Épisodes

  • Why Does My Body Hold Trauma? Dr. Aimie Apigian Reveals How Chronic Fatigue, Autoimmunity & Weight Gain Have An Emotional Trigger
    Sep 23 2025
    You push through exhaustion, telling yourself it's just stress. Your body sends signals you can't ignore: chronic fatigue, unexplained pain, digestive issues, mood swings. What if these are messages about the emotional wounds that remain unresolved from your past? In this episode, I sit down with Dr. Partha Nandi for a conversation on chronic health issues, share five key insights that transform how we understand trauma's biological impact. This episode gives you the core concepts from the new book, The Biology of Trauma, about how trauma impacts your body, your own biology maintains the survival state and the repair tools needed for healing. Key Topics & Timestamps: [00:50] Why I Wrote This Book: For the high-performing person who doesn't realize their body is accumulating trauma until a health crisis forces recognition[01:18] The 2014 Wake-Up Call: From marathon runner to unable to get out of bed during surgery residency - the moment everything changed[03:01] Trauma as Biology, Not Psychology: How adverse childhood experiences become measurable disease patterns decades later[04:29] The Biology of Being Stuck: Understanding functional freeze and why growth becomes impossible in trauma states[06:14] Science-Based Healing Pathways: Creating biology of safety through mitochondrial support, antioxidants, and repair tools[08:26] What Makes This Book Different: Bridging Western medicine with trauma healing using specific biomarkers and measurable changes[10:30] Beyond Trauma-Informed Awareness: Why awareness without actionable tools still fails patients and what to do instead[17:00] Insight #1 - Internal Response Matters: Trauma isn't the event - it's your body's five-step sequence during overwhelm[19:01] Insight #2 - The Critical Line: Your invisible boundary between experiences that grow you versus break you[21:23] Insight #3 - Cellular Trauma Reality: How mitochondria literally change shape and function during overwhelm[23:51] Insight #4 - Essential Sequence: Safety, support, then expansion - why most people skip the crucial first step[26:54] Insight #5 - Biology as Healing Ally: How the same systems holding trauma become your greatest recovery resource Main Takeaways: Trauma Becomes Biology: Adverse experiences create measurable changes in cellular function, mitochondrial energy production, and nervous system regulation that can manifest decades later Cell Danger Response: When overwhelm crosses a critical threshold, mitochondria physically change shape and switch to survival energy systems, creating chronic symptoms Universal Trauma Response Pattern: All overwhelming experiences follow the same five-step sequence - startle, stress, powerlessness, freeze, shutdown - regardless of the trigger Biological Markers Matter: Heart rate variability, mitochondrial function, and inflammatory markers provide objective evidence of trauma's cellular impact Critical Line of Overwhelm: Everyone has an invisible threshold between experiences that grow us versus break us, which shifts daily based on current capacity Essential Sequence for Healing: Recovery requires three phases - safety, support, then expansion - with most approaches failing by skipping biological safety first Integration is Required: Trauma affects mind, body, and biology simultaneously, requiring coordinated intervention across all levels for lasting change Personalized Repair Approach: Effective healing identifies individual biological blocks rather than applying generic protocols to complex trauma presentations Cellular Recovery is Possible: The same mitochondria that hold trauma patterns can restore optimal function when given proper conditions and support Notable Quotes "I wrote it really for the person who I used to be. I used to be the person who, despite all of my education, despite even being a very, I would say, high performing person, I didn't realize how much trauma my body was holding and I didn't realize it until I got very sick." "Your cells experience trauma too. You can't therapy or supplement your way out when your cells and body systems are stuck in survival mode." "Your mitochondria literally change shape, becoming round and rigid instead of long and flexible, and they switch to a backup energy system that produces less energy but can function under threat." "When you cross that critical line of overwhelm, your cells engage their own emergency break called the cell danger response. Just like your nervous system shuts down for protection, your cellular powerhouses, your mitochondria shift from efficient energy production to barely surviving." "Most people skip the safety phase though and jump straight into deep processing, and this often retraumatizes them." "Your symptoms are messengers, your reactions are information, and your healing journey becomes a collaboration with the incredible wisdom your body has been holding all along." "It gives me a language to explain myself, my trauma, and my experience to others."...
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    35 min
  • Trauma, Immunity, and Healing: How Your Body Renews in 90 Days
    Sep 19 2025

    What if healing from trauma wasn’t just about your nervous system, but also your immune system? What if science could show us that your body is capable of renewal—faster than you think?

    In this mini episode, Dr. Aimie Apigian is joined by Dr. Jeffrey Bland, founder of the Institute for Functional Medicine and one of the leading voices in integrative health. Together, they discuss why trauma isn’t just psychological—it’s biological, affecting the nervous, immune, and metabolic systems in ways that can keep people stuck in cycles of fatigue, pain, and emotional struggle.

    Dr. Bland shares groundbreaking research on immune rejuvenation, including how certain ancient foods like tart buckwheat can reverse signs of immune aging in as little as 90 days. Paired with Dr. Aimie’s insights on trauma biology, this conversation offers hope that no matter your past, your biology is not a life sentence.

    In this episode you’ll hear more about:

    • Why trauma acts like a “dimmer switch” on joy and vitality

    • The powerful crosstalk between the immune and nervous systems

    • How trauma biology accelerates immune system aging—and how to reverse it

    • Clinical trial results showing a 47% reduction in immune age in 90 days

    • Why the immune system renews every 90–120 days and what that means for healing

    • The three pillars of immune rejuvenation: polyphenols, microbiome integrity, and Omega-3s

    • Why trauma healing is about applying the right tools at the right leverage points

    Trauma doesn’t just live in your past—it can live in your cells. But the science shows us that your immune system and nervous system can both be renewed. This episode is a reminder that healing is possible, and your body knows the way forward.

    🎧 Want the deeper dive? This conversation builds on the foundational concepts from Episode 139: Breaking the Body Trauma Loop: Why Healing Takes More Than Willpower (And How to Actually Transform) where Dr. Aimie explores why trauma healing requires biological repair, not just mindset shifts.

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    18 min
  • Breaking the Body Trauma Loop: Why Healing Takes More Than Willpower (And How to Actually Transform)
    Sep 16 2025
    Traditional healing approaches often focus on managing symptoms or returning to who you were before. But what if healing could take you beyond recovery to discovering capacities you never knew you had? What if your patterns of responding to stress getting stronger over time isn't a sign of failure, but your nervous system following predictable patterns that can be redirected? In this episode, I share excerpts from my book, The Biology of Trauma. I share a section from Chapter 8 on the "Body trauma loop" - explaining how the body holds on to trauma from our past. More importantly, we discover how the same neuroplasticity that automated these survival patterns can create new ones - through specific neuroscience principles. Key Topics & Timestamps: [04:31] The Body Trauma Loop: Understanding why incomplete trauma responses compound over time like collecting rocks while hiking [06:56] Danger-Colored Glasses: How neuroception gets programmed to see threats everywhere, even in safety [09:03] Neuroplasticity and Trauma: Why "neurons that fire together, wire together" applies to both harmful and healing patterns [10:56] Book Community Insights: Early readers share experiences with the first three chapters - difficulty putting it down, compelling writing style, and wishing they had this resource decades ago [14:21] Consistency Over Intensity: The key principle for rewiring neural pathways and creating lasting change [19:02] The Seabiscuit Story: Finding hope in the journey from broken to magnificent [21:27] True Expansion: Moving beyond healing symptoms to discovering who you can become [25:41] From Healing to Living: The shift from "what needs fixing" to "how can I be more alive" [29:35] Community Transformations: Real stories of cellular-level changes and newfound aliveness [34:32] Four-Year Journey Wisdom: Taking healing one step at a time and trusting the process [36:47] Reader Feedback: Deeper understanding even after taking multiple courses Main Takeaways: The Body Trauma Loop: Incomplete trauma responses compound over time, making reactions stronger through accumulated cellular danger and nervous system dysregulation Neuroplasticity Works Both Ways: The same mechanism that automates trauma patterns can create healing patterns through consistent daily practices Consistency Changes Everything: Small daily actions rewire neural pathways more effectively than big one-time efforts - it's about what you can do today that you can also do tomorrow Danger-Colored Glasses: Neuroception can get stuck viewing everything as a threat, even normal cues of safety, keeping you trapped in activation or overwhelm True Expansion Has No End: Healing is like a spiral staircase where each step takes you higher and deeper, with no limit to how far you can go Safety Must Come First: Your nervous system needs felt safety before it can release stored trauma - forcing expansion crushes growth From Fixing to Living: The ultimate shift is from asking "what's wrong with me?" to "how can I be more alive?" Notable Quotes "Whatever is repeated will be habituated to save us energy from having to think about how to do the same process in the future." "Small hinges move big doors. The small choices made consistently change the big doors in our life." "How can I be more alive? How can I be more present? As we identify what is holding us back from being more alive in the ways we want, we discover the next layer of the spiral staircase." "I believe not only that trauma is curable, but that the healing process can be a catalyst for profound awakening, a portal opening to emotional and genuine spiritual transformation." - Peter Levine Episode Takeaway The healing journey doesn't have to be a lifelong struggle. When you understand that trauma responses are automated through neuroplasticity - the same process that helps you learn to drive or brush your teeth - you can harness this same mechanism for healing. The key is consistency over intensity, following the right sequence of safety-support-expansion, and recognizing that your body has an innate capacity to heal when given the proper conditions and understanding. True expansion moves beyond just pushing through or managing symptoms to discovering who you can become when no longer held back by the past. Resources Related To This Episode Resources/Guides: Biology of Trauma book - Bonuses are available with Pre-order only. Go Deeper With Dr. Aimie with The Biology of Trauma Book (available only until September 22nd): Guided Seeker: Get the Workbook + Mastercourse to go with the book - walking you through each chapter's key concepts Accelerated Implementer: Everything above + live half-day online group intensive with Dr. Aimie for implementation support Fast Track Professional: Everything above + one full day in-person with Dr. Aimie at her home to identify your biggest personal block to your next level of healing and regulation as a professional and guide for...
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    40 min
  • Why Trauma Therapy Made Me Sicker: The Missing Biology Behind Emotional Healing
    Sep 12 2025

    Why does trauma therapy sometimes make you feel worse physically? What if the key to healing isn't just changing your mindset, but understanding your cellular capacity for stress? When you dive into trauma work without addressing your biology first, you might be opening Pandora's box in ways that overwhelm your body's ability to cope.

    Dr. Aimie Apigian discovered this the hard way - developing multiple health conditions including autoimmunity and chronic fatigue while doing "cutting-edge" trauma therapy. Her physical reactions to emotional healing led to a groundbreaking understanding: trauma isn't just stored in your mind, it's living in your cells, and your body has a limited capacity for processing stress.

    In this illuminating conversation with Dr. Tom O'Bryan, Dr. Aimie reveals why the popular focus on mindset and "being stronger" actually sabotages healing. She breaks down the three biological survival mechanisms that keep trauma locked in your body and explains why addressing toxic burden is essential for emotional recovery.

    You'll hear more on:

    • Why trauma therapy can trigger physical flare-ups including gut issues, chronic fatigue, and autoimmune symptoms

    • The critical difference between emotional capacity and physical homeostatic capacity for healing

    • How cellular capacity - not mindset - determines how much stress you can handle without breaking

    • The three survival mechanisms your body uses during trauma: dissociation, immobilization, and energy conservation

    • Why you crave specific foods like bread and sweets after emotional breakthroughs (and the biology behind it)

    • How gluten affects your brain through opiate receptors and hypoperfusion, creating a "dumbed down" state

    • The connection between trauma burden and toxic burden - why they're the same at the cellular level

    • Dr. Tom's four-quadrant approach to chronic conditions: structure, biochemistry, emotional/spiritual, and electromagnetic

    • Why all chronic health conditions are related to trauma biology, according to adverse childhood experiences research

    • How to recognize if your body is holding trauma through specific biological patterns

    • The "emergency brake" effect: why comprehensive medical care fails when trauma biology isn't addressed

    • How to approach trauma healing while staying within your capacity and building resilience safely

    Whether you've experienced physical reactions during emotional healing work, struggle with chronic health conditions that don't respond to treatment, or are supporting someone through trauma recovery, this episode reveals why befriending your body and honoring your biological limits is essential for lasting transformation.

    Dr. Aimie's groundbreaking approach, validated by Dr. Tom's decades of clinical experience shows us that healing trauma isn't about pushing through or being stronger - it's about creating safety at the cellular level so your body can finally let go of what it's been holding to protect you.

    🎧 Want the deeper dive? This conversation builds on the foundational concepts from Episode 138: "The Biology of Trauma: Why Your Body Holds On When Your Mind Has Healed with Dr. Aimie Apigian" where Dr. Aimie explore the cellular mechanisms of trauma storage and the critical importance of understanding your biological capacity for healing.

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    21 min
  • The Biology of Trauma: Why Your Body Holds On When Your Mind Has Healed with Dr. Aimie Apigian
    Sep 9 2025
    In this special reverse interview episode, my friend and colleague Steven Wright from Healthy Gut interviews me about the core concepts from my upcoming book, The Biology of Trauma. Steven understands the somatic work, the parts work, the biology, the capacity, and the overwhelm from his own healing journey, making this conversation uniquely insightful. I share stories I haven't told anywhere else - including my keto diet disaster during surgery residency that became my first clue about the biology of trauma. We explore why I rewrote this book seven times, how I discovered I had all three major biochemical imbalances, and the painful decision to place my adopted son Miguel in a different home - the grief that ultimately led to my autoimmune diagnosis and this entire body of work. Key Topics & Timestamps [00:00] The Eight Drafts of the book: Dr. Aimie's journey as an author[04:12] Beyond ACEs Scores: Why we can become obsessed with our score [08:36] Capacity is Everything: Understanding your nervous system's dynamic capacity [13:47] The Biology Block: How Dr. Aimie discovered her own biology was sabotaging her trauma healing[21:55] The Pain Equation: When humans decide to change [25:44] Perception vs. Reality: How we create mountains from molehills [28:19] The Healing Timeline: Why trauma work doesn't have to be a lifelong journey[34:04] Safety First: The critical sequence for healing trauma without retraumatization[37:18] Stress vs. Trauma: The crucial distinction that changes everything[38:18] Miguel's Story: The heartbreaking adoption journey that changed Dr. Aimie Main Takeaways The Three-Legged Stool: True trauma healing requires addressing psychological, emotional, AND biological aspects simultaneouslyBiology Keeps You Stuck: Inflammation, oxidative stress, and biochemical imbalances create internal danger signals that perpetuate trauma responsesCapacity Changes Moment to Moment: Your nervous system's capacity is dynamic and requires constant awareness, not just daily check-insPerception Creates Your Reality: Your body responds to your perception of danger, not actual danger - making that molehill into a mountainThe Right Sequence Matters: Creating safety must come before attempting to process trauma, or symptoms worsenFast Healing is Possible: When addressing all three domains properly, healing happens faster than medication with only positive "side effects" Notable Quotes "If something makes you sick, that is not stress. Let's call it for what it is. That is your body having gone into a trauma response." "Our capacity is not being measured up against our reality, it's being measured up against our perceptions." "The pain of staying the same has to become so bad that we're willing to undergo the pain of change." "If their body had already felt safe, it would have already opened up all of this stuff and let all of these emotions and trauma go. It hasn't felt safe." Episode Takeaway Trauma healing doesn't have to be a lifelong journey. By understanding that trauma lives in your biology - not just your mind - and following the proper sequence of safety, support, then expansion, you can heal faster than traditional approaches suggest. The key is addressing all three aspects: psychological, emotional, and biological, rather than focusing on just one. Resources Related To This Episode Resources/Guides: Biology of Trauma book - Bonuses are available when you Pre-order now.Go Deeper With Dr. Aimie with The Biology of Trauma Book (available only until September 22nd): Guided Seeker: Get the Workbook + Mastercourse to go with the book - walking you through each chapter's key conceptsAccelerated Implementer: Everything above + live half-day online group intensive with Dr. Aimie for implementation supportFast Track Professional: Everything above + one full day in-person with Dr. Aimie at her home to identify your biggest personal block to your next level of healing and regulation as a professional and guide for others Foundational Journey - If you want to be guided through The Essential Sequence laid out in the Roadmap and the book, join me and my team for this 6 week journey into your inner world with practical somatic and parts self-practices to lay your foundation to do the deeper work safely. These are the daily practices I have found that change one’s biology and health symptoms the fastest.Steven Wright - Healthy Gut - Learn more about Steven's gut-brain support products: HoloZyme™ digestive enzymes with dual-strain activation technology, Tributyrin-X™ for microbiome diversity and gut lining health, and HCL Guard™ for protein digestion support Related Episode: Episode 122: Shutdown Before Stress: The Misstep in Trauma Healing That Often Gets Missed Related YouTube Video: Shutdown Before Stress: The Misstep in Trauma Healing That Often Gets Missed | Dr. Aimie Apigian About Dr. Aimie Apigian Dr. Aimie Apigian is a double board-certified physician in preventive and addiction medicine who ...
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    49 min
  • Why Weight Shifts After Leaving a Toxic Relationship: The Biology Behind It
    Sep 5 2025

    Why do so many people suddenly start losing weight when they finally escape a toxic relationship or environment? What if your body's stubborn weight isn't about willpower, metabolism, or even food - but about stored trauma keeping you in survival mode?

    When you're trapped in toxic relationships or environments, your body operates from what I call chronic functional freeze. This isn't just emotional - it's a complete biological shutdown that affects everything from your thyroid function to your detoxification pathways. Your metabolism hibernates, toxins accumulate, and your body holds onto weight as a survival strategy.

    In this Biology Behind It mini episode, I answer practitioner Zay's excellent question about why clients lose weight effortlessly after leaving toxic situations, even without doing deep healing work yet. I break down the hidden biology keeping you stuck and why your nervous system won't let go of excess weight until it feels truly safe.

    You'll hear more on:

    • Why avoiding feelings creates a biology of energy conservation and metabolic shutdown
    • How chronic functional freeze affects your thyroid hormones - including reverse T3 that doctors rarely test
    • The connection between stored trauma and toxin accumulation that makes weight loss impossible
    • Why detoxification pathways shut down when your nervous system is in survival mode
    • How toxic relationships create the same biological effects as physical toxins
    • Why your inner operating state drives all your body systems - not individual organ problems
    • How creating inner safety naturally eliminates coping mechanisms like emotional eating
    • The integrated approach to clearing both emotional and physical toxins safely

    Whether you've struggled with stubborn weight that won't budge despite your efforts, or you're supporting someone who's finally ready to leave a toxic situation, this episode reveals why your body refuses to let go until your nervous system feels safe. I give you hope that when you address the real root - stored trauma - your body naturally returns to health.

    🎧 Want the full story? Listen to Episode 137: "Does Somatic Healing Work: How Mind-Body Healing Can Change 30 Years of Chronic Illness In 6 Weeks" for Keisha's complete transformation story and the science behind rapid healing.

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    19 min
  • Does Somatic Healing Work: How Mind-Body Healing Can Change 30 Years of Chronic Illness In 6 Weeks
    Sep 2 2025
    Many people struggle with chronic fatigue, autoimmune conditions, and exhaustion that no amount of sleep seems to cure. They've tried medications, supplements, therapy, and self-care practices, yet still find themselves needing daily naps just to function. They can't understand why their body seems to be working against them instead of healing, or why they feel so disconnected from the energy they once had. In this episode, you'll meet Kecia, whose story reveals what's possible when we finally address trauma where it lives - in the nervous system. After 30 years on medical disability and needing daily three-hour naps just to survive, Kecia was sleeping 16-18 hours daily and housebound for years. By age 25, autoimmune illness had taken her career as a respiratory therapist, her ability to hike, even basic tasks. After completing the Foundational Journey, something happened that might sound impossible - she went seven weeks without needing a single nap for the first time in decades. Her husband said she became "like the person I knew 30 years ago." This isn't about willpower or positive thinking. It's about understanding how unresolved attachment wounds show up as physical symptoms decades later, and why trauma healing requires addressing the nervous system directly. You'll hear more on: [3:30] Why Kecia never expected to live past 18 and how autoimmune disease changed everything for her by age 25 [8:00] The struggle to get medical validation and how one doctor's compassion literally changed her physiology [14:00] The shift that seemed impossible - seven weeks without daily naps after 30 years of needing them [16:00] What's actually happening in your body during chronic freeze and why extreme sleep needs make biological sense [19:00] How coming out of freeze brought back joy, energy, and the ability to experience life fully again [25:00] Why being praised for "resilience" can actually create stored trauma patterns in your body [29:00] Dr. Aimie's guidance on capacity management and energy investment for sustainable healing Whether you're personally dealing with chronic fatigue and autoimmune conditions that doctors can't fully explain, or you're a practitioner supporting clients with unexplained physical symptoms, this episode shows how addressing trauma at the nervous system level can create changes that seem impossible when we've been stuck for so long. Helpful Links Related To This Episode Resources/Guides: Biology of Trauma book - how the body experiences and holds fear, pain and overwhelm, and how to heal. Pre-order now and, at the time of this recording, you’ll get over $400 in bonuses included! Those bonuses are only for the pre-order window which goes until Sept 22, 2025. Book Bundles (available only until September 22nd) - Go deeper with exclusive bundles that include the book plus additional support: Guided Seeker Bundle: Book + workbook + master course walking you through each chapter's key concepts Accelerated Implementer Bundle: Everything above + live half-day online group intensive with Dr. Aimie for implementation support Fast Track Practitioner Bundle: Everything above + one full day in-person with Dr. Aimie at her home to identify your personal blocks and create your customized 30-day healing plan Foundational Journey - If you want to be guided through The Essential Sequence laid out in the Roadmap and the book, join me and my team for this 6 week journey into your inner world with practical somatic and parts self-practices to lay your foundation to do the deeper work safely. These are the daily practices I have found that change one’s biology and health symptoms the fastest. Related Podcast Episodes: Episode 71: Understanding the Trauma Connection Between Attachment, Autoimmunity, and Fatigue Episode 133: Autoimmunity and Childhood Trauma: How Your Immune System Reflects Your Past Related Youtube Videos: Childhood Freeze & Autoimmunity: Insights with Keesha Ewers | Dr. Aimie Apigian Prevent Autoimmunity: Trauma, Toxins & Diet Steps | Dr. Aimie Apigian Disclaimer: By listening to this podcast, you agree not to use this podcast as medical, psychological, or mental health advice to treat any medical or psychological condition in yourself or others. This podcast is for informational and educational purposes only and does not constitute professional advice, diagnosis, or treatment. Always consult your own physician, therapist, psychiatrist, or other qualified health provider regarding any physical or mental health issues you may be experiencing. Comment Etiquette: I would love to hear your thoughts on this episode! Please share your constructive feedback by using personal name or initials so that we can keep this space spam-free, and let's keep the discussion positive!
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    36 min
  • Why You Always Feel Responsible for Everything and What Your Body Is Really Trying to Tell You
    Aug 30 2025

    Do you carry everyone else's emotions like they're your personal responsibility? What if that crushing weight isn't your personality, but your nervous system still running on childhood survival biology?

    When you feel like everything depends on you - fixing problems, managing emotions, preventing disasters - your body is operating from what I call protection mode. This isn't about being caring or responsible. It's complex PTSD showing up as hyperresponsibility, and there's specific biology behind why your nervous system won't trust others to handle anything.

    Think of protection mode like living with an internal security system that never turns off. Your shoulders stay braced, your nervous system scans for problems to solve, and you exhaust yourself trying to control outcomes that aren't actually yours to manage. Meanwhile, everyone else seems to relax while you carry the mental load.

    In this Biology Behind It mini episode, I break down the highlights from Episode 136, explaining why adults who experienced childhood chaos still live with their hearts protected and an exhausting need to manage everyone else's stability.

    You'll hear more on:

    • Why neuroception (your body's background safety calculator) still reads danger signals everywhere
    • How protection mode creates the physiology of chronic responsibility and hypervigilance
    • The hidden costs of living protected: sleep issues, chronic fatigue, muscle tension, and autoimmune problems
    • Why you can't be in protection mode AND connection mode simultaneously - they're opposite physiological states
    • How childhood experiences of "I never want to feel that way again" create lasting protection patterns
    • The difference between telling yourself you're safe versus creating actual inner safety
    • Why waiting for someone else to make you feel secure keeps you stuck in survival biology
    • Practical somatic approaches to shift from protection mode to authentic safety

    Whether you're the person everyone calls when things fall apart or you're supporting someone whose strength might actually be stored trauma, this episode reveals why your nervous system refuses to let others take responsibility. I give you the roadmap back to trusting life enough to finally let your guard down.

    🎧 Want the full deep-dive? Listen to Episode 136: "Why You Always Feel Responsible for Everything: Hidden Signs of Complex PTSD from Childhood" for the complete framework on recognizing protection patterns and creating the inner safety your body needs to finally relax.

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    15 min