The Biology of Trauma® With Dr. Aimie

➡️ Get the full episode breakdown at Biology of Trauma® Podcast – Episode 164: Could Your Trauma Be Disrupting Your Metabolism? The Weight Health Conversation What if the reason your body is holding onto weight has nothing to do with what you're eating — and everything to do with hormones you may not have heard about?  In this episode, Dr. Aimie talks with registered dietitian and author Ashley Koff to unpack the hidden world of weight health hormones: GLP-1, leptin, ghrelin, and more — and why optimizing them matters for everybody, not just people trying to lose weight. What you'll hear will change how you see your body — not as something failing you, but as a sophisticated ecosystem sending you signals worth decoding. Ashley reveals why 93% of Americans are metabolically dysregulated, how trauma and chronic stress directly suppress the hormones that regulate metabolism and body composition, and why "weight loss" as a goal is actually working against your biology. Whether you're curious about GLP-1 medications, perimenopause weight changes, or just why the scale never seems to match your effort — this conversation will shift everything. In This Episode You'll Learn:  (00:00): Introducing the connection - weight, metabolism and GLP-1 (03:06): The weight-trauma connection: Why the body holds on despite every effort (04:04):  What “weight health” means biologically — and why weight loss as a goal misses the point (07:17) The incretin discovery: How GLP-1, leptin, ghrelin, and seven other weight health hormones regulate your biology (10:53).Why 93% of Americans show signs of suboptimal metabolic health — and what that actually means for you (11:36) Ashley’s pizza framework: The right sequence for assessing your metabolic ecosystem (16:00) How to assess your weight health hormones — and why a blood test alone won’t tell you what you need to know (24:03) Perimenopause and menopause: Why digestion fails first — and how that drives belly fat and brain fog (31:25) Learned behaviors vs. hormone imbalance: How to tell what is biology and what is a survival strategy from childhood (38:33) Where to start: Ashley’s first step for anyone wanting to optimize weight health (41:52) The deliciousness signal: Why a “seven or above” is a physiologic mechanism, not a preference (45:08) Ashley’s final message — where to find (her book) Your Best Shot and her clinical resources Resources/Guides: Your Best Shot by Ashley Koff, RD: The Personalized System for Optimal   Weight Health — GLP-1 Shot or Not Ashley Koff’s website — For more on digestive, metabolic, and hormone health optimization The Biology of Trauma®  Book by Dr. Aimie Apigian — Where you can find the framework for finding your block in Chapter 12 Free Guide: Steps to Identify and Heal Trauma by Dr. Aimie Apigian Related Podcast Episodes: Episode 56 — Hormones: A Portal Into Our Stored Trauma with Dr. Aimie Apigian Episode 75 — Fear Stored in the Gut: Attachment, Relational Trauma & Solutions for the Hyper-Sensitive Gut Episode 82 — Using Biological Rhythms to Recover From Trauma with Dr. Leslie Korn Episode 138 — Why Your Body Holds On When Your Mind Has Healed Episode 151 — Why Healed Trauma Returns in Perimenopause: Chinese Medicine Lens with Dr. Lorne Brown

➡️ Get the full episode breakdown at Biology of Trauma® Podcast - Episode 163: Growing Up With Addiction Left a Trauma Your Body Still Carries What happens when a child has to become the adult in the family? Dr. Tian Dayton, clinical psychologist and author of Growing Up with Addiction, joins Dr. Aimie for one of the most personal conversations on the podcast. Both share their own childhood stories of reading the room, managing a parent’s emotions, and the unspoken rules that shaped their nervous systems for decades. This episode reveals how children in unpredictable families redirect their brain’s resources from play to survival, how addiction’s rhythms become the child’s operating manual, and why chronic survival physiology leads to digestive dysfunction in midlife. Whether addiction was part of your family or not, these dynamics may be running your body today. In This Episode You'll Learn: (00:00) What happens when a child has to become the emotional manager of the family (02:58) What chaos actually looks like in a family that appears organized on the surface (05:00) How a child’s brain shifts from play and curiosity to strategizing and operating (07:23) The different physiological states of a parent in addiction: sober, craving, and under the influence (10:22) Why addiction spills beyond substances into food, process addictions, and mood cycles (14:55) The connection between protein deficiency, neurotransmitter production, and craving cycles (22:16) How the insula processes conflicting emotions and body sensations during overwhelming moments (27:51) Why chronic survival physiology leads to digestive issues, bloating, and gut inflammation (29:33) The perimenopause tipping point: when the body stops adapting to decades of unresolved stress (52:17) The Al-Anon principle that changed everything: love the person, separate the disease Resources/Guides: Growing Up with Addiction by Dr. Tian Dayton — How Adult Children of Addicts Can Heal Family Trauma, C-PTSD, and Codependency Dr. Tian Dayton’s website — Relational Trauma Repair resources and training The Biology of Trauma by Dr. Aimie Apigian Songs of the Inner World — Dr. Aimie’s YouTube music channel Related Podcast Episodes: Episode 92: How Chaos of Early Childhood Trauma Affects Our Adult Nervous System with Dr. Tian Dayton Episode 146: How Attachment Affects Us For Life: 6 Childhood Pains and How to Repair

➡️ Get the full episode breakdown at Biology of Trauma® Podcast — Episode 162: Why Fixing Someone You Love Is Destroying Your Nervous System When someone you love is struggling with addiction, your nervous system absorbs what theirs numbs out. Relational trauma repair therapist Karen Moser joins Dr. Aimie Apigian to explain why the families of substance users often carry deeper nervous system dysregulation than the users themselves. This episode reveals the biological cost of trying to control another person's healing and what it takes to reclaim the parts of yourself that got lost along the way. In This Episode You'll Learn: (00:00) Why helping someone you love may be destroying your nervous system (02:00) What Relational Trauma Repair (RTR) is and how it works with the body (06:30) How Karen Moser brought Relational Trauma Repair (RTR) into addiction treatment and family work (08:00) Why the family's nervous system is often more dysregulated than the user's (11:00) Why sobriety alone does not resolve the family's nervous system patterns (15:00) Where relational trauma repair starts with families and self-relationship (19:00) How floor checks help name and locate emotions in the body (22:30) Why anger, shame, and even joy are emotions people learn to avoid (28:00) How childhood survival roles create adult role fatigue and burnout (38:00) A practical exercise to reconnect with the alive, strong parts of yourself Resources/Guides: The Biology of Trauma book — Get your copy here Songs of the Inner World — Dr. Aimie’s YouTube channel for real, raw, honest words for your inner world. Nervous System Journal — Download at biologyoftrauma.com/book. Track how often you are in a survival state. Related Podcast Episodes: Episode 136: How Chaos of Early Childhood Trauma Affects Our Adult Nervous System with Dr. Tian Dayton Episode 158: Marijuana, Addiction, and the Body: What We’ve Been Getting Wrong with Kevin Sabet

Grief, regret, loneliness, inflammation, pain. There are deeper layers than we are even aware of. Dana was a family physician who had managed gut issues for years. Constipation. Bloating. Acid reflux. She had every tool available to her. She rotated medications, over-the-counter laxatives, and antacids. She pushed through. Then one brave question changed everything. I asked her: what happened that should not have happened? Her posture collapsed. The tears came. And she made the connection — that was when my gut issues started. This is the biology behind what so many of us carry without knowing it. In the main episode this week, we explored how grief and gut health are connected. Now I’m taking you deeper into what’s actually happening in your body when grief goes unrecognized — and the three types of grief that are hardest to name. In this episode you’ll hear more about: 00:00 Grief, Regret & Going Gently: Setting the Tone 00:33 Check-In: Where Are You With Grief Right Now? 01:07 Prepare Your Support Tools (So You Don’t Go Into Overwhelm) 01:51 Dana’s Story: When “Managing Symptoms” Isn’t Healing 04:21 The Brave Question: “What Happened That Shouldn’t Have Happened?” 05:03 When the Body Connects the Dots: Stored Grief & the Gut 07:33 The 3 Hardest Types of Grief: Absent, Attachment & Heart Shock 09:01 Grief Isn’t Stress: A Whole-Body Trauma Response 10:00 Guided Body Awareness: Hand on Heart, Hand on Gut 12:44 Stomach Support Practice + Closing Message to Your Belly 13:21 Wrap-Up: Completing the Session Grief is more than an emotion. It is a whole-body response. It creates overwhelm in a way that stress does not. When grief is stored, the gut holds it. The posture holds it. The throat holds it. Dana didn’t just need to grieve what happened. She needed to grieve the silence, the years of self-blame, and the cost to her health she hadn’t seen. Most of us carry grief we haven’t named yet. Resources/Guides: Download the 3 Most Common Biochemical Imbalances Guide — The biochemical patterns that disrupt normal nervous system function and keep the body stuck in overwhelm. Biology of Trauma book — Dana’s story begins in Chapter 7 and continues in Chapter 9. Available everywhere books are sold. Get your copy → Watch the video version on YouTube → Check out the main episode — EP 161: Dopamine and Depression: The Metabolic Link You Need to Know Try this practice this week: Notice when your gut clenches, your posture collapses, or a lump forms in your throat. Before you push through, pause. Put one hand over your belly. Give it a message: “I see what you’ve been holding. We don’t have to go there today.” Presence interrupts the pattern of pushing through. Leave a review on Apple Podcasts, Spotify, or YouTube. It helps others find trauma-informed care.

➡️ Get the full episode breakdown at Biology of Trauma® Podcast -  Episode 161: Dopamine and Depression: The Metabolic Link You Need to KnowDopamine doesn't just create pleasure. It signals unexpected experiences and primes the brain to learn. New research reveals that depression, anxiety, and ADHD have different metabolic phenotypes. Understanding your unique metabolic footprint explains why standard treatments work for some and not others. Mental health and metabolic health are inseparable.In This Episode You'll Learn:[01:00] How does peripheral nerve stimulation affect dopamine in the brain?[06:30] Does dopamine actually make you feel good?[13:00] What is the real function of dopamine in learning and memory?[15:30] How does trauma change the way we perceive reality?[22:00] What are metabolic phenotypes in mental health conditions?[27:00] Why does the same diagnosis look different in different people?[33:00] How are metabolism, hormones, and mental health connected?[37:00] What role does the hypothalamus play in emotional and metabolic regulation?[44:00] Why do negative experiences affect us more than positive ones?[47:00] What does anchoring to something unchangeable mean for recovery?Resources/Guides:Learn more about Dr. Kyle Bills' ResearchThe NeuroNova Seat: Dopamine-releasing neuromodulation device.Year-long Biology of Trauma® immersion program with coursework on stress, grief, attachment, letting go, freeze, and neuroplasticity. Available for self-help individuals and practitioners seeking certification.Foundational Journey — Six weeks to clean up your internal environment so repair becomes possible. This is where we create the conditions for cellular healing. Prerequisite for the Year of Transformation program.The Biology of Trauma book — Get your copy hereRelated Podcast Episodes:Episode 5: How Genetics & Epigenetics Affect In-Utero Development (Part 1) with Dr. William Walsh Episode 6: The Role of Methylation & Epigenetics in Mental Health Outcomes (Part 2) with William Walsh

➡️ Get the full episode breakdown at Biology of Trauma® Podcast - Episode 160: How Creativity Rewires Your Nervous System with Adam RoaWhat if the key to healing isn't more therapy—but creativity? Adam Roa's poem "You Are Who You've Been Looking For" reached over 250 million people. But before that poem existed, Adam spent 25 years emotionally shut down. He didn't remember his childhood sexual abuse until age 30. His journey reveals why creativity creates neurological safety for emotions that were once too overwhelming to feel. Creativity isn't about talent—it's about pattern disruption. When you turn pain into a poem or painting, you force your brain to view that experience differently.This episode explains why safety must come before expression and how the creative process rewires neural pathways when talk alone can't reach what's stored in the body.In This Episode You'll Learn:(01:00) What poetry has to do with your nervous system's capacity to heal (03:45) Why Adam's viral poem reached 250 million people (05:30) How childhood trauma stayed hidden for 25 years (08:00) Why acting became Adam's first safe space to feel emotions (12:00) The moment poetry became a survival mechanism after heartbreak (17:00) How creativity rewires neural pathways associated with traumatic events (22:00) Why one poem can play multiple roles in your healing journey (27:00) What happens when you write for yourself but release for others (32:00) Dr. Aimie shares her song "Letter to the Me" publicly for the first time (47:00) Adam performs "You Are Who You've Been Looking For" (54:00) The journey from viral success to learning what self-love actually meansResources/Guides: The Biology of Trauma book — Get your copy hereAdam Roa's New Book — Crazy Love explores the journey of learning to truly love yourself. Available May 2025.Adam's Websites — adamroa.comDr. Aimie's Music Channel — Songs of the Inner World on YouTubeFree Guide: The Chronic Freeze Response — Understanding why your body stays stuck even when you want to moveRelated Podcast Episodes: Episode 82: Using Biological Rhythms to Recover From Trauma with Dr. Leslie KornEpisode 119: Transforming Trauma Into Joy & Purpose with Gregg Ward 

➡️ Get the full episode breakdown at Biology of Trauma® Podcast - Episode 159: Why Trauma Blocks Your Stem Cell Repair System What if we knew how to repair cellular damage from stress and trauma? Stem cells are your body's repair system—replacing 50-70 billion cells every day. But chronic inflammation from trauma creates what Dr. Dan Pardi calls a "noisy neighborhood" where repair signals can't get through. Dr. Pardi is the Chief Health Officer at Qualia Life Sciences, where he researches what actually allows cellular healing to happen. In this episode, we explore why trauma accelerates biological aging and what creates the conditions for repair. In This Episode You'll Learn: (01:00) Why understanding the Biology of Trauma® matters for cellular health (03:00) What "capacity" actually means—and how resilience changes across the lifespan (08:00) How Dan's own injury led him to study health optimization (15:30) Why Dean Ornish's lifestyle intervention worked when single interventions fail (19:30) What's missing from healthcare for trauma recovery (24:00) How stem cells function as the body's repair mechanism (28:00) Why inflammation from trauma blocks stem cell activity (32:00) How sleep and biological rhythms affect stem cell repair (36:00) Why college athletes needed 5.5 months to recover from extreme fatigue (43:00) What makes trauma recovery take longer than we expect (47:00) How to support stem cell health naturally Resources/Guides: The Biology of Trauma book — Get your copy here Foundational Journey — Six weeks to clean up your internal environment so repair becomes possible. This is where we create the conditions for cellular healing. Qualia Life Sciences — Learn more about stem cell wellness at www.qualialife.com/draimie Coupon Code: DRAIMIE (listeners get an additional 15% off any Qualia order) Related Podcast Episodes: Episode 84: Cellular Resilience And Post-Traumatic Growth with Ari Whitten Episode 82: Using Biological Rhythms to Recover From Trauma with Dr. Leslie Korn

You know it's not good for you. You do it anyway. Then you ask yourself why. Late-night scrolling when you promised you'd sleep. Sugar after dinner when you said you'd stop. The fight you picked that you didn't need to pick. We call it lack of willpower. But willpower isn't the problem. This is the biology behind the main episode this week with addiction policy expert Dr. Kevin Sabet. He shared what we've been getting wrong about marijuana and addiction. Now I'm taking you deeper into what's actually happening in your brain when you can't stop doing what you know is harming you. In this episode you'll hear more about: (01:00) Why "why am I doing this to myself" is a dopamine question. (02:30) The truth about dopamine — it's not just high or low. It's both. (03:00) How drama and interpersonal chaos become dopamine sources. (04:30) Why the more you push the lever, the less dopamine you get. (05:00) Dopamine isn't about pleasure. It's about remembering what's important. (07:00) How early attachment wires dopamine to connection — or to danger. (09:00) The definition of addiction: going somewhere other than safe human connection to feel okay. (10:30) The three biochemical imbalances common in addictive patterns. (11:00) How brain inflammation lowers dopamine and raises glutamate — the double whammy. (12:30) Why bribes actually work for dopamine-driven behaviors. The craving isn't a character flaw. It's a signal. When dopamine is low at baseline, your nervous system will find ways to get it. The question is whether we repair the biology or white-knuckle through life. Resources/Guides: Download the 3 Most Common Biochemical Imbalances Guide — The biochemical imbalances Dr. Aimie mentions that disrupt normal dopamine activity. Biology of Trauma book — Available everywhere books are sold. Get your copy → Watch the video version on YouTube → Check out the main episode - Episode 158: Marijuana, Addiction, and the Body: What We've Been Getting Wrong with Dr. Kevin Sabet Try this practice this week: Notice when you're reaching for something to take the edge off. Before you act, pause. Ask: "Is my baseline dopamine low right now? What is my body actually looking for?" Awareness interrupts the automatic loop. Leave a review on Apple Podcasts, Spotify, or YouTube. It helps others find trauma-informed care.

➡️ Get the full episode breakdown at Biology of Trauma® Podcast - Episode Marijuana, Addiction, and the Body: What We've Been Getting Wrong If you've watched a family member struggle with addiction, you know how helpless it can feel. Treatment programs that don't work. Policies that seem disconnected from reality. Debates about legalization versus criminalization that never address what actually helps someone recover. Dr. Kevin Sabet has spent decades advising three presidential administrations on drug policy—watching decriminalization debates, marijuana legalization, and the opioid crisis unfold. He started asking a different question: What if we looked at what actually works? His book One Nation Under the Influence examines why current addiction policies are failing—and what Iceland, Portugal, and Hawaii figured out that we're missing. In This Episode You'll Learn: [01:00] Why marijuana is the most misunderstood drug in America [04:00] How today's marijuana is genetically bred to be far more potent [08:00] The critical difference between decriminalization, legalization, and commercialization [12:00] Why the promises of marijuana legalization haven't materialized [17:00] How addiction responds to incentives unlike any other brain condition [20:00] What "harm reduction" actually means—and why there's so much confusion [24:00] Why some addiction physicians recommend marijuana for opioid recovery—and what the research shows [30:00] What Iceland's prevention model actually did differently [33:00] How Portugal's system works—and why it's not legalization [35:00] Hawaii's HOPE program: why 2 days in jail changed behavior when years of probation didn't

Can you do all the therapy and still have brain fog? Yes. Can you talk through your past and still have chronic fatigue? Absolutely. Here's the tension. We've been told that processing trauma means talking about it. That resilience means surviving hard things. But what if your body is still holding what your mind thinks it released? I go deeper into this with Marie Demasio in Episode 157. She shared how she'd done so much work after losing her son. She thought she was past it. Then she visited our mutual friend, Dr. Bryce Applebaum. He told her that her vision was a mess. Her brain was inflamed. This was never just about the mind. It's about what the body holds. In this episode you'll hear more about: (01:45) Why brain fog is one of the most common blocks to living from safety. (03:22) What neuroception is and how your body's dashboard works. (04:48) How brain inflammation sends ongoing cues of danger. (06:15) Why dissociation and fog are survival strategies, not dysfunction. (08:30) The cycle of caffeine, sugar, and pushing through brain fog. (10:05) Why I assess brain inflammation first in my program. (11:42) The specific supplements that reduce brain inflammation. The body holds what the mind thinks it released. When we address brain inflammation, we remove a cue of danger. Then the nervous system has a chance to believe it's safe. Resources/Guides: Get Dr. Aimie's Brain Inflammation Supplement Protocol — The exact supplements mentioned in this episode including N-acetylcysteine, Neuro-Mag, turmeric, resveratrol, and apigenin. Access the protocol Download the Brain Inflammation Assessment Biology of Trauma book — Available everywhere books are sold. Get your copy Free Guide: The Essential Sequence - Discover why doing the right things in the right order is key to releasing trauma. → Watch the video version on YouTube → Check out the main episode this follows: Episode 157: Soul Contracts and the Biology of Grief with Marie Demasio Try this practice this week: Notice your brain fog. Before reaching for caffeine or sugar, pause. Ask: "Is my body sending me a danger signal right now?" That awareness is the first step. Leave a review on Apple Podcasts, Spotify, or YouTube. It helps others find trauma-informed care.

➡️ Get the full episode breakdown at Biology of Trauma® Podcast - Episode 157: Why Spiritual Insight Alone Can't Heal Trauma with Marie Damasio She understood her grief completely. After her son Tristan died from brain cancer, Marie Damasio dove deep into spiritual work—soul contracts, Akashic records, the meaning behind her loss. She found peace. And her body stayed stuck. You'll hear more on: [00:00] Soul contracts and capacity for resilience [01:12] Cellular energy and critical line of overwhelm [03:32] When spiritual insight arrives but the body stays stuck [10:34] Why we stay frozen in identities that no longer serve us [18:47] Why understanding alone doesn't create change [20:03] Dr. Aimie's five agreements for trauma work [27:13] Viktor Frankl on meaning and struggle [35:05] For practitioners: Insight without embodiment [40:16] The alchemy of transmuting pain into purpose [46:30] Vision therapy and integrative care Resources/Guides: Free Guide: The Essential Sequence - Discover why doing the right things in the right order is key to releasing trauma. If you've tried therapy, spiritual work, and self-help but your body stays stuck, this guide explains why sequence matters—and what to do about it. The Biology of Trauma book - Get your copy here Foundational Journey - The 6-week program to lay the foundation of safety and skills for self-regulation to do the deeper work. Related Podcast Episodes: Episode 46: 5 Agreements to Keep Group Trauma Work Safe with Dr. Aimie Apigian Episode 134: The Biology of Overwhelm: Why Small Demands Feel Impossible

Why do so many people with depression struggle to stop their antidepressants? What if the answer isn't about willpower — but about missing nutrients your brain needs to function? Dr. James Greenblatt has spent 30 years in inpatient psychiatry. He watched patients go from one medication to two, then three, then five. Suicide rates kept climbing. And he started asking: What if the brain is simply missing what it needs? His new book Finally Hopeful explores the biological causes of depression most doctors never test for. → Get the full episode breakdown at Biology of Trauma® Podcast - Episode 156: Can't Get Off Antidepressants? Ask for These Lab Tests In This Episode You'll Learn: [04:09] Why Dr. Greenblatt wrote Finally Hopeful after 30 years in psychiatry [12:50] Vitamin D as the foundation: Why nothing else works without it — not meds, not therapy [14:35] How vitamin D deficiency affects serotonin production in the brain [12:50] Dr. Aimie's personal story: vitamin D levels of 12, then only 20 with supplementation [17:06] Why vitamin D deficiency is one of the most common factors in people who can't stop antidepressants [18:48] The gut-serotonin connection: 90-95% of serotonin is made in the gut [21:00] The building blocks your brain needs: iron, B12, folate, zinc, magnesium [24:57] Brain inflammation and its connection to suicide risk [26:14] Why sleep deprivation creates inflammatory markers within hours [32:07] The simple labs to ask your doctor about — and why testing is the only path forward Resources/Guides: Free Guide: Top 3 Biochemical Imbalances That Affect Mood - a starting point for understanding the most common nutrient imbalances connected to depression The Biology of Trauma book - Available now everywhere books are sold. Get your copy Foundational Journey - The 6-week program to create inner safety and shift your nervous system. Build the foundation that allows your body to actually use the nutrients and support you give it. Dr. James Greenblatt - Get a copy of the Finally Hopeful book and find more resources at https://www.jamesgreenblattmd.com/ Related Podcast Episodes: Episode 41: Solutions for Low Serotonin and GABA in Trauma with Trudy Scott Episode 101: Brain Inflammation: Addressing The Overlooked Gatekeeper To Trauma Release with Dr. Austin Perlmutter

What if the slogans we've trusted about healing are actually in conflict? "The body keeps the score." "Time heals all wounds." We've heard both. They can't both be true. Here's the tension. If time heals all wounds, staying busy should eventually work. Decades of pushing through should land us somewhere good. But that's not what happens. The body keeps the score whether we acknowledge it or not. I go deeper into the research from my conversation with Dr. Karestan Koenen in Episode 155. She followed 100,000 women over twenty years. What she found confirms what I see clinically. Unresolved experiences don't fade with time. They become biology. That background sense of danger we can't quite name? That's our nervous system still on guard. This was never about time. It's about what happens when we ask the nervous system to stay alert indefinitely. In this episode you'll hear more about: Why staying busy creates allostatic load: When we push through without processing, we ask the nervous system to sprint forever. Dr. Hans Selye mapped what happens next. The body reaches a point where it cannot maintain that response. Then things fall apart. The difference between stress and trauma: Stress is a sprint. Trauma is what happens when we've sprinted as far as we can but the danger is still there. The terminology matters. Calling it all "chronic stress" doesn't capture the truth of breakdown. The body trauma loop: The cycle between activation and shutdown sits at the core of every chronic health condition. Stressed out, then breakdown. Activated, then burnout. This loop can never contribute to health. Where the body actually holds trauma: People ask if it's in their liver or pinky toe. The answer surprises them. The body holds trauma in patterns. The glass of wine. The procrastination. The exhaustion that won't lift. What I'm actually assessing: I don't ask for a checklist of how bad your childhood was. I ask what's going on now. How reactive are you? How adaptable? How long before you hit shutdown? Those patterns tell me what your body is still holding. Why there's hope in this science: When we recognize the body trauma loop, we know what to do. We untangle piece by piece. Step by step. We create a biology of healing. The body holds trauma through its patterns of surviving. When we understand this, we work with our biology. Not against it. Resources/Guides: Biology of Trauma book — Available now everywhere books are sold. Get your copy Free Guide: How Trauma Shows Up in the Body — A comprehensive starter guide to understanding the physical manifestations of trauma 🎙️ Check out the main episode this follows: Episode 155: Time Doesn't Heal—It Becomes Biology with Dr. Karestan Koenen 💭 Try this practice this week: Notice when you reach for your go-to survival strategy. Wine, scrolling, ice cream, overworking. Before you do, pause. Ask: "What am I feeling in my body right now? What am I trying to soothe?" That awareness is the first step. Leave a review on Apple Podcasts, Spotify, or YouTube. It helps others find trauma-informed care.

We've been told time heals all wounds. Go back to work. Stay busy. But what if decades of stress are still rewriting the body right now? Dr. Karestan Koenen, a Harvard researcher who has followed 100,000 women over twenty years, shares what she's discovered about how unaddressed trauma doesn't fade—it becomes biology. In this conversation, we explore why major disease studies have ignored trauma, how stalking affects women's heart health, and what epigenetics reveals about catching these changes early. → Get the full episode breakdown at Biology of Trauma® Podcast - Episode 155: Time Doesn't Heal: What 20 Years of Research Actually Shows In this episode you'll learn: [01:54] The Pattern No One Was Tracking: How clinical observation at the VA revealed PTSD and diabetes worsening together—before research proved it [04:04] Stalking and Heart Disease: Why women on the editorial board said "of course this is true" while men said "there's no way" [05:35] The Gap in Major Disease Studies: Why the cohorts that shaped our understanding of diet, exercise, and disease never measured trauma [11:27] How to Define Trauma: Uncontrollable, unpredictable, and overwhelming—and why the pandemic qualified [14:41] When Coping Mechanisms Take a Toll: How the adaptations that helped us survive can interfere with where we want to go [17:14] Resilience Redefined: Why you can have symptoms and still be making meaning—and why the person in front of you is always a survivor [23:58] Loss of Life Purpose: How retirement, death of a spouse, or role changes directly impact physical health and longevity [28:47] Time Doesn't Heal—It Becomes Biology: Why going back to work and staying busy doesn't make trauma fade [32:33] The Biology of Adversity Project: How epigenetics research may catch changes before chronic conditions develop [34:17] Somatic Practices Without the Story: The future of yoga, breathwork, and body-based approaches for resetting the nervous system Resources/Guides: Biology of Trauma book - Available now everywhere books are sold. Get your copy Free Guide: How Trauma Shows Up in the Body & What To Do About It - Understand why your body responds this way. Learn what helps. Related Podcast Episodes: Episode 86: Is Trauma Genetic or Epigenetic? Insights with Dr. Bruce Lipton Episode 116: The Body Keeps Score: How Trauma Rewires Your Nervous System with Dr. Bessel van der Kolk

What if the habit you've been trying to break is actually how you learned to survive? It's January. You've made the resolution. This year will be different. You start strong. First week goes well. By February, you're back where you started. Maybe feeling worse because now you've added shame to the pile. I share about Rachel, a 42-year-old marketing director. She tried everything to stop late-night eating. Willpower. Mantras. Accountability apps. Nothing worked for more than a few weeks. When I asked what she felt right before reaching for food, she'd never thought about it. That knot in her stomach? It went away when she ate. Her nervous system had found a way to keep emotions manageable. This wasn't about the food. It was about how she was getting through life. In this episode you'll hear more about: Why willpower isn't the problem: When we try to remove a survival strategy through willpower alone, our nervous system panics. We just took away one of its tools without offering anything in its place. The difference between a habit and a survival strategy: A habit is brushing our teeth or taking the same route to work. A survival strategy helps us cope when capacity has been overwhelmed. Late-night eating, scrolling, overworking—these are never just habits. Why our body fights back: Our nervous system won't give up a survival strategy easily. Its job is to help us survive. Of course we're back at the refrigerator by end of January. What one of my course members realized: "My protectors are able to relax when I create safety and support in my nervous system." That's the step most people miss. Why capacity matters for resolutions: Capacity is how much stress we can hold before we get overwhelmed. When we remove a survival strategy without building capacity, we overflow right back into overwhelm. Two ways to create space: We can create safety inside our current container. This removes the need for numbing and distraction. Or we can build a larger container that holds more. It is never about the behavior. The behavior is the downstream effect. When we understand this, we can work with our biology instead of against it. Resources/Guides: Biology of Trauma book — Available now everywhere books are sold. Get your copy 🎙️ Check out this week's main episode, Episode 154: The Biology of Burnout (Part 2): What Understanding Can't Do 💭 Try this practice this week: Before you reach for that habit you're trying to break, pause. Ask yourself: "What am I feeling in my body right now? What is this survival strategy helping me avoid?" Leave a review on Apple Podcasts, Spotify, or YouTube. It helps others find trauma-informed care.

In part one, we learned why so many of us stay stuck despite trying everything. This episode reveals what actually worked for the dogs in that study. Spoiler: it wasn't understanding. It was movement. I share Claire's breakthrough moment standing at her kitchen sink. What she felt in those 90 seconds changed everything. → Get the full episode breakdown at Biology of Trauma® Podcast - Episode 154: The Biology of Burnout (Part 2): What Understanding Can't Do In this episode you'll learn: [01:08] How the Dogs Learned to Jump Again: Researchers had to physically move their legs—explaining jumping didn't work [03:30] Why Understanding Isn't Enough: The gap between knowing what to do and being able to do it [05:09] Claire's Aha Moment: Why all her knowledge hadn't created lasting change [08:30] What Happens When We Don't Complete Stress: Two options—complete it or head into burnout [10:04] The Startle Response: How to stop activation before it becomes a full stress response [12:09] The Cost of Not Looking: Avoiding problems drains the energy we need for real demands [15:19] Trying Better, Not Harder: Starting small creates new experiences instead of depletion [18:18] Claire's Kitchen Sink Moment: What completing a stress response actually feels like [20:02] Stress as a Sprint: Why we need the exhale, not just the push [23:35] The Body Already Knows: Our nervous system knows how to complete—we just block it Resources/Guides: Biology of Trauma book - Available now everywhere books are sold. Get your copy Becoming More Calm Alive - A song about the exhale. Learning to let our body complete what it's been holding. Related Podcast Episodes: Episode 153 (Part 1): The Biology of Burnout: Why Pushing Through Stops Working Episode 121: Finding Your Why: How to Break Free from Burnout and Build Meaningful Work

What if the hustle that's wearing you out is actually how you learned to matter? In this final part of my three-part conversation with my friend Jalon, we get honest about why slowing down can feel so threatening. For those of us who weren't seen for who we were, doing became the way we proved we deserved to exist. I share about the moment I stopped blaming my body for breaking down and started thanking it. My body didn't betray me. It was the only thing that could get my attention. I was the kind of person who needed those health issues because otherwise I would never have listened. Jalon and I use the car running out of gas analogy to talk about what it looks like to actually listen before you're stranded on the side of the road. Spoiler: it's not about listening perfectly. It's about catching the warning light a little sooner next time. In this episode you'll hear more about: Why hustle feels like safety: For those of us who weren't seen authentically, we created ways to matter through doing. The more you carry, the less you sleep, the more you prove you're worth keeping around. When your body quits before you do: Thousands of patients I've worked with have bodies that got sick as the only way to make them slow down. And they still don't see it. They just hate their bodies more. Taking full responsibility changed everything: I stopped feeling betrayed by my body and realized I was exactly the kind of person who needed those health issues. Otherwise I would've just found more caffeine, more exercise, more emotional eating. The gas tank analogy for listening to your body: Why do we see the fuel light and try to gauge how much further we can push? What if we just stopped at the next exit instead of ending up stranded? Balance was all I wanted: I didn't want the go-stop pattern anymore. I just wanted to know I'd get to my destination without wondering if I'd make it. Hustle isn't a discipline problem. It's often how we learned to matter. And now we get to reprogram that. 🎙️ Check out this week's main episode, Episode 153: The Biology of Burnout: Why Pushing Through Stops Working 💭 Try this practice this week: Notice when you're pushing past a warning sign. Ask yourself: "Am I hustling right now because this matters, or because I'm trying to prove that I matter?" Catch Part 1 and Part 2 of this conversation here. Leave a review on Apple Podcasts, Spotify, or YouTube. It helps others find trauma-informed care.

If more self-care worked, it would've worked by now. In this episode, I share my own burnout story and introduce Claire—a patient whose chronic fatigue reveals a missing piece in how we understand stress. Through the research on learned helplessness and the metaphor of the elephant tied to a stick, this episode uncovers why so many of us feel stuck despite trying everything. → Get the full episode breakdown at Biology of Trauma® Podcast - Episode 153: The Biology of Burnout: Why Pushing Through Stops Working In this episode you'll learn: [00:50] The Energizer Bunny Who Couldn't Push Anymore: Claire's story of chronic fatigue and missing her daughter's track meets [03:39] Why Self-Care Fails: The backwards truth about stress that keeps us stuck on the hamster wheel [05:13] Skill #1 — Generate a Good Stress Response: Why wimpy stress responses lead to burnout and trauma biology [06:36] Skill #2 — Complete and Reset: The exhale our bodies never learned to do [07:35] The Critical Line of Overwhelm: What happens when stress builds without reset [13:46] Learned Helplessness Research: The study on dogs that changed everything about understanding why we stay stuck [19:51] The Elephant Tied to a Stick: How early experiences program us to believe we cannot escape [11:19] The Voice Underneath: Recognizing the quiet belief that "other people can have good lives, but not me" [25:31] What Comes Next: Preview of how the researchers helped the dogs get unstuck Resources/Guides: Biology of Trauma book - Available now everywhere books are sold. Get your copy Related Podcast Episodes: Episode 31: Am I Tired, Or Is This Trauma? The Roots Of Fatigue with Dr. Evan Hirsch Episode 122: Shutdown Before Stress: The Misstep in Trauma Healing That Often Gets Missed

What if the grief you've been pushing away is trying to tell you something? In this mini episode, I open the vault on my live Q&A with Biology of Freeze students. These are the real questions people ask when they're in the deep work. The answers might surprise you. A caregiver asked how to show up for her family while grief keeps pulling her under. A practitioner wondered why her autoimmune clients can't take action. I share the exact practice I use when grief hits like a wave. Spoiler: it's not positive thinking. It's not pushing through. It's pausing long enough to let that part of you feel heard. In this episode you'll hear more about: The grief practice no one taught us: Why ignoring emotions or "staying positive" abandons the hurting part. I share the phrase I say out loud when grief shows up. It starts with: "I'm having a feeling right now." How to stay present to pain without drowning: The physical gesture I use to stay connected instead of numbing. It's not about making it go away. It's about not leaving that part alone. What grief is really pointing to: Behind every wave is something you deeply value. Give it space. You'll get clarity on how you want to live. Generational trauma lives in the body: I break down how ancestral patterns show up in beliefs, sensations, and even DNA. The good news? All of it can be rewired. Why autoimmune clients can't take action: This isn't motivation. It's learned helplessness from early overwhelm. The roots often start before you could talk. Body work sending you into shutdown? If dental work or sauna leave you crashed for weeks, it might not be emotional. Your detox pathways might not keep up. Music as nervous system medicine: Not all calming music actually calms you. I explain what tempo range shifts your heart rate. Our grief isn't a problem to solve. It's a messenger pointing us toward what matters most. 🎙️ Check out this week's main episode, Episode 152: Am I Too Old or Stressed To Get Pregnant? The Real Reason with Dr. Ann Shippy 💭 Try this practice this week: When a feeling shows up, pause. Say out loud: "I'm having a feeling right now." Put your hand where you feel it. Ask that part: "What do you want me to know?" Leave a review on Apple Podcasts, Spotify, or YouTube. It helps others find trauma-informed care.

The same nervous system patterns that keep us stuck in survival mode may also be telling our body it's not safe to create new life. In this episode, I'm joined by Dr. Ann Shippy, a leading functional medicine physician and former chemical engineer who reveals the hidden biological barriers to conception. Get the full episode breakdown at Biology of Trauma® Podcast - Episode 152: Am I Too Old or Stressed To Get Pregnant? The Real Reason In this episode you'll learn: [00:01:20] Why the fertility narrative around age may be missing the bigger picture—and what's actually driving infertility rates [00:02:28] How one patient at 41 conceived easily after addressing heavy metals, microbiome imbalances, and hormonal dysfunction [00:04:16] The identity wound that infertility triggers—and why "am I enough?" surfaces when conception feels impossible [00:09:37] Why hope itself shifts biology and creates an environment welcoming to new life [00:10:45] How environmental toxins—even from healthy activities like golf—create hidden fertility barriers [00:11:48] The "time capsule" concept: How eggs and sperm collect information about stress, trauma, toxins, and nutrient status [00:13:55] The parallel between neuroception and fertility—both systems asking the same question about safety and capacity [00:16:41] Why infertility is fundamentally an energy problem—and how mitochondrial function determines whether the body says yes to new life [00:18:12] How pregnancy can deplete an already exhausted body and create chronic patterns of depletion [00:20:06] The first step Dr. Ann recommends for anyone wanting to conceive—even in their mid-forties