Understanding Nervous System Dysregulation: CES Therapy for Anxiety and Trauma with Tauna Young & Cara Maxfield - #45
Episode Summary
In this episode, Dr. Michael Passmore is joined by two guests who bring both clinical expertise and lived experience to the topic of nervous system dysregulation. Together, they explore why anxiety is far more body-based than most people realize, and how a lesser-known technology called Cranial Electrotherapy Stimulation (CES) may offer real relief for anxiety, insomnia, trauma, and chronic pain.
Guests
Tauna Young, Psychiatric Nurse Practitioner and founder of NeuroVana Calm — a company focused on expanding access to CES therapy. Tauna has years of clinical experience helping patients struggling with anxiety, insomnia, PTSD, and nervous system dysregulation.
Cara Maxfield, entrepreneur and content creator who speaks openly about navigating trauma recovery, anxiety, panic attacks, chronic pain, and the real-world challenges of managing mental health while parenting and running a business.
Topics Covered
What nervous system dysregulation actually is and how it shows up in the body
Why anxiety is a physical, physiological experience — not a character flaw or weakness
The fight-or-flight response: when a protective mechanism becomes miscalibrated
The connection between trauma, body memory, and emotional triggers
What Cranial Electrotherapy Stimulation (CES) is and how it works
How CES stimulates the thalamus and vagus nerve to induce a calm brain state
Research comparing CES to experienced meditators' brainwave states CES
FDA clearance (since 1979) and its safety profile vs. medications
Clinical applications: anxiety, insomnia, PTSD, chronic pain, fibromyalgia
Why CES remains largely unknown in mainstream medicine
How to use CES: loading phase, daily use, and situational use
Combining CES with CBT, psychotherapy, exposure therapy, and medication
Cara's first-hand account of using CES during a panic attack
Practical tips for regulating your nervous system
Key Takeaways
Anxiety is a nervous system state, not a personal weakness
The body and brain are deeply interconnected — what affects one affects the other
CES is portable, discreet, safe, and can be used anywhere — even the dentist
CES has a 67% success rate (≥50% improvement) vs. ~45–55% for SSRIs, with far fewer side effects
Tools like CES work best as part of a broader toolkit alongside therapy and lifestyle strategies
Everyone has trauma to some extent — normalizing that conversation is key to healing
Resources & Links
🌐 NeuroVana Calm: NeuroVanaCalm.com
📖 Free eBook from Tauna Young: A deeper dive into the science of CES — available at NeuroVanaCalm.com
📚 The Body Keeps the Score by Bessel van der Kolk (referenced in episode) https://a.co/d/0bkbVqsp
Connect & Subscribe If you enjoyed this episode, please share it with someone who might benefit, leave a review, and subscribe so you never miss an episode. Drop your questions and topic ideas in the comments — your feedback shapes future episodes.
The Neurostimulation Podcast is an independent educational project by Dr. Michael Passmore. All content is for educational purposes only and is not medical advice. Always consult your healthcare provider.
Transcript
Welcome to the Neurostimulation Podcast.
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:I'm Dr.
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:Michael Passmore, clinical associate
professor in the Department of Psychiatry
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:at the University of British Columbia
in beautiful Vancouver, Canada.
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:The Neurostimulation Podcast is all
about exploring the fascinating world
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:of clinical neuroscience, clinical
neurostimulation, interventional
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:mental health, and other topics in
general mental health and wellness.
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:We investigate the latest research
breakthroughs, how that research
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:is being translated into real
world treatments and other methods
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:to improve health and wellbeing.
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:So whether you are a healthcare
professional, a student, a researcher,
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:or somebody who's curious about how our
brains work and what we can do to help
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:them work better, this podcast is for you.
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:My mission is to make the
science accessible, inspiring,
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:and relevant to your life.
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:This podcast is separate from my
clinical and academic roles, and
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:is part of my personal effort to
bring neuroscience education to
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:the general public free of charge.
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:Accordingly, I would like to
emphasize that the information shared
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:in the podcast is for educational
purposes only and is not intended
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:as medical advice or a substitute
for professional medical guidance.
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:So I would advise you to always
consult with your own healthcare
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:provider to discuss your specific
health needs and treatment options.
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:Today's conversation I'm really
excited about because we're bringing
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:together two complimentary perspectives
on mental health treatment.
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:First, we have Tauna Young, a
psychiatric nurse practitioner,
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:and the founder of NeuroVana Calm,
and I'll spell out the website for
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:everyone just right off the bat.
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:I'd really encourage you to check it out.
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:It's NeuroVanaCalm.com,
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:and for listeners, that's
N-E-U-R-O-V-A-N-A-C-A-L-M.com.
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:This is a company focused on expanding
access to a really interesting
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:technology and treatment option called
cranial electrotherapy stimulation,
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:or CES, particularly helpful for
things like anxiety and insomnia.
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:Tauna has spent years in clinical
practice working with patients and
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:clients struggling with nervous
system dysregulation, and she's become
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:a strong advocate for integrating
physiology based tools alongside
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:traditional mental health care.
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:And joining her is Cara Maxfield, an
entrepreneur and content creator who
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:speaks openly about things like trauma
recovery, anxiety, chronic pain, and the
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:very real experiences of navigating mental
health challenges while still showing up
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:for work, parenting, and life in general.
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:So I'm really excited.
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:I think this is gonna be a great
conversation because we're going to
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:get to explore both the clinical and
neurophysiological perspectives, as well
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:as the human lived experience of things
like anxiety, healing, and regulation.
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:I was thinking just now, we were
talking a bit about what to cover today.
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:So we'll be looking at things like what
nervous system dysregulation actually
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:is, why anxiety and other kinds of
emotional challenges are often more
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:body-based and physiological than
people realize how CES or cranial
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:electrotherapy stimulation works and how
people might be able to start practically
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:regulating their own nervous systems
to help optimize health and wellness.
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:So Tauna and Cara, thanks
so much for joining us.
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:Welcome to the podcast.
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:Tauna: Thank you so much.
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:Thanks for having us, and thank you
for that great introduction and for the
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:work that you're doing to benefit people
dealing with all kinds of problems.
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:Thank you so much.
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:Cara: Yes, thank you.
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:Thank you so much.
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:Mike: Yeah.
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:That's great.
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:Thanks.
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:Thanks again for being here.
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:So I was thinking maybe Cara, maybe
we can start with you and from what
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:I've read and heard about in your
content, you're speaking very openly and
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:honestly about challenges like anxiety,
trauma, recovery and navigating various
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:challenges while still managing life
as a single mom and an entrepreneur.
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:Very successful.
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:So can you share a bit about maybe
when you first realized that, you were
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:having nervous system challenges and
what that experience actually felt like?
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:Cara: Absolutely, yes.
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:I would love to, and I am, like
you mentioned, I'm a middle aged
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:single mom and an entrepreneur.
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:So two things that you don't get
to choose whether or not you feel
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:well enough to show up for is being
a mom and being an entrepreneur.
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:And so many people talk about anxiety and,
I can't really say I actually had anxiety
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:until I started to reach middle age.
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:And as I start this perimenopause journey
of middle age, I find that my body is
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:less able to regulate my emotions and
my ability to handle anxiety and stress.
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:And I do have trauma whether it's
from my childhood or recent trauma.
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:And that's not something that
is anxiety, at least for me
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:when I have a panic attack.
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:Being on an anxiety medication is not
what I need to help me get through
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:when I'm feeling that buildup of
that anxiety and panic inside of me.
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:Mike: Yeah.
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:Yeah.
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:Thanks so much for sharing that.
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:It's inspiring, when people are able
to be vulnerable and speak openly
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:in the interest of helping others
u nderstand that, of course there's
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:a stigma in terms of a lot of these
kinds of things, but that these
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:are such common challenges, right?
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:And just having these kinds of
conversations is so important for
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:people who may be struggling in silence,
to know that it's really important
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:to come to an understanding, as you
say, of these things and how they're
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:affecting themselves, and then what
to do, how to go about getting help.
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:But the first step really is just
in terms of understanding and and
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:acknowledging and recognizing, right?
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:Cara: Yes, absolutely.
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:And, I don't speak specifically on what my
trauma is, only because it doesn't matter.
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:Because it's just, it's, it doesn't
matter if it was this or this, because
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:we all have traumas and inside anxiety
and and panic attacks, i t's the same.
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:It doesn't matter what the cause
is, it's the same for everybody,
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:and we all have them in our lives.
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:Whether or not we're healed enough to
even acknowledge them, we all have them.
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:Mike: Yeah, absolutely.
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:And that's a hundred percent correct.
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:A very wise mentor of mine once said
in a lecture he was giving years and
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:years ago that exactly as you say, we're
all traumatized to a certain extent.
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:And that really landed for me in
many ways because it was just one
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:of those pointed comments that was
just so factual and very impactful.
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:Yeah.
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:Cara: Yeah.
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:Mike: Totally.
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:I'm just curious, so as far as this
idea of emotions say anxiety being
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:very body-based, very physiological,
I'm just curious what was some of
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:your experience that way that kind
of made you think, okay, yes, this
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:is something that I need to recognize
and figure out how to advocate?
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:Cara: Yeah.
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:When I'm starting to feel like
I'm, I am feeling anxiety.
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:It starts to be like this buildup
inside my body where it's just
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:an unrecognizable feeling, right?
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:Because you can get really excited,
but you can recognize that excitement.
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:But when I get that, that, that panic
and that extreme anxiety, it's this
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:feeling that is so unrecognizable to
my body, and my body does not like it.
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:And not only that, it builds and
I almost start to feel like this
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:is too much for my body to handle.
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:What is going to happen?
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:Am I going to explode?
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:Like I, I get hot and cold.
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:I start sweating, yet I'm like
shaking because I'm so cold and my
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:body just doesn't know what to do.
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:And when my body doesn't know what to
do, my thinking doesn't know what to do.
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:Mike: A hundred percent.
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:Yeah.
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:Thanks for describing that
connection between the body
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:and the mind and the thoughts.
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:Because that's very common.
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:I've certainly experienced similar things.
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:I think that would resonate with
many of the audience members as well.
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:Tauna, from a clinician's perspective,
what would you say is actually
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:happening in terms of nervous system
dysregulation during that kind of
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:experience of anxiety or chronic stress?
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:Tauna: Yeah, I appreciate
your description, Cara.
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:That's a good way to describe
the felt experience that people
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:who experienced that go through.
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:And you I can't remember exactly what
you said that that kind of highlighted
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:for me that, your body doesn't know
the difference between an actual
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:real threat and an imagined one.
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:And especially with people who have
lived through traumatic experience,
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:there becomes a dysregulation there.
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:That fight or flight response that
is referred to in so many different
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:contexts it's an essential thing.
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:Like we'd all be dead without it.
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:At least our ancestors would've
not been able to run from that bear
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:that, saber tooth tiger or whatever
thank goodness for that response.
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:But sometimes it becomes a little
misinformed and especially in
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:people who have experienced
traumatic events the nervous system.
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:That is, those, the changes that happen
physiologically to respond to a threat
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:maybe get a little miscalibrated,
and that response starts happening at
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:times when it's no longer adaptive.
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:It becomes maladaptive
in other situations.
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:The nervous system, I think a good way
to describe it in a way that pretty much
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:anyone can understand is the nervous
system is the bridge between your body and
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:your brain or your body and your emotions.
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:And sometimes there becomes a, comes
a miscalibration or a disconnect or
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:a dysregulation in that, where that
alarm, that fight or flight response
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:that is very adaptive in, in some
situations starts forgets to get the
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:memo that, hey, everything's okay now
and gets stuck or, unable to relax in
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:situations where they are in fact safe.
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:Mike: Yeah, definitely.
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:That's a great way of explaining it.
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:It reminds me of the metaphor of the,
in a car where you have the engine
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:warning light coming on, saying, okay,
there's some trouble with the engine
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:and some criticism of, say, psychiatric
medications is sometimes that they're
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:targeting just to switch off the
light that's giving you the alert.
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:They're not actually getting at
what's going on in the engine.
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:Whereas maybe other things, like
more sort of deep psychotherapy
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:work might be necessary to
actually get at the root causes.
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:But either way it's, as you say,
the bridge that, that you're.
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:That you're having, because
emotions are these kinds of strange
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:things that they're in between
thoughts and feelings in the body.
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:They're and we don't get taught a lot
about how to recognize, I always say
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:there should be more kind of formal
instruction in schools about being
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:able to name and understand emotions
and different things like that.
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:'cause we're, most of us pretty much
in the dark when it comes to that.
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:Or even worse we're taught through our
families to suppress emotions and not
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:to talk about it and that kind of stuff.
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:Tauna: Yeah.
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:Yeah.
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:I often refer to that as
an emotional literacy.
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:A lot of people tend to be very well
learned and very well educated, but the
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:emotional literacy isn't always there.
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:And, in mental health in
general, there has been a stigma.
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:And I think in some circles just
emotions in general, just talking
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:about emotions is deemed inappropriate.
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:Yeah.
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:But the thing about emotions is, they also
serve a strong biological purpose too.
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:Fear.
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:It's an emotion that without it,
it's a very essential emotion.
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:But those, especially those really
essential emotions, they can become
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:very, they can get a little carried away.
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:They can, get a little outta
hand in some situations.
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:You mentioned the the alert in the,
in a car I sometimes call, I refer
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:to that as like an inner smoke alarm.
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:We all of us have an inner smoke alarm.
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:But with people with anxiety, sometimes
that smoke alarm's going off just 'cause
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:someone's, making some toast and it's
supposed to go off when there's fire.
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:But with anxiety that just,
that smoke alarm gets a little
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:miscalibrated sometimes.
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:Mike: Yeah.
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:Yeah, for sure.
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:That's a great metaphor
because absolutely.
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:I think emotions, you could argue
they're what gives life meaning, right?
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:It's what helps us to experience
really foundational experiences
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:like love and wonder and awe and
all those sorts of amazing things.
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:But also recognizing that, to the
extent that we all are challenged
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:to come to terms with our shadow,
things like anger and all those
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:other sorts of negative emotions
have a role, have a place as well.
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:So I think it's a really helpful thing as
you're describing, to perhaps see anxiety.
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:Yeah.
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:And negative emo negative in quotes,
emotions or shall we say uncomfortable
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:emotions more as a nervous system
state or as an internal family system
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:probably gets into this as well about
what are the parts of us that have their
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:own roles that don't necessarily need
to be sidelined, but just integrated.
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:So seeing anxiety or anger or sadness
more as a nervous system state instead
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:of part of a personal weakness or
a or some sort of like deficiency.
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:Right?
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:Tauna: Agreed.
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:Yeah.
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:I sometimes teach people that,
what is the difference between
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:just fear and anxiety with anxiety?
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:It's fear, but it's rejected fear.
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:It's fear that the person doesn't
think is appropriate to the situation.
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:And so it's rejected hey,
we're not doing this.
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:But fear thinks that it, you need it,
like it's trying to save your life.
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:And so it's not just
gonna leave you alone.
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:It's gonna keep coming at you.
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:And so that's the recipe.
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:If someone was trying to build anxiety
just start rejecting your fears.
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:Mike: Yeah, definitely.
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:So Cara, I'm curious, so thinking
about anxiety, stress these, all
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:these kinds of emotions that we're
talking about more as a nervous
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:system state instead of, core personal
characteristic or d eficit or weakness.
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:Is that something that resonates in
terms of your own experience and did
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:thinking about it in those terms maybe
change the way that you were able
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:to understand your own experience?
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:Cara: Absolutely.
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:I love how Tauna talked about fear.
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:'Cause fear in itself is
an okay emotion to have.
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:But it's when it's when it's either
fear for something unreal or an
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:unrealistic amount of fear or just
an anxiety about something that you
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:shouldn't even have any anxiety about.
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:But also sometimes it's, for me, it's
just, it's, it is based on something real.
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:It's something real that happened and
it's my body just not able to deal with.
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:The normal amount of fear that I should
have about it, whether it's something
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:upcoming or something that happened
it's becomes too much for my brain and
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:my body to be able to handle together.
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:And then they just start doing this
haywire thing of not being able
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:to regulate each other and and,
hopefully being able to reset myself
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:before I get to where I have those,
physical and mental responses to it.
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:Mike: Yeah.
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:Yeah, for sure.
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:Yeah, that, that makes perfect sense.
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:That's a really great
way of explaining it too.
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:I'm sure that would resonate with a lot
of people who are watching and listening.
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:I know it.
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:Yeah.
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:It definitely I can definitely
identify with that also.
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:Cara: Yeah.
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:Mike: Yeah, I think and it relates
to evidence-based treatments like
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:cognitive behavioral therapy, right?
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:Identifying the links between thoughts,
feelings, and behaviors, and how,
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:often people will get into these ruts
because they're, they have a thought
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:say I was just going over this with
a client the other day about who, who
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:was really struggling with a lot of
social anxiety and his un unnecessary
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:slash excessive slash inappropriate
thoughts were things like people.
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:Don't think that I'm interesting or
people are judging me negatively.
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:And so it was like challenging those
or, and then, so that would cause him
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:to feel anxious and then that would
cause him to isolate at home, and
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:not want to go socialize obviously.
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:So then it was just getting out of
that saying, challenging those negative
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:thoughts and then, just doing the
behavioral intervention of just trying
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:to take small steps towards being
more sociable and then helping just to
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:become more tolerant of the anxiety and
just instead of the downward spiral,
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:helping him to just get back into more
of a a positive reinforcement loop.
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:Cara: Yeah.
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:Like I, I recently had something very
traumatic happen and, I feel like
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:I'm a pretty good judge of knowing
if it's an actual traumatic thing
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:and it's gonna be something that's
traumatic to everybody or just me.
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:And I think it's something that
would be traumatic to just everybody.
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:And at the time, I had very big emotional,
physical, mental response to that trauma.
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:And a few days later, out of
nowhere, my body's response
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:was as if I was there again.
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:And I wasn't.
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:I was safe in my home.
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:There wasn't even anyone there that could
have even caused any sort of a harm.
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:I was home by myself.
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:It was completely silent.
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:There was no like thing that happened
that I could say was an actual trigger
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:other than something in my brain,
unbeknownst to me, triggered itself to me.
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:And I was there again.
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:And so my body and my brain had the
exact same response as if I, it, I was.
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:Mike: Yeah, for sure.
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:And one of the best known books that
talks a lot about this is The Body
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:Keeps the Score Bessel VanDerKolk.
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:And that's exactly it, right?
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:The body has its own way, which
is very foreign to most of us.
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:'cause to a large extent it's unconscious
in terms of our thinking mind.
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:But it's, yeah, it's there, right?
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:And it doesn't wanna let go.
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:And so it's super important to, help
people understand that and help, provide
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:them with options to get tools and
perhaps, work with the therapist that
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:can help them to build those bridges
like we're talking about, right?
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:So it within themselves so that they
can get healing and so that those
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:buried body effects of the stress don't
continue to cause trouble in their lives.
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:Tauna: Yeah.
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:I'd also be interested, there was
prob, there may have been some
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:kind of trigger in the environment,
a little environmental trigger.
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:We've, I'm sure that you've heard, Dr.
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:Passmore of different situations where
you know someone, smells, someone comes
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:in with the cologne of someone's abuser,
and next thing you know, they respond to
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:that person as if they were the abuser or
they smell, they walk through a grocery
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:store aisle and then they smell, bleach
or something, and then they're back
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:into a situation, of a traumatic event.
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:Bleach.
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:I'd be interested, there maybe
there was some kind of external
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:trigger in that situation too, that
maybe you weren't even aware of.
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:Cara: I'm sure.
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:Absolutely.
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:There had to have been something.
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:Mike: That's the thing because,
the common experience as well
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:is that it's, it maybe have.
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:A hundred percent there may have
been a trigger that's not even
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:aware to a conscious memory per se.
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:And so it becomes mysterious in a sense.
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:But certainly just the signal
that the, like you say, the
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:smoke alarm is going off.
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:And so it's reason to be curious.
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:And in terms of, as I say,
whether it's self-exploration
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:working with a therapist or both.
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:I'm curious though, because this, just
to switch gears a little bit, it's
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:obviously related, one of the things
that we focus in on this podcast
344
:is interventional mental health.
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:Things like non-invasive neurostimulation.
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:And so this CES, I was reading up
about it and it's so interesting
347
:because recognizing that it's one of
the most kind of traditional forms
348
:of electrical brain stimulation, it
really is still relatively unknown in.
349
:I would say, most, most medical
communities, we didn't, certainly
350
:didn't learn about it in medical school.
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:So I'm just curious, Tauna, maybe if you
could help us to understand a bit more
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:about cranial electrotherapy stimulation.
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:Tauna: Yeah, I'd be happy to.
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:I'll start with just, what is this
little, it's just a little handheld
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:device, and it just has a little
tiny nine volt battery in there.
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:Just little ear clips,
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:two of them.
358
:And, or if people prefer, they can
just disconnect the air clips and use
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:these little electrode pads instead.
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:Now, if I were to use them I
wouldn't even take off my earrings.
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:I would just put it on in front
or behind, doesn't really matter.
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:It just sends a little tiny microcurrent.
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:You wanna use both of 'em.
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:It sends it, through your brain
from one ear to the other, just
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:a little tiny microcurrent.
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:And it specifically on, on around the
ear sends just that little current,
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:and it, the majority of it goes to the
thalamus, which is the primary relay
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:station of sensory information, all
types of different emotion regulation,
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:the kind of the on off switch for sleep
and it's a relay station for a lot
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:of different stimuli that comes in.
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:And simply by It's interesting
though, that by stimulating something
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:that you actually stimulate a calm
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:Like calm is something that you
can actually turn on by stimulating
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:specific areas of the brain.
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:And by doing it in that placement
it's stimulating the vagus nerve
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:in a place, in a specific area
that it allows calm to occur.
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:And it's, I've seen it in right in
front of me on hundreds of patients.
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:The effects of it in the beginning
I was like, it just, it seemed I was
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:definitely skeptical, but to see how
impactful it is in so many people and the
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:way that they just, in a lot of people
they experience the benefits right away.
381
:Some people, it's not till a few
times in, but a lot of people,
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:they experience it right away.
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:And you can just see just the calm,
you can see the physical shift
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:in their nervous systems just by.
385
:Putting on these little ear clips and
teeny, teeny tiny electrical current.
386
:Mike: Yeah.
387
:It's so interesting.
388
:I think there's been so much research
with this kind of low low current skin
389
:application of this low current electrode
therapy over the past 10, 20 years.
390
:It's amazing.
391
:And as I understand, so this
particular technology is FDA
392
:cleared so it's legit and it's safe.
393
:And so what kinds of clinical
effects have you found for most
394
:people who've had success with it?
395
:Tauna: Yeah, I could talk all day on that.
396
:It's FDA cleared for anxiety and insomnia,
and I've definitely seen it be very
397
:impactful in those, for those conditions.
398
:It's very impactful for a lot
of other conditions as well.
399
:I would say that just as a whole by
my patient population now is just
400
:a less anxious bunch in general.
401
:Just even just for those two
applications of anxiety and
402
:insomnia, it's been very impactful.
403
:And, the ripple effects that has
in people's lives is quite amazing.
404
:But it's also been very effective.
405
:Cara has mentioned PTSD.
406
:It's been really helpful for
a lot of people with PTSD.
407
:Also pain because the thalamus
helps with the pain signal.
408
:So it's very impactful for
people with chronic pain too.
409
:And its helping with fibromyalgia.
410
:So headaches, like the situations where
I've seen it be helpful have been quite
411
:quite broad beyond its intended use.
412
:But you've probably see that a
lot with a lot of the prescribing
413
:that you do, the way that I do
where, Benadryl is an example.
414
:Benadryl is it's an antihistamine,
but a lot of people use it for sleep.
415
:And so that's the same thing with CES.
416
:It's very helpful for anxiety
and insomnia, but also a lot
417
:of other conditions as well.
418
:Yeah.
419
:Mike: That's really interesting.
420
:Cara, what's been your experience
with technologies like CES?
421
:Cara: Yes, I am so glad you asked me
that because I am one of those very
422
:skeptical people when it comes to
any sort of a natural thing, right?
423
:I'm just gonna think it's doesn't
work, but I am sure it does for others.
424
:Go have your fun, and because I
don't necessarily have anxiety until
425
:recently as I started to get older
and my body just isn't as capable
426
:of dealing with those things it's
something that I probably would've said.
427
:I'm not really interested in it, but I,
I was speaking with Tauna and she felt so
428
:strongly about it and she had me try it.
429
:It wasn't at a time where I was
necessarily feeling anxious, feeling
430
:panic, feeling stress, or just anything.
431
:And so I tried it and I'm
like, yeah, it's good.
432
:It's good.
433
:And so I brought it home with me and
fortunately, I'm so glad I did have
434
:it at my home because that's, panic
attack that I mentioned that that
435
:I had was actually two days after
I brought the device into my home.
436
:And so it wasn't something that I
just knew that I had and I had already
437
:had this proven effectiveness of it
to treat, just day to day anxieties
438
:or just, day to day, oh, I feel a
little stressed, I'm gonna use it.
439
:But I was sitting there on my couch and
I was just like, I'm about to explode.
440
:And I'm like, do I take my shirt
off 'cause I'm sweating or do I
441
:put a blanket on 'cause I'm cold?
442
:And I looked across my room and
I saw it sitting right there on
443
:my on my entertainment center.
444
:And so I was able to function enough
to go and grab it and put it on and I
445
:put it on and, I'm not gonna say it's
life changing, but I went from, my
446
:body might burst from the inside out.
447
:From this feeling to by the end of that
first, I used it for good 30 minutes and
448
:it took a little bit of time, but it just,
I just started to feel that lowering.
449
:It was almost like I was
going down step by step.
450
:And then even after I felt where
I felt like, okay, I'm no longer
451
:in this, what's going on I decided
I'm gonna use it for another 30
452
:minutes because it felt so good.
453
:And I can tell you by the end of
that 30 minutes, I was like, can
454
:I just have this on all the time?
455
:If it can have that much an effect
on me being like that, can it just
456
:have this effect on me all the time?
457
:And maybe it will change my
personality where I'm just
458
:gonna be so calm all the time.
459
:Everyone's gonna be so drawn to
me and want to be with me all
460
:the time, and they're gonna wanna
know why I'm so calm all the time.
461
:So that was like, I was so glad that I
had it then because then it did start
462
:my process of implementing it into my
daily life, not just when I feel like
463
:that panic coming, but into my daily
life of using it just because it just
464
:that, I love how it's called NeuroVana
Calm because it really is calm and it
465
:doesn't matter if you're, your starting
point is I'm about to lose my mind or
466
:just I'd like to feel a bit more calm and
'cause it's helped me with all of those.
467
:Mike: Amazing that's really great.
468
:So in terms of the logistics, so this
is a safe device that you use at home.
469
:Maybe either or both of you can just
talk a bit about those logistics.
470
:What would it look like from a
client experience perspective?
471
:If someone were to be interested
and they reach out, just maybe walk
472
:us through how that would look.
473
:Tauna: Yeah, you know these, the nice
thing about these is that they are just
474
:a little, you can take this anywhere.
475
:Some people have called it like a
pocket calm or peace in your pocket
476
:because you can take it anywhere.
477
:You and people will use it.
478
:Sometimes like in, in anxiety
provoking situations and it's, they
479
:can take it with them to business
beings that they're nervous about.
480
:I have patients who take it to school
and put it on when they get agitated.
481
:I have patients who are on the autism
spectrum that sometimes get very
482
:activated at school in ways that are not
conducive to their learning and success.
483
:And they can take this
to school, put it on.
484
:It's so easy to use and it's so safe
because even, a child, you can give it
485
:to a child and let 'em take it to school
because you can't overdose on this.
486
:You, you can't hurt yourself on this,
the safety profile, it's just it's
487
:a really short conversation because
there's just, there's no concerns.
488
:You could use it 24-7 if you wanted to.
489
:You can't overdose the way
that you can with medications.
490
:When Cara was speaking I wanted to say
that that if we could have taken an
491
:EEG on her brain on what the brainwave
activities was happening at that time.
492
:There was a study, I think it was in 2013,
where they took a bunch of people took
493
:a bunch of very experienced meditators,
and they did an EEG on the people.
494
:These very experienced meditators,
while they're meditating and compared
495
:when, compared them to the EEGs of
people who were actively using CES
496
:and they basically look the same.
497
:Like the brain state the electro
activity of brain, the state of
498
:the brain, while you're using CES
essentially puts it into the same
499
:state as when a person's meditating.
500
:Cara, in that situation, even if she was
a very skilled meditator, it's unlikely
501
:that she would've been able to just go
right into that type of brain state.
502
:But this is a shortcut to that.
503
:Definitely not trying to
discredit meditation in any way.
504
:'cause that's a wonderful practice.
505
:I highly encourage it, but it's nice
to know that there is a shortcut,
506
:especially in situations like that,
that can put your brain into that and
507
:then your body can then follow suit.
508
:Mike: Yeah.
509
:Yeah.
510
:And it's also it strikes me
that it's very discreet too.
511
:And so it almost even just
looks like having the, earbud
512
:headphones in kind of thing.
513
:Yeah.
514
:So it's not this sort of thing that
someone's really gonna be standing
515
:out in a crowd with wearing now.
516
:For sure.
517
:Tauna: Yeah.
518
:They just look like they're using phones.
519
:Cara: I recently went somewhere
where I think almost every person can
520
:relate, where none of us like to go.
521
:And I went to the dentist and.
522
:I'm not like scared of the dentist.
523
:I have no trauma from the dentist.
524
:I don't dislike my dentist, but I
don't enjoy going to the dentist.
525
:So I brought it with me and I just put
it on, and, it didn't, wasn't, I didn't
526
:have to like, take medication before,
so I wasn't anxious that the dentist
527
:I just put it on is very discreet.
528
:They didn't even notice it.
529
:But I never lost that calm
feeling that I would usually
530
:lose by being at the dentist.
531
:So it's very portable.
532
:I just had it in my pocket, just
the little things and looked like
533
:I probably had headphones on, or,
I was on a phone call or something.
534
:So I love how portable and discreet it is.
535
:Mike: Yeah.
536
:That's amazing.
537
:I'm under understanding that CES has been
around for decades, but many clinicians
538
:and clients in patients population
in general haven't ever heard of it.
539
:So I'm curious why you think that is.
540
:I have some ideas, about the
pharmaceutical industry lobby and that
541
:kind of thing, but I'm curious to know
both of your perspectives on that.
542
:Tauna: Yeah.
543
:I had been in clinical
practice for almost six years.
544
:I'd helped thousands of people with
anxiety and insomnia and many other
545
:conditions that this helps with.
546
:Before I knew about it, and that was
the thing that was most puzzling to me.
547
:It's like, how can something that
works this well be so unknown?
548
:And I do think that, the pharmaceutical
conversation has been at the forefront,
549
:probably, designed intentionally that way.
550
:And I don't have anything
against pharmaceuticals.
551
:I'm a prescriber.
552
:I prescribe all day long.
553
:I'm happy to do that, but.
554
:Yeah, there is nothing that I
prescribed that I prescribed
555
:that has this success rate.
556
:SSRIs have a success
rate of what, 45 to 55%.
557
:CES has a 67% success rate, and
that's even 67% of people have
558
:at least a 50% improvement.
559
:That doesn't mean that only
67% got some improvements.
560
:Even a 20 or 30% improvement can
mean the difference of somebody
561
:being willing to leave their house,
being willing to attempt to drive.
562
:And but also, this, we could end the
discussion just at the success rate, but
563
:when you factor in the safety profile, the
side effects, nobody's gaining weight from
564
:CES, no one's having sexual side effects.
565
:No one's having withdrawals,
no one's overdosing.
566
:So they don't even belong in the same
conversation when it comes to safety.
567
:So I don't, it is had
FDA clearance since:
568
:Mike: It's amazing.
569
:Tauna: Yeah.
570
:So it's really, it's it's mind boggling
that it hasn't been more at the forefront.
571
:It should be in there, in the,
people with anxiety and insomnia.
572
:They have an idea of
what their options are.
573
:There's medications, there's counseling
there's meditation, there's prayer,
574
:there's grounding exercises, nature
walks, all of those things are great.
575
:They're great.
576
:I encourage all of them.
577
:This needs to be on that list.
578
:This is just as effective, if
not more than some of those.
579
:And that's NeuroVana that's why, the
NeuroVana team gets up in the morning,
580
:is to just make it more well-known.
581
:It needs to be on that list of
options that people understand
582
:that it's available to them.
583
:Mike: Yeah.
584
:Yeah, for sure.
585
:So again, for viewers and listeners maybe
who we skipped over the beginning and just
586
:need a reminder, it's NeuroVanaCalm.com
587
:a nd we'll put links in the show notes.
588
:I'd really encourage
everyone to check out.
589
:Yeah, and I think this point that you're
mentioning both of you about how, I
590
:think one of the things I think that's
really changing in terms of healthcare
591
:in general is this idea about legacy
healthcare is like the client / patient
592
:comes to the expert clinician and
the expert, expert clinician kind of
593
:gives some suggestions from upon high.
594
:And then the client / patient
kind of goes away and is either
595
:adherent / compliant or not.
596
:But this is more in keeping with
personalized individual approaches
597
:to treat people as individual human
beings with their own complexity and
598
:their own unique story and experience.
599
:So as you say, maybe it doesn't have
to be either or, but maybe it, it's
600
:properly a part of the toolkit that
someone might have access to in order to
601
:optimize their health and wellness, right?
602
:And maybe they might wanna reach for
that tool before medication or at
603
:the same time as some counseling, but
it allows people to craft their own.
604
:In collaboration with their healthcare
provider to craft their own approach
605
:that feels right for them and give
them that agency that's so important
606
:for any kind of healing really.
607
:Tauna: Exactly.
608
:Yeah.
609
:Many patients prefer
to not use medications.
610
:They prefer to use everything else first.
611
:And I, you're probably the same way where
you can, I consider myself a partner.
612
:I'm not the leader.
613
:They're the boss.
614
:They're in the driver's seat.
615
:I'm in the passenger seat.
616
:Maybe I'm holding the navigation,
telling 'em how to get, but
617
:they're the ones who determined the
destination, what the goals were.
618
:And, this can be an excellent
companion to medications.
619
:Also psychotherapy, all of the
other modalities that are used.
620
:It can also be used on its own,
depending on the situation.
621
:Something that I have seen in my
practice is, sometimes people are
622
:talking about some really traumatic
events and just talking about
623
:the trauma can be its own trauma.
624
:What I've seen though, is that I can.
625
:Put this on the person and they, and
then their nervous system can stay
626
:calmed while they're talking about
it, and they're able to go deeper.
627
:They're able to tolerate
the discussion more.
628
:And that's an area that that along with
all those other uses that we were talking
629
:about before, just in conjunction with
psychotherapy, you can just get so much
630
:deeper and tolerate the pain of that work
so much more just by keeping the nervous
631
:system regulated during that session.
632
:Mike: Absolutely.
633
:Yeah.
634
:That's fascinating to hear.
635
:And it's awesome to think about having
a device that you can use in the
636
:clinic and that you can recommend for
someone to take home and for them to
637
:carry on using it wherever they are.
638
:It's really great.
639
:Tauna, I'm curious from what
Tauna was just saying about that.
640
:What we've already talked about
with the CES in combination
641
:with some other strategies.
642
:Have you found any of those
combinations to be particularly helpful?
643
:Cara: I absolutely have.
644
:So I have clinical depression and I have
been on a, on an SSRI for over 10 years.
645
:People talk about, I'm feeling depressed.
646
:I have, I'm depressed.
647
:My, I lost my job.
648
:I'm feeling depressed.
649
:And so I don't nec I don't
have clinical depression.
650
:My, my depression that I have isn't
because I lost my job, or I have,
651
:it's just something that I've just, I
don't know the science behind it, but,
652
:it's like something with my brain.
653
:It's not something because,
somebody else, there's some external
654
:factor causing my depression.
655
:And so to me, the CES device helps me
deal with things that happen in my life.
656
:Okay.
657
:For instance, I mentioned that panic
attack that I was starting to feel.
658
:My SSRI that I was on wasn't gonna
be able to touch that if I were to go
659
:grab a couple of Valiums, the Valiums
probably would've calmed me down though.
660
:I would've had to have already
had the Valiums on hand.
661
:It would've taken a good 30 minutes
before it even started to work.
662
:And the answer isn't always medication.
663
:That it's I am, I'm not
one of those health gurus.
664
:That's like the last thing I'm
gonna do is take medication.
665
:If the medication is gonna
help me, I'm going to take it.
666
:I don't want to suffer unnecessarily
in my mind, like I'm a chronic
667
:pain, I have chronic pain.
668
:And some people are like, surgery is
the last resort I'm going to go through.
669
:10 years of pain.
670
:10 years of physical therapy, all
of this before I have surgery.
671
:Me if surgery will fix my problem, I
will have the surgery and then I'll
672
:do the month of physical therapy
and then I'm gonna go on with my
673
:life, so I will take the medication
so I'm not on here to be like, use
674
:this device, don't take medication.
675
:It can be both.
676
:It can be just the device, it
can be medication and the device.
677
:But for me, I have found the
device to be a companion in some
678
:sorts and a replacement in others.
679
:Mike: Yeah, that's, thanks
for explaining that.
680
:That makes perfect sense.
681
:So I'm just curious again,
so just in terms of.
682
:Painting a picture of the
logistics of using the device.
683
:So say someone like that client that I
was talking about that I saw recently
684
:has this social anxiety disorder.
685
:I recommend to do some cognitive
behavioral work, he's still just
686
:trying to really come up with the
energy to try to force himself to
687
:talk to someone, say, chat chat with a
barista or something along those lines.
688
:What would be something where, would it
be a matter of him using the device at
689
:home for 20 minutes per day in the morning
as a standard for a number of weeks?
690
:Or what would be the typical
course that would be recommended?
691
:Tauna: Yeah, so there's a lot
of different ways to use it.
692
:You could use it in an as needed
situation if you want to, because
693
:it is going to help your nervous
system just get into a state of calm.
694
:So you could use it as
an as needed situation.
695
:W with a lot of people that have
anxiety, they just have anxiety all
696
:the time about different situations.
697
:If with your patient, if he was
only anxious in just that one
698
:context, I'd say use it in that
context or prior to that context.
699
:But if someone was just trying to
say, just lower their baseline level
700
:of anxiety in general, I think the
best way to do it is to do it, do a
701
:loading phase for the first month.
702
:I'd say try to use it twice a day,
every day for a month and then reassess.
703
:Now that doesn't mean that, that
you could use it 24 7 if you want
704
:to, but if you can try to treat
it as a task for that first month.
705
:'cause what that will do is, like I
said, anxious people their default, the
706
:default mode network in the brain, that
default setting it's miscalibrated.
707
:And so when your brain isn't
involved in some external task
708
:it's supposed to just calm,
709
:daydream, remember, process, plan.
710
:So by gently putting your brain
into that calm state, you can
711
:then retrain your brain to just
go there naturally on its own.
712
:That's why I do encourage that loading
phase in the beginning of the first
713
:month if you can because after what
people experience after that first
714
:month is their overall baseline
anxiety is significantly improved
715
:because they have become more familiar.
716
:With that calm state and they've
learned to just go there without
717
:even needing something like the
CES device to put them there.
718
:So that in is the best way to
use it, I think, for people
719
:who struggle on the daily.
720
:And then the same thing with insomnia.
721
:Insomnia.
722
:People, if you used it once a day,
most people, after about two or three
723
:weeks will find that sleep latency
improves, and then the overall
724
:sleep quality, less waking up,
easier to fall asleep will improve.
725
:And then after that you reassess, maybe
you, it's beneficial to keep using
726
:it, once a day you, like I said, you
can't overuse it, you can't overdose.
727
:But I would say just reassess at the
end of that month and go from there.
728
:Mike: Amazing.
729
:That's fantastic.
730
:And then I guess the other thing
that, that I was thinking about
731
:is that, yeah, there was, so there
was something else just on that,
732
:that I was, that slipped my mind.
733
:I'll think about it in a second.
734
:But I think part of it is that yeah it's
just, I think this is so valuable for
735
:people because I think part of what makes
anxiety so difficult is that in order
736
:to get over that, that, or through that
threshold of just figuring out how to
737
:get help, there's just so much pressure
to not want to, there's so much lack of
738
:confidence and so it's really encouraging
that this gives people an option to
739
:think about something that can, as you
say, oh, I know what I was gonna ask.
740
:So the idea about using it actively
while you're also trying some
741
:other sort of modality so that.
742
:It helps to reduce the anxiety
while you're attempting to do
743
:that thing that you're generally
otherwise too anxious to start.
744
:So that, that's so fascinating because
it could be, yeah, it could be really
745
:anything like you say is causing
the anxiety in the first place, and
746
:maybe even, this is something that I
actually explored with my client with
747
:the social anxiety is using it with
something like virtual reality, right?
748
:So you could actually, if you, if it's
more of a situational anxiety, maybe
749
:putting it on and then using the virtual
reality to simulate that environment
750
:that causes you to be super anxious
in that way, practicing with that kind
751
:of technology might be interesting.
752
:Tauna: That's a great idea.
753
:Like someone doing exposure therapy.
754
:Do the exposure therapy while using CESI.
755
:I hadn't thought of that,
but that's a wonderful idea.
756
:I would love to see that in practice.
757
:Mike: Yeah.
758
:Yeah.
759
:Interesting.
760
:So maybe and I'd be interested in both
each of your perspectives on this.
761
:If there are people watching or
listening right now I'm sure many
762
:of them are struggling with things
like chronic anxiety, insomnia,
763
:nervous system overwhelm in general.
764
:What's one or two things that
you want to let them go, take
765
:away from the conversation?
766
:Help them to understand about
what they're experiencing and
767
:how to overcome those challenges.
768
:How their brain and body are
responding and how to just help to
769
:make it so that they're feeling more
comfortable and able to move forward.
770
:Tauna: You wanna go first, Cara?
771
:Cara: Yes.
772
:Sure.
773
:Yeah.
774
:So I, I have, I've overcome a lot of
the, just the stigma around being able
775
:to acknowledge that you're not okay.
776
:Everyone has something.
777
:And so being able to acknowledge
that, Hey, I have PTSD from trauma,
778
:I sometimes don't feel normal.
779
:I don't always feel like I can
wake you my regulate my emotions,
780
:I feel stress, I have depression.
781
:You know what?
782
:Whatever it is, I guarantee you, you are
not the only one that feels that way.
783
:So if you are feeling stuck in it because
you are feeling stuck, that you have
784
:to stay there because you either think
there's nobody else that's going to
785
:have it, or you have an embarrassment or
ashamed or that there's something that's
786
:not, that's going to be able to help you.
787
:I want you to know that you're not alone
and there's thousands of people that have
788
:it, and there is help and there is a path.
789
:And a path to seeing the sunlight and
that brightness again in your life.
790
:Tauna: Thank you.
791
:Yeah, that, thank you, Cara.
792
:Your question was essentially like
what people, what we tell people
793
:that experience anxiety essentially.
794
:Yeah.
795
:There's a lot that I could go on there.
796
:I think that the thing that, something
that I would encourage people who
797
:have anxiety to understand is that
it is a very physical experience.
798
:I think a turning point for me
was when I was actually a graduate
799
:student and I was working in primary
care and I was assessing a woman
800
:who came in thinking that she had
some kind of a cardiac condition.
801
:So I was talking to her about her
symptoms and the experiences, and I,
802
:one of the questions I asked her was,
do you have a history of anxiety?
803
:And she was like, oh no.
804
:This is not mental.
805
:This is physical.
806
:And I said, oh I know anxiety
is a very physical experience.
807
:It is a physical condition
that people have.
808
:And I think that,
809
:to try to compartmentalize the
physical and the emotion, it's
810
:just, it's not gonna work.
811
:And the nervous system is that
connector and, emotions, they're
812
:never, they're not right or wrong.
813
:They're not good or bad.
814
:They're not something that we,
that necessarily need to be judged.
815
:But understanding the role
that they play in the physical
816
:experience can be very useful.
817
:And that, that fear response
it is very essential.
818
:And it's not something that we
can help, but it is something
819
:that could use some educating.
820
:Training our bodies and minds how
to work through those situations.
821
:CES can be a great way to either train
the body how to respond and then that
822
:shapes the emotional experience and
which is a great thing to pair with, the
823
:CBT, the stuff that you were mentioning.
824
:It's just a great.
825
:You mentioned like an
added tool to the toolkit.
826
:I think that's a really
great way to frame it.
827
:I don't, none of these is
competitive against each other.
828
:They all serve a useful purpose for
people in a lot of different scenarios.
829
:Mike: Yeah.
830
:Fantastic.
831
:Thanks so much to both of you.
832
:This really has been such an
interesting, inspiring educational,
833
:thoughtful conversation.
834
:I think one of the biggest takeaways
that maybe I can add to what both of you
835
:just explained there so well, is that
for people who are watching and listening
836
:to really remember that anxiety or
even, any emotional struggle, insomnia.
837
:It's not the stigma would tempt you
to think that maybe it's a failure of
838
:character or willpower or mindset, but
it's not that it's as you're saying, it's
839
:body-based, it's physiologically based.
840
:It's often a reflection of a
nervous system that has been
841
:pushed into chronic activation.
842
:And the good news is that
we have this toolkit.
843
:We have more tools than ever
from counseling therapy.
844
:CES, optimizing lifestyle approaches.
845
:And so yeah, it's just important
to be aware of and to know
846
:what options are available.
847
:And I would really recommend that if
people are interested to definitely
848
:reach out get in touch with Tauna
and her team at NeuroVana Calm.
849
:So again, nerdvana calm.com
850
:and again, I'll spell it out for
listeners who may be missed the first
851
:little bit when we went over this.
852
:It's NeuroVana Calm, so
N-E-R-U-O-V-A-N-A-C-A-L-M.com.
853
:And yeah, aside from that, wanting to
really thank you both today, it was
854
:just such an interesting conversation.
855
:Yeah, just really great to meet both of
you and to hear both of your stories.
856
:Tauna: Thank you so much.
857
:I would like to add that if
you do go to NeuroVanaCalm.com,
858
:that I do have an ebook on there that
people can download for free that
859
:does a deeper dive into the science.
860
:I think it'd be useful, it'd be beneficial
and interesting to a lot of clinicians,
861
:but also to just the layperson who likes
to get into the science and do that deeper
862
:dive and geek out with me like I do.
863
:I welcome people to do that as well.
864
:Mike: Fantastic.
865
:Okay.
866
:That's so great.
867
:Again, Tauna Young, thank you so much.
868
:Psychiatric nurse practitioner and
founder of NeuroVanaCalm, working
869
:with her team to expand access to
cranial electrotherapy stimulation.
870
:And thank you also Cara Maxfield,
entrepreneur advocate for these open
871
:conversations about lived experience.
872
:Really value both of your knowledge,
your wisdom, and thanks so much
873
:again for joining me today.
874
:Yeah, it was just such
a great conversation.
875
:Thank you so much.
876
:Tauna: Thank you.
877
:And thank you, Cara, for sharing
those things that are very
878
:making it, sharing those very
vulnerable personal experiences.
879
:I think that your input was really useful.
880
:Thank you.
881
:And thank you.
882
:Yes, absolutely.
883
:Cara: Yes.
884
:Thank you for having me.
885
:Mike: Super.
886
:And so just to wrap up for viewers
and listeners, if you've enjoyed this
887
:episode, please consider sharing it with
a friend, family member, or a colleague,
888
:anyone you think that might benefit.
889
:As we said at the outset, everyone
has trauma to a certain extent, right?
890
:And so it's important to recognize
that and to just to not be feeling
891
:inhibited by the stigma of worrying
about what people will think
892
:because it's a universal experience.
893
:Also, if you have questions or
comments, feel free to put those
894
:in the comment section below.
895
:Please leave a review as well.
896
:Anything that you want to hear about
in future episodes, let us know.
897
:These conversations are really important
because they help us to move toward a
898
:future where healthcare, mental health
care in particular can be destigmatized
899
:and become more integrated where there's
a better understanding of how ultimately
900
:this is a body-based kind of health
and wellness issue, physiological and
901
:is deserving of compassionate care.
902
:Thank you so much for joining us
today on the Neurostimulation Podcast.
903
:I hope that you enjoyed this
conversation as much as I did.
904
:If you found today's episode
interesting, don't forget to like
905
:and subscribe to the podcast.
906
:It's the best way to make sure that you
never miss an episode, and also helps us
907
:to reach more curious minds like yours.
908
:For more details about our guest's
content, I would really encourage you
909
:to check out the links in the show
notes, and also join in the discussion.
910
:I'd love to hear your ideas with
comments, questions, thoughts that
911
:you might have about topics that
you'd like to hear more about.
912
:We can try and incorporate
those into future episodes.
913
:Your questions, ideas, and feedback
really do make this podcast better.
914
:Finally, don't forget to
tune into the next episode.
915
:It's going to be another exciting
journey into the world of neuroscience,
916
:clinical, non-invasive neurostimulation,
interventional mental health, and
917
:general mental health and wellness.
918
:So thanks again for listening.
919
:Take care.
920
:Stay curious, and I'll see you next
time on the Neurostimulation Podcast.
