed ashaving PTSD, the symptoms have to last
more than a month. Some othersymptoms people have are negative thoughts about the

(02:44):
self or the world. They oftenblame themselves or others for the trauma,
intrusive memories reoccurring, unwanted distressing memories, like we said at the event,
increased starter response or hyper vigilant.And the two things are like someone who
has PTSD doesn't like to sit withtheir back to the door. Oftentimes they

(03:06):
need to know where like all theexits are in a room, yes,
And like if you came up andtapped me on the shoulder, I don't
have PTSD, I'd probably just turnaround. But someone with PTSD would likely
have started avoidance. Oftentimes they'll tryto avoid talking about it or avoiding places
and people that have maybe have causedtheir traumatic event. Right, they won't

(03:30):
read newspaper articles about it, orif it's you know they've experience, let's
say sexual trauma. You know,you're watching a movie and that comes on,
they automatically changed the channel because theydon't want to see that. Oftentimes,
also they have difficulties sleeping and reallyhorrific nightmares. I was talking to

(03:50):
Marimar that I had a car accidentwhere I totaled my car and I slid
on ice, and I was tellingher mine only lasted two weeks, but
I couldn't imagine having so much traumain my life that it would last forever.
Because I did have some flashbacks forthe two weeks. And then I
was in graduate school, so Ihad to ride past that and I would
get like, you know, almostlike that sickness feeling, and thank god,

(04:14):
it only lasted a couple of weeks. Yeah, I've had quite a
few patients with PTSD, almost allof them were females with sexual trauma.
And then I had this girl.Well I'm not gonna say her name,
so I guess I can share,right. Yeah, she had been at
a local university at a party andsomeone who didn't go to that university came
on and it was another female andliterally beat this girl to a pulp.

(04:41):
She had a broken jaw, hereye socket was broken. She spent months
in the hospital. And after thatevent, to this day, that was
probably close to fifteen years ago.She's still She's tried to work. She
can't. When she gets around toomany people, she gets so anxious.
It's just it's her rific and she'sbeen through all sorts of therapy. Right
now, she's functioning okay, butyou know, she's on a lot of

(05:04):
medication and has done a lot oftherapy to get through that. Some people
also experience what's called disassociation, andthis is a feeling of being outside oneself
or detached from reality. Their perceptionof reality is distorted. Sometimes I think
things are not real. I wastelling Danielle I had another patient who had

(05:26):
been sexually assaulted repeatedly throughout the years, and she said that it got to
the point and like, I mean, she was raped probably I want to
say, five or six different timesby different people in her life. And
it's almost like sometimes these people havea target, like these predators just no
sadly anyway, and she would saythat it was not happening to her,

(05:47):
felt like she was floating above watchingit happened to this body that was her
body, but she wasn't present whileit was occurring. So some of the
complications of having pushed traumatic stress disordercan disrupt your whole life, your job,
your relationship, your health, youremployment, enjoyment of everyday activities.

(06:10):
It increases your risk of mental healthproblems such as depression, anxiety, issues
with drugs and alcohol, eating disorders, suicidal thoughts and actions. And we
do want to emphasize again that ifyou have any thoughts of harm to yourself,
get help right away. Reach outto a close friend or loved one,
Contact a spiritual leader, friend,family, contact the suicide hotline.

(06:34):
In the US, it's call ortext nine to eight eight to reach the
nine eight eight Suicidal Crisis Lifeline,available twenty four hours a day, seven
days a week, and make anappointment with your doctor or healthcare provider.
So now we're going to talk aboutveterans from returning from military service and how

(06:54):
they experience PISS traumatic stress disorder,right, and so Sadly, they have
found that there is a correlation betweentrauma and suicide, and studies suggest a
strong correlation between suicide and combat trauma, especially for those who are wounded multiple
times or hospitalized multiple times. Also, the intensity of the combat trauma and

(07:15):
the number of times it occurred itis thought to influence the suicide risk in
vets. Studies also suggest increased levelsof intrusive memories related to trauma. And
I think, Danielle, what wereyou saying about the statistics side. So
I went to nobody walks alone.It was an event downtown Wheeling. It

(07:36):
was about a month or so ago, and we walked forty four minutes.
Because it is the statistics say thatforty four veterans tell themselves daily. The
number was twenty two, but withhow did he say it? He said
that unreported deaths or overdose, notintentional over does things like that, that

(08:01):
the number goes up to forty four. Yes, a lot of these veterans
are trying to self medicate through drugsand alcohol. Yeah, and the helping
heroes here and wheeling they put onthe I think it was the second year
and I think there was a goodone hundred and fifty some people. It

(08:22):
was a very good event. Theyhad all kinds of booths set up for
veterans. I know that I workwith a veteran and she came and walked
with us, and she even wasat a booth where they they're going to
offer TMS. I do believe inBelmont County, Saint Clair's Ville for veterans

(08:43):
for free yeah, little yeah,which I thought was awesome. Yeah,
hopefully they. I mean, ifyou remember, like a few years ago,
all the trouble they had with theVA hospitals in getting in and I
had some patients who were vets toand they didn't go to the VA because
they said they'd wait to get in. It's like months and months. Yeah,
some of these people don't have thatlong. They're in the midst of

(09:03):
this. Yeah, so the symptomsand vets are similar yet different. When
I was researching it, it saidthat veterans are more likely to have irritability
and anger outbursts related to their trauma, as well as excessive fear and worry.
And whenever they come back, they'reemotionally numb, disconnected to their loved

(09:26):
ones. And you know, youhear people like we'll say, you know,
why are you acting funny? Orwhy are you different? You know,
there's definitely a change in their behaviorand their personality. With these people,
Yeah, definitely. They're in combat, you know, and they have
a hard time. There's no transitionreally from them from military service back to

(09:48):
civilian life. It's just like,Okay, here you are in the middle
of the desert and war and thenboom, you're back in your little hometown.
And yes, and it's hard forthem to adjust to that. And
I so, I have a friendthat's a veteran, and I know that
he struggles with mental health. SoI asked him, I said, can
you kind of tell me what youwent through? And so he had sent

(10:11):
me a message and said in Iraq. I lived in an old school that
was under constant sniper fire and mortalattacks. I was hit with my first
EFP while riding in a tank.Thankfully they set it off too early and
only hit the front of the tank. I was also hit with several i
eds and one directly to the vehicleI was driving. In Afghanistan, I

(10:33):
worked closely with SOOF during raids andjust mounted patrols and kadar, which was
a strong point for years that eventhe Russians couldn't crack full city base attacks,
constant fear of suicide bombers. Sothen I went on to ask him,
so what symptoms do you have?And he told me as we talked

(10:56):
and these are the classic symptoms thatwe talked about. He said that he
has issues with crowded spaces. Now, I hate having my back to any
doors. I'm constantly guarded, alwaysalways find the excess just in case need
to use. I have nightmares,sleepless nights. I wake up screaming and
punching. Sometimes he does see someoneat the VA. He lives several hours

(11:20):
away once a month for therapy andalso takes meds for sleeping and nightmares as
well. As depression and anxiety.Right, so sad to give me children.
I can't even, Yes, Ican't even These people who are serving
their country then come back. Yeah, all this trauma, Yeah, it's
terrible. Also, interestingly, Ifound a statistic about the difference in the

(11:43):
service where they served any occurrence ofPTSD and just a little caveat. I'm
not sure if this is so muchthat more people have it or more people
are aware and we're diagnosing it more. But it showed that Operation Racky Freedom
and Enduring Freedom fifteen percent of thosehad PTSD in the past year and twenty

(12:05):
nine percent sometime in their life.In Desert Storm fourteen percent had it in
the past year and twenty one intheir life. Vietnam five percent had it
in the past year and ten percentin at some point in their life.
And World War Two and Korean Wartwo percent in the past year and three
percent at some point in their life. Again, though you know, there

(12:28):
aren't that many World War two betsaround anymore or Korean veterans, and I
think the Vietnam bets are probably higher. But again I don't think it was
diagnosed as much then, because youknow, they came back from the war
that everyone was protesting, so thathas to be horrific for them. So
some of the treatments available for PTSD, of course, or medications, right,

(12:50):
Danielle. So then we use somethingthat's called prosocin for nightmares, and
I don't think it stops the nightmaresso much. People don't remember them,
yes, right, And so youcan start anywhere from one milligram all the
way up to fifteen milligrams again,yeah, with your providers, how Yeah,
definitely. I never have really goneover for four or five milligrams.

(13:13):
To be honest with you. I'vehad people on yeah, okay, that
one girl is talking you about.Yeah, I think nine milligrams. And
then obviously the antidepressants, yes,and then anti anxieties. We always try
to start with the non addictive ones, but sometimes these people just can't function
without, you know, Yes,the benzodiazepines are such Obviously, counseling is

(13:37):
a big part of this. Andthen there's a new what was new to
me when I started my last job, a new kind of therapy that was
specifically developed for PTSD, and it'scalled em DR or eye movement desensitate.
Don't wait, let's do that I'vemovement, desensitization, and reprocessing, so

(13:58):
the trauma memories and your brain areactually stored in a way that doesn't allow
you to heal, and the braindoesn't recognize that the danger is over,
so you are always in this heightenedstate of anxiety and hyper vigilance. So
it focuses on changing the emotional responsethe thoughts and behaviors that resulted from the

(14:18):
trauma. It doesn't require talking indetail about the trauma. Of course,
you have to talk about it alittle bit, but during EMDR, the
person accesses those memories of a traumain a very specific way with a therapist
who's specifically trained to do this.So there aren't that many like where we
live. I think there's two therapiststhat I would refer patients to and that's

(14:39):
it. And it combines eye movementand guided instructions to access those traumatic memories
in an effort to help the patientreprocess what they remember of the traumatic event.
And it's through this reprocessing that helpsto quote repair those mental injuries from
those memories, so that rememory nolonger feels like you're reliving it and you're

(15:00):
not in the moment again and you'reable to relate to the feelings and they
become more manageable. So it doesn'tit doesn't increase that fight or flight response
fight or flight response in the individual. So we'd like to welcome to him
to the program. He has amaster's in political social work from the University
of Maryland and he's been in practicewith the therapists for over thirty years.

(15:24):
Welcome to the show, Tim,Thanks for the invitement. So I'd like
you to explain something that I foundthat you rode a while ago, and
you said that the lynchment of mostmaladaptive behaviors are unprocessed events, and that
focusing of trauma is association, panicand recovery. To find fun an approach
that focuses on the body's protective responsesdistress. But can you kind of break

(15:45):
that down, I hope. Soit's a pretty long statement. It is
a long statement. Our body actuallyhas some wire in processes to deal with
whatever crap happens. Those are ouroceans, some other processes such as brief
boss right. When there are eventsthat end up overloading one of those virgin

(16:10):
responses, we end up sometimes looklike a traumatic response to something that happens.
We're like an interrupted a brief process. They blocked emotion, and once
those kind of natural processes get boggedup, everything tends to go back.
Can you meet flogged up in yourright nor a biology? And it's not

(16:33):
a lot of differentiation between what yourbrain's doing in your stomach. Story.
So in the in this episode earlierbefore one, Danielle, we're talking about
when we were talking about question cantdiscress what other things to be found out
in research? Was that, uh, if I don't hope this is assume
it's right that they said that likepeople who experienced trauma, theybe they're always

(16:56):
in that state of page or theirbrain can't process that. You say,
but let's say it a little bitmore perceptual that and this is a clock
more from a vessel vander folk andit's a once you've had traumatic adventure're always
looking for danger if you have astead changer seien system here instead of a

(17:18):
joy singing system, which is howit cool? And how do you how
do you rewire something? They cutthat off to stop that talk, and
they're how to com well, actuallyyou can reprocess the memory itself. Ah
well, let me explain what's notprocessed and that prival fielding do it.

(17:41):
When you have the overriding of thetraumatic event, what happens is you don't
go through the normal processing with yourleft anders here and your right members here,
and your story in a certain wayof your memory. What you have
is a partially process events that oftenthat's not always gets stored with the wrong

(18:03):
emotion. So if you have apast event, you shouldn't usually have it
stored with the emotion of it wasa sad event or something happen. Yeah,
you just bost have said ems orit's a content or satisfied that you
look back, I'm pretty cool,did that happened? But a trauma member
you gets stored with scared or itgets it gets stored with anger. So

(18:29):
every time it gets triggered, andit does get triggered quite easy because it's
not stored correctly, the body hasthat same response. It has like a
scary response, which is actually afuture emotion. You was scared, the
truck's going to hypic have happened atI'm going to get a tip or anger.
It's stored with anger, so itcomes out and you're taking my cooking.

(18:52):
It's like an anger, but it'ssomething passive. The body and the
memory are no longer can prove itbut instead And is that where you get
those symptoms with let's just say PTSDor trauma. Yeah, yeah, the
hyper arousal, Yeah, like thehypernous the flashbacks, ye, nightmares Okay,

(19:18):
Uh, there's a lot of thingsthat are misunderstood, which which I
wish were more understood. If Ithrow a couple of days in yes please.
A flashback is when the memory istriggered and you can actually see it.
But you can block the vision andlearn to do that, but you'll
still feel it as you can't blockthe feeling. So people tend to say,

(19:41):
well, now that's a panic,but it's nera a biological Biologically it's
the same thing, so they don'tbut they're not aware, right, So
it's it's even more difficult to dobecause you don't know what's happening. That
remind me of the patient and baddo I thought about that? Yeah?
It tad anxiety use at Patron calledCamden Tech stuff to be a candid right,

(20:07):
because you're always going to perceptively decidewhat's happening. So if you can't
see the trauma. It's causing thissensation in your chest, sensation in your
stomach. You're going to look outand what you can see and oh it's
that guy though, or oh it'sthat car coming towards here, or oh
it's this crowd. Well, whatabout the interest of memories? The intrusive

(20:29):
memories seem to be that since thememory is stored incorrectly, it's easily triggered
I sound on their sites or yourvisual spatial stuff for almost anything, so
it becomes active and the memories arejust the visual part of the traumatic defendive
happen. What wasn't you want tohear of the most important thing in processing

(20:57):
a trauma is having a refile withand gru into motion. And how do
you go about doing that? Sound? Yeah, you know, you're you
wiring their brain. Now how thebrains processes instead of the signal going to
this part of the brain and onthe ability the other the correct one.
But how do you go about todo I'll back up a little bit on

(21:19):
the word brain because you have tokind of think that we have four or
five different brains and they each havetheir own language, so that there's some
verbal processes can do but there's somethat only has to do with sensations.
There's something only has to do withvisions, there's something that has to do
with gestures. So you kind ofconnect different parts of the brain growing in

(21:44):
the same direction. And just tomake a little bit more complicated, if
if your conscious brain what you're directing, is working in a consort with your
unconscious sprain together, then things doget wired differently. So you create that
condition when your processing and it changesus. Is that how like? Is

(22:07):
uh? I know that I movedon from hard you and I used to
work. I went to another facilityand they had a couple therapists that did
that. Dr Is that how thatworks? So that they're reposited through eye
movements? Actually, what they're startingto see has This has been confusing for
a lot of people for a while, and there's a lot of people a

(22:29):
lot of therapies to use em andnot just to be mpr The function of
bilateral i'men to the circum speed isactivating the different hemispheres back forth, back
forth. But it also brings youcloser to a congruence between the conscious and
my concist, which means you canprocess it. Yeah, and it's so

(22:56):
it's both more complicated and simpler thanpeople think. Yeah, so I know
that sometimes people will tell me whenthey have experious the palmatic defends that they
disassociated. Can you kind of explainwhat that means? Yeah, And again
that's that's something that kind of scarespeople. And to think about it as

(23:18):
the vocus as well. Think tothink about it. The defense you use
at the time of the trauma islikely to be the defense you continue to
use when a truson a typer arousingwhen corect to that. So if you

(23:38):
personalize, so you've moved kind ofout of your body a little bit because
you don't want to feel all theseterrible efense. Yeah, if you freeze,
which is a part of shutting downat your body as well, that
becomes a habit that gets triggered againwhen you're under similar votes of hyper arousal
or reactivity. So get up youyou know. And it depends on the

(24:03):
developmental age as well. When youhelp. If you're literature used to be,
if you're traumatized between poor and happinessor several, then you actually have
an ability to take a part ofyour brain and put it out to be
present for the trauma, and therest of your brain doesn't have to either,

(24:23):
and that becomes the habit that youcontinue over. If you deep you
never have another traumatic experience you haveto happen. What makes some people this
association and trying to like what theywould call used to call them are helpful
for the house. It's the age. It's the age when you spear.

(24:45):
You kind of have two different brainswhen you're because the purpose blossom is not
miling a to go way across.So a kid actually talks from one time
your brain from another side of thebrain. You're never here, is here?
It tuck themselves at that age directlyactually kind of communicate what you have
a side of their brains through theirparents, sometimes two through a kind of
opportunity. But if your brain's inthat status and you have a tremendously difficult

(25:10):
event, then there can be agreater degree of separation created in order to
defend yourself. And when people disassociatedon the upper all the county. But
when they disassociate are bass build it'spart of them still aware of what they're
going out or they are they outhere and they don't really know them.
You know what I mean, there'sa real wide continuum association, so it

(25:36):
kind of depends on where they areon them. How many people dis associate
when they drive home? Yeah,yeah, definitely, I know. But
there's a part of your brain incharge of looking through danger ahead, and
you think about that, So that'sperfectly normal. If there are times when
you space out and you do losecontact with what's going on around you,

(25:59):
then there starting to think that's moreof a neurobiological thing that happens because of
trauma as well, when you're kindof shutting down parts of your system.
So how do you how do youstart to how do you help a person
to start processing processed problem? Howdo you get that if you get in
here? Uh, you know,I know that's a very specific kind of

(26:19):
I'm sure that in the eight name. Why don't you put it up the
sact way? I've been succinct sofar. Yes, amazing. The the
knowledge comes first that if a memoryis stored as a trauma, it's going

(26:45):
to cause a problem. Yeah,it's gonna be triggered. And if you
can have to do a whole lotabout if being triggered us at avoid everything
in the world. Right, there'sno amount of willpower that has anything to
do with resolving the trauma. Thereis no will power in that regards,
so get rid of some of thebad ideas that is useful as well.

(27:07):
The next step is probably to acceptthat you have a wired end process of
your body to manage things. Soyou have to have your emotions, You
have to be able to process youremotion. You have to be willing to
find an emotion that's blocked, whichmaybe you have to also and let it
be unblocked. So the other pieceof knowledge that's really important trying to do

(27:34):
is the same is that the brainchange is really really quickly. So the
trauma changed your brain really really quickly, so when you're processing change is really
really quickly too. There's a lotof hopeful things, so would know now
that we didn't don't contin used towell how come some people never get pasta

(27:56):
but why can't some people this couldget that requirement that connection back to this
today it's pretty difficult to do withoutsomeone on the outside because there are a
lot of tasks that happening at thesame time. So, for instance,
if we were looking like an embrmodel where you have to move your eyes

(28:19):
at a certain rate. Are yousupposed to do that at this by yourself
as you're trying to look at thememory and change how their memory looks,
and to be able to accept theroom from you do all these things just
by yourself. It's get prep.That's where the clinicians coming. Right.
How do they know who the becauseI have to say, like whenever when

(28:41):
we work together, if I havepatience, must the albums? And also
right, yeah, but like howdo people know who the circuit? Do
you know what I mean? Likehow to connect with the right Because I've
also had patients who other practice bethey never get better and never could never
Yeah, and I have a youngerlady too, she had to seek services

(29:03):
like clear up in Columbus because ofher PTSD. She couldn't find anybody around
here. Well, it's both harderand easier than it used to be.
Before the therapists say, oh,I don't deal with trauma. They'll know
you don't. Don't talk about me. That was terraprist. But now there's

(29:26):
these kind of watered down line ofthings that happened where people would say I'm
I'm competent and trauma informed here.That doesn't mean you have a process and
you understand what needs to happen toprocess the trauma. So it can be
even more confusing now to find thetherapist to knows what to do. Right,

(29:48):
But how does you know, JoshMillan streaking up, you want to
know? You know you have achild who loved one who suffered from it.
What are we looking for? Whatdo we want? Would look at?
You know, provide. I tellmy clients who are wanting family members
who go places pectency them for troup, adventurest. If you go to a

(30:11):
therapist and you're wanting you get sometrauma work done, you ask them what
is the mechanism that changes in orderfor a trauma in the process. If
they can't give you an answer youcan understand, then you need to go
to the next therapist. And whatdid that even to be well? Again,
there's different schools, so there willbe some different language, but it's

(30:33):
face that would not be succinct atall. But like, okay, I
don't know anything about this, andI have my husband who back in the
war, And I asked the therapistthat what am I looking for? Them
to county, Okay, do youwant them to tell you that trauma can

(30:56):
be changed. It is reprocessing ofthe memory that the memory can be changed.
Now you can't get rid of itever, so you don't want to
anybody ever to tell you that.But the memory can feel different. And
if the memory feels different, rememberhistory, well that then also it self
the nightmare because you oh, yeah, absolutely so. I know you said

(31:21):
something when we were talking before westarted to show about how you wanted to
be missi Fi. You want totalk more about that. Well, we're
kind of you, we're kind ofdoing that. It's not some phrasy complicated
things that you have to have fortyhours of different trainings and skills. You

(31:47):
just have to know what needs tobe changed. You have some mechanism to
do it, like I'm I'm movingis a is a way to do part
of it. I think people beaware of their bodies and what's changing in
their bodies. It is an unimportantpart of grog. Yeah, getting done

(32:08):
there, of allowing themselves to haveemotions. You're just part the result.
There's always these pieces of it.The therapist is knowledge of what's happening by
looking at the client is a realimportant thing because you're nodding your head saying,
Okay, this is the this isthe step, this is the step,

(32:29):
this is the step. You haveto watch the more biology. Yeah,
how do you watch the one onyou? Well, you're not.
It's the whole body you have.Everything that's happening in the head is you're
reflected. What's the body. Sothe breathing is changing, this following is
changing in your eyes are doing certainthings, your shoulders are coming from.

(32:51):
So that's that's the math that's tellingme what's going on. So Tim,
we're all just discussing how some ofthe patients will feel ashamed of and guilty
of their trauma. Can you explaina little bit about that to us and

(33:15):
how you work with the patients withthat. Sure? And at first to
say is especially childhood trauma, that'sgoing to be a normal response because if
a client or a kid's parent isn'tdoing their job, if if the kid
says, my parents want for theirjob than their whole world. If the

(33:36):
kid says I'm abandon of person sothey're not going to job before still say
they have a yeah, So thatbecomes quite habitually. The first the first
coping or defense strategy you use getyou to survive, you just keep using
using us. So that's one ofthe things that happen to work. Guilty
shape get connected with. Yeah.The other thing is with so much pain

(34:01):
being in your past, then youtend to avoid going back to your past
with empathy. But you go backto the moments when you were in trouble
in painting and trying to resolve businesswith so much pain, then are you're
gonna do the empathy and protect,which means you can't have a lot of
empathy through yourself and the present eatingthe empathizing you don't feeling much signs Yeah

(34:29):
you did a good job, youdid the industry trut Maybe this isn't true,
but it seems to me in myinn a year. The fact is
that a lot of my patients youhave one trauma. And I told day
Gil is just like these predators havelike the heat seeking vessel. They're re
traumatized over and over again in awhile. What is the path? And

(34:52):
I don't want to kind of notblaming the victim, Why do people do
so many of them? You trapatizeany of those things that the way do
you mean the same way? Yeah, there's a there's a lot of factors.
But I'll bring up maybe three andone is again that that this the
first defense you use is which willcontinue to use. So if your defense

(35:15):
is I'm going to shut down whensomething happens and not do anything about it,
didn't you keep are going to startto go. Your brain also acts
it patterns on what's the first exampleof something. So if your parents is
a certain way when they're interacting,like if they yell and scree, there's

(35:35):
a part of your brain that'll alsowill always consider that as okay, a
kind of a primitive part for brain, So things will just feel okay even
though your conscious brains care. Thisis a perk or like love and compact
I think it could be, oryou know, people screaming at me just
feel natural. It doesn't bother usmuch. And there's a third one I'm

(35:58):
going to try to bring up.What was the question, why did this
seems like comptations of the competing yourtraumati Yeah, there's some pretty clear data
that if you have one trauma,your re traumatization is much more like them
because the patterns that patterns already therefor you to respond in a certain way

(36:22):
to wow the memory in the circuit. So it is people who are who
the traumatizer. I you know,if you use that worry on the that's
the right word to know what they'relooking for it by inn that was there
either response to it. So thatpart is abuse in some way. It

(36:45):
traumatize. Well, I think peoplethat are habitually abusive antelle who they can
get away with it. But youknow that there's there's our Crain is all
it's been people in the same thingthat I think worked, even if it
didn't work efficially, even if itcauses problems until we give it an alterna.

(37:09):
That's what therapists. Yeah, that'swhat I always said, its process
therapy for Yeah, I always suggestall of my patients go to therapy,
especially if you're taking medication. Forsure they think else you're want to talk

(37:30):
ye, I possibly reiterate that traumais a fixable condition. PTSD is a
mixable condition. I'm not saying it'seasy. I'm not saying it's easy to
find right home. But it's notone of those things like the chemicals think

(37:53):
your brain perhaps my fuller disorders orsomething like that, that you're happening.
Yeah, you didn't, you gotit because of how your brain process and
events, how you rid of itsprocesses. So I think that you know,
just to kind of wrap brings upthat anyone out there who is looking

(38:15):
for our healthlness that even mind whatkids said about you're asking a point of
questions for the therapist and make surethat they have at answer to your questions
like how are we going to getand how are you helping you get over
the Yeah, and be an advocatefor yourself. A lot of my patients
come and they want to switch therapist, and if you're not, you're not

(38:35):
getting what you need out of therapy. I would say, definitely seek out
somebody that is knowledgeable on how totreat your condition for sure. Right,
thanks so much for coming on tohim. We appreciate it. Thank you.
It was such great information. Itwas awesome. Thank you. All
right, we're gonna wrap that episodeup. I thought that Tim did such

(38:59):
a wonderful job talking about, youknow, the different things with trauma.
I even learned some studies definitely wantto look for it to that they have
a plan for you. Yeah,definitely a plan. And I, like
I said, always be always tellmy patients to be a n advocate for
themselves. You know, if you'renot getting what you need to get out

(39:19):
of therapy, then you probably needto switch. And we talked about it
on the episode two about vibing withsomebody and some people just don't you know,
and some people don't know there's certaintechniques that you might need and it's
okay to switch because all my patientssometimes will feel bad, Oh I liked
her butt, and if you haveto say that, but then it's time

(39:40):
to switch. And just make sureif you're seeking help for trauma, that
the therapist is well schooled and traumasknowledgeable, definitely, so that you can
get better. Right, So,once again, thanks for listening, and
remember you're not alone. Yes,take care, thank you. Oh don't, don't