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How Trauma Impacts Your Physical Health & How To Heal From It with Dr Bessel van der Kolk #336

Feb 15, 2023 1h 42m 19 insights
CAUTION: This conversation contains themes of an adult nature and references to sexual assault. My guest today is someone who I’ve been wanting to speak to for a very long time. Dr Bessel van der Kolk is a professor of psychiatry at Boston University School of Medicine and President of the Trauma Research Foundation in Massachusetts. He’s also the author of the wildly popular book, The Body Keeps the Score, a book about trauma, published in 38 languages and read by millions of people worldwide. The central philosophy behind Bessel’s work is that traumatic, psychological experiences in life leave a physical imprint within us, which can result in physical and mental health problems. We begin by talking about what exactly trauma is, how it differs from stress, and why it is important for all of us to have compassion and empathy for those affected. He explains the factors that lead to some people becoming traumatised by an experience while others aren’t. And we talk about the importance of family, support, and community when it comes to emotional resilience. We discuss the variety of different medical conditions and symptoms that may have their root in trauma, from misunderstood illnesses like fibromyalgia to mental health disorders and autoimmune disease. Often, these are the conditions where western medicine really struggles to help. Bessel has carried out years of research into trauma and studied the many modalities that can help us finally heal. Because our bodies quite literally keep the score and store the trauma, it’s often body-oriented therapies that may prove most helpful. We discuss why yoga (the union of body and mind), dancing or singing can be powerful ways to do this. Movement, he says, is the opposite of being ‘stuck’ in trauma. It’s a somatic pleasure response, an expression of life, and can put vulnerable, traumatised people back in touch with their bodies. Bessel also shares some fascinating evidence on the power of EMDR (eye movement desensitisation reprogramming), neurofeedback, and talks about his involvement in psychedelic therapy. Such is the prevalence of trauma in society that whether we have experienced it ourselves or we know people who have, it’s vital that we all learn about it and the various ways we can heal. This is a powerful and insightful conversation with one of the world’s leading authorities on trauma. I hope you enjoy listening. Support the podcast and enjoy Ad-Free episodes. Apple Podcasts https://apple.co/feelbetterlivemore or https://fblm.supercast.com. Thanks to our
Actionable Insights

1. Shift Blame to Self-Management

Recognize that trauma’s difficulty stems from one’s own reactions, not solely external events or other people. Focus on managing personal arousal and reactivity to regain control over your life.

2. Practice Compassion & Understanding

Extend compassion and understanding to others, recognizing that people generally do their best to survive. Avoid punitive or judgmental responses, as connection and being heard are crucial for healing.

3. Prioritize Human Connection

Actively foster and re-establish human connection with loved ones and within communities. This is a main source of comfort, protection, and resilience against trauma’s chronic imprints.

4. Adopt Trauma-Informed Systems

Advocate for and implement trauma-informed approaches in schools, workplaces, and hospitals, focusing on individual safety and agency. This shifts from treating trauma as purely an individual problem to a systemic one.

5. Caregiver Self-Awareness & Reassessment

Caregivers should recognize their own frustration or anger towards a patient as a signal to step back and reassess the situation with colleagues. This helps avoid re-traumatizing the patient and ensures better care.

6. Experiment with Healing Modalities

Maintain an open mind and actively experiment with different healing modalities, as there is no one-size-fits-all solution. Explore what helps you feel alive in your body, as different approaches work for different people.

7. Engage Body-Oriented Therapies

Explore body-oriented therapies like yoga, Qigong, Tai Chi, martial arts, or massages to gently reconnect with bodily sensations. These practices can calm the nervous system and open pathways of self-experience.

8. Practice Slow, Deep Breathing

Intentionally practice slow and deep breathing to calm your nervous system and change heart rate variability. This can lead to a sense of relief and openness by calming the body’s stress response.

9. Consciously Alter Body Posture

Consciously alter your body posture to influence your emotional state. Adopt positions associated with positive emotions (e.g., joy, power) to shift your internal experience and counteract feelings of helplessness.

10. Engage in Movement & Action

Actively engage in varied movement and activities that make your body feel alive and capable. Doing something to overcome helplessness is crucial for processing stress and tapping into full human potential.

11. Consider EMDR Therapy

Explore EMDR (Eye Movement Desensitization and Reprocessing) therapy with a qualified therapist to neutralize traumatic memories. This can calm triggers and reduce the emotional impact of past events, though it may be less effective for long-standing child abuse histories.

12. Explore Neurofeedback Treatment

Investigate neurofeedback as a brain organization treatment to train your brain to make different connections. This can help calm the brain, improve focus, and regulate emotions, making it easier to learn and get along with others.

13. Engage in Group Healing

Seek out group treatment or community-based programs (like group yoga or choral singing) where others have similar experiences. This can significantly reduce shame, provide validation, and foster a crucial sense of connection and shared humanity.

14. Consider Theatre & Role-Playing

Engage in theatre or role-playing activities (e.g., Shakespeare plays, sword fighting) to viscerally experience different ways of being, moving, and feeling powerful. This can help break habitual responses of helplessness by embodying new roles.

15. Cautious Psychedelic Therapy Approach

If considering psychedelic therapy (where legal), ensure it is conducted with extreme caution, under the guidance of multiple trained therapists, in a safe and supportive setting, and within a strong therapeutic relationship. This mitigates significant risks and avoids potentially dangerous or painful experiences.

16. Parents: Be Present & Acknowledge

When a child experiences difficult events, be present for them and acknowledge their reality. This support significantly contributes to their resilience and overall well-being.

17. Take Ownership of Healing

Actively take ownership of your healing process and engage with treatments, rather than passively complying with external orders. This fosters a deeper connection with your progress and empowers your recovery.

18. De-escalate Relationship Conflicts

In intimate relationships, when a partner disproportionately reacts, practice trauma-sensitive responses by taking a step back, engaging in calming activities (e.g., a walk, playing tennis), or seeking external perspective. This helps to decrease the emotional heat of the situation and prevent re-traumatization.

19. Revisit Past Coping & Hope

If feeling stuck, revisit past coping mechanisms and moments that gave you a glimmer of hope. Reflect on what has worked or hasn’t worked for you as a survivor, and explore cultural activities that might help your body feel at home or safe.