Overusing The Word "Trauma" & Critique Of The Body Keeps The Score

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Doctor Mike

Doctor Mike

Күн бұрын

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00:00 Intro
1:20 Are You Really Traumatized?
16:37 What’s Wrong WIth Psychology Today?
20:44 How To Overcome Trauma
26:00 Repressing Memories
29:05 Emotional Trauma Causing Physical Symptoms / Psychosomatic Stress
47:52 Getting Over Breakups / Coping Mechanisms
54:23 Addressing His Controversy
57:55 Resiliency
1:05:20 Post-Traumatic Growth
1:11:30 Addressing His Controversy Pt. 2
1:15:27 PTSD
1:20:15 Fixing Modern Psychology
1:25:03 My Trauma
1:28:25 Social Media
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Пікірлер: 1 500
@eloisepharmacist
@eloisepharmacist 3 ай бұрын
My interpretation of the "body keeps the score" is in regards babies and children who experience abuse and trauma before they are forming cognitive memories they will remember into adulthood. They experience all the cortisol and body stress and learn to adapt to stay safe etc. They get to being older and can't remember, but then end up with hypervigilence, attachment disorde, anxiety etc.
@KlaskeyProductions
@KlaskeyProductions 3 ай бұрын
Yes, but if you remember the hysterectomy story, things happen to adults that can derail an otherwise healthy person’s visceral sense of safety too.
@fff5572
@fff5572 3 ай бұрын
This was exactly my experience. I had signs and symptoms of childhood abuse all my life but because I didn't remember the event I never made the connection. The birth of my daughter triggered a lot of 'physical' memory. The feeling of it rather than the image. I still struggle to call myself a victim because I can't say for sure what even happened. I learned it's actually pretty common to lock away early childhood memories and for them to be triggered during major life events like having a child
@user-fr2tg7pz8r
@user-fr2tg7pz8r 3 ай бұрын
Rape is extremely common, but that doesn't make it any less traumatic.
@mollydean6654
@mollydean6654 3 ай бұрын
I learned about traumatic amnesia as a result!
@lucycarola
@lucycarola 3 ай бұрын
I had this conversation w my kids just yesterday. How my siblings and I grew up in super abusive, dangerous and volatile environments and thus grew up around trauma, yet, learned resilience and learned on how to deal (lots of therapy). While today’s kids, self describe ‘traumas’ that should not be described as such. Not trying to minimize anyone’s traumas. But, it is concerning to see children not being able to handle any sort of stress at all. Our children will be much sicker than all of us in the future if they don’t learn these coping mechanisms.
@doctor.duckworth
@doctor.duckworth 2 ай бұрын
As a trauma and PTSD researcher in cognitive neuroscience, this has been one of the most important and nuanced discussions on trauma I’ve seen among the pop culture discourse on trauma. It’s so important to distinguish between discomfort, and trauma, and PTSD (which all have different neurophysiological mechanisms & psychological manifestations). I would love to see an interview with Bessel Van der Kolk and also Gabor Mate about their theories on trauma vs what the evidence says. I also think it’s so important that the general public understand the difference between theory, hypothesis, and evidence based practice. The line of these are frequently blurred in the trauma space.
@juliakeithweis
@juliakeithweis 2 ай бұрын
Yes gabe mate and Bessel !
@jordanhanson316
@jordanhanson316 2 ай бұрын
100%, as someone who probably hasn’t seeked enough help with trauma, I’d like to know the lines in the sand, the clear as day symptoms that hey, I should probably go talk to someone. I know that’s not easy though.
@raquelfantoni2812
@raquelfantoni2812 2 ай бұрын
@@jordanhanson316I think a good rule of thumb is, if it, or the coping methods you use for it, negatively impacts your ability to live you day-to-day life, professional help should be sought.
@jordanhanson316
@jordanhanson316 2 ай бұрын
@@raquelfantoni2812 Thank you.. there's been times.
@pdub707
@pdub707 2 ай бұрын
I wish Dr. Mike would consider the side of mental health in which it impacts the body and how mental health issues can essentially hijack your response to triggers. It happens so quickly that there is little to no involvement of consciously directed thought patterns. Talk around mental health is often very one-sided: change thought patterns (re-framing, redirecting, distracting, etc). The underlying message is that it is your fault for ruminating. So many people (not you, Dr. Duckworth) hear psychological and get this weird idea that it isn't a physical process, that it's all in their head as if the brain has this separate non-corporeal function of 'mental health'. And, that we have full control and can determine all that it does and it's our failure for not man-handling it into compliance and wellness. I think we need a different term than 'mental health'. It has transformed into this non-physical condition in which people are not trying hard enough into 'thinking' it better. And no, pills are not a fix all. The success rate of anti-depressants and anti-anxieties are abysmal, in my opinion.
@ntjidzi_saviour5036
@ntjidzi_saviour5036 3 ай бұрын
I love when he answers Dr. Mike's questions with "I don't know" or when he states he's not familiar with a certain topic.
@narratornate8841
@narratornate8841 3 ай бұрын
Or he spends multiple minutes dismissing something before saying he's not knowledgeable
@genevievec.8002
@genevievec.8002 3 ай бұрын
I feel like this is intended as a negative, but I'd prefer he say he doesn't know than pretend he does. He's not currently practicing, and it's not like mental health is the most concrete and perfected field of medicine. If he did have all the answers on these topics, with confidence, I'd immediately become suspicious of everything else he said, personally.
@Kaye09MNchick
@Kaye09MNchick 3 ай бұрын
@@genevievec.8002 I’m a licensed Social Worker and I agree that it’s okay to say we don’t know. However, I see him saying it for things that ARE explainable and HAVE been researched. Things he should know about if he was still actively seeing clients (and possibly learning more current research). It is VERY different to review theory than it is to actually work with clients. Plus, the research on trauma, while there needs to be more, is also vast. The Body Keeps the Score was one of the first larger research studies that studied the effects of trauma on the body and, how people can be affected long-term with health effects. There are other studies as well (and theories) that also back this up. The ACEs study is one that was one of the largest studies based on trauma effecting health that is out there. The ACEs study was also mentioned in The Body Keeps the Score and, it was done in the 90’s on mostly white, upper-wealth people who were privileged. And, the results showed that the higher the ACEs score is directly linked with less quality health and, more issues that cannot be explained anatomically. This is why I don’t think he should be saying “I don’t know” because he should know. So, the fact that he doesn’t, to me, disqualifies him from talking/teaching people about trauma. If he kept learning and kept up with the research, I would give him more credit for saying I don’t know.
@chrispitio7177
@chrispitio7177 3 ай бұрын
I find that it's a mark of an honest scientist to say when you don't know
@georockstar09
@georockstar09 3 ай бұрын
@@genevievec.8002 The thing that bugs me, though, is that he writes a book called "the end of trauma" that contradicts or diminishes "the body keeps the score", and then goes on to answer "I don't know" with regards to a lot of trauma questions that Dr Mike does know, and Dr Mike isn't even a psychologist but just knows basics in order to help his patients.
@Rechtauch
@Rechtauch 3 ай бұрын
My grandma had her father killed when she was 9 during the Spanish Civil War. She never got profesionnal support, of course, but she went on to live a normal life, with the occasional telling the story to the grandkids. She is turning 100 this year and her brain is not what it used to be: she spends her days crying for the father who was killed 90+ years ago and imagining his sons have been arrested. My grandpa (from the other side) spent three years in prison at 20, with 2 death sentences hanging on his head, suffering forced labour and not knowing if/when he would be killed. He was eventually freed and went on to live a full live: he died at 83 and the only thing he would talk about during his last days was prison. I have the feeling trauma does catch up 😞
@no-ah3185
@no-ah3185 3 ай бұрын
I’m so sorry that your Grandma is reliving such painful parts of her life.
@tybg111
@tybg111 3 ай бұрын
Much love to your family
@tarajones7981
@tarajones7981 3 ай бұрын
This is so hard to read about.... I feel for your family and am glad that they were resilient enough to live normal lives at least until the last years. I am also very sorry that she is reliving that trauma now!
@damnmamaa
@damnmamaa 3 ай бұрын
This sounds very familiar. My grandmother spent a year in a concentration camp during WW2, and suffered night terrors for some years afterwards. They eventually subsided and she went on to live a normal life, but in her last years (in her 90s) she developed dementia, which brought with it the return of night terrors. She also couldn't watch television any more as she was unable to distinguish television from reality and any scenes of war terrified her.
@anainesgonzalez8868
@anainesgonzalez8868 3 ай бұрын
I think it is not about trauma. They would have talked about those same years whether they experienced “traumatic events” or not. I am sorry they went through that and relive those events in their last moments though
@Creativedork32
@Creativedork32 3 ай бұрын
I honestly think that pinning all of someone getting better on their personal responsibility is not acknowledging that humans are impacted by their environment. Effort alone cannot overcome everything. Someone can be actively taking responsibility and still struggling. Poverty is a huge example of that.
@amazinggrapes3045
@amazinggrapes3045 3 ай бұрын
Yeah it really doesn't matter whether you have the "coping skills" or whatever. If you don't have access to relationships with others that are healthy, feel safe and are characterized by mutual understanding and mutual respect, nothing is going to replace that. And those relationships are the difference between being traumatized for life and getting better.
@juliaorpheus
@juliaorpheus 3 ай бұрын
exactly! @@amazinggrapes3045
@TrinityTheOnly
@TrinityTheOnly 3 ай бұрын
Thank you for saying that. I 100% agree!
@ottercai
@ottercai 3 ай бұрын
It feels like a very privileged perspective. Everyone is in a balance as to the amount of nature versus nurture that impacts their psychology and overall wellbeing.
@andianderson3017
@andianderson3017 3 ай бұрын
Personal responsibility doesn’t mean an unrealistic expectation that people can superhumanly fix everything. It means the only person who has a chance is them, and that they can improve slowly over time. Between giving people enough hope that they improve, though not completely, and telling them that they are slaves to their problems and ensuring that they never get better at all-personal responsibility is better. It’s about outcomes. Believing it would be better to not give people responsibility for their own issues is deciding that feeling less bad is more important than experiencing less bad. Social improvement and social justice is still very valuable, but we don’t need to treat these things as mutually exclusive. Give people responsibility for themselves AND work to improve their context so that their efforts are more productive. I like the phrase “it’s not your fault but it is your responsibility.”
@lilymoy2265
@lilymoy2265 3 ай бұрын
First off, huge props to Dr. Mike for maintaining civil discourse and being able to respectfully challenge conflicting ideas. This was a provocative discussion and I really enjoyed hearing all the differing perspectives. I think the idea was there, but the words "personal responsibility" confused the point. One cannot necessarily "choose" to be better or feel a certain way, but overdiagnosing trauma and mental illness in general can potentially induce feelings of loss of control or personal autonomy. I like the obesity example Dr. Mike used; it is a true struggle, and what led you to become obese may be factors not entirely in your control, but it's important to maintain and foster a sense of autonomy--that your body is yours, and you can eventually rise past what is ailing you, perhaps with outside help. I think what he is trying to warn against here is a feeling that we are broken--that our thoughts and behaviours are irreparable, and that our negative experiences are something that we cannot escape or move beyond. Overdiagnosing trauma and creating a hypersensitivity around all negative experiences can potentially lead to feeling overwhelmed by such experiences, feeling permanently damaged by them rather than being able to grow from them. I have struggled with my own actual trauma, and am slowly learning to detach myself from it as an 'identity'. I don't deny what happened to me, but it does not define me, and I do not want it to control how I live and feel. On the other hand, I have also struggled with events that deeply affected me and left me with lingering thoughts and feelings, but labelling them as "traumatic" would be inappropriate. In the past, in my experience, overthinking and dwelling on such experiences has magnified feelings of stress and anxiety I've had regarding the events, when acknowledging them as normal life stressors often puts me more at ease in dealing with them. All that being said, some events go above and beyond being able to be called "normal life stressors", and his definition of what qualifies as a PTE is very nebulous. Recognizing that something had a lasting, negative effect on you is often the first step to learning to grow from it. We should not label everything negatively impactful as "traumatic", but we must also recognize that acknowledging trauma is an important first step before any growth can happen.
@Jooshyb
@Jooshyb 3 ай бұрын
Thank you for your insight. Improving my mental health by bootstrapping can feel like trying to go to sleep by repeating "Go to sleep" over and over again. I've always viewed the personal responsibility thing as a two sided coin. One side is the side trying to go to sleep by yelling at your self, the other side involves preparing a good environment for you to succeed without forcing it. I think it's important to distinguish the two.
@christopherbedford9897
@christopherbedford9897 3 ай бұрын
Yeah you can't read too much into terminology. Some professions / sectors / communities have adopted certain words to mean something specific which may be a very narrow subset of what the words mean to other people in a natural language, or even mean something quite different altogether, and mental health is very much one of those communities. Short version: you have a strong point, but don't overthink it.
@imcarakins
@imcarakins 3 ай бұрын
Dang bro, props to you! You wrote a whole essay!😅
@sebastianstrom-helbekkmo7648
@sebastianstrom-helbekkmo7648 3 ай бұрын
This! I think he could have swapped "personal responsibility" with "autonomy" and the point would have come across better.
@SarahDangerous
@SarahDangerous 3 ай бұрын
Really great explanation! Totally agree, like everything in life there should be nuance!
@kitnfall
@kitnfall 3 ай бұрын
Thank you Dr. Mike for this calm, informative, and respectful conversation. Professor Bonanno brought lots of valid points that challenged some of my beliefs, and at the same time I don't agree with some of his opinions, which is very natural. Instead of a polarizing debate focusing on who's right and wrong, this was a interview focusing on sharing knowledge for the better good. Excited for more interviews.
@APink176
@APink176 3 ай бұрын
💯
@TheFluttershy97
@TheFluttershy97 3 ай бұрын
Hi CASA Volunteer here. I work with kids in the foster care system. The characterization of trauma informed care rings false. There is a strong focus on resilience and creating space for kids to talk about their experiences. Giving the kids agency is hugely important.
@maryjack08
@maryjack08 2 ай бұрын
I've worked in after school care, where it's not uncommon for traumatised kids to attend. I agree with you 100%. Everything we're being taught in modern, trauma informed practice is about capacity building, and strengths based support.
@AnaArantes
@AnaArantes 2 ай бұрын
Yes! Thank you. I work with neurodivergent populations and trauma-informed care guidelines are not what he described at all! And we have good and strong evidence from both clinical and social validity measures that trauma-informed care strategies significantly improve treatment results.
@sherryleeis
@sherryleeis 2 ай бұрын
Good to hear- my research on trauma informed care was geared towards learning what works and it all came up as the need for more authentic human interaction that comes from the need for a de-institutionializing of spaces where people dealing with trauma are served. Not to attempt to anticipate individual responses, but solely to foster real human interaction as opposed to the factory model we see too often in human services-- to incorporate opportunities for connection, to demonstrate goodwill, reduce bureaucracy, especially in populations struggling with language barriers or unfamiliarity with the system... These kinds of things take into account that trauma can be adding another layer of challenge but also sets the stage for a general environment of safety and an orientation toward engagement without pressuring people who aren't ready. Also asking more questions as opposed to prescribing Just some examples of trauma informed approaches that have nothing to do with 'getting into the heads' of people. All those engaging in these environments, including staff, benefit, regardless of whether active trauma responses are at hand. Our institutions can help foster healing and encourage growth if trauma awareness is incorporated into best practices
@hopesloan5932
@hopesloan5932 Ай бұрын
Yes I was hoping someone else would say this because that wasn’t an accurate understanding of trauma informed care!
@millirabbit4331
@millirabbit4331 10 күн бұрын
I think it depends where you go. Trauma-informed care can be helpful when done the way it was done in research. I have worked places where trauma informed care just meant believing that everyone that comes in the door is traumatized somehow and to treat everything we do as traumatizing. This was good for specific things like restraints and seclusions but also useless generally as it was too vague and not specific enough to be actionable.
@zarathe1st
@zarathe1st 2 ай бұрын
The people I know who truly are suffering because of their trauma do take responsibility for their healing, but still get told they're "playing the victim" or that their trauma isn't "real trauma". This is such a complicated issue.
@jsink964
@jsink964 3 ай бұрын
I really appreciate how informed this professor is regarding resilience and epidemiological research. These points (which are well documented among the scientific literature) are often overlooked by society and even the clinical world. However, as a clinician and budding trauma-researcher, I have to point out that many of these adjacent points about repression, trauma-informed care, and the subjective experience of trauma are ill-informed, fringe, or plainly wrong. Simultaneously, these are also the points where he does not interact with the scientific literature.
@Jooshyb
@Jooshyb 3 ай бұрын
Well put. Thank you for your insight
@DembaraLemoon
@DembaraLemoon 3 ай бұрын
Can you give some more specific examples of how he is wrong about these things and the literature? As a layperson in this regard it definitely felt like he was talking from a lot less expertise on those points, but I cannot say I know much about them to judge his statements.
@jsink964
@jsink964 3 ай бұрын
@@DembaraLemoon yes I can do my best! On the subject of repressed memories, Dr. Bonanno seems to be suggesting that developing a repressed traumatic memory is not only uncommon, but nearly impossible. It gets a little bit slippery with the verbiage here, because technically “repression” is a dated Freudian concept that has not survived the test of modern science. *However* I think from the context that the professor and Dr. Mike are actually talking about traumatic amnesia. This is a really well grounded symptom of PTSD, even making it into the DSM: (paraphrasing) “inability to remember aspects of the traumatic event.” Although it’s a bit dated (2011) James Chu’s “Rebuilding Shattered Lives” has an excellent chapter on this concept titled “the memory wars.” If Dr. Bonanno was just saying that traumatic amnesia is uncommon enough in the general population that no one should assume they’ve been traumatized and “repressed” the event, that is a fine statement (Chu even agrees). But he seems to go further and suggest that traumatic amnesia is impossible-this latter statement is ludicrous. Shifting to a second topic, Dr. Bonanno seems uncomfortable with trauma being a “subjective experience” and wants people to rely on an internal locus of control rather than labeling an experience as traumatic. I understand this, in research we often struggle to operationalize concepts in an objective manner. The hard truth of the matter is that all stressors are extremely subjective. A really good example of this is Nisbett and Cohen, who (in one of the coolest and most famous psychological experiments) showed how blood levels of stress hormones differed based on the cultural ancestry of the participant when subjected to the same stressor. This is a subjective cultural experience impacting the internal response of the body-and the variable was completely outside the individual’s control (we can’t change our cultural heritage)! I know Dr. Bonanno caveats with a point about religion at times providing an external locus of control and relieving stress, but frankly he acts like this is cutting edge information when it is really something we’ve known about for a long time. Ken Pargament has been doing research on this topic since the 90s. Finally, I’m really unsatisfied by how this professor describes “trauma-informed care” (TIC) as something that allows the client to avoid speaking about a sensitive trauma. I don’t have any studies here, but i can tell you in my clinical experience i have never heard anyone use the term in this way. It usually refers to any counseling theory that is (self explanatory) informed by evidence based trauma research. TIC usually means granting psycheducation to the client about the impact of trauma and their options for treatment before allowing them to make their own decision. If a client elected to avoid talking about their trauma (as often happens, since avoidance is actually a symptom of PTSD) TIC might even involve telling the client that discussing their experiences more openly might reduce their symptoms-as is the case in exposure therapy. This is the *exact opposite* of what Dr. Bonanno is saying. I would hate for a client to watch this video, and then be suspicious of trauma informed care.
@singerstorm29
@singerstorm29 3 ай бұрын
@@jsink964 thank you very much for this. You put into words what was frustrating me while watching this video as someone in treatment for cptsd who deals with regular dissociation and had experienced traumatic amnesia 🙏🏻
@narratornate8841
@narratornate8841 3 ай бұрын
He also isn't well informed on modern presentations and effects of trauma, having not interacted with patients in over a decade
@RatchelRach
@RatchelRach 3 ай бұрын
One of the big problems with everything being called trauma these days is that it can make actual trauma survivors question themselves. Like "oh I'm probably just over exaggerating, this isn't actually trauma" or "this trauma isn't as bad as I think it is". I speak from experience
@Tesis
@Tesis 2 ай бұрын
That’s the problem of labels. Because I thought long-term negative effects can only be called trauma and trauma was only something like physical violence, experience in war, sexual abuse, etc. and as a result I thought I should be fine. Then I realized after I went to therapy due to inability to control my mood and dissociating so hard at times I would lose sense of time and forget chunks of a day - yes some events that are emotionally painful and stressful and scary and repeated, especially when experienced when I was growing up, screwed me and I wasn’t functioning at my best my whole life. I had to go through another major scary event for myself for my nervous and psychological systems just breaking down instead of “getting a grip” (the way I was functioning before). Then I went to - surprise - trauma therapist. It was a discovery for me. Basically labels really can screw us up.
@nothingtoit142
@nothingtoit142 2 ай бұрын
It can also downplay it when you try to talk about it or mention it. The idea that everyone has it, but not everyone is having a hard time, so you shouldn't. And unhelpful advice: get over it, just relax, etc. Not everything that's difficult is a trauma, and other people may not have been traumatized if they had experienced someone else's traumatic event.
@zarathe1st
@zarathe1st 2 ай бұрын
Yes, I agree.
@allexmussen9107
@allexmussen9107 2 ай бұрын
Same. This also with my ocd and current language really downplaying intrusive thoughts. As people water down terms and phrases of serious things and it's an everyones "quirky" thing it pushes the people experiencing those things to the side. Cant explain my ptsd to family bc "everyone has a little ptsd from school" or explaining that I'm having trouble with intrusive thoughts bc "oh everyone gets those sometimes. Dont worry we won't judge you if you cut your hair" etc etc Sometimes it even makes it hard to explain to my psychologist because they think I'm talking about the watered down version and not the actual serious meaning of the words and terms of phrases
@pdub707
@pdub707 2 ай бұрын
@@allexmussen9107 If they want to minimize, they will. Before all these terms were bandied about so easily, people were very comfortable dismissing OCD, trauma, PTSD, depression, anxiety, etc. as only happening to 'freaks'. Dismissing is the easiest way to respond because then they don't have to do anything. Regardless of how much these terms are used, as people with these issues, a lot of energy will go into explaining the reality of living with these conditions, unfortunately. A professional should be able to see through the casual use vs the clinical use. If they can't, might wanna rethink because, they too, seem content with minimizing or they are ill informed and not keeping up with their continuing education.
@782dolly
@782dolly 3 ай бұрын
What he describes as distraction is actually tools in trauma informed care called a safety plan and self care plan. Not doing destructive activities but things that can make you less stressed and take you out of your current state of mind.
@splendidcolors
@splendidcolors 3 ай бұрын
I was surprised he suggested "getting drunk" because I've heard so, so often that this is a good way to start depending on alcohol to relieve your mental pain.
@mariagrndahl-schwarz7730
@mariagrndahl-schwarz7730 3 ай бұрын
@@splendidcolors I think he meant getting drunk to force yourself to relax, as in it is a possibility for overworked or workaholics who never takes brakes for fun or anything. Not mental pain.
@yippee8570
@yippee8570 3 ай бұрын
But then that's not relevant to trauma and the discussion was framed around trauma
@mariagrndahl-schwarz7730
@mariagrndahl-schwarz7730 3 ай бұрын
@@yippee8570 But they were talking about stress specifically in when he said that anyways. So even if it wasnt relevant to the whole theme, he still talked about stress right then and there, and it was included.
@amandaforrester7636
@amandaforrester7636 2 ай бұрын
​@@mariagrndahl-schwarz7730 I don't think he knows anything about real trauma. He said that sexual abuse survivors don't want to talk about their experiences because it makes OTHER PEOPLE uncomfortable. No dude. It makes ME UNCOMFORTABLE and TRIGGERS ME DEEPLY to share that story. He's mixing up highly stressful situations with trauma.
@TheLixan
@TheLixan 3 ай бұрын
I am not an expert by any means, but the more I listen to this man, the more convinced I am that he has never experienced real trauma. Not to mention how much he disregards the sheer subjectivity of a traumatic experience.
@dumbdonny4824
@dumbdonny4824 5 күн бұрын
I felt the same. He never accurately describes actually experiences trauma or the aftermath so I was extremely put off.
@kimsdharma
@kimsdharma 3 ай бұрын
If people had access to mental healthcare they wouldn't have to rely on books and Youtrube. I'm 4 months in to an intensive PHP for trauma and some of the treatment is based on the same concepts as The Body Keeps The Score. Complex PTSD isn't recognized in the DSM, and this is a DSM guy. It's saving my life. Important to note though this that isn't something we can self diagnose. CPTSD, ADHD, and BPD (now conceptualized by some as a form of CPTSD) have a lot of overlap. It takes time and expertise. People need more access to Psychiatrists and licensed therapists, not "my book is better than that book". Look to the reasons people are turning to books in the first place.. For many it's the only help available.
@yippee8570
@yippee8570 3 ай бұрын
Well said. Also, CPTSD is recognised outside the US. It does make me wonder if there's a vested interest, given that the US healthcare system is profit driven, rather than outcome driven, in keeping the status quo.
@anainesgonzalez8868
@anainesgonzalez8868 3 ай бұрын
But… if I understood correctly his book is not at all about diagnose, it is about the normotypical experience of trauma, that is all. It is not for people experiencing real disorders.
@kimsdharma
@kimsdharma 3 ай бұрын
@@anainesgonzalez8868 He doesn't recognize CPTSD as a "real disorder" because it's not in the DSM. Untreated PTSD / CPTSD can be mistaken for many things, only a Psychiatrist / licensed therapist can make a diagnosis over time. It's not for anyone else to assume and dismissing it can be lethal. This doctor in particular seems to have issues around trauma informed care and current treatment modalities which is too bad,, because they work. Everyone in my PHP is making massive strides.
@LGBTQLegend
@LGBTQLegend 3 ай бұрын
That's why universal healthcare is so important. It gives everyone access.
@amazinggrapes3045
@amazinggrapes3045 3 ай бұрын
I'm actually gonna argue in his favor in this point because he explains that the "diagnosis" is just a collection of problems that they lump together and call "symptoms". He pointed out that there's a good reason why we replay the event over and over, for example. Most alleged "mental disorders" are features, not bugs, and he actually acknowledges that. That doesn't sound like a "DSM guy" to me.
@AndrewFriedberg
@AndrewFriedberg 3 ай бұрын
I went through severe physical trauma when I was very young. I was in a car accident where my mother died beside me. I was in the hospital for a few days, but largely my trauma is/was emotional. "The Body Keeps the Score" was instrumental in me finding EMDR treatment which helped lead me to some real recovery. I would be curious what traumas professor Bonanno has overcome and how easily he did it. But without any context, he seems to look at trauma as some sort of weakness and himself as some sort of gatekeeper for it.
@Xplreli
@Xplreli 3 ай бұрын
I too found a lot of insight in that book. Nothing is perfect but from a research perspective there’s a lot of good stuff in there.
@Kaye09MNchick
@Kaye09MNchick 3 ай бұрын
I agree. I think discrediting "The Body Keeps the Score" would be unethical without evidence to back it up. It has helped soooo many people and, the science and research is still somewhat newer and should be continued to be researched. However, I don't think it would be wise to discredit the book and work just to get his point across without any evidence/research to back his claims up that "The Body Keeps the Score" is not creditable or factual. Also, it's just a good book to read if someone is struggling with their own traumas. It's a good read and, very interesting. It also doesn't mean that "The Body Keeps the Score" is the end all be all. It's just one person's/organization's research into trauma and traumatization with evidence to back it up. However, there was quite a bit of anecdotal evidence used so I do think we need even more research into trauma and what causes people to become traumatized.
@njmusica
@njmusica 3 ай бұрын
That right there is trauma
@HisSecretSmile
@HisSecretSmile 3 ай бұрын
@@Kaye09MNchick Well he was also talking about the author's other professional opinions as well. for example he was talking about how the author believes that trauma has nothing whatsoever to do with cognition and their idea that there is a malfuction that happens that prevents memory from being processed and formed in the 1st place. He is also completely against CBT dispite the empirical evidence in support of it. I personally don't think they said anything unethical. its nothing that the author hasn't said about other things like CBT and he has also said them without dragging evidence into things cause its not like these professionals prep for podcasts and interviews like they are presenting evidence and an argument for or against something. its just a conversation.
@BoiseLou
@BoiseLou 3 ай бұрын
​@@Kaye09MNchickThe Body Keeps the Score already has a lot of anecdotal claims not supported by empirical evidence to begin with.
@lucie03
@lucie03 3 ай бұрын
I'd say the most horrific feeling I've ever experienced was being reminded of traumatic events I had completely blocked out of my memory. I would just be enjoying my day, casually say something about "how I luckily never experienced sexual assault" in a conversation and then get weird looks by the people around me, telling me they know I have been SA'd. I would deny it but as they would give details, the memories would flood back, and it was like I was in the shoes of that 9 year old girl again. I've had to relive that trauma and other trauma's multiple times this way, and it's terrible. You're reminded that you're a control freak because of the lack of control you had over your own body and over the situation back then, and now you can't even control your own memories. You remember again why you recoil the moment someone touches you; it's not because you're "weird" like you always believed, it was because of your experiences. As a child, I struggled with major depression because "Why was I sad? I have the perfect life, no trauma, perfect parents, etc." Having to keep finding out and forgetting again why I behaved the way I did was so so painful, but not knowing and still displaying all the symptoms of trauma was even worse. It made me feel like I was insane, weak, dramatic.. Repression is real, and it's very very harmful to leave it unaddressed from my experience. And that's why I'm gonna stop watching this video because I'm used to people not relating or understanding this struggle, but hearing a professional say he thinks my experiences are "not real" goes too far.
@nadiariggs5110
@nadiariggs5110 3 ай бұрын
That’s exactly how I feel as well❤.
@lisarodriguez6966
@lisarodriguez6966 3 ай бұрын
I'm sorry and you shouldn't watch if it's too upsetting. You said you initially had no memory until others told you it happened, and how it happened and what was done? Have you wondered if you're experiencing implanted/suggested memories?
@lucie03
@lucie03 3 ай бұрын
@@lisarodriguez6966 no I know for sure it happened, the guy that SA'd me was a known creep and I'm the one that got the evidence to get him locked up, so there are police reports and a lot of people who knew the guy and 100% believed that he'd be capable. I've also never had anyone bring it up in the first few years after it happened because I was a kid and my parents were happy to see it didn't affect me (they had no idea I completely blocked it out). Despite no one talking to me about it I still had developed an unhealthy fear of men, fear of sudden touch/noises, and a sense of shame/guilt I couldn't shake off (he told me "not to tell anyone" and I promised him I wouldn't but I did it anyway and got him locked up, which really f*cked with my preteen brain). So it's not like I only showed signs after I remembered again, it actually got a better when I remembered! The idea of implanted memories sounds scary though-
@msguineapigsrus
@msguineapigsrus 3 ай бұрын
@@lisarodriguez6966 seriously gtfo. Do not ask trauma survivors if they have implanted/suggested memories. Those are extremely rare and very different. You are being incredibly insensitive and callous.
@lisarodriguez6966
@lisarodriguez6966 3 ай бұрын
@@msguineapigsrus I didn't mean to be. Given the circumstances shared, it seemed possible. I would think a psychiatrist/therapist/psychologist etc would explore it, too.
@tanyap8838
@tanyap8838 3 ай бұрын
repression of traumatic events exists. people with complex PTSD remember old traumas after a year, two, three years of therapy. without therapy they would not remember these events. they are often surprised and say “how could I forget this?”
@zoeyelh
@zoeyelh 3 ай бұрын
i agree. i've come across people who display very obvious trauma related behaviours and they don't know they went through trauma.
@SammieB0007
@SammieB0007 3 ай бұрын
Repression exists but isn't true of everyone. I and many others with CPTSD have never forgotten/repressed any of their major traumas and some (like myself) have almost photographic memory of what they went through since going through it and try to forget or ignore/deny it happened but never repess the memory.
@jacksondbrophy9
@jacksondbrophy9 3 ай бұрын
@@SammieB0007of course it isn’t true of everyone, but that doesn’t mean it should be ignored 🫶
@ConejitoPequenito
@ConejitoPequenito 3 ай бұрын
There's a group advocating for the scientific dismissal of repressed memories... almost entirely made up of parents accused of CSA. (A documentary on that is here on youtube.) C.A. cases include repression so commonly that many countries' laws are written to include them (f.e., the statue of limitations ends 10 years after the victim remembers) As multiple studies find, the number of mental health workers who believe in repressed memories differs depending on whether they actually talk to patients or do research. An example for this is Dr Mike believing in it, and the researcher being sceptical.
@narratornate8841
@narratornate8841 3 ай бұрын
Just one of the multiple bad takes in the video
@Jooshyb
@Jooshyb 3 ай бұрын
As someone with Autism and C-PTSD... I'm very disappointed in the lack of depth in this psych professors perspective. He needs to address how people with Dissociative Disorders don't experience repression! Also I'm glad epigenetics were brought up in this conversation. Of course trauma from a single event would be less likely to cause epigenetic changes than an everyday experience, because the everyday experience gets reinforced daily. But what happens if the environment a child consistently exists in is conducive to trauma, and high alert is always required. Glossing over developmental psychology as being complicated is cop-out. I appreciate conversations about how damaging pop-psych has been. I appreciate researching fact-checking and giving insight as to what the evidence is. I'd love for a future guest with clinical experience to come on and discuss trauma
@annawood8912
@annawood8912 3 ай бұрын
Thank you for this comment. I’m not diagnosed with autism or adhd but I do have many of those traits, and mainstream psychology is not working well at all for me. This podcast made me feel like there’s something wrong with me, and that I’m alone 😞
@splendidcolors
@splendidcolors 3 ай бұрын
I agree. I'd love to see someone who is working with patients. Also, if you like discussions debunking pop-psych there are a couple of podcasts that analyze pop-psych best sellers (such as "Men Are From Mars, Women Are From Venus") as well as other subject material. "If Books Could Kill" is one, and one of the hosts has a different podcast with a different co-host focusing on diet culture (which includes some pop-psych content) called "Maintenance Phase."
@catsmom129
@catsmom129 3 ай бұрын
I think some of the problem may be the term “repressed memory.” It’s tied up with Freudian analysis. It seemed like he was rejecting the Freudian concept, while ignoring that there may be *other mechanisms* that effect memory! I know I’ve had traumatic amnesia. I clearly remember one morning, when I was 12, waking up confused and disoriented. I couldn’t remember *anything* about the previous day. I wasn’t sure how much time I had lost, days or weeks? It turned out to be a school day. When I got on the school bus, I told my friends, “I can’t remember anything.” They told me I had been acting weird lately, but couldn’t explain it further. I may never put all the pieces together, but I strongly suspect that they were describing some type of dissociative behavior. I know I was in an abusive environment-I’ve never forgotten the routine violence and sexual coercion I was dealing with. I think that an extreme incident set off the amnesia. (I’ve remembered some fragments, but not the whole event.) Anyway, I don’t know the exact mechanism that happened in my brain. The neurologists can study brain mechanisms. I don’t have to know *how* it happened to know that my experience is real. I don’t care about Freudian whatever. I’m sick of people dismissing the idea of dissociative amnesia just because they don’t like some outdated theoretical concept.
@Hey_Damj
@Hey_Damj 3 ай бұрын
Ok, let me offer you something to think about as a fellow neurodivergent. We experience certain types of events that most people would experience as an adverse or simply annoying. We experience it as traumatic because we have not learned how to see the difference between these two types of events. What I have observed since we have been able to find community with other ASD and ADHD people is our propensity to wallow in our “trauma” and swallow each other’s adversity by constantly retelling stories of difficult or adverse events. The best thing you can do is learn to tell the difference between adversity and real trauma like SA, losing your home or adversity like getting a bad grade or being ignored by a cashier at Starbucks.
@gijoe918
@gijoe918 3 ай бұрын
I have had clients who have extremely strong trauma response to a stimuli, with zero knowledge of what is causing it, which flies in the face of his statement that, "people who have gone through events sever enough to cause a change in their physical being are very aware of these events"
@hawleyolsen170
@hawleyolsen170 3 ай бұрын
I can add my experience to that, too. I had an emotional flashback once, years ago, and ended up crying through a martial arts class. It felt like the crying wasn't me. What was me, was the total confusion as to why I was crying and the dismay that I couldn't make it stop. Now that I've read a little bit about emotional flashbacks, it's easy to connect the dots. If that sudden upswell of fear and sadness was left over from my childhood, then I immediately know what first made the feeling as well as what triggered it. It's so very obvious, once I factor in the possibility of trauma. Strange, though, that in the moment I couldn't find any way to account for what I was feeling or why it was coming up like this.
@stretchkitty21
@stretchkitty21 2 ай бұрын
Not saying it's not possible, but there are physical conditions that greatly increase anxiety and stress. Like many forms of dysautonomia.. Messed up autonomic nerves system being messed up can definitely mimic a trauma response.. I have POTS (type of dysautonomia that effects the heart rate especially) . They're times I have a high heart rate and feel so incredibly anxious... Thoughts about what could go wrong (what might already be wrong) often come after the tachycardia... But if I recognize it and take a beta blocker to reduce my heart rate then the stress and stressful thoughts go down with the lower heart rate.
@raquelfantoni2812
@raquelfantoni2812 2 ай бұрын
How do you know the response is caused by a forgotten or repressed trauma?
@gijoe918
@gijoe918 2 ай бұрын
@@stretchkitty21 o absolutely medical conditions should always be considered and rulled out
@gijoe918
@gijoe918 2 ай бұрын
@@raquelfantoni2812 because after a bit of therapy the memory resurfaced and after it was worked through the trauma response lessened greatly or ended completely
@annaleckiemusic
@annaleckiemusic 3 ай бұрын
Im so glad you had this guy on, I don’t know if I fully agree with him though. I think there are so many factors to what dictates a “trauma” and it’s impacts on health, epigentics, lifestyle factors, community support at the time, and community support afterwards. I honestly think this guy has a rather narrow view of trauma
@jamesben1
@jamesben1 3 ай бұрын
I think it’s important to try encourage resilience whilst being mindful that some people are worse equipped to deal with life’s problems than others. Economically, mentally, socially etc. Tough love is definitely valuable and has helped me in the past. But the idea of tough love can be taken to extremes and used to justify horrible behaviour. Basically, balance is important.
@anainesgonzalez8868
@anainesgonzalez8868 3 ай бұрын
Exactly!
@EM-rm2xh
@EM-rm2xh 3 ай бұрын
So often how much money you have to have access to services to help gets left out of the conversation.
@Mia-her8ii
@Mia-her8ii 3 ай бұрын
yes😊
@amazinggrapes3045
@amazinggrapes3045 3 ай бұрын
"tough love" is BS
@catsmom129
@catsmom129 3 ай бұрын
Good point. It’s one thing to challenge someone, and to hold them accountable. It’s another thing to abuse someone or violate their boundaries and call it “tough love.”
@lonelylama5222
@lonelylama5222 Ай бұрын
Trauma is such an overused word and I’m glad this person addresses that. It annoys me when someone says they were traumatized by a pretty normal event. Of course no hate to people who actually were traumatized as a child, you guys deserve nothing but love. I also agree with him on obesity, obesity is a choice for 99.99% of people. That’s why in Japan where people are healthier and more disciplined there are barely and obese people.
@izzyha6173
@izzyha6173 Ай бұрын
People really love labels. We love to be able to slap a name on something and say oh well that's why I do A B and C actions or why I feel A B and C emotions. It gives us a feeling of being resolved. We named it now It's fixed. That's not the case. That's why I like this guy and what you said. We over use this label and lean on it instead of moving on or trying to get better. I was called out on that in therapy back in 2015. I used my depression as a means to not try anymore and gave up once I got the label. My therapist really helped me open my eyes. To see the world and know my label means nothing. That I am not what I was diagnosed. I am not what happened to me. And if I work hard enough no one would ever even know I've been through anything. I'm in that spot now. When I'm with newer friends and I mention a traumatic event that happened ( like my brother knocking out my first two front teeth by wrapping my pigtails around his hands and slamming my face into a bed frame over and over and over. ) I forget that they are so intense sometimes and people are surprised I went through that. That makes me proud. I moved on. These people need to do the same. It feels so good to leave it behind.
@KidarWolf
@KidarWolf 3 ай бұрын
Hm. I started watching this, as a person who actually was diagnosed with PTSD, under the stricter definitions in DSM IV, rather than DSM V, and I have to admit my initial reaction was "surely the only person who can define whether something was traumatic was the person who experienced the trauma". This is not to say that valid points are not being made, but a caution towards professionals in recognizing that not all minds work the same way, and that what is not traumatic to one person may be deeply so to another because of a difference in their particular resilience. I think it's still very important not to overlook that experience is subjective, and deeply influenced by the way a person's mind works, particularly around the time they experienced that trauma. Someone who is already struggling psychologically is likely to be less resilient against events than someone who is healthy psychologically at the time of a potentially traumatic event. I'll have to continue watching later, as unfortunately, I don't have the time to watch and listen to this in its entirety at the moment - I do look forward to revisiting this later, both as someone with, as I view it, now well-controlled PTSD (but not cured, there are still some difficulties to work through, but it's within the realm of possibility, something which wasn't possible for me some even just six years ago), and as someone who took psychology as part of an International Baccalaureate program.
@abunlover
@abunlover 3 ай бұрын
I agree and disagree. There are differences in how people react to traumatic situations. One situation can lead someone to have PTSD while another person comes away without it. My therapist explained it to me (when I was diagnosed with CPTSD to my surprise) because I was having trouble reconciling that my mental and physical reactions were a result of situations that I was minimizing by trying to use logic to overcome it (aka: that situation should not have caused me trauma, it wasn't objectively bad enough). My point being, that people do not experience traumatic situations the same, but there are still mental and physical symptoms of trauma that can be diagnosed by an external expert to help someone, like me, who has separated themselves from the traumatic events as an attempt to cope.
@jparrish6360
@jparrish6360 3 ай бұрын
Agreed
@JubrieI
@JubrieI 3 ай бұрын
I've been diagnosed with C-PTSD and a dissociative disorder(also well-controlled through lots of therapy), but it was a massive struggle figuring it all out because it was so complex and the dissociation got in the way all the time. So thanks for commenting this. I really dislike it when health professionals are too fixated on the written rules. I mean, psychology as a whole needs some flexibility of mind because as you say it is highly subjective. Besides that, I think a lot of people experience things in their life that create mechanisms for how they cope and how healthy they are emotionally. We live in a highly repressive society. That is not something to just dismiss. It's good that we're so much more open about these topics so we can learn from them, big or small. So in my opinion 'gatekeeping' trauma is not necessarily constructive. It is serving a purpose, and I'd never want to dismiss someone else's experience or pain, measuring it's severity when you can never truly see or know where someone stands - because it truly caused me so much hurt and halted my recovery when this would be done to me. It wasn't until I found people who truly had insight and empathy and respect that I started to heal the huge gaping hole of mistrust and absolute fear of sharing bits about myself, without instantly dissociating and forgetting why I have all those mental issues 😅
@dilemmaleary
@dilemmaleary 3 ай бұрын
I think this is a good point, however, when I was diagnosed with PTSD (DSM V), because I was in love with my abuser and didn’t fear him I didn’t consider myself traumatized. In essence, some battered women don’t consider themselves traumatized or battered a lot of the time even when they are because they feel love and not fear towards their partner. It took me years of therapy to undo the “love” I had for him and to recognize my autonomy, so I don’t think it’s best to solely rely on if a person THINKS they’re traumatized since trauma can really show up in weird forms: like stockholm syndrome-like (outdated term but the general situation) reactions.
@lemmyorleans
@lemmyorleans 3 ай бұрын
This is how you end up with an over diagnosis of trauma. You end up with all the doctor diagnosed cases of trauma plus all the self diagnosed cases. As the author talks about, the definition of trauma has been popularly expanded, so when any individual says I have trauma, you need to first ask, what's your definition of trauma?
@AA-qt1hi
@AA-qt1hi 3 ай бұрын
Yes. We are definitely overusing the the word trauma. I myself have found myself using "traumatized" in situations that have merely made me socially uncomfortable. Pulling back from that. I feel like it actually downplays people who truly have an intense negative impact . I remain self aware and I continue to make a conscious effort to be more authentic with articulating myself.
@MeganMurphey-og3kk
@MeganMurphey-og3kk 3 ай бұрын
I’m in your same position here
@Tracymmo
@Tracymmo 3 ай бұрын
As someone who grew up with violence, I appreciate that. It's been disheartening to hear people misuse these terms.
@Jason-fp7vi
@Jason-fp7vi 2 ай бұрын
Thanks, that is cool of you, really it is. When it's been decades since something happened, and you can still see and hear it when you close your eyes at night. Every single day you can hear it replay. And there's such a divide, who you once were, and who you became the second it happened. It becomes frustrating when every negative event is termed "trauma" now. I understand language morphs and for some people words are just words. It is appreciated when people try to scale back over using the term. Thank you
@benzeboy5
@benzeboy5 3 ай бұрын
Hey Dr. Mike, I'm a new grad RN and long-time fan. I hear you say your definitions of Trauma Informed Care (TIC), and I believe you both were exposed to an uncharitable view of TIC that isn't widespread, and I agree would be unworkable. In my understanding, education, and the general culture in the hospital field of Trauma Informed Care, I'd summarize it as: "Anyone may hold trauma, and in the intimate and vulnerable context of healthcare, that trauma may cause a variety of types of inflammation. Therefore, avoid engaging in conduct that is unnecessarily likely to be inflammatory, and be sure to watch for signs of that type of inflammation, and reconsider your approach if you do." That is much more workable and true to the theory as I've experience/learned/used it, as opposed to the theory we are all may have trauma we "don't know about or don't want to talk about" which would lead to a sort of "walking on egg-shells" approach to care. Good discussion otherwise, thanks!
@splendidcolors
@splendidcolors 3 ай бұрын
Thank you, this is consistent with what I have heard as a patient. He really reminded me of old conservative dudes complaining about "college students are snowflakes these days, demanding safe spaces and participation trophies."
@benzeboy5
@benzeboy5 3 ай бұрын
Thanks. For what it's worth, I'll offer that I broadly agree with slices of that sentiment. Having just finished many years of college, there is a huge lack in opportunities to be wrong about sensitive issues, to fail milestones, and to be challenged to grow. It's a lot of going through motions and hearing affirmations. I got lots of participation trophies I earned but aren't meaningful, and many people shun push-back on critical conversations because friction and conflict of any type is shunned broadly. There's absolutely a culture that anything difficult is traumatic in many students and that's a problem of environment and opportunity and experience. I don't believe the answer is to say "kids are too sensitive these days" and add more pointless "toss 'em in, sink or swim" moments. But there's a lot of truth that students over react to any degree of pushback and friction they'll meet in a fulfilling life and career, which is an unhealthy trend worth addressing. @@splendidcolors
@roecocoa
@roecocoa 3 ай бұрын
​@@benzeboy5 Extreme aversion to conflict sometimes develops as a response to stress or trauma. Sometimes I wonder if the perceived oversensitivity of younger people comes from growing up with constant awareness of things like school shootings and climate change.
@TrinityTheOnly
@TrinityTheOnly 3 ай бұрын
👍🏼
@elusivecamel
@elusivecamel 3 ай бұрын
I don't want to come off like I'm being dismissive of TIC and how you described it but is it not just general common sense and manners? Most people will generally avoid topics of trauma in everyday conversations without needing to think about it because A: it's not a common topic to discuss, and B: People don't really want to have unpleasant conversations unless there is a need to have them. Also someone who has been physically assaulted shouldn't be having trauma responses because people shouldn't just be grabbing people for no reason ( I understand some people do touch others when they shouldn't but most people seem to know not to do it).
@physicianskitchen
@physicianskitchen 3 ай бұрын
I think this is a perfect example why therapy can't be replaced with AI. There's the research and numbers and statistics which are incredibly valuable and then there is a real individual human being in front of the therapist for whom not all of it may apply. Our med schools professors used to tell us the illness does not read the medical books lol.
@anainesgonzalez8868
@anainesgonzalez8868 3 ай бұрын
Exactly! That does not mean the research has less value. Both things are important
@juliaorpheus
@juliaorpheus 3 ай бұрын
People who experienced childhood trauma are far more vulnerable to PTSD as adults. So, if six people witness a car crash and two experience PTSD from the crash and three do not, a major factor to determine who will develop PTSD is "did you have a traumatic childhood". Also, a strong social support network impacts recovery from a potentially traumatizing event.' A safe childhood and a strong support network isn't something that can be "taught" to the 1/3 of people who develop PTSD. The danger in the arguments presented here is that it overemphasizes the term "resilience" in PTSD when "resilience" is simply having the privilege of having a solid support system and a childhood that wasn't shaped by persistent and ongoing traumatic events. I think people get angry about the kinds of arguments presented here because it implies that there's something morally inferior in people who succumb to PTSD and their lack of resilience is shameful and even voluntary to some extent. I agree that the overuse of the term "trauma" is harmful, but I think more harm comes from conversations like this that lack nuance and reinforce the "pull yourself up by your bootstraps" method of recovery which isn't possible a large percentage of people who experience potentially traumatic events. Also what about the ACES study? I don't see how a medical doctor can have a discussion about trauma without mentioning this research that links childhood trauma to adult onset illness regardless of lifestyle choices. That research is solid, with a HUGE sample size studies over the course of 20 years. I'm very happy to listen to critical takes on trauma, but I don't think this conversation was very helpful.
@aurelianlauer2638
@aurelianlauer2638 3 ай бұрын
Yes I was also surprised ACES weren't mentioned at all
@leanned9251
@leanned9251 3 ай бұрын
Well, this conversation definitely helped me as a mental health nurse working with patients and clients that had experience a traumatic event and that had developed PTSD from it. Your statement above is separating an individual who have PTSD and saying that they are not as resilient, when indeed there many people suffering from PTSD AND is resilient in their own terms on what a successful life means for them. I believe the issue that you are highlighting is victim blaming, and this is an area that people need to be educated on and show more empathy towards the individuals that had experienced a traumatic event. And not once in this podcast that they denied that childhood trauma does not carry on onto adulthood, instead they mentioned how humans are more than capable to overcome a tragic happening with coping tools, and not denying that those events ever happened.
@anamembrives3411
@anamembrives3411 3 ай бұрын
Thank you🥲
@diya-hn2wy
@diya-hn2wy 2 ай бұрын
i’m coming into this with good faith and not to argue but here goes-i’m not sure where the implication that having PTSD is morally inferior? to me it felt like an academic mentioning data that finds that 2/3rd of people are able to bounce back from a potentially traumatic event on average while 1/3rd are not. why that 1/3rd are not was never discussed as a personal failing but rather just a thing that happens. That data adds up and I do think it’s important information as it tells us more about why people bounce back vs why people don’t (not something we need to be telling someone with PTSD though, as he said). I do think this is a psych academic thing to give reasons such as ‘belief in oneself’ and ‘social support’ which we in sociology would track down to things like class privilege. I personally feel that some of the comments are doing that thing where they take data to be a personal insult, rather than just a statistic. But that was just my feeling, open to hear yours!
@lostintranslation286
@lostintranslation286 14 күн бұрын
Yess
@kristineharris1469
@kristineharris1469 3 ай бұрын
I find it very odd that trauma informed care is seen this way by him. As an RN I have taken trauma informed care to be about avoiding triggers, speaking with therapist about their recommendations for patient care, and getting the patient involved! Definitely not avoiding the topic, but allowing the patient to have a voice, feel heard, and take steps to allow them to have informed choices in their care that supports their individual needs regarding triggers/trauma.
@ashleyduckworthyt3224
@ashleyduckworthyt3224 Ай бұрын
I would agree with your here. Trauma informed care in elementary schools (my previous area of work) usually requires what you listed above. Avoiding the trauma altogether can cause the patient to feel unheard and swept under the rug bc no one wants to acknowledge the issue…. Not good for anyone involved
@lollybirdy
@lollybirdy 3 ай бұрын
I have complex PTSD. I literally dont remember my entire life. Im in therapy for it but it's scary sometimes. You dont remember anything that makes you who you are.
@KeroseneSkies
@KeroseneSkies 3 ай бұрын
I'm kinda the opposite to you! I have CPTSD but I remember practically EVERYTHING and a lot of the times the flashbacks are random and when I least expect them. I had a memory I suddenly remembered years after it happened that did surprise me though! It was like I had forgotten I was holding onto it because so much other stuff had happened for me to process. I hope you have some good progress with your therapy :)
@shane_rm1025
@shane_rm1025 3 ай бұрын
I believe the term for that is amnesia
@rquaidpro
@rquaidpro 12 күн бұрын
"It takes the responsibility away from how we feel and how we react in life." /*chef's kiss/*
@milomoon1374
@milomoon1374 2 ай бұрын
I absolutely love this take on post traumatic growth! It is very pressuring. Like no. I am not responsible to be a better human than the average just because I overcame trauma. I’m already incredible for surviving.
@TheIndigoSystem
@TheIndigoSystem 3 ай бұрын
Yet I developed BPD and DID. The window of tolerance is a thing. Some can experience extreme trauma and be okay, some can experience milder trauma but to that person is broke them. No need to dismiss or diminish people’s trauma.
@yippee8570
@yippee8570 3 ай бұрын
It did come across as victim blaming in parts
@wmdkitty
@wmdkitty 3 ай бұрын
DID is not real, you just have a maladaptive fantasy liife.
@user-ej1zc9ph9t
@user-ej1zc9ph9t 3 ай бұрын
The crew is here...yet we dont want to be🙃 its sad how even if you are diagnosed you have to teach yourself a lot of things bc doctors are either like this or a lot worse. And its "shocking" how messed up the world is. Sending hugs to anyone who is ok with them❤
@Lovequalpeace
@Lovequalpeace 3 ай бұрын
I did not get that vibe at all. I feel so bad for these medical professionals nowadays people are so senstitive. they can hardly do their jobs without being called dismissive, or gaslighting. Such a sad place we come when feelings rule over logic and common sense.
@anainesgonzalez8868
@anainesgonzalez8868 3 ай бұрын
I also have BPD and I do not find this professor to be dismissive. He just said that the most common path is resilience, which is plainly obvious really. Not all people who experience what I experienced develop metal pathologies. That doesnt mean I didn’t or that I am at fault because I did.
@ker331
@ker331 2 ай бұрын
I agree with not pathologizing normal experience. And, calling every stressful event a trauma is not only invalidating to people who experience actual trauma, but might sort of prime people to experience increased anxiety/etc after something that they would have otherwise recovered from naturally (maybe why pyschological debriefing after a potentially traumatic event can be harmful). But, as opposed to people 'feeling bad that they feel good', much more common is people 'feeling bad that they feel bad.' As someone who conducts research on shame/self-criticism/guilt and provides treatment to people with anxiety- and mood -related disorders, the impacts of thinking 'why am I not strong enough to deal with this like everyone else?' or, 'why am I defective?' are some of the biggest things that get people more stuck, contributing to psychological disorders and suffering. Sure, a big message that needs to be emphasized is that we do have control over certain things, like how we respond to difficult thoughts and emotions (especially if you are able to get guidance from a psychologist/therapist). But, if you are a clinician, or even a researcher and publishing things, you need to be careful about distinguishing between 'blaming yourself' for feeling bad vs 'taking responsibility for elements of your recovery that you can control/modify'.
@chirondawn2966
@chirondawn2966 3 ай бұрын
i disagree with the point he made about suppression, i am 36, when I was about 4-7 years old I was sexually abused, my whole life went on normal and at 27 years old, i had a sudden and impactful memory of that event as if it happened all over again and no triggers, no emotional situation that opened up this memory, i was totally relaxed playing solitare laying down then BOOM the memory smacked me in the face, now i CANT forget it, been in therapy since and working on forgiveness but now I cant speak or talk to my abuser but it has not affected me in any other relationships or daily life. my dad died right before my 3rd bday and that loss and grief has been labeled as " complicated grief disorder" but that hasnt impacted me too harshly in my life its affecting me yes, but no anxiety no ptsd no abandonment issues so am I just that resilient??
@narratornate8841
@narratornate8841 3 ай бұрын
Agreed, there are actually a number of points and flaws throughout the video that I really disagree with. I made a comment going through and listing them, and I am still adding to it as I watch the video, but some of the things he says just...really aren't good. And seem to undercut his credibility at certain points.
@jj96432
@jj96432 3 ай бұрын
@@narratornate8841 i think the contrary actually. I feel that the fact that he is confident to say stuff that can be rather controversial in today's internet age speaks to his research and knowledge on the matter. And if today's population is so receptive to differing opinions, we shouldnt discredit him just because he holds a different view from most
@narratornate8841
@narratornate8841 3 ай бұрын
@@jj96432 no, but he is claiming to be a professional and saying a lot of modern issues are invalid without having treated anyone in over a decade. As he says at the beginning of the video, he hasn't seen a patient in 10 - 15 years, over a decade.
@TheGoodContent37
@TheGoodContent37 3 ай бұрын
​@@jj96432The problem is that you call "different opinions" to wildly against evidence claims. It's like saying that the earth is flat and you saying that it is healthy to listen to different opinions. Keep your mind open but not as open to let your brain fall out your head.
@andreavanda5402
@andreavanda5402 3 ай бұрын
@@jj96432It's not a matter of holding "different views". Dr. Bessel van der Kolk, one of the most eminent researchers of trauma and PTSD, would seriously disagree with the professor who, as he admits, hasn't had clinical contact with patients in over 10 years.
@jessicareed
@jessicareed 3 ай бұрын
I appreciate the discourse, but this feels a lot like an academic perspective vs. a real-life, hands-on perspective. For example, trauma informed care is NOT primarily about avoiding triggering unknown-by-the-client trauma. It's about being aware that people have life experiences that you, the clinician, may not know about, and then being sensitive to avoiding re-traumatizing some one by forcing them to discuss upsetting things outside of necessity. For example, I am a cancer patient of ten years. I HATE going to a new doctor of any kind, because they always want me to rehash years of cancer experiences that might not really be relevant to getting a cast on a broken arm, for example. Is this traumatizing? Maybe not, would it cause a severe mental health spiral if I were having a really rough day? Yeah - reliving my worst days is hard for me. Trauma informed care may acknowledge the background, ask if there's a connection, but not asking unnecessary questions or deep-diving into irrelevant histories. The CRUX of "trauma informed care" is to avoid re-traumatizing people when it is within your power. I think it's about being mental-health-aware, and considerate of your client's feelings and experiences. I agree that the word trauma has reached the point where it's like the word "Depression". People get depressed, they might experiences a depression in their mood - but that doesn't mean they have "clinical depression". People can go through upsetting or difficult things that are "traumatizing", without it causing PTSD. But then, would the world really be worse off if more people were kind and recognized that everyone is going through something. As some one who has had cancer twice, had a bone marrow transplant, and nearly died a few times - I am recognize that people can only understand the world through their own perspective and life experience, and your worst may be akin to my best day. Any thing that encourages others to be more empathetic, gracious, and kind is a good thing in my book.
@steoderfragt1821
@steoderfragt1821 18 күн бұрын
What a great comment
@denieceb2766
@denieceb2766 3 ай бұрын
I just wrote my psych paper on parental PTSD the effect it has on children. I’m so glad this is being addressed because so many of us have experienced trauma growing up and just in general.
@Mmcay
@Mmcay 3 ай бұрын
I love Dr. Mike’s interviews and his thoughtful style of questioning, but I found this “expert” to be uninformative. The way he dismissed development and trauma as something he can’t speak to, had me over the video.
@Alice-si8uz
@Alice-si8uz 3 ай бұрын
@@Mmcay Yeah he has no idea about how trauma affects people... the reason people block out traumatic memories is because its not safe for the person to have access to them. If they can't escape or avoid (fight, flight freeze or fawn which is a known biological response) the trauma in any way then the only thing they can do is shut down and try and minimize the pain of the event. That becomes a pattern and if trauma happens from a young age then it becomes how the person has learnt to cope with difficult events. It might not be safe to remember for years or even decades but once away from the events that trauma has to be dealt with at some point. I do like the idea of "distraction" in trauma in that it is just part of response to difficult events to want to distract yourself. It's not healthy to be thinking of painful events all the time, that just wears a person down over time. I also like the glass of water analogy I've seen. At different stages of our lives we have different sized cups we can use to hold stress. If we experience traumatic events or general struggle some water is put in the glass. As we get older our glass gets bigger (we can cope with more stress) but the thing is if the last cups from when we were younger is still full due to an excess of stress then what we can handle then the next glass is already full after 'barely anything' happens...
@Kaye09MNchick
@Kaye09MNchick 3 ай бұрын
@@Alice-si8uz Yes! I'm a licensed social worker and this is exactly how I was taught to view trauma and, how I see trauma as someone who has also lived through it. I literally watched videos of therapy sessions and how (especially children) can react after a traumatic event/events. Especially when there is long-term stress/choas, etc.
@rorydonaldson2794
@rorydonaldson2794 3 ай бұрын
@@Alice-si8uz that was a fantastic way to view things. I really like that glass of water analogy I am absolutely remembering that
@hasnaindev
@hasnaindev 3 ай бұрын
@@Alice-si8uz I went through extreme amount of stressors as a teen for about half a decade. I didn't consciously repress anything but I have had stomach problems and recently got diagnosed with Peptic Ulcers. I knew that I wouldn't live beyond 40. I barely talk and cannot talk properly either. I don't feel sad but rather super empty and my memory is EXTREMELY weak. What I have been doing for the past month has been to just close my eyes and try to FEEL. I let one emotion out that would take me to a certain memory that I never thought about. I kept doing it and one day after I offered Salah (Muslim prayer/meditation), I felt extremely calm for the first time in a decade!! I had like neutral memories come up that I seem to have forgotten. The more I experience the repressed emotions, the more I seem to open up certain memories. My memory is also a little better now and I can open up to people and communicate. I'm no psychologist but the expert above seem to avoiding something by focusing too much on resilience in order to hide from his shadow, he did say he works too much, maybe he never went through anything or maybe I don't know western culture and language. I do know "depressed" and "trauma" is through around a lot. Although, as a Muslim, I can't drink and I HIGHLY disagree with these methods. Spirituality is a deep human need. Nothing has helped me as much as Allah, remembering Him constantly and asking Him for help. I can't say the same about other religions but each teaching of Islam is there to help you on a mental, psychological, physiological and neurological levels. I hope we can some day drop our stigmas and study its effect on people. I might just do that myself.
@AnxietyRaptor
@AnxietyRaptor 3 ай бұрын
I will disclose, I was diagnosed with cptsd at 16 in 2013. This man through the interview and the question doctor Mike asks sounds rather frustrated with the ability of others. A few times he dances around the idea of, “get up, get it done, and move on.” He sounds exasperated with those who are affected by events he wouldn’t find qualifying as trauma.
@sparksmcgee6641
@sparksmcgee6641 3 ай бұрын
No he clearly states 2/3rd of people aren't "traumatized" by an event but 1/3 is.
@AnxietyRaptor
@AnxietyRaptor 3 ай бұрын
@@sparksmcgee6641 and? That has to do with my commentary how?
@c.j.r.02
@c.j.r.02 3 ай бұрын
Well it is frustrating because so many young people are “traumatized” by little life things.
@imapandaperson
@imapandaperson 3 ай бұрын
@@c.j.r.02 no they aren't. Young people are willing to admit they were affected by something stressful instead of normalizing their dysfunction like older generations have. They aren't more sensitive, they are more self aware. The number of older people who drink/smoke heavily to drown out their trauma, "parent" their children by hitting/yelling or being conditional and manipulative because they never had kindness or healthy communication modeled to them, and who dig their heels in and refuse to go to therapy when their kid mentions a behavior is harming their relationship, and yet insist they somehow don't have trauma, is astounding.
@c.j.r.02
@c.j.r.02 3 ай бұрын
@@imapandaperson I see what you are saying. I agree that older generations deal with stress in negative ways such as drinking etc. But, I disagree with your stance over all. Stress can be a powerful and positive thing, and the younger generation overall doesn’t know what real stress is and how to get over and through it. Also, older generations may have many people that deal with situations negatively, but so does the younger generations. If not more.
@drruthannharpur
@drruthannharpur 3 ай бұрын
So so happy to see this - as a clinical psychologist who works with a lot of people who are suffering as a result of traumatic experiences. We need this kind of nuance. Thank you Dr Mike and George Bonanno!
@SgtLion
@SgtLion 3 ай бұрын
I appreciate the candid chat, but I think a lot of this talk comes from an odd place. There's a lot of talk of "we should take responsibility for our actions" and "we can control our lives". But what does that really mean? You're either saying people could just decide to feel better and more able to do things and they're willingly not, or you admit that people need intervention in some form to feel that way (even if that intervention is simply in the form of "you could consider doing this"). The idea of having responsibility for yourself is a very meaningless concept when you dig into it - Your actions are wholly determined by your environment.
@EvanBear
@EvanBear 3 ай бұрын
Just comes across as victim blaming. Imagine someone saying that to you about a broken leg. "You have to take responsibility of your action and control your leg breaking". "I was hit by a car." "You should've looked both ways." "I did, the driver was asleep" "You're just avoiding responsibility and pretending like things aren't your fault". IMAGINE. Any doctor saying something like that would be fired.
@anainesgonzalez8868
@anainesgonzalez8868 3 ай бұрын
MOST people have control and can deal with bad things that happen to them. The important part is MOST
@anainesgonzalez8868
@anainesgonzalez8868 3 ай бұрын
@@EvanBearhe is not a doctor
@Xplreli
@Xplreli 3 ай бұрын
@@EvanBearalthough you are right, think of it another way. It’s not that persons fault that they got hit by a car, but it is their responsibility too show up to physical therapy and take their pain meds and work on healing.
@old_grey_cat
@old_grey_cat 3 ай бұрын
A little extra info: several studies, including a great New Zealand one, have shown that there are genetic bases for personality tendencies (which influence actions) and for the behavioural patterns after experiencing a harsh childhood environment compared with patterns after a comfortable one. It seems that support for families affects the rate of violence and imprisonment for some genetic lines more than others.
@gijoe918
@gijoe918 3 ай бұрын
I love that he describes glove amnesia, literally a form of repressed memory, in the same interview that he says repressed memories don't exist
@rmeehan93
@rmeehan93 3 ай бұрын
‘You don’t know suffering until you’ve suffered’. I think there’s a big difference between someone who has studied trauma and mental health versus someone who has experienced trauma personally. ‘We’re the expert in our own illness’ essentially. We just need safety and understanding, and to be seen and heard 💛
@amazinggrapes3045
@amazinggrapes3045 3 ай бұрын
There's also the phenomenon of people being less sympathetic to others who have gone through something that they have. Which explains a lot but is horrible
@rmeehan93
@rmeehan93 3 ай бұрын
@@amazinggrapes3045 how do you mean ? Like a person that hasn’t fully healed isn’t sympathetic towards others ?
@user-ou2rm6hn3n
@user-ou2rm6hn3n 3 ай бұрын
I agree ❤
@colamity_5000
@colamity_5000 3 ай бұрын
It's also very important for dispassionate experts to research how our conceptions of trauma influence the experience of trauma which is what this guy is doing.
@narratornate8841
@narratornate8841 3 ай бұрын
​@@colamity_5000he's claiming to. He has only done it on a surface level with information from teenagers, and information that has changed in ten years.
@Fluff-gl6yr
@Fluff-gl6yr 3 ай бұрын
10:45 I think his answer to this question basically sums up everything he believes. He basically holds a collection of old-fashioned values and is educated enough to dress them up as fresh and original. The unfortunate fact is that if people were truly capable of helping themselves to the extent he suggests, they would be doing so.
@Fluff-gl6yr
@Fluff-gl6yr 3 ай бұрын
Ok he loves Frank Zappa so I’m letting him off the hook, we’re best friends now
@klauskeller6380
@klauskeller6380 3 ай бұрын
thats the thing though. they are doing so. most people are okay after a bad experience
@Cardboardruna
@Cardboardruna 2 ай бұрын
It's as we haven't known for decades that there's a clear correlation between childhood adversity and both physical and psychological illnesses in adulthood. This is evidenced by a MASSIVE study over a long time period. I gave up on the conversation when he told the audience that trauma can't be forgotten. Empirical evidence shows otherwise in cases where the trauma is severe and occurs early in life. For the severely traumatized, forgetting is literally a survival skill to survive childhood. Which very strongly suggests that the ability to forget is selected for evolutionarily.
@dappostamin
@dappostamin 2 ай бұрын
Are people resilient and find ways to survive? Yes. Does trauma (or many mental health problems) prevents these resilient people from leading a fulfilling functional lives? Also yes.
@HelloAdna
@HelloAdna 3 ай бұрын
It’s really bold of him to say that people don’t want to talk about sexual abuse and trauma because it’ll make OTHER people uncomfortable. Looking back I don’t know if he meant that it makes the victim uncomfortable or if he is referring to other people in the conversation uncomfortable. But this made me feel icky. Anecdotally, it’s difficult to talk about sexual trauma because of how stressed it makes the victim feel to revisit those occurrences and remember what happened to them. Even with people they trust. It’s not a good feeling to revisit things like that but it’s weird of this psychologist to simplify it in such a way.
@Tracymmo
@Tracymmo 3 ай бұрын
A lot of people who haven't been through it don't know how to respond to the topic. I deal with a version of that when I mention that I grew up with domestic violence. People ask "did you get hit?", which is a typical misunderstanding of how abuse works.
@tea-wo2yr
@tea-wo2yr 3 ай бұрын
I would have to agree with him tho people don’t want to talk about their sexual abuse or trauma bc they think it will make other people uncomfortable which is understandable
@maryjack08
@maryjack08 2 ай бұрын
In my experience it's absolutely true. I'm comfortable (as much as possible) talking about my trauma but other people don't want to hear it. We don't teach society as a whole how to cope when someone discloses abuse to you. Training exists, but it's only really offered if you work in social services or seek it out
@no-ah3185
@no-ah3185 3 ай бұрын
Someone should please tell him that there is a distinction between the expression of “that exam was so traumatic” and its usage as a lived disorder. A bit like when people say “oh my goodness I’m dying” and a patient with no pulse.
@c.j.r.02
@c.j.r.02 3 ай бұрын
I think he knows that and it was his point. He was saying that the vernacular over use has negatively affected our culture.
@no-ah3185
@no-ah3185 3 ай бұрын
@@c.j.r.02 the examples he gave of over-usage were of arbitrary colloquialisms. Over-usage can be applied to most words where the clinical definition differs to its social connotations.
@c.j.r.02
@c.j.r.02 3 ай бұрын
@@no-ah3185 that’s your opinion
@AlienZizi
@AlienZizi 3 ай бұрын
@@c.j.r.02 yeah no he took it further than just "we shouldnt misuse and trivialize these words and concepts"
@Tracymmo
@Tracymmo 3 ай бұрын
I would be glad if people stopped misusing these terms. "Triggering" seems to mean something unpleasant. That's not what a trauma response looks like.
@whatamievendoing3416
@whatamievendoing3416 2 ай бұрын
Yikes, 29 minutes into this and i have to challenge myself to continue watching. As someone living with ptsd that i didnt realize i had until going to grad school for trauma informed care, this honestly hurts. As i went through my program, and therapy, i learned that so many of the physiological symptoms i was experiencing, and blamed myself for, arent normal. I will never say that i just write everything off and say "its my trauma, i have no control over it." I work damn hard in my own therapy to work through my trauma and outside of therapy to work through physiological aspects like weight. Trauma informed care, in my world, is about being mindful of a safe environment. Doing my best to be someone people can trust, providing a space for people to "just be" without being judged or critisized. I talk about trauma with A LOT of people. Its not a topic i avoid despite practicing from a TIC approach. If anything, i talk about it more! Im not giving people excuses or saying "you have trauma and if you just pulled up your bootstraps you would be fine." Instead, i talk about processing that trauama. Helping people stay within their window of tolerance, expanding that window if tolerance, and using a body based approach to processing. Given the change i have seen in my clients, the feedback i get from clients and colleagues, i must be doing something right. Now, to return to this video later to continue watching.
@pdub707
@pdub707 2 ай бұрын
Yeah, I had a hard time with this one. It seems a bit tone deaf and booty strappy for sure. I wish we could see more on the physiological aspects of mental health and trauma. And, on how the body has significant overwhelming responses before we can even start a thought process. Sick of assumptions that people who are experiencing mental health issues are spending too much time ruminating and causing it. It my experience, it simply isn't true. The body responds independently of and often against our wishes and efforts.
@Markusbarkus111
@Markusbarkus111 16 күн бұрын
It is very clear he has not read anything about trauma informed care, literally nothing in it says not to talk about it. Trauma informed care is literally as simple as don’t raise your voice at people, why are people so afraid of going to the doctors? Could it be that people have had negative experiences based on how previous clinicians treated them or maybe the fact that certain groups have been subjected to things like medical experiments (Tuskgee syphillis)
@whatamievendoing3416
@whatamievendoing3416 16 күн бұрын
@@Markusbarkus111 AMEN! 📢
@amazinggrapes3045
@amazinggrapes3045 3 ай бұрын
I think what the guy is missing is that if you are traumatized by something but you are told repeatedly "that wasn't that bad (if it was bad at all)" most people will start to believe that and that creates the disconnect between their symptoms and the traumatic events. If people are told it was insignificant they're going to be at a loss when it comes to understanding themselves because they won't understand how it shaped them. And when you tell someone that they're not experiencing trauma because your body wouldn't be kicked into fight or flight mode from a looming deadline or a person being verbally aggressive to you, you're trying to cause that represssion, and you're not realizing that you are damned lucky that you haven't been conditioned to react that way. Pavlov's dogs weren't making the decision to salivate. Their bodies kept the score for them. All his arguments stem from a simple lack of empathy (and an illusion of control. No, people don't control their own lives and situations. People are not tha individually powerful. Some of them don't suffer enough misfortune to have that revelation, that's all, or they feel powerful by being in a position of power over others--like a teacher or professor deciding the fates of his students). This guy is arguing that waterboarding isn't torture because you're not at risk of severe injury or death. He doesn't realize that the body doesn't know and doesn't care. He doesn't realize that no one would call something torture if no one had been tortured by it.
@niniemecanik
@niniemecanik 3 ай бұрын
I've always seen "trauma informed" as just a crucial piece every therapist and certainly the medical field should implement. Too many often victims of abuse feel like the doctor or therapist they confided in wasn't equiped to know how to respond to the situation. And neuro diverse people can have trauma like responses to "normal" situations where professionals have no clue what to do to calm them down. (I'm thinking about autism here, as even "high functioning" autistic people can have their triggers and are already more at risk of being let down by the Healthcare system than an alistic person) The subject of CPTSD is so important to keep in mind too
@anainesgonzalez8868
@anainesgonzalez8868 3 ай бұрын
Knowing how to deal with the condition of autism (which I do for work) is not “trauma informed” is knowing about that population and what works for that population particularly, and specially in autism that particular individual. We can not base our standards for interaction with people in a minority
@msguineapigsrus
@msguineapigsrus 3 ай бұрын
@@anainesgonzalez8868 as an autistic adult.... i highly disagree with your statement. The vast majority of "outward" symptoms of autism are actually the trauma response to living in a world not accommodating to us. Being trauma informed is essential to working with autistics, who are also more susceptible to having trauma conditions like PTSD, as well as being subjected to abuse. Heck, many autistics still get sent through autistic conversion therapy (you may know it as ABA), which is itself directly linked to PTSD. @niniemecanik is absolutely correct here. Also, based on their use of the term allistic, i suspect they are themselves autistic or ND as few people outside of the ND community use that term. Please don't talk over neurodivergent people and autistics about their own experiences.
@splendidcolors
@splendidcolors 3 ай бұрын
And I guess we can't change infrastructure like curbs for a minority... but we did and now everyone with a stroller or shopping cart uses them. There are few things you would do for an Autistic person that wouldn't be helpful to non-Autistic people too. Nobody likes crowded, noisy waiting rooms, nobody wants to have unnecessary equipment beeping in a brightly lighted exam room while they are waiting to see the doctor and in pain, and it's always good to make sure to explain what you are going to do in an exam or procedure.@@anainesgonzalez8868
@WorldsOkayestSorcerer
@WorldsOkayestSorcerer 3 ай бұрын
Thank you, Dr. Mike, for having this conversation with someone who is honest about what so many people get wrong about trauma. From a licensed trauma therapist who is beyond tired of the sloganization of something that never needed to be sloganized.
@BoiseLou
@BoiseLou 3 ай бұрын
MUS is now considered as an outdated diagnosis that sets people with complex, difficult to diagnose, and difficult to understand neurological disorders up to be medically gaslighted by clinicians.
@rmeehan93
@rmeehan93 3 ай бұрын
Our resilience depends on how balanced our nervous system is. If we’re off balance and have a lot of anxiety our tolerance for stress will likely be low and everything will most likely be overwhelming and too much for us.
@EM-rm2xh
@EM-rm2xh 3 ай бұрын
I'd also argue resilience is based on how much money you have.
@e.k.4508
@e.k.4508 3 ай бұрын
​@@EM-rm2xha lot of money will certainly provide access to good therapy. And shield you from getting other trauma's
@eininw
@eininw 3 ай бұрын
​@@EM-rm2xh Having strong set of healthy social bonds before a traumatic event happens is a stronger predictor of resilience. You do have a point though. More access to resources and being further from danger of starvation, disease, or homelessness (i.e. having more money) helps. Like the saying, "Money doesn't make you happy, but it makes it a lot easier.'
@catsmom129
@catsmom129 3 ай бұрын
@@eininwYes, social bonds help create resilience. I’ve heard that a child having one supportive adult in their life can help them get through a rough period. It bugged me that he just said, “Resilience is the norm,” without talking about which factors actually support it. Otherwise it could imply that if you’re not resilient, you’re just broken. When really, you may have been isolated and dealing with constant trauma.
@OpinionatedLittleBrat-qr2kb
@OpinionatedLittleBrat-qr2kb 2 ай бұрын
I experienced prolonged trauma (child SA age 9-13) and remember so many people trying to sympathise with me over the *fact* my life was ruined. But, my life isn't ruined. I've been affected by what happened and some things are still being affected, but many parts of my life are good. Survivors shouldn't be told their life is over or won't ever be the same. You can regain the trust and wonder and innocence and decide to pursue good.
@LoneWombat2126
@LoneWombat2126 Ай бұрын
I was mercilessly bullied as a very young child, from about halfway through first grade (I advanced a grade about halfway through). I was treated in emotionally and sometimes physically, as well as emotionally abusive ways. they often times secluded me so today still have trouble making and keeping real friends, as well as an almost complete lack of self esteem. They did this through middle school until I finally got to change school. Shortly after changing schools, I was diagnosed with a brain tumor of the optic nerve and hypothalamus. Today I am in complete pituitary failure, have undergone radiation treatments until it was unsafe to continue, did several different chemo regimens, including a trial/study at a local children’s hospital. Only recently, after switching doctors to a legitimately good doctor, was it mentioned that there’s a good possibility that I may have PTSD after all of that, particularly given the stage of my development at the time and that I’m still emotionally triggered by remembering what happened or hearing about similar things happening to others of even different ages,etc. my mom over the years kept asking me why I wouldn’t just let it go or forget it, why let it take up space in my mind? Now I guess I better understand that the reason is because I’m not really able to…yet…?🤷‍♀️😢
@frickfrickfrickfrickfrickfrick
@frickfrickfrickfrickfrickfrick 3 ай бұрын
This guys comparative example of "i broke a lamp my parents loved but i got through it" tells you everything you need to know about his views on trauma and how valuable his insights are.
@alinashirinian2485
@alinashirinian2485 3 ай бұрын
Exactly... I get that he might be uncomfortable sharing his actually traumatic memories, but this 'example' was incredibly tone-deaf.
@WitchOfThePage
@WitchOfThePage 8 күн бұрын
I think he's giving that example to say now a days people talk about relatively "normal" experiences (breaking something when you're a kid that's valued by adults... like your parents) is not a traumatic event. It's a discomfort and we have anxiety around the situation because a perceived threat or danger exists but in reality nothing traumatic came of it. I'm an hour and six minutes in and he never said anything like "trauma doesn't exist" he's just saying it's being overused. It's not a traumatic experience to take a test in school the same way it would be traumatic to be an actual soldier on a battlefield. That's not me trying to say people's feelings aren't valid, they most certainly are. With all of that being said, the power of the mind is extraordinary. There are many techniques individuals can follow on their own or along with guidance and support from medical professionals, family, friends etc to move past the past. Obviously I'm not extremely educated on any of these topics, it just kinda seems like he's being villainized but I haven't heard him say anything particularly offensive. I have been through events in my life that mental health professionals would describe as traumatic.
@amazinggrapes3045
@amazinggrapes3045 3 ай бұрын
There is something to be said with Mike's example of feeling bad for feeling good. Growing up I never blamed myself for things adults did to me, but most of what I find about childhood trauma just takes it as a given that everyone does, which is alienating.
@chelseashurmantine8153
@chelseashurmantine8153 3 ай бұрын
Facts
@daniellegraber9755
@daniellegraber9755 14 күн бұрын
Thank you dr mike for pushing back on him around his ideas on repressed memories. His approach there sounds a bit old school and not in keeping with our current understanding of complex trauma and developmental trauma especially.
@forgingstrength6119
@forgingstrength6119 Ай бұрын
When I was listening to the resilience portion, and I wanted to point out that there was some discussion about how people tend to have more resilience if they have a good support structure from other people.
@emmsy_san
@emmsy_san 2 ай бұрын
The fact that he learned about trauma informed care through his daughter when, as an RN BSN, trauma informed care was a key point in our education… he’s the psych I would rather die than be treated by. I’m an ER nurse and our emergency department has an acute care behavioral health unit, the only of its kind in the large city I live/work in. So we see sooo many BHAC patients. Against my best wishes I’m sometimes the “psych nurse” that patients have when being screened, held for placement, despite not being “properly” trained. I’m an ER nurse, my priorities are very different from a trained psych nurse and yet even I understand how to address patients who are in a vulnerable position. His ignorance is aggravating and honestly mind blowing that he’s a professor, teaching others to address trauma in such a way. Maybe us younger individuals are redefining medicine and questioning diagnostic criteria, asking more questions in general? I’m excited for how medicine will change in the years to come as our generation becomes the majority and these older medical professionals retire. Bye beech 👋
@scottkidder9046
@scottkidder9046 3 ай бұрын
I think it’s also worth noting that resilience has nothing to do with character. The only reason some people can go through traumatic events and not be traumatized to the point of dysfunction is because they got lucky. There’s nothing better about them in the sense that they have more will power or better character. They just happen to have a brain that’s more resilient. It was dumb luck. There are things we can do to try to help people be more resilient, but your inherent resilience was never up to you. So if you are more sensitive to traumatic events than others, don’t think that you are worse than other people. There are advantages to being sensitive to trauma and there are disadvantages. If you are more sensitive, you are probably way less likely to commit acts that are traumatic to others, and you probably physically care more about things and other people than your more resilient counterparts, or at least, you have more access to emotions that allow you to communicate your care for others much more effectively than your more resilient counterparts. And of course the downside is that you will have an extremely difficult time handling the realities of life. You should not be putting yourself into potentially traumatic situations. And when something traumatic happens to you, it will wreck you. So don’t feel bad whether you are more or less resilient. It has nothing to do with your value as a human being or your character. People aren’t better than you for being more resilient and they are not better than you if they are less resilient. So just don’t play that game. Do what you need to do to function and maybe even thrive despite what life throws at you.
@shakeyj4523
@shakeyj4523 3 ай бұрын
The other thing people don't realize is that you can experience a trauma once, and be resilient, and later experience the exact same trauma and suffer PTSD. But your point is a very good one.
@AlienZizi
@AlienZizi 3 ай бұрын
i totally agree and want to add another consideration! support systems. they are mostly down to luck too, starting with the family youre born into. after that you have more power to build your own support network but its pretty hard to replace a family, especially when you dont know what a healthy one should feel like.. experiencing a bad life event is much easier when you have someone in your corner to comfort and help you.
@sierraramrattan5164
@sierraramrattan5164 2 ай бұрын
I agree, I also think resilience looks different for different people. someone struggling with cooccurring depression or anxiety may be more sensitive to events, others may not be. for these people, just pushing through the day and fulfilling their responsibilities takes a lot of resilience and strength.
@FoxenASMR
@FoxenASMR Ай бұрын
34:02 this conversation is wonderful, right here I can’t help but thinking about my mother, who’s extremely rare mast cell immune disease was only triggered due to stress and utterly changed her life. She doesn’t see this as a trauma, she was intensely stressed out to the point where her body started to interpret her own biology as a threat. But this was all self-induced, she didn’t need to overwork herself to that degree, she’d just been so obsessed with her job that she stopped caring for her well being. Now she can’t work, but hey let me tell you she’s happier than she’s ever been and after years of treatments and medications and meditation she’s thriving even with her incurable disease ❤
@sgtsongbird
@sgtsongbird 3 ай бұрын
I have PTSD. Last spring I was held hostage, beaten, and almost strangled to death. I know I have PTSD. Multiple doctors have individually diagnosed me, and they all agree that I definitely have PTSD. This video and a lot of the things Prof. Bonanno is saying make me feel like maybe I actually don't have PTSD and I'm just way overreacting. He makes me feel like I'm doing something bad or somehow malicious, just by existing as a traumatized person. It's bad enough I have to live inside the nightmares and flashbacks, but to then be told to just stop having them because "we are in control of our own thoughts/feelings" is repugnant, not to mention flat out impossible. The uncontrollable nature of nightmares and flashbacks are literally what defines them. People with this "It's not really that bad, just get over it already" mindset are extremely dangerous to those with a fragile psyche and emotions due to PTSD, and I don't think this professor has any business teaching about trauma. Please don't invite him back, Doctor Mike. I love your content but I can't expose myself to any more of his mindset, it's too damaging to me
@sugoish9461
@sugoish9461 3 ай бұрын
I really respect and appreciate that you shared your perspective, and I think you worded it very well. Please know that if the doctor actually working with you says one thing, and a stranger online says something else while talking about people broadly... You're not wrong for believing your physician first and foremost. I hope you will continue to trust them first and foremost, since they are the one who has been witnessing and working with you and your specific situation. What happened to you was awful and I hope you find relief from the worst of the symptoms with time. I have CPTSD which works a little differently, but when I started taking Sertraline as an antidepressant for my depression, it actually in my case dampened my PTSD symptoms like 80% or so. Completely mind-blowing difference (didn't work on the depression though haha, but I've found a different med that does, thankfully). I know that experience is a bit rare, but I hope you can find something like that for yourself, too. Your pain is real. It exists and it deserves to be taken seriously. I wish you all the best.
@sgtsongbird
@sgtsongbird 3 ай бұрын
@user-vp4cq8mt4f My therapist has mentioned the term but we haven't covered it in the workbook yet. I'm still in the "acutely traumatized" stage, I imagine we won't start work on post-traumatic growth til after that passes
@anainesgonzalez8868
@anainesgonzalez8868 3 ай бұрын
I am really sorry about what you experienced and are going through right now. Your pain is absolutely real and as valid as any other feeling you might experience. Have you ever come across therapist in social media that give relationship advice? They always will put a warning in their content: “this doesn’t apply to abuse” . I think it is the same here. The data he talked about here does not apply to your case specifically or does not help it. As someone said in another comment I hope you are able to find relief soon.
@sgtsongbird
@sgtsongbird 3 ай бұрын
@@anainesgonzalez8868 thank you very much, I appreciate you saying so
@JubrieI
@JubrieI 3 ай бұрын
I totally agree with you that health professionals with this mindset are counter productive for recovery, even in a setting such as this on the internet they can do a lot of damage to traumatized people that are still searching and fragile, as it kind of latches on to you and can take a long time to shake off.
@Maeshalanadae
@Maeshalanadae 3 ай бұрын
Trauma is the the resulting condition of fear and avoidance the mind sets up as a defensive mechanism against an experience so darkly negative and impactful that it changes the very view of the world the sufferer experiences. Trauma is the lesson a previously carefree or superficially cautious mind learns when it discovers that true harm can occur to it.
@karynstouffer3562
@karynstouffer3562 3 ай бұрын
I understand what you're saying, but I believe what you're describing is actually the trauma reaction. Trauma is the actual thing that happens. The reaction is what you do afterwards, such as avoidance, dissociation, fawning, etc.
@Maeshalanadae
@Maeshalanadae 3 ай бұрын
@@karynstouffer3562 Yeah, you are right there. I suppose I should more clearly state that what trauma is, is the point during said damaging experience, when the mind actually snaps and switches from the former state to the latter. The moment of realization that intense damage has been done and the stress can’t be handled any longer.
@pdub707
@pdub707 2 ай бұрын
@@Maeshalanadae what you originally said was well-spoken and you got your point across. Sometimes it is not necessary to quibble over semantics. Sure, if you are in academics, clinical care or research the specifics are necessary, not here.
@missrobinhoodie
@missrobinhoodie 3 ай бұрын
Learning about the traumatic events my dad went through in his childhood (emotional neglect by his parents and death of his sister) is a key for me to understand my own personality as his trauma shaped the way I grew up and our family functioned. When I went through depression and divorce I came out stronger on the other side because I had ressources and support. Meanwhile he‘s still struggling with his „fate“ being in his 60s. Back in the day there was no psychological care for children who lost a sibling. And it still shows in my dad over 50 years later.
@missrobinhoodie
@missrobinhoodie 3 ай бұрын
So maybe „trauma“ is experiencing traumatic events without proper support or „aftercare“?
@MrChazzels
@MrChazzels 3 ай бұрын
OPINION: I think there is a lack of acknowledgement of compounded stress that then creates trauma. I'll use myself as an example. I was 17 when my father died, that same year my mom lost her job, we were forced to move, BOTH of grandparents passed, and three of my friends were killed in car crashes all in one year. NOW based on the conversation that was had, all of these events are "part of life" and wasn't life threatening. NOW compare that to having my spine fully fused at 13 for scoliosis because my ribcage was caving in on my heart and then being thrown out of my house for being gay at 14, both have been clinically diagnosed as traumas, YET the year of loss i experienced has manifested just as much pain, and triggers my anxiety, as much as the two "clinical" traumas in my life. I think im missing part of the conversation because it almost sounds like he's insinuating that trauma cant be overcome to be considered trauma? I appreciate the conversation because we need to move forward with our understanding of mental health. And i think that speaks on why we are seeing an uptick of trauma phrases being thrown around in the younger generations because they are not being heard. From the gun violence, global warming, the pandemic they are all overwhelmed and under supported with their mental health. Self-diagnosing might be there way of rationalizing what they are feeling. I mean I cant imagine being forced to go to school and fear for my life everyday because of mass shootings then having to take a test on the civil war or a subject that presses on those fight or flight triggers. *my two cents*
@LK-tp2le
@LK-tp2le 3 ай бұрын
I agree with this compound effect. I've experienced life threatening incidents where I've been in resus and nearly lost my life, yet I was actually more traumatised (left with flashbacks) by a series of less life threatening awful events that occurred within a short space of time. I think when multiple events occur in quick succession our resilience is lowered so we're more vulnerable to being traumatised.
@willbrashear
@willbrashear 3 ай бұрын
I also noticed that people who struggled tons and been through legitimately traumatic issues that you start realizing what is a mountain and what is a molehill. Then, you go out and someone asks you something.. that you consider a molehill, they freak out as to them it is a huge mountain that you just dropped on their lap. Or, you see what you consider a molehill that others just are devastated by.
@c.j.r.02
@c.j.r.02 3 ай бұрын
Yes especially young people these days
@catsmom129
@catsmom129 3 ай бұрын
I’m not sure what you’re referring to. I know people in abusive situations can get used to it on a certain level. It still effects their mind and body, but they categorize it as a normal because it happens so regularly. TW There’s an example of a hotline worker talking to an abuse victim. They asked if she was currently in danger. She said no. Several minutes later, she mentioned that her abusive husband was in the next room holding his gun. But he wasn’t in the room threatening her with it, so she didn’t perceive that as a current danger. The hotline worker saw it differently.
@willbrashear
@willbrashear 3 ай бұрын
@@catsmom129 no. it's more like you been sexual abused as a kid, struggled through that. Struggled through being bullied at through out school. Then, went through the army then get out. Then later you find yourself homeless. Going through that and rebuilding. Finally down the line, a partner wants to ask you about one bit of that. You told her a tiny bit and she flips out not understanding how you managed it and keep going. Though your idea of it does effect others to.
@willbe3043
@willbe3043 3 ай бұрын
The vibes are off with this man but we appreciate you putting on all kinds of people with all kinds of opinions on our feeds Dr. Mike!
@lonelylama5222
@lonelylama5222 Ай бұрын
Vibes are wrong? What do you mean? That’s rude
@hanners4895
@hanners4895 3 ай бұрын
I have trama from being held down as a 3 year old at the doctors office. I had a lot of UTI’s and they had to insert a speculum. I had a flash back and asked my mom if it was real and she confirmed it. Now I understand why I’ve always been terrified of anything to do with my reproductive health. I’m working on it with a therapist.
@DaniS398
@DaniS398 3 ай бұрын
Same, but I was a little older...I remember screaming because I didn't want the doctors looking or touching down there. I got UTIs and pinworms a lot as a kid, and I am wondering if that is where my tendency to clench up during vaginal exams and intercourse as an adult.
@hanners4895
@hanners4895 3 ай бұрын
@@DaniS398 I’ve never had a vaginal exam as an adult. That’s what I’m trying to work on with my therapist. My first step was just going to a doctor and not having a pelvic exam. But I’m hoping as I form a relationship with her I’ll get to a point where I’m comfortable enough to get over it.
@amberdavis8734
@amberdavis8734 3 ай бұрын
Jfc that is so horrifying I’m sorry
@DaniS398
@DaniS398 3 ай бұрын
@@hanners4895 good luck!
@msguineapigsrus
@msguineapigsrus 3 ай бұрын
that's horrific. I don't know how long ago that was, but now days that would be malpractice. Speculum exams on children are done with the child under anesthesia.
@user-jk2ij5ni2u
@user-jk2ij5ni2u 2 ай бұрын
36:02 please consider interviewing Dr. Howard Schubiner he is the top mind body doctor in the field and has published research on it recently. Great guy and is helping so many overcome medically unexplained symptoms including pain and fatigue.
@gracious7153
@gracious7153 3 ай бұрын
It’s interesting because a lot of this idea of labelling everything as ‘trauma’ tends to connect to a trend on language not to a serious extent, in everyday life as a young person it doesn’t translate through the screen as people might think. If anything I find it just makes people more socially aware of people and emotions. it shows the difference between generations in how we interpret the internet? Things aren’t as serious as older generations think. Obviously subjective response.
@Xplreli
@Xplreli 3 ай бұрын
Agreed
@mariahhelm5488
@mariahhelm5488 3 ай бұрын
There is an endless amount of research stating that our brain determines what is traumatic and what isn't. It is not someone else's call to determine what is and isn't trauma for someone else. As someone who was "diagnosed" with complex ptsd, I will wholeheartedly disagree with much of what this guy says. There's way too many studies to show how the body stores trauma when a child isn't taught or shown how to process events and emotions in a healthy way. Theres also decades of research showing how supression evolves. Im not exactly sure if this guy truly understands how the brain works in fight, flight, or freeze. Also, I love how he talks about "MUPS". Its terrifying. I went through something similiar 2 years ago. Two doctors thought MS. Brain looks perfectly normal though. His definition of "MUPS" goes agaisnt his whole idea that trauma doesnt get stored. With that said, thank you for continuing to share content that helps us open our minds in other ways. I do appreciate some of his insight in here. I do like his talk on resiliency. However, resilency is increased with therapy and people who dont dismiss their trauma. 85% of what he says does seem to be dismissive of other people's experiences, as well as decades of scientific research.
@duqial
@duqial 3 ай бұрын
For me what he said about repression was the most eh... like it can be effective, if your brain uses that as a coping mechanism, then you start doing it subcontiously. I think the guy may be good at reaserch/population observation, but I am not sure if he is like a maybe that good practicing in patient-doctor situations. You know there's a bunch of proffesors that didn't much or ever worked in their field. Not to discredit him as a specialist, it is just my assumption based on what he said in the episode and new perspectives broaden our minds.
@mariahhelm5488
@mariahhelm5488 3 ай бұрын
@@duqial agreed. I'm not actually sure if he is a great researcher though. Much of what he says is "I don't believe that or I don't think so". Mostly opinion based. He completely denies years of scientific research.
@TychoKingdom
@TychoKingdom 2 ай бұрын
What research did you do? Are you relying on book written be lay people and your personal Mental health specialist who may have dumbed every thing down so you can understand. Did you go through 30 years of studies? No you probably did nothing. But let us know so we can determine your credibility.
@raquelfantoni2812
@raquelfantoni2812 2 ай бұрын
A great conversation. It’s NORMAL to forget childhood. The traumatic portions are unfortunately more, not less, likely to be remembered. There are exceptions of course, but not being able to remember any, or much of, childhood is not a sign of a traumatic childhood
@maryjack08
@maryjack08 2 ай бұрын
I think the point being made in The Body Keeps Score is that physical manifestations of stress are EXTREMELY common. People who work in high stress fields can have absolutely wild things happen to their health; when John Douglas was working on violent crime for the FBI he almost died from viral encephalitis
@scareglare
@scareglare 3 ай бұрын
It’s more like people are becoming aware of bad things that happened in the past…..and being more open and accepted by others to talk about it
@lovelynevryway1
@lovelynevryway1 3 ай бұрын
Yeah a lot of ppl wish everyone would go back to suffering silently and it shows.
@joaomoutinho9697
@joaomoutinho9697 3 ай бұрын
i would suggest watching the whole episode before disagreeing with something that is adressed so early on.
@Shinngin
@Shinngin 3 ай бұрын
You can open up about things that upset you without classifying them as something as intense and severe as trauma. Doing so makes the term lose meaning and people who actually suffer from ptsd will not be taken as seriously
@LGBTQLegend
@LGBTQLegend 3 ай бұрын
@@lovelynevryway1 A lot of people? The only people I've seen have that view are American conservatives.
@AmyTheSpiritSinger
@AmyTheSpiritSinger 3 ай бұрын
I have ptsd and constantly think why bad things always happen to me and also think that things are never going to get better. I have struggled with this for many, many years...
@lyngirllove
@lyngirllove Ай бұрын
Doctor Mike having the important and difficult conversations in a respectful way is something I am absolutely here for 🔥❤️
@Lindsoiderf
@Lindsoiderf 3 ай бұрын
Yeah, very obvious he doesn't actually work with people and just studies things. Which is great but it puts you behind.
@scretladyspider
@scretladyspider 3 ай бұрын
This is not a defense of Body Keeps the Score, I don’t love that book, but: It is extremely disconcerting to see someone who has studied trauma for years not understand that dissociative episodes and disorders happen, and that physical stimuli can cause flashbacks. Dissociation is a real thing. Dissociative identity disorder and complete flashbacks causing black outs are real things. I have witnessed the second one. I obviously don’t know and it’s not my business, but this strikes me as someone who has not actually experienced severe trauma, or studied trauma in individuals who have ADHD, autism, OCD, and other neurodevelopmental disorders. Additionally, many survivors of SA tell themselves for YEARS that it didn’t happen or wasn’t that bad because the reality of confronting something that traumatic is utterly crushing. I think we do over use the word trauma, but to say people who have been through trauma always want to talk about it, or that every trauma is remembered when complete dissociation is a real phenomenon… it’s heartbreaking. Because this man is teaching people that that’s how trauma manifests and then those students are going to move forward and dismiss trauma that doesn’t present in the way he taught them it would. Again, I think we over use the word trauma when we really mean stressful, and the mind and body are absolutely connected, but this is such a narrow, privileged way to view trauma, especially complex trauma.
@wmdkitty
@wmdkitty 3 ай бұрын
No. DID is not real, it's an overactive imagination.
@ruthhorowitz7625
@ruthhorowitz7625 3 ай бұрын
That book helped me so much. I have been asking myself why do bad things always happen to me my entire life. In 2022,at age 57, I was diagnosed with autism. Now I have my answer.
@trayolphia5756
@trayolphia5756 Ай бұрын
I don’t usually have the time to devote to listening to the long form discussion podcast - but this one I most definitely DID - as it directly relates to my PTSD diagnosis after an event at my former job as a truck driver…where a pedestrian jumped in front of my truck to end themselves…so I have to live with the memory of ending someone’s life
@alfombra1054
@alfombra1054 3 ай бұрын
"I haven't seen patients in many years". Yeah, checks out.
@user-ej1zc9ph9t
@user-ej1zc9ph9t 3 ай бұрын
👏👏👏👏👏👏
@davidblack9071
@davidblack9071 3 ай бұрын
Medical researchers typically don’t see patients when conducting research.
@frickfrickfrickfrickfrickfrick
@frickfrickfrickfrickfrickfrick 3 ай бұрын
yep
@Inhumantics
@Inhumantics 3 ай бұрын
Trauma informed care isn't about tiptoeing around speaking points. I've been privvy to it in jobs working with kids before, as I have worked with kids diagnosed with mental disorders, some of whom experienced traumatic things like house burning down, a relative touching them, drug use in the home . It has to do with knowing when you are working with a vulnerable population that is more susceptible to trauma or less likely to be able to cope with it. It's learning what may bring up a stress response in the brain and how to respond with compassionate care. It's learning what trauma responses are, and how to professionally approach it when they do come up. Essentially, it's not just a cultural term to throw around- it's a way of approaching psychological care that is informed and alert (but not panicked or misconceiving...). I don't think a trauma "expert" would be against trauma informed care. People not understanding what it is? Sure, but it is a clinically validated approach.
@narratornate8841
@narratornate8841 3 ай бұрын
Yeah, dude didn't research it. He spoke to a teenager about it one time.
@jessiscrafty8592
@jessiscrafty8592 3 ай бұрын
This is very dangerous. The second we start gatekeeping what can be called traumatic, we will have fewer people accessing the help that they need. Similarly, when I was at my lowest with depression and an eating disorder, I was convinced I wasn’t “sick enough” to deserve help, because I didn’t meet the BMI requirement that was in the DSM at the time. The criteria has since changed, and there has been an increase in people accessing life saving help. Even perpetuating his over-used phrase of “most people are resilient” sounds incredibly demeaning. Those that have a harder time getting through adversity would,with that in mind, likely question “what is wrong with me?” Which seems to epitomize the problem with the circular thinking that is often blamed for many mental illnesses. Some things really aren’t in our control. Brain chemistry, genetics, mental illness, physiological illnesses, etc. I like to think of trauma vs PTSD as similar to the difference between disordered eating vs an eating disorder, or occasionally drinking to cope vs. alcoholism. Just as anyone can have a drink and not become an alcoholic and anyone can diet and not end up with an eating disorder, anyone can experience trauma and not have PTSD. Many people are predisposed to mental illness or addiction. Genetics can load the gun, environment and lifestyle pull the trigger. None of those are fully within our control, and one of them is 100% NOT within our control.
@chrystianaw8256
@chrystianaw8256 3 ай бұрын
It's not dangerous. It's true. The term trauma is being overused.
@rvdb7363
@rvdb7363 3 ай бұрын
There is also danger in overusing the term. Most people are able to recover from potentially traumatic events without help. If you start calling every painful event trauma, they might feel worse because you made it a medical issue in need of treatment. Calling everything a trauma also makes that people who've developed PTSD are taken less seriously. People will say that you should just get over it because everyone has had traumas. While not realising that there is a big difference between you being shaken up for two days after a near accident and constantly reliving the memory of abuse, a severe car crash or seeing someone being killed. Similar to how too many people say to clinically depressed people that they should just go out more, because that helped them when they felt a bit blue. Also, that someone wasn't resilient in one situation (and developed PTSD) doesn't mean that they won't be resilient in a different situation. I was diagnosed with PTSD over a traumatic event I went through as a kid. Took me a lot of time, therapy and effort, but I can now lead a normal life. Last year, I almost died because of my allergy. My primary care doctor was worried because of my past. The first two weeks it did affect me. I had trouble sleeping and I had a few panic attacks and trouble trusting food. But these symptoms quickly subsided and life returned to normal.
@FrancesHighsmith
@FrancesHighsmith 10 күн бұрын
Thank you for discussing this! I am an LCSW. By no means do I believe that we as professionals are here to "compare" or judge the experiences of others. Our clients have the right to express their own authentic experiences, and it is our privilege and obligation to validate the complexity of those experiences. That being said -- I feel strongly that our society has become far too lose with the word "trauma."
@shivakamini3488
@shivakamini3488 Ай бұрын
As a licensed mental health professional, who is also a child SA survivor I can tell you with 100% certainty that there are traumatic memories that are repressed. I didn’t remember until I was 35 and I know for a fact it happened because I have a twin sister, who also went through it and confirmed. she remembered all along, I didn’t.
@CasualViewer768
@CasualViewer768 3 ай бұрын
Has this guy just mentioned The body keeps the score, knowing it’s popular and well known as a talking point to raise his own profile and sell his own book?! I interpreted the book in the same way as Dr Mike as in the body keeping ‘the score’ is just the physical manifestations of mental health issues / trauma etc…
@Xython88
@Xython88 3 ай бұрын
I’m going through a very difficult time right now due to experiencing an armed holdup. Talks like this really help. Thankyou for this.
@imcarakins
@imcarakins 3 ай бұрын
Can i just say that i am very impressed with how civil this conversation was, and how respectful they were when talking about religion. And, more surprisingly, how civil this comment section is! Everybody is sharing their ideas in a respectful and open minded way. No hate towards the opposite side, just a good space to share your beleifs on the topic. I really appreciate all these good tempered people in the comments! ❤😊
@aminam5122
@aminam5122 3 ай бұрын
im literally 21, barely any education, and even ik that isnt what trauma informed care is. love you mike, this guy.. not so much.
@narratornate8841
@narratornate8841 3 ай бұрын
Yeah, the dude got all of his information on trauma informed care from a teenager without doing any actual research himself
@anainesgonzalez8868
@anainesgonzalez8868 3 ай бұрын
He does not agree with calling it that way
@laciebohlen3559
@laciebohlen3559 3 ай бұрын
"I'm talking about it, but I barely know about this stuff." Clearly.
@TheLlaura90
@TheLlaura90 3 ай бұрын
right? I don't understand how this book even happened because he doesn't seem to have a strong understanding on the subject
@davidblack9071
@davidblack9071 3 ай бұрын
He was talking specifically about epigenetics.
@morganryen2881
@morganryen2881 3 ай бұрын
I understand that the term trauma is over used. Yet, I don't appreciate the idea that someone saying being yelled at is traumatizing to them is an overstretch. If you have PTSD or CPTSD (not yet in the DSM). Someone yelling at you can be a retramatization for many people. Not everyone with trauma is aware the difference of an active trama in the moment and retramatization in one's self.
@msguineapigsrus
@msguineapigsrus 3 ай бұрын
Being yelled at absolutely can cause trauma. Verbal abuse is still abuse and can lead to PTSD (in particular CPTSD).
@EsoteriaHealing
@EsoteriaHealing 3 ай бұрын
I absolutely have trauma of being yelled at, or talked to in a demeaning manner. It defined my whole existence to be this tiny, small woman who won't speak or do anything to attract attention which resulted in no career, lost family, and so much more.
@heathermg1991
@heathermg1991 3 ай бұрын
I don't even have to be the one getting yelled at and I have to step away. I have a couple of hot headed coworkers who have thrown fits and put me off my work for the rest of the day because I had to re-regulate myself.
@VioletEmerald
@VioletEmerald 3 ай бұрын
Imagine being a child and being yelled at in full rage by a parent who you need to rely on for survival. A lot of us, myself included, don't have to imagine. It could absolutely be traumatic even once but an ongoing dynamic with that kind of rage full abuser certainly triggers the primitive fight, flight, or freeze responses in our brains and certainly can be experienced as a trauma. It is upsetting Dr Mike is endorsing a guy who doesn't get such a basic thing. Doesn't believe it.
@c.j.r.02
@c.j.r.02 3 ай бұрын
I think he is trying to say that young people on campus often over use “trauma” as a crutch. I think he would agree that people can definitely experience trauma from being yelled at if they have ptsd from being yelled at.
@milomoon1374
@milomoon1374 2 ай бұрын
I have PTSD. I have endured over 20 years of abuse. I would say that I am resilient to loss and very adaptable. Some people say that I am weirdly adaptable. However, I also become overwhelmed by someone taking too long to respond, worrying that I am being ignored. He said that hypo reactive symptoms is most shown in PTSD. And this does cause me problems in cases where people feel offended that I’m not seeming to care enough. But it’s my hyperactive symptoms that causes the most immediate issues because they make me aggressive and what not. What causes a person to be both hypo reactive and hyperactive? Why have I grown to be extra resilient to some forms of stress but less so to others? What I struggle with the most is learning, what is the correct amount of thought and energy to put into stressful situations?
@hannakorostelova5418
@hannakorostelova5418 2 ай бұрын
As a person who went through a traumatic experience fleeing the war, I would like to comment on the trauma-informed care part. I can talk about war, and I can talk about my experience. A lot of refugees wanted to talk so much, I swear, especially when the wound was fresh. but nowadays, people start a conversation with me about war as soon as they hear that I'm from Ukraine, and they want to validate their feelings; they want to convince me of their angle on what's happening in my country and not ask about my experience. That happens among people asking if I'm ok to talk about it or who don't, but more in cases of those who don't. I used to talk for hours with anyone who would want to start a conversation, no matter from which place there are coming, but I am more deliberate now because it can be incredibly taxing for me; If the other side treats it as an arguing sport which they are trying to win, I will keep my right to withdraw from the competition. I constantly remind myself that I'm in control of how much I want to continue such conversations, but it's easier to stop them if there was a question prior about me being comfortable talking about it. Ultimately, I want to remind everyone that even if you had no control back then when the trauma happened, you can try to control whether to bring it up and potentially reliving it in present.
@pradlark
@pradlark 3 ай бұрын
Within the first minute - "the norm" as he calls it, is possible because of the loving support that Mike had, without loving parents to soothe distress that's when things get bottled up and unprocessed, that could build up, and stack upon each other until it has a massive effect on the individual I am curious to see how frequent this healthy support actually is, because from my experience of being neglected and abused, as well as seeing parents treat their children not great a lot of the time, I would be more inclined to believe that the unhealthy treatment is actually more popular aka "the norm", and that's not a good status quo we have if that's the case
@anainesgonzalez8868
@anainesgonzalez8868 3 ай бұрын
As a neglected child myself I used to believe this as well. We tend to see things from our perspective… The things is the numbers are just not there. It is may be hard to assume in our position but ultimately a very good thing, most people have loving supporting parents. (What loving and support means to each of us obviously varies with culture and personal experience)
@Xplreli
@Xplreli 3 ай бұрын
@@anainesgonzalez8868I don’t know how true that is because although a lot of kids may have parents that love them, it doesn’t mean those parents are able too give them all of the physical and emotional support they actually need. I think past generations have looked at parenting in such simple terms like, “As long as they have food and a roof over their head.” But you could have both those things and also have a parent who degrades you and doesn’t make you feel loved or who is distant and never shows you healthy physical affection. Children and raising them is much more complex than a lot of parents use too, or even still think. I believe theses days we are finally starting too recognize that. I think there are more parents who are out of their league than we think, because they aren’t informed on just how much it actually takes too raise a child into a healthy and fully functioning adult.
@anainesgonzalez8868
@anainesgonzalez8868 3 ай бұрын
@@Xplreli research shows most people feel love and support from their parents The amount that do not feel it is still alarming nevertheless.
@AlienZizi
@AlienZizi 3 ай бұрын
nothing really traumatic happened to me, just constant stress and emotional abuse/neglect.. if i tried to share an anecdote that left a scar on my memory im sure this prof (and a lot of others) would think it itsnt trauma, that im overly sensitive. but yeah, that event isnt the traumatic part, its having no comfort and being alone with all my thoughts and feelings with no way of regulating or understanding them. ending up blaming myself for reacting or feeling. its impossible to avoid bad life experiences so no matter how unabusive my upbringing was, the lack of support would have caught up with me as soon as something bad happened outside the home.
@pradlark
@pradlark 3 ай бұрын
Can you share this study? Because I find this hard to believe, I would change my mind with evidence though, like the commentor said: parents underestimate a child's needs and will not realize they are not meeting them@@anainesgonzalez8868
@RiverWoods111
@RiverWoods111 3 ай бұрын
After 2.5 years of Dialectical Behavior Therapy, I have come to think that everyone needs to learn the skills taught from it to learn how to process possible traumatic events in their day-to-day life. I agree with what this doctor is saying, about taking responsibility for our emotions. We are not taught growing up or even as adults how to be emotionally mature. This is why we have people running around blaming everyone else for being triggered by stuff that doesn't even affect them. Even if it does affect them, that doesn't remove their responsibility to process the event/information across the entire brain and leave it in the past by not attaching emotions to it allowing oneself to carry it forward only to be tormented by it daily. I grew up believing that I lived a normal boring life. It wasn't until I was in my 50s that with the help of psychologists, I realized how traumatized and how much NOT normal stuff I went through. I am talking about the first definition he gave of trauma. Things like accidents where I flatlined at 7 years old. Death threats from a teenager like those you see in horror films and I was only 9-10 years old at the time. Extreme bullying and being punished for getting bullied, and then an abusive husband. I have been able to remove all the emotional attachments from all of those events. I can now tell the stories without reliving them. It is like they are all just stories as if someone else lived them. I keep asking my psychologist why this isn't information taught to everyone. If everyone was taught this information we would not be living in a world where people think it is okay to hate others who are different. There would be no trolls on the internet because they would be emotionally mature.
@julia1996.
@julia1996. 3 ай бұрын
Fortunately I have never gone through real loss, but I think in the sense of thinking of the person that is gone I think is very healing the way Irish people do funerals where they do not focus on crying the people their lost but celebrate that they got to meet them, retell the good memories they had with them. I think is a very beautiful way of appreciating the person instead of staying on this space of constant sadness.
@nancyferguson6011
@nancyferguson6011 13 күн бұрын
There is so much invalidating and dismissing trauma
@annap4962
@annap4962 3 ай бұрын
So happy someone is actually talking about overuse of certain words. Imo survivor is being overused too and leads to actual unfortunate ppl not getting enough credit for what they went through.
@Honey70708
@Honey70708 3 ай бұрын
It’s really not- it’s being talked about more.
@weedwitch666
@weedwitch666 3 ай бұрын
not really, so many of us have lived through childhood trauma and are survivors of it since so many others kill themselves from what they went through, so no it’s not overused, and we shouldn’t be judging people about it either.
@annap4962
@annap4962 3 ай бұрын
​@@Honey70708what are you referring to?
@AJARyan-yn2uv
@AJARyan-yn2uv 3 ай бұрын
Or ‘iconic’. A word that used to mean something that will go down as one of the most important events in human history is now used for anything slightly well known.
@LGBTQLegend
@LGBTQLegend 3 ай бұрын
A general term being used a lot? Oh the horror. I swear you Americans dramatize everything that doesn't matter.
@eddiehayes1523
@eddiehayes1523 3 ай бұрын
I agree that the word trauma is overused. However, I disagree regarding some of his criticisms of Bessel van Kolk's work. We are biological creatures - we experience trauma via our bodies because we can't disconnect our mind (via our brain) from our bodies. The mind/body dichotomy is false because we are biological beings and can't get away from that. Yes, humans are resilient. To experience suffering and react to it by feeling hurt/sad etc. is normal. It doesn't mean you have to get PTSD. I'd like you to interview Bessel van Kolk and get his take on this too please.
@Fanniemilia1
@Fanniemilia1 2 ай бұрын
I am so happy to see a doctor who is willing to discuss, learn, debate and create valuable information from many differend perspectives. This is truly interesting and helpful expesially for us who work in the healthcare field around the world. Most of all I hope people learnfrom this healthy ways to critic, evaluate and discuss treatment lines and science. Doctors are people too and the best ones are humble and on a life long learning trip. Thank you Dr. Mike!
@Ashleyyy414
@Ashleyyy414 Ай бұрын
Dr. Mike, I started off by watching a lot of your reaction videos and whatnot, but I must say, you're actually a fantastic interviewer too. I'm so glad you ventured out to youtube with your profession and ability to present this type of information to us all. ❤
@Naronaxie
@Naronaxie 3 ай бұрын
Interesting convo but I definitely disagree with his take. I do agree that the term trauma is overused especially for things that are just stressful or upsetting. But I’d be curious to see what clinical vs his research analysis is. Repressed memories are absolutely a thing, I’ve got a whole chunk of childhood and high school missing due to trauma. Yes I absolutely agree that we are resilient and if we want to change we probably have the ability to recover, but I think the fallout can still manifest in ways we don’t realize. I also think that the alcohol coping mechanism thing is a slippery slope and is a terrible thing to recommend because people going through trauma often get addicted to numbing the pain and cannot actively moderate it. imo it’s best to recommend exercise or something to help reduce cortisol. I think humans have the ability but I don’t think everyone has the toolset.
@EM-rm2xh
@EM-rm2xh 3 ай бұрын
Also, many people don't have the money. So often when it comes to these conversations, people don't want to bring up how much simply having money helps.
@splendidcolors
@splendidcolors 3 ай бұрын
I was surprised by his "go get drunk" suggestion because so, SO many people end up getting addicted because they self-medicate.
@susand2729
@susand2729 3 ай бұрын
I can't believe it's a hot take that emotions and reactions are something you can take responsibility for. No, you can't completely control them, and I'm not going to tell someone they're a failure for having an extreme response to am extreme situation, but if you can take some responsibility/control of your inner life and thoughts, you're going to be much better off and happier. Stoicism isn't perfect, but it has its virtues when it's kept in prior balance. My "depression" was cured by getting a better community and a mentor who lovingly told me to stop being so self-absorbed.
@anainesgonzalez8868
@anainesgonzalez8868 3 ай бұрын
I can’t believe that either but judging by the comments it is
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