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I got an email from Rachel, who's asking about performance anxiety and how

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that relates to the polyvagal theory.

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Before I get into it.

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Hi, I am Justin Sunseri.

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I'm a licensed marriage and family therapist, a coach and the creator of

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the Polyvagal Trauma Relief System.

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Welcome to Stuck Not Broken, where I teach you how to live with more

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calm, confidence, and connection without psychobabble or woo woo.

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If you have no idea what the polyvagal theory is, that's okay.

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I have a very deep dive for you.

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It's a nine episode, basically like course on the Polyvagal Theory, all

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the essentials in simple language.

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That's in the description.

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Just click that and you'll be able to start those nine episodes for free.

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No email address, nothing.

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Just have at it, learn, hope you enjoy it, but let's get to Rachel's email here.

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She says a topic I really think would be of interest to me.

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Oh, and by the way, so she responded to an email I had sent out saying,

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Hey, what do you want to know about?

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And this is what she wrote back with.

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A topic I really think would be of interest to me, if you haven't already

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covered it, is performance anxiety.

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For example, the other day I played a piano jazz piece on

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Zoom before 40 other students, including our jazz piano teacher.

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My hands shook so much from stage fright that it made it quite difficult to play.

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What's a good approach to use polyvagal theory for this?

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A couple things here that I need to address.

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The first one is, she's asking, what's a good approach to use

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polyvagal theory for this?

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Polyvagal theory, and I don't know if she meant this or not, but

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polyvagal theory is not a modality.

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It's not a prescription.

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It doesn't say what you, it doesn't exactly say what you should do,

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how you should handle things, what your behaviors should be.

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I think it says what, you know, it helps us understand how to optimize ourselves on

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a biological level, nervous system level.

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It can help us to feel more safety, more connection.

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I think there's principles that we can pull from maybe, but in no way is it

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telling us how to do things or in no way is it saying like, here's a prescription

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for, you know, how you should behave.

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People like me.

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So I've taken my understanding of the science of the Polyvagal

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theory and then pulled from it.

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I applied it to my own understandings of mental health and trauma recovery as a,

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as a therapist and then created my system.

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But the Polyvagal Theory is just science.

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Like, it's just explaining, what's happening within us on a biological level

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when we do things like hug each other.

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But also when we do things like have stage fright while playing

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piano and on a, on a Zoom call.

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Polyvagal theory is, doesn't say what to do, it says, hey, here's what's happening.

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I can explain this.

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The science is saying, I can explain this.

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So on that note, what I want to focus on next is what's happening

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and I can't speak for Rachel.

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I don't, I don't know what's happening within her, but I can, you know,

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speak on a more general level.

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It's actually happened.

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My daughter, she's, she plays piano and this happened to her at her last recital.

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And she got up there and same thing happened to her, her, it wasn't on zoom.

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It was in front of 50 people or so.

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She was up there and her hands started shaking and I was up there kind of

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close to where I was filming on my camera and you could see her tense

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up and her hands started shaking and she got through it, but you could

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tell she was really struggling.

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So what's happening on a nervous system level, on the polyvagal level, what's

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happening is that likely the body, the person, the individual, the organism

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is losing access to their safety state.

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When we lose access to the safety state, then our defensive

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states kind of become dominant.

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We become dysregulated.

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So without the safety state active.

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flight, fight, shut down, freeze, those become more dominant.

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They start to flavor the system.

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They flavor our thoughts, our behaviors, or at least the potential

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of what the range of our thoughts and behaviors and emotions, our ability

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to connect with others, our ability to perform in front of others on piano.

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Restricted When we're in flight fight, we want to run away or be aggressive

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when we are in shutdown we collapse and have this pull toward immobility and

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isolation and lower lower stimulation.

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When we're in freeze we freeze we tense up.

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So what I think happens and I can kind of relate to this on some level actually I

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could relate to this on Pretty big level.

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I don't like heights very much, especially when I'm in my car.

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The car and heights, bridges not being able to see the ground and just seeing

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like blue sky on a steep bridge or a drop off a, you know, when driving

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on a cliff, you see that, that drop, that puts me into little freeze.

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Yeah, cars, heights not a good combination for me.

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So.

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What I see, saw in my daughter, and I think in general, when we see these

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kinds of things, what's likely happening is the individual's losing access

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to their safety state, and they're probably entering kind of a freeze.

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The shaking, the hand shaking is potentially the freeze itself, or the

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body's attempt to come out of freeze and trying to like shake it off.

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I'm not quite sure which it is for that.

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Individual but it could kind of like be either of those.

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But in general, what's probably happening with that muscle tension and

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the shaking is likely a freeze state.

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Shutdown would be passing out at the extreme shutdown would be dissociation.

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Now part of freeze is shutdown- freeze is a combination of

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flight fight plus shutdown.

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What's happening is the body is mobilized to run away or fight,

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but also immobilizing in shutdown.

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And that's what equals freeze.

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Freeze is a mixed state.

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It's a combination of flight fight plus shutdown.

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So freeze is immobile.

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But, with Flight Fight in the system, it's like hitting the accelerator and

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the brake at the same time in your car.

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You know, the engine's revving, but it's not going anywhere.

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The wheels are just kind of spinning.

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So that might be that, you know, that handshaking, the tension, not being able

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to focus, possible, possibly a little bit of, or a lot of dissociation happening.

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That's likely a freeze reaction.

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So, why does this happen?

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It could be a number of things.

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The first one, it could be just the moment itself is a big moment.

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It's you know, you're performing in front of a bunch of people.

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You might have a lot of pressure on you.

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You might have familial expectations.

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You might have cultural expectations.

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You might have a teacher who's been driving you up until this moment.

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Now it's all on you and the pressure might be too much.

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So maybe it's just the moment.

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The moment's too big.

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That could be one aspect of it.

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Another aspect could be that if you're, you're playing in front of other people

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who are kind of staring blankly or lost interest, all those cues of like crowd

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chatter not looking at you, not having smiles on their face, all of those cues

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actually send danger cues, basically, to the person up there who's probably

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already tense and feeling pressured.

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And then they see these faces in the crowd that are, first off, strangers, but second

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off, not friendly, not warm, not inviting.

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All of those give, or maybe disinterested, flat out disinterested, probably not

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angry and aggressive, but disinterested, or, you know, chit chattering with

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their own kids and they want to leave.

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All of those cues, those interpersonal cues, actually bring

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a, they give, Some danger cues.

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We, we receive those interpersonal cues, kind of like danger.

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It's not really danger, but our body perceives it or detects it as dangerous

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through something called neuroception.

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Again, listen to my nine episode series to learn more about that.

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Okay, so part of this could be the moment.

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Part of it could be the danger cues that you're getting from the individual or from

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the crowd, the lack of interpersonal cues.

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Now, on top of that, if you're doing something like a performance

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or maybe a presentation and you're doing it through Zoom or through

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virtual means, you're alone.

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You're just talking to a screen.

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Yeah, there's faces there and it kind of helps as long as they're engaged,

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but a lot of them might just be black screens with the name on it, maybe.

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But it's, it's, you're alone.

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And you're talking into the void, kind of like I'm doing right now.

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Like, you're hearing it, but I'm just talking to myself.

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It's, it's not exactly a mindful safety practice, you know what I mean?

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Like, it's, it's weird.

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So, if you're doing this, even though there are live people

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watching, they're not there with you.

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They're not, you can't maybe hear their, their their voice

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giving you encouragement.

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You can't, I don't know, reach out and, Hug someone that

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might otherwise comfort you.

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There's the pressure of the moments, there's the audience not giving their

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interpersonal cues, but then there's also just being alone with a screen.

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Even though there's people on the other end of it, in a way, there's

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also like, you're alone with a screen.

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So all these could, not, maybe not one of these could trigger the freeze, but all

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these combined could trigger the freeze.

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On top of this whatever you have around you could trigger as well.

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So we've talked about the moment itself, the expectations, personal,

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and, maybe on a bigger level, we've also talked about the interpersonal

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cues or lack of cues, but there's also environmental stuff going on around you.

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Again, like if you're on a zoom call, are you in a space that you actually feel

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good in, are you, are you in a space, you actually feel some level of safety,

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connection and groundedness When in, or are you performing in front of a bunch of

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people in a church or a community center where it's not your space, you don't own

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it, you don't feel comfortable there, you don't set the lighting, you don't set

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the temperature, you don't have control over your, over the space like that.

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So that in itself can be dysregulating as well.

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Maybe there's something there that you didn't plan on, and it just,

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you know, it causes some anxiety that contributes to the freeze.

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I know for my daughter, she, the first time she did it, she was, she

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has a piano, she practices on piano.

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But they gave her this keyboard slash piano hybrid thing, and it threw her off.

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That was the first time, and she got through it, she was fine.

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But the second time, she knew that was going to happen, and she had

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practiced on a keyboard, and that might have, like, added the pressure to it.

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So, again, not having control of the environment, not being able to choose

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your, I don't know, method of delivery, or all the pieces of the environment,

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may, again, might not be enough to trigger you into dysregulation,

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but it might contribute to it.

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So what do you do about this?

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The first thing is, I think it's in general, we'll talk in general, in

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general to address freeze what's, or for any level of dysregulation, flight,

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fight, shutdown, freeze- it's helpful to develop the strength of your safety state.

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That means you prioritize feelings of connection, being grounded in

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the present moment, mindfulness, experience of mindfulness, interpersonal

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connections, connections with yourself, connections with your environment.

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If you prioritize feeling safe, then that can help you to

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strengthen your safety state.

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That doesn't mean that everybody does what you want.

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That's not what that means.

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What that means is you look inward.

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And you notice, what do I feel a pull towards?

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What feels generally like feelings of positivity?

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What feels like connection?

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What feels like freedom or, or being grounded in the present moment?

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You know what I mean?

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That's, that's what we're aiming for.

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When you feel connected to your pet, that's a lot different than

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feeling protected by hiding in your room in the dark by yourself.

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That's not safety.

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Connection with your pet, that's more of what I'm talking about.

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Connection with yourself, using your senses that's more what I'm talking about.

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Connection with a loved one, if you have it.

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Connection with a professional, like a therapist, that's

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more what I'm talking about.

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That, those are those safety experiences that we want to first off identify,

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practice, mindfully experience it, and build the strength of your safety state.

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And then, as you do that, then allow some level of dysregulation,

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or not dysregulation, but some level of defensive activation.

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So if you know you're stuck in a defensive state, a flight fight state, if you

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know you're stuck in freeze or shutdown, anchor in safety, and then allow yourself

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to feel a little bit, a tolerable amount of those defensive states.

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As you do that, it actually helps to strengthen your safety state.

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It softens the intensity of the defensive state and over time it can

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significantly reduce to the point where it's not debilitating and you actually

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may just flat out recover from it.

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The other thing that can help more specifically for something like

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this is to know what you're walking into- to know what the environment

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is going to be like to know what tools you'll have at your disposal.

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So knowing what kind of Keyboard or piano it is ahead of time that might help.

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Knowing who's going to be there knowing how many people are going

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to have their cameras on or off.

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When I do my trauma presentations, a lot of times they've been through

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virtual, through through Zoom.

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I like to know, I prefer to see people's faces.

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I ask people to leave their cameras on.

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So what, what, what are you walking into?

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What kind of piano is there?

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How many seats are there?

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What's the lighting like?

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Can you, can you ask people to turn their cameras on or off?

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Can you set up your environment?

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Let's say you are doing a zoom thing.

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Could you set up your literal home environment with cues of safety?

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Like right now I'm recording this.

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I am mostly surrounded by things that bring me calm cues of safety connection.

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Like I have stuff back here like Lego and 49er stuff and Polyvagal theory books.

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There's stuff that I like.

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It just kind of helps me feel good.

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You know, the light back here, it feels soft and warm.

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I like that kind of lighting.

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There is kind of a mess that you can't see, which I don't

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like, but just generally.

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When you do these things, what's your environment like?

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What can you control?

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What can you change?

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And if you can't, can you introduce your system to that ahead of

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time so that it's not a surprise when you get there the day of?

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There might also be some top down stuff you can do to help yourself out.

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Like if you know you're going to go into freeze, maybe you can tell

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yourself ahead of time, Hey, I'm safe.

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I've rehearsed this.

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I can do this.

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I'm competent.

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People are here because I'm interesting or people are here because they are

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excited about my talents or my knowledge, my speaking ability, whatever it is.

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Can you tell yourself something top down that can help you to regulate?

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A slow exhale on the way out.

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That can be helpful.

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I don't like prescribed breathing too much, but when it comes to

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freeze, it seems like the slow exhale on the way out is helpful.

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A lot of times of why my therapy clients, when they get in that kind

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of a tense, anxious flight fight, or even like freeze energy, I'll

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ask them, Hey, can you breathe?

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And that prompts them and they'll, they'll be like, Oh yeah.

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And then they'll, they'll look inward.

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They'll take that breath in and out and having that bigger breath than not is

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I think helpful, especially if you can exhale a little bit slower on the way out

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that helps to activate the safety state.

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And then also like, of course, just practice, practice, practice,

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make sure you have whatever that thing is, have it down, have it

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down as much as you possibly can.

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When I first started doing my trauma presentations and my polyvagal

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theory presentations, I made sure that I rehearsed it a number

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of times to ensure that it fit within the allotted time window.

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I allowed breaks for, well, breaks, but also breaks in my speaking for Q and A.

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So rehearse the heck out of it and make sure you have it, especially

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maybe with like sports or piano stuff.

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Like that muscle memory can go a long way.

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So just make sure you got that down.

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If you can combine that with the other things that I've recommended,

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the potential for going into a dysregulated freeze state are

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probably lower, overall, I would say.

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But I don't know you, so you'll have to figure out ultimately for yourself.

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What helps you feel safe?

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What helps you feel more grounded?

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What helps you feel more confident?

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Those are just my ideas.

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I would love to hear what you think.

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Put them in the comments if you don't mind.

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That's it for this one.

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Thank you, Rachel, for being on my email list and for this question, if you're

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interested in working with me, not Rachel, not you, but just in general, if you're

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interested in working with me as your coach, I do have availability right now.

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I opened up a whole bunch of new slots because my Private practice is growing

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and so I've created more time for it.

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So if you're interested in coaching with me or therapy, let me know and we

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can discuss what that might look like.

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My email is JustinLMFT@gmail.com..

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Again, JustinLMFT@gmail.com.

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Bye.

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This podcast is not therapy, not intended to be therapy or

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be a replacement for therapy.

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Nothing in this creates or indicates a therapeutic relationship.

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Please consult with your therapist or seek for one in your area if you are

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experiencing mental health symptoms.

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Nothing in this podcast should be construed to be specific life advice.

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It is for educational and entertainment purposes only.

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More resources are available in the description of this episode

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and in the footer of justinlmft.

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com.