A dorsal vagal shutdown is one of three primary autonomic states.
Speaker:It occurs when one can't exist in their ventral vagal safety
Speaker:state, and when sympathetic flight and fight haven't worked.
Speaker:The body collapses or plays dead at the extreme.
Speaker:It's a normal biological reaction in the face of a life threat.
Speaker:But we can get stuck in a dorsal vagal shutdown.
Speaker:Day to day, it shows up in our emotions, our thoughts, our behaviors,
Speaker:and even our connections with others.
Speaker:It directly impacts our life, our happiness, and our motivation.
Speaker:You likely have somebody in your life who is stuck in shutdown.
Speaker:Maybe somebody at your work, or even in your own home.
Speaker:Heck, you may be stuck in shutdown yourself.
Speaker:But, I'm going to focus on how to recognize it in others.
Speaker:When we recognize shutdown in others, it might help us to feel more
Speaker:compassion and less judgment for them.
Speaker:My name is Justin Sunseri.
Speaker:I am a therapist and coach who helps you live more calmly,
Speaker:confidently, and connectedly without psychobabble or woo woo.
Speaker:Welcome to Stuck Not Broken.
Speaker:This podcast is not therapy, nor is it intended to replace therapy.
Speaker:What's a dorsal vagal shutdown?
Speaker:Let's understand shutdown a tad more before discussing how it might show
Speaker:up in the people that you care about.
Speaker:Biologically, shutdown is a state of immobilization.
Speaker:Specifically, collapsed and limp.
Speaker:Freeze is also a state of immobilization, but tense.
Speaker:Shutdown is also a state of conservation.
Speaker:The body is slowing down, or shutting down, its processes to conserve resources
Speaker:in anticipation of coming out of shutdown.
Speaker:When it comes out of shutdown it emerges into sympathetic flight fight activation
Speaker:and then uses that energy to create space, escape, and return to safety.
Speaker:So shutdown is collapsed limply and conserving resources.
Speaker:Everything is slowed down.
Speaker:Shutdown also requires reduced stimulation.
Speaker:The external world is overwhelming, it's too much.
Speaker:Shutdown needs less, it needs less noise, less light, less people even.
Speaker:On that note, shutdown's actually usually pretty alone.
Speaker:In shutdown, one disconnects from others, and even from themselves to some degree.
Speaker:So, let's understand shutdown as a state of collapsed and
Speaker:disconnected immobilization.
Speaker:Okay, now we're ready to learn how shutdown shows up in others, like
Speaker:the person that you're thinking of that prompted you to click on
Speaker:this episode in the first place.
Speaker:Is what I'm going to share true for everyone all the time?
Speaker:Of course not.
Speaker:But these are fairly predictable presentations of shutdown.
Speaker:At the end of this episode, just to throw a wrench into everything,
Speaker:I'll share how this actually might not be true at all at the same time.
Speaker:So what I'm giving you are likely very common presentations of shutdown,
Speaker:but at the extreme, shutdown could present much differently as well.
Speaker:shutdown and isolation.
Speaker:Someone in shutdown, including your loved one, may withdraw.
Speaker:They might be isolating themselves.
Speaker:This can be as extreme as locking themselves in a dark room and doom
Speaker:scrolling for hours or oversleeping.
Speaker:Being alone feels better for somebody who's in shutdown.
Speaker:Other people are potentially overwhelming.
Speaker:Not to mention the sounds, the crowds, and the lighting of the places
Speaker:that we typically go to every day.
Speaker:You might go to the grocery store and have no problem.
Speaker:But Someone in shutdown could struggle to get out of their front door because
Speaker:they're so physically exhausted.
Speaker:And then when they get to the store, that might be another huge
Speaker:challenge to get into that next door.
Speaker:Remember, shutdown is a state of collapse.
Speaker:Their body is at least prepared to collapse, not to
Speaker:mobilize and go to the store.
Speaker:And if they make it to the store they could legitimately
Speaker:struggle with overstimulation.
Speaker:Too many people, too many sights, too many sounds, the
Speaker:lighting might be too harsh even.
Speaker:You might think, "Well, too bad. They need to get over it, or that's an
Speaker:excuse for laziness." I'm not asking you to be okay with the shutdown that
Speaker:your loved one is struggling with.
Speaker:I'm not asking you to be okay with how they're handling it, or not handling it.
Speaker:I don't think the person in shutdown is okay with it either, but whether you
Speaker:accept it or not, whether you're okay with it or not, these are potential
Speaker:obstacles for somebody in shutdown.
Speaker:This is their reality, or at least a piece of it.
Speaker:the demeanor and body posture of shutdown
Speaker:When someone is stuck in shutdown, you'll see it in their faces and their body.
Speaker:Again, shutdown is about collapse.
Speaker:So someone in shutdown will have a collapsed look to them.
Speaker:Maybe not lying on the floor like literally collapsed, but
Speaker:slumped, slouched, shriveled.
Speaker:They appear smaller.
Speaker:This is how they show up to my therapy office, no matter
Speaker:what age they are, honestly.
Speaker:Teens are probably more obvious about it, but adults do it too.
Speaker:As mobility comes back into their system, they can sit upright, they can lean
Speaker:forward, they think and they plan with more motivation and more intention.
Speaker:Also, somebody in shutdown, and maybe this is describing your loved
Speaker:one, They'll also have unique facial qualities, and by unique I mean, uh,
Speaker:they kind of don't have facial qualities.
Speaker:I mean, they do, obviously.
Speaker:They still have faces, but the life in their face is just kind of gone.
Speaker:They're just sort of flat.
Speaker:There's no emotion in their faces.
Speaker:They don't smile.
Speaker:Their eyes are open, but only partially.
Speaker:Especially compared to Flight Fight, which are more wide open.
Speaker:Their upper cheeks, the person in shutdown, they aren't doing much
Speaker:and eye crinkles don't really form on the corners of their eyes.
Speaker:Of course, I'm speaking very generally and really more to the extreme one
Speaker:dimensional presentation of shutdown.
Speaker:There's obviously a variety of possible presentations, but you're
Speaker:likely to see these types of things.
Speaker:When you're with someone who's in shutdown, you might feel yourself
Speaker:pulled down, heavier, less hopeful.
Speaker:It's not their fault, they're not imposing that feeling on you.
Speaker:You, as an empathetic, caring person, are feeling a bit of
Speaker:what it's like to be them.
Speaker:That's a bit of their experience, day in and day out.
Speaker:Someone in Shutdown also hugely struggles with eye contact.
Speaker:They tend to look down.
Speaker:In Flight Fight, we look away also, but more around the environment, almost
Speaker:looking for danger, scanning for danger.
Speaker:Or in Flight Fight, our eyes are wider open, staring at the person
Speaker:in front of us and maybe even creating uncomfy eye contact.
Speaker:But in shutdown, they look down.
Speaker:Like, they lack the energy to even look up.
Speaker:Maintaining eye contact is pretty much impossible.
Speaker:That requires, maintaining eye contact requires a lot of safety in the system.
Speaker:So, if you're someone that needs eye contact to feel like you're being listened
Speaker:to and understood, You're kind of SOL.
Speaker:If the body's in a state of collapse, and thinks it's life's in threat, then
Speaker:making eye contact and facial emotiveness are just not priorities for that body.
Speaker:vocal changes in shutdown
Speaker:in shutdown, the voice becomes flat.
Speaker:Just like facial affect and body posture.
Speaker:It's there, but there's no life in it.
Speaker:Very monotone and leaning more into the deeper end of the vocal spectrum,
Speaker:no matter what their gender is.
Speaker:In safety, we have something called vocal prosody, which is
Speaker:a sing songy quality of voice.
Speaker:Vocal prosody enables us to go high and low.
Speaker:I can't do a very good high voice.
Speaker:To go high and low.
Speaker:Vocal prosody allows us to express our emotions and our intent through voice.
Speaker:In a defensive state, that's not really possible.
Speaker:Shutdown, in particular, as a defensive state, is flat in prosody.
Speaker:And it's also slower.
Speaker:There isn't much energy in what someone in shutdown is saying.
Speaker:Sometimes it even seems like they struggle to get through the sentence.
Speaker:It's not uncommon for someone in shutdown to think before they speak, inhale,
Speaker:and then say one sentence that bypasses everything that was being talked about.
Speaker:For example, if you ask someone in shutdown what motivates them, they
Speaker:might pause, breathe in, and then say, "What's the point?" That one sentence
Speaker:may be the best they can muster.
Speaker:thinking and shutdown
Speaker:On that note, let's touch upon the cognitions of someone who is in shutdown.
Speaker:The thinking.
Speaker:Just like face and just like voice, thinking is flat, devoid
Speaker:of energy, not much life in it.
Speaker:Very pessimistic.
Speaker:Lacking hope.
Speaker:Helpless, even.
Speaker:Again, this is at the extreme.
Speaker:Someone in shutdown can totally have a job they excel at, but
Speaker:outside that context, they fall into typical shutdown experiences.
Speaker:Or when a shutdown individual is in a different environment, like nature, or
Speaker:with a loved one, or with their pet, in silence, they're less shut down, more
Speaker:mobile, and maybe even more hopeful.
Speaker:In shutdown, again, the body's preparing to die, so thinking is not a priority.
Speaker:Just like facial emotions, vocal prosody, and body posture.
Speaker:Everything is slowing down, including thoughts, and the ability
Speaker:to form new memories, to sustain attention, to think critically,
Speaker:and to feel hope and motivation.
Speaker:Also to think hopefully and think in a motivated way.
Speaker:You might think, "Well, they just need to think more positively."
Speaker:And yeah, you're right.
Speaker:I don't exactly disagree.
Speaker:But, it's also not going to happen.
Speaker:At least not when they're in shutdown.
Speaker:You see, when we're in a defensive state, we don't have access
Speaker:to all of our brain functions.
Speaker:But that includes flight, fight, freeze, and shutdown.
Speaker:But in shutdown, we might have even less.
Speaker:At the very extreme, someone in shutdown may actually dissociate.
Speaker:They may disconnect from their bodies, from reality, and from you.
Speaker:They don't want to.
Speaker:It's not a conscious choice.
Speaker:It's a biological reaction which affects the entire body, including the brain.
Speaker:emotions and shutdown
Speaker:So we've covered isolating, body posture, voice, face, and thinking.
Speaker:So what about emotions?
Speaker:Just like the other domains that we've covered, the collapsed state of
Speaker:shutdown affects how we feel also, or affects how your loved one feels also.
Speaker:In shutdown, the individual feels slow.
Speaker:Empty, heavy.
Speaker:What else would they feel if they were ready to collapse and play dead, right?
Speaker:They feel potentially hopeless and helpless as well.
Speaker:They also know they're letting people down and themselves too.
Speaker:They know they're not fulfilling their responsibilities or they're
Speaker:wasting their life to some degree.
Speaker:So they also feel guilt and regret.
Speaker:Maybe even shame.
Speaker:So there's this overall sense of disconnection in shutdown, which shows
Speaker:up emotionally in a bunch of ways.
Speaker:how shutdown can look like not shutdown
Speaker:I'm gonna backtrack in the intro I mentioned throwing
Speaker:a wrench into everything and how this could all be wrong.
Speaker:I say that because someone in shutdown may adopt behaviors that completely
Speaker:mask the fact that they are in shutdown.
Speaker:This is more for those who are in life contexts where they are
Speaker:dealing with abuses of various kinds day in and day out.
Speaker:Someone who's been repeatedly abandoned, neglected, or let down.
Speaker:This person seriously lacks safe connections, and they may
Speaker:need to become someone else to meet their own survival needs.
Speaker:They're still them, but they're them with a fake smile on their face.
Speaker:They're them, but they behave in ways that seem counterintuitive to their well being,
Speaker:like, connecting with their abusers, something that's called appeasement.
Speaker:Or, they may preemptively attempt to reduce their partner's rage by
Speaker:prioritizing the partner's needs through something called fawning.
Speaker:What to do.
Step 1 00:13:08
Validate your loved one's shutdown.
Step 1 00:13:11
Okay, so, what the heck do you do about all this?
Step 1 00:13:14
You're a caring individual in this person's life.
Step 1 00:13:16
You hate seeing them go through this.
Step 1 00:13:18
What can you do?
Step 1 00:13:19
Let's return to an idea that I brought up before.
Step 1 00:13:23
I said You don't have to be okay with someone being in shutdown.
Step 1 00:13:28
You don't have to be okay with the choices they make from shutdown.
Step 1 00:13:32
You don't have to think it's forever, and you don't have to think
Step 1 00:13:35
you're helpless in the face of it.
Step 1 00:13:37
And you don't have to endorse the choices that they make either.
Step 1 00:13:41
You're allowed to want better for them.
Step 1 00:13:43
They want it, too.
Step 1 00:13:44
I'm not telling you how you should or should not act or feel in response
Step 1 00:13:48
to your loved one's shutdown.
Step 1 00:13:50
But I am recommending you acknowledge the potential truth of the situation.
Step 1 00:13:55
In other words, validate it.
Step 1 00:13:57
Acknowledge it.
Step 1 00:13:58
Validating means acknowledging what is true.
Step 1 00:14:01
If what I have described sounds like your loved one, just acknowledge it.
Step 1 00:14:06
That doesn't mean be okay with it or like it.
Step 1 00:14:08
Just Acknowledge it.
Step 1 00:14:10
If you brought your validation to that person, that would probably be
Step 1 00:14:15
more beneficial to them than telling them to think differently or reminding
Step 1 00:14:21
them that they're wasting their life.
Step 1 00:14:22
They already know.
Step 2 00:14:23
Normalize their shutdown.
Step 2 00:14:25
after validating, the next thing you can do is normalize.
Step 2 00:14:29
That means you reflect on their life and ask yourself, "If I had their life would I
Step 2 00:14:37
likely have a similar shutdown response?" Or "If somebody else had their life,
Step 2 00:14:44
would they likely have a similar shutdown response?" For example, if your spouse
Step 2 00:14:50
who suffered ongoing abuse as a child is in shutdown, does that make sense?
Step 2 00:14:55
If your friend whose parents abandoned him when he was young is in
Step 2 00:14:59
shutdown, does that make sense why?
Step 2 00:15:02
If your coworker lost those closest to her this past year, would it
Step 2 00:15:07
make sense why she's in shutdown?
Step 2 00:15:10
If your parents were raised in an extremely controlling and publicly shaming
Step 2 00:15:16
religious institution, would it make sense why they might be in shutdown?
Step 2 00:15:21
Normalizing doesn't mean being okay with it.
Step 2 00:15:24
It doesn't mean liking it.
Step 2 00:15:27
It just means making sense of it.
Step 2 00:15:29
Step 3.
Step 2 00:15:30
Let them be in shutdown.
Step 2 00:15:31
Okay, so let's build on that.
Step 2 00:15:33
Validate, normalize.
Step 2 00:15:34
So, If their shutdown is valid and normal, the next step is to let it be.
Step 2 00:15:44
Stop fighting it.
Step 2 00:15:46
Stop minimizing it.
Step 2 00:15:47
Stop excusing it.
Step 2 00:15:49
Stop denying their shutdown.
Step 2 00:15:52
Let them be in shutdown.
Step 2 00:15:53
Again, you don't have to be okay with it, or like it.
Step 2 00:15:55
Letting them be in shutdown means you let go of control, or the illusion of control.
Step 2 00:16:01
It's their shutdown, not yours, so let them have it.
Step 2 00:16:06
You can still expect the best of them.
Step 2 00:16:07
You can still hope for the best from them.
Step 2 00:16:09
You can still hold them accountable for the choices they make, or don't make.
Step 2 00:16:14
But, it's their shutdown.
Step 2 00:16:16
It's up to them to get themselves out of shutdown, ultimately.
Step 2 00:16:20
Of course, you want to help them, and you can.
Step 2 00:16:22
You care about the person for whom you're watching this video, or
Step 2 00:16:26
listening to this podcast episode.
Step 2 00:16:28
You want to help.
Step 2 00:16:29
So, after validating, normalizing, and letting them be in shutdown, you can
Step 2 00:16:36
connect with them more meaningfully.
Step 4 00:16:37
connect with your loved one.
Step 4 00:16:39
Deb Dana has this wonderful analogy for connecting with somebody in shutdown,
Step 4 00:16:44
which she got from somebody else who I don't know the name of, unfortunately.
Step 4 00:16:48
Someone who shut down is like a turtle inside of its shell.
Step 4 00:16:52
If you want the turtle to come out, you don't knock on the shell and
Step 4 00:16:56
shake it and force it to come out.
Step 4 00:16:57
Instead, you sit patiently and wait.
Step 4 00:17:01
Your loved one is in their shut down shell.
Step 4 00:17:05
Begging, pleading, yelling, forcing, threatening, shaming, guilt tripping.
Step 4 00:17:14
These things won't help.
Step 4 00:17:15
They may actually make things worse, I would kind of bet on it, in all honesty.
Step 4 00:17:21
Instead, you be patient and wait for them to come out.
Step 4 00:17:26
You can also want the best for them.
Step 4 00:17:28
You can also tell them you believe in them, that you love them, that
Step 4 00:17:32
you want them to get professional support, but part of the equation in
Step 4 00:17:37
helping them is to give them patience.
Step 4 00:17:40
Another part is to give them space.
Step 4 00:17:42
They don't do well with pressure and pushing.
Step 4 00:17:46
They may need space or if you're with them they may do better with quiet and calm.
Step 4 00:17:52
Maybe ask them, they might know.
Step 4 00:17:54
a parenting example
Step 4 00:17:55
does this mean you give them space and let them indulge in isolation and time
Step 4 00:17:59
killing and ignoring responsibilities?
Step 4 00:18:02
Of course not.
Step 4 00:18:04
I was working with a young man who just completed high school and
Step 4 00:18:08
failed his first year of college.
Step 4 00:18:11
Living with his parents, isolating in his room, no job, not in school,
Step 4 00:18:17
lots of video game time, and time with his girlfriend and his friends.
Step 4 00:18:21
Wasn't doing house chores.
Step 4 00:18:23
Uh, in every way this kid was shut down, or this young man was shut down.
Step 4 00:18:28
He was pretty unmotivated, wracked with, uh, guilt, and shame, and regret.
Step 4 00:18:34
He was pretty deep in shutdown, I would say.
Step 4 00:18:36
His parents did what any typical parent would do.
Step 4 00:18:38
They pressured, they pleaded, they begged, they fought, and they also judged him.
Step 4 00:18:43
All of it came from love.
Step 4 00:18:45
I know it sounds weird, but they wanted the best for him, and they
Step 4 00:18:48
were having a hard time watching him in shutdown waste away, pretty much.
Step 4 00:18:53
So all of their efforts didn't help, and probably it actually
Step 4 00:18:58
solidified his shutdown even more.
Step 4 00:19:01
Even though it was ineffective, it came from the best, and it came from love.
Step 4 00:19:05
They just didn't know how to connect with him, and they didn't know how
Step 4 00:19:09
to help him get to that next step.
Step 4 00:19:11
Things got so bad for him, he sought out therapy.
Step 4 00:19:14
Because he knew he needed help and things were looking pretty dim.
Step 4 00:19:18
But instead of connecting with me directly, he connected with his parents
Step 4 00:19:21
to find him a therapist, which they did, and they connected with me.
Step 4 00:19:24
So his parents connected him with me.
Step 4 00:19:26
They all came to the first session and it went really well.
Step 4 00:19:29
He was supposed to come work with me one on one, but the next session he flaked.
Step 4 00:19:34
Because he was rude?
Step 4 00:19:35
No.
Step 4 00:19:35
Because he was insensitive or because he didn't care about his life?
Step 4 00:19:39
No.
Step 4 00:19:39
He's in shutdown.
Step 4 00:19:40
And following through, feeling motivated, feeling energized to get out of the
Step 4 00:19:44
house a second time was too much for him.
Step 4 00:19:47
So, we didn't give up, we didn't shame him, the parents didn't
Step 4 00:19:51
judge him, they didn't, no.
Step 4 00:19:53
His parents and I worked together on how to best help him meet his goals.
Step 4 00:19:58
They knew what didn't work, so we focused on what might work.
Step 4 00:20:02
They did a combination of a few things.
Step 4 00:20:04
They gave him more statements of love and support and encouragement.
Step 4 00:20:08
They also reduced how many statements of negativity they gave him.
Step 4 00:20:12
Was it easy and smooth?
Step 4 00:20:13
Heck no.
Step 4 00:20:13
But they did good enough.
Step 4 00:20:15
On top of that, they also told him if he can't complete his household
Step 4 00:20:21
chores, his household expectations like taking the garbage out, then
Step 4 00:20:26
he would not be able to use their electricity for things like video games.
Step 4 00:20:31
They told him he can make his own choices.
Step 4 00:20:33
They would not hound him, they would not pressure him, and they would
Step 4 00:20:37
simply remove the privileges they had provided to him, but he did not earn.
Step 4 00:20:42
The electricity for video games is a privilege that they gave to
Step 4 00:20:45
him even though he didn't earn it.
Step 4 00:20:47
All of these pieces helped him to reduce his isolation and to
Step 4 00:20:50
connect with his parents more.
Step 4 00:20:52
He also came back to therapy and worked with me one on one to boost his motivation
Step 4 00:20:57
and to start getting things done.
Step 4 00:20:59
He wanted to get things done.
Step 4 00:21:00
He just was in a deep shutdown and didn't know what to do next.
Step 4 00:21:04
He and I met individually I think once, and after that meeting, he started
Step 4 00:21:08
applying to jobs, he re enrolled in school, and he and I even met with his dad
Step 4 00:21:13
so that they could talk some stuff out.
Step 4 00:21:14
They had some issues between the two of them that were ignored
Step 4 00:21:17
for years and years and years.
Step 4 00:21:20
The parents gave him love and support, but more effectively.
Step 4 00:21:24
They gave him love and support without the guilts and the shaming.
Step 4 00:21:29
They gave him love and support because they love and support him.
Step 4 00:21:32
But instead of being okay with and watching him not live up to their
Step 4 00:21:37
or his expectations of himself, they changed something else, which was to
Step 4 00:21:43
remove the privileges that they were giving to him that he had not earned.
Step 4 00:21:47
So they gave him love support, but also they gave him plenty
Step 4 00:21:50
of time for him to make his own decisions while also influencing
Step 4 00:21:55
his decision making through removing privileges when it was appropriate.
Step 4 00:21:59
This setup, this like three tiered phase of increasing positivity,
Step 4 00:22:03
decreasing negativity, and then granting privileges when they're earned, this
Step 4 00:22:07
was way more helpful than begging, pleading, trying to convince him,
Step 4 00:22:11
hounding him, pressuring him, and so on.
Step 4 00:22:14
Once they removed the friction of themselves from his shutdown,
Step 4 00:22:20
he got the space, he got the incentive, and the support to decide
Step 4 00:22:25
on his own to change his life.
Step 4 00:22:29
Thanks so much for joining me on Stuck Not Broken.
Step 4 00:22:32
I hope this episode has helped you to think differently about
Step 4 00:22:35
the people in shutdown in your own life and how you could possibly,
Step 4 00:22:39
potentially connect with them.
Step 4 00:22:41
I hope you understand them better and also have more compassion for them.
Step 4 00:22:46
Before you attempt to do anything differently though, it may help you
Step 4 00:22:49
to reflect on whatever feelings you have about doing something different.
Step 4 00:22:53
When the thought of giving them more space is in your head,
Step 4 00:22:58
how do you feel about that?
Step 4 00:22:58
If you typically pressure someone who's in shutdown how do you feel about backing up?
Step 4 00:23:03
How do you feel about providing more love and support and understanding?
Step 4 00:23:07
When I describe the different ways that shutdown can present itself
Step 4 00:23:10
in others, did you notice any judgments in your mind about those
Step 4 00:23:15
ways that it can present itself?
Step 4 00:23:17
How do those judgments carry into your relationships with
Step 4 00:23:21
the people you know in shutdown?
Step 4 00:23:23
I know you care about the shutdown person in your life and I know you're
Step 4 00:23:26
trying to learn everything that you can.
Step 4 00:23:28
So great job on this leg of your journey, and I hope you keep it going and I
Step 4 00:23:31
hope you reflect on yourself as well.
Step 4 00:23:32
If you want to deepen your understanding of shutdown, I have the perfect
Step 4 00:23:35
playlist for you I conducted a survey about a year ago called
Step 4 00:23:40
the Shutdown Experiences Survey.
Step 4 00:23:42
I got 75 responses from real people in shutdown sharing
Step 4 00:23:47
their real shutdown experiences.
Step 4 00:23:49
From this playlist that I'll share with the link in the description, you'll
Step 4 00:23:53
get a deep, compassionate understanding of what it's like to live in shutdown.
Step 4 00:23:57
Thank you again for listening.
Step 4 00:23:59
Bye.
Step 4 00:23:59
This podcast is not therapy, not intended to be therapy or
Step 4 00:24:02
be a replacement for therapy.
Step 4 00:24:05
Nothing in this creates or indicates a therapeutic relationship.
Step 4 00:24:09
Please consult with your therapist or seek for one in your area if you are
Step 4 00:24:13
experiencing mental health symptoms.
Step 4 00:24:15
Nothing in this podcast should be construed to be specific life
Step 4 00:24:18
advice, it is for educational and entertainment purposes only.