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145: Why Trauma Disrupts Immunity & Keeps You in Survival Mode with Dr. Aimie Apigian

50m 15s

145: Why Trauma Disrupts Immunity & Keeps You in Survival Mode with Dr. Aimie Apigian

The transcription discusses the link between unresolved trauma and autoimmunity. Dr. Amy explains that autoimmunity often originates from early emotional wounds, leading to a subconscious belief of "I don't like myself." Chronic survival mechanisms—dissociation, immobilization, and energy conservation—become entrenched trauma patterns, causing the body to remain in a state of perceived danger. These patterns manifest as five recognizable signs, including disconnection from the body, stuckness in life, and depletion. High-functioning perfectionists are particularly susceptible, experiencing symptoms like fatigue, pain, digestive issues, and brain fog—often without an official autoimmune diagnosis (termed "predictive autoimmunity"). The vagus nerve communicates this freeze response to the gut, causing deeper digestive dysfunction than ordinary stress. Oxidative stress from chronic energy conservation damages mitochondria and DNA, leading to exhaustion and symptom accumulation. Dr. Amy emphasizes that a triggering event is usually the final straw on an already overwhelmed system. She advocates for treating the individual's vitality and symptoms rather than solely relying on lab results, focusing on restoring the body's ability to reset to safety.

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auto-muty is the manifestation of, I don't like myself. And I see that I'm the problem. And when we look back as children, these are the beliefs that we form about ourselves. If our parent is unhappy, I remember how much I would need to correct my patients because they would come in and they would say, Oh, my anxiety has just been terrible lately. My depression. Let's what claim that let's not become our diagnosis. It is the anxiety. It is the depression. It's not mine. When we don't know how to reset back to safety after such an experience, those three survival mechanisms become chronic and they become five patterns that we can recognize stored trauma. And these are what show up in our biology. By listening to the coherence code podcast, you agree to not use this podcast as medical advice to treat any medical condition, either in yourself or others, consult your own physician or healthcare provider for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast. Welcome to the coherence code podcast where we explore how the mind and body work together so you can move from stress and inner conflict to clarity, calm and alignment. My name is Lauren Brown. I'm a doctor of traditional Chinese medicine and a clinical therapist. And through my work, I've seen that healing happens when we move what gets in the way and allow the body and the nervous system to do what they're just trying to do to heal. Welcome to the coherence code podcast. I want to welcome back returning all star, Dr. Amy, the pigeon, I'm saying it correctly. Hope I'm going to call her doctor Amy for the for the for our series. She actually offered a awesome episode episode number 124 on the biology of trauma. Your issues are stuck in your tissues. And she's back today because she has just released her book, which I got to see the digital version. But I got my hard copy last night, literally last night. You got dropped off at 9 p.m. Here we are bright early the next day and I already started going through the hard copy as well last night. The biology of trauma, how the body holds fear, pain and overwhelm and how to heal it. So Dr. Amy, welcome back. Thank you so much. And again, like I just so appreciate what you're doing in the world. You do such amazing working. You reach so many people with this important message. So thank you. I appreciate it. And thank you for the accepting my mutation to talk the first time and to come back because I kind of wanted to talk about auto immunity. I'm seeing it more and more in my practice, you know, with women's health. So my practice is majority women's health. We do have men when they're looking to conceive and there's a man and a female in their relationship, but it's fertility, everything related to gynecology, postpartum, pregnancy, paramanopause, menopause. This is our audience. And since COVID actually in the last couple of years, I see more and I'm going to call it autoimmune like. And this is where I want to ask you a bunch of questions. And I think it ties into your book. There are some that are totally diagnosed like they'll get a diagnosis of Hashimoto's really common in our revert after world. But I have to say almost the majority of the women I see have all these autoimmune like symptoms, but the labs often don't confirm it, but yet they're struggling and suffering. And I think it's because the biology trauma. So you have your own personal story. So would you like to start with kind of your story of autoimmunity? Why you wrote this book? So we give a little review to our audience hasn't listened to episode 124 yet. And then let's dive into what are the symptoms? What's the personality trait and what are some of the approaches that may not be yet mainstream, but our evidence base to support the healing? Hmm. So important because there has been an increase in autoimmune over the last few years. And the study that we're showing it is also showing up in younger and younger people, right? But it's also showing up in women who tend to be high functioning and they are often perfectionists. So there's no coincidence to that. And yes, this is a big aspect of the biology of trauma. And so I wrote the book really for people like myself who are experiencing chronic health issues and don't think that they've had trauma. The title is the biology trauma, but I wrote it for people who don't think that they necessarily had trauma. It will definitely be helpful for those who know that they did and it will confirm a lot of things and show the science. But I was looking at there are so many people who have this biology that they don't know its connection with their past with emotional wounds and with how their body adapted at that time and is still living in a sense of danger. Well, I want to unpack that part. So when you said they don't realize the trauma because people often think, well, I haven't been in a car accident. I haven't been raped. I haven't been in war. What do you mean I have trauma in my cells? And in episode 124 and in much detail, you go into this in your book, but you just said emotional wounding, right? So there is stuff that and the body is, I always call it the subconscious work. The autonomic nervous system is doing his job to keep trying to keep you safe, right? And you said the personality type, which is interesting because that's what I see. High like personality type, a perfectionist driven, right? The ones that often will develop, I well educated that are developing these science and symptoms. You seem to have to know this person. Is there a reason why you kind of relate to this personality trait in this story? I have been that person 100% this was me. And you know, to speak to your point around this idea that there, there's this auto beauty without the diagnosis of auto beauty. And that was me. And we went in and we found labs that were like I had high anti nuclear antibodies, but I didn't have all the other symptoms. And so they wouldn't didn't give me the diagnosis, which was fine. Like I, I certainly don't need the diagnosis, don't want the diagnosis. And being able to see that there are many, many people who have auto antibodies and either don't know that they have auto antibodies because we're not doing those specific tests or they don't have all the other stuff or their numbers aren't bad enough. And so we call this window predictive, predictive auto beauty. And it's this idea of no, you have auto beauty. It's not an official diagnosis, but you have auto beauty, which is just your cells, your immune system is attacking yourself. And I like to talk about like what are some of these signs and symptoms that somebody could understand and they maybe have biology and their trauma. I want to do a little quick tangent. You said your lab test, it's not bad enough to get the official diagnosis, but it's predictive. I just want to share that I practice Chinese medicine and my practice. We have naturopathic doctors, something very interesting on our practice style. And I know you practice this way based on your book and your training in functional medicine as well. We don't treat the labs. So we treat the individual. And so if your lab say normal and you have headaches and you have fatigue and you have rashes and you have infertility and you have brain fog, that's not healthy. That may be normal lab, but nobody wants to go through life that way. So we still work with the individual. And like you said, it's not bad enough. I often think a lot of our labs are, you're really sick. Like we need to triage you to a hospital in Chinese medicine and naturopathic medicine. Their focus is vitality, not just survival, but thriving. And that's what you do as well. Where are the signs and symptoms then? Because some of them the labs may say, you're fine, right? Fine, not fine is not good enough from how you and I look at health. But what are some of the things that you would suggest there's trauma in the biology? What would, how would people notice this? You know, I have seen that many of the women with auto beauty have the, I'm fine syndrome. You ask them how they're doing. They're like, I'm fine. I'm fine. And we're going for more than fine. And it's this idea that we often tend to push ourselves through. So that goes back to the trauma patterns and how it becomes auto beauty is we have three survival mechanisms that kick in when our autonomic nervous system decides our life is under threat. And it's to the degree of threat that my life does feel at threat. And there seems to be nothing I can do about it. So in that instance, our autonomic nervous system engages three survival mechanisms. And this is dissociation immobilization and energy conservation. When we don't know how to reset back to safety after such an experience, those three survival mechanisms become chronic. And they become five patterns that we can recognize stored trauma. And we look at how disconnection is so much a part of our life, especially for someone with auto beauty. They're disconnected from their body. They don't like their body. They're pushing their body through rather than being. being able to support their body. So I'm always looking for that. I'm also looking for this sense of disruption, this disruption of movement or stuckness. And it's always been apparent in some area of a person's life with auto-mutee. Where are they stuck in life? And that goes back to the survival mechanism of immobilization, that paralysis or that freeze response that we have. That does become chronic and we can look at our life and say, yeah, there are areas in which I just can't seem to move forward. I can't seem to make progress in that area of my life. But then we also look at the sense of depletion. And that's the energy conservation. And fatigue is the most common symptom of those with auto-mutee. There's lots of reasons for that. It's both a chicken and an egg. And you share a bit about like, why would they be experiencing fatigue? What would be happening? Yeah. When our trauma has become a chronic state, it changes our metabolism. It changes our mitochondria and their ability to make energy and make it efficiently. And for these reasons, we will have this background exhaustion. What we've learned to do is to push through. And that is why many people will not feel that. And they're trying to not allow it to affect them. They want to get things done. Remember, these are your perfectionists. These are your people who are highly driven. And so we definitely cannot be slowed down by our body. Let's push it. And then we develop this underlying exhaustion that builds over time because we're not addressing it when we're first feeling it. And then this accumulates more damage to our mitochondria, especially in the form of oxidative stress. Oxidative stress is a natural byproduct of us making energy. It's like when we drive a car, when we drive a car, there's exhaust. It's just part of the process of the combustion of the gas. So it's not bad except when that exhaust is going into our own car. And we're not letting it out. So that's the oxidative stress. It's not bad because it's a natural byproduct of these process of making energy. It's when we can't clear it out. And we can't clear it out because as we are in a state of energy conservation, our body is not prioritizing our detoxification pathways. And so these toxins build up oxidative stress being one of them. And that oxidative stress is going to damage our mitochondria, which further deepens our exhaustion because now we're not even able to make the energy that we used to make. And also it goes to our DNA and starts to attach itself to DNA. It causes breaks in our DNA strands, which normally is not a problem. If we have all of the repair mechanisms, and we have so many repair mechanisms that come in and be like, oh, it looks like you've got an Maui. Let's repair that. Let's fix that. And it's not a problem. What becomes the problem is that when we are in this chronic state of energy conservation, chronic survival state that our body says, oh, I see that you've got damage. But I shouldn't use my energy up for that because I've got to still run away from this tiger. So I'll come back to you later, except later, never comes, because we're still in survival mode. And as you can see, this accumulates over time, which is why a person with auto-mute can often look back and find a moment, a trigger in which it precipitated symptoms that just spiraled out of control. And they can think that, oh, like that was what triggered it. Well, yes, and it would not have triggered it if it had not had all of this biology of trauma already underneath the surface. It just was the final straw that broke the camel's back. That's an important point. It's an accumulation. So this has been going on for a long time. And then there's finally an event, like you said, this straw that breaks the camel's back. You talk about this stuckness. It's so interesting, because Chinese medicine calls, you know, stuck energy, cheese stagnation, and on emotional and physical level. And when the cheat is not flow freely and smoothly, you start to feel pain and then eventually disease manifests. And this is kind of this idea, right? You're feeling stuck emotionally and physically. You shared a few things. I just kind of want to unpack a bit. And I'm thinking of my patient population. And a lot of them, like in their 40s and beyond. So Perry, men, a pause, men, a pause. And we talked a lot about this in your episode, one 24-hundred podcasts about inflammation and about how these hormonal changes is another stressor on a body that doesn't have the resilience. So that's why they struggle and suffer with symptoms, not because the hormones are changing, because that is a normal process for these hormones to change in your 40s and 50s. But your body can adapt. And I'm saying because it has all this trauma in the cells, it's lost its resilience and ability to adapt. So now you have symptoms from this internal change, which are hormonal changes. The patients I'm seeing, the common stuff I have is, so there's chronic pain, there's digestive issues. And I kind of want you to tie this into auto-immunity, like, or predictive auto-immunity. So we got fatigue, we got pain, we got digestive issues. And brain fog or poor clarity or can't remember words. And a lot of people say, oh, it's because you're a paramanopausia. It's too simple. To me, that's too simple, right? Yes, you are in your 40s. That's a fact, right? So, but not everybody in their 40s has all these symptoms or a variety of them. So can you also connect this then from the book you've written on the biology of trauma, these symptoms. Why are people having the digestive symptoms? You kind of hinted on it, the metabolic issues, the mitochondria, oxidase, stress. But can you tie this into these symptoms that they're experiencing, what's going on in the brain? Because in your books, so wonderfully, you talk about these, you know, the emotional instability. That's not the word you use, this trauma in the biology, and how it causes dysregulation and nervous system. And then it goes out to everything. So can you help us understand that a little bit more? This is so fascinating to see the wide effects of this state on our different systems of our body. And this is what I cover in detail in chapter five where I go through the systems and their different effects. Let's look at the gut, the digestive system. Now what's interesting, and most people don't know this, is that the vagus nerve is what communicates the freeze and the shutdown. And oftentimes we're thinking, no, the vagus nerve is only parasympathetic. It's all vagal stimulation, for example, is good. And no, actually. The vagus nerve is just the train tracks. It's just the train tracks. That's all it is. So what train is going down the train tracks? That's what we need to look at. But this vagus nerve comes out of our brain stem and comes behind our throat, behind our soft gas, and then spreads out through the digestive system. So it controls the digestive system. And it's also what then takes messages from our digestive system back up to our brain. And so when the vagus nerve communicates, we are in such life threat that we need to shut down and surrender in order to try to survive this. It's going to shut down the digestive system to a much greater degree than if we're just in stress. Stress is going to shut down our gut. To the degree that there is a temporary kind of transient and intestinal permeability or that leaky gut, and it definitely will decrease our digestion. And a person may feel nauseated or they may experience needing to go to the bathroom. There are some changes that happen with stress. But when the degree of danger that we perceive is so high, which is what people with auto-murity feel, they feel that their sense of danger is constantly a life threat because it ties back into their attachment. Their gut is going to be impacted on a much greater level. The intestinal permeability or that leaky gut is so much more than when we're in stress. There's a stuckness to our gut as well. Things aren't moving. There was that immobilization aspect of the trauma response. So that's being communicated to the vagus nerve. So every aspect of our digestive system is going to go into the deepest state of hibernation. And if your gut is hibernating, of course, it's not going to be producing the stomach acid that is healthy. Of course, it's not going to be producing the bile that helps us release toxins and bring in healthy fats. So there's all of this that happens. And then we look at how does this connect with the brain and the brain fog? Now, what's been very interesting is to see that the immune system is so closely connected with the nervous system, the autonomic nervous system, that when we are in that state of danger, you will see that in the immune system as well. And when we experience something that feels like a life threat, we're talking about that level of not just anxiety. We're talking about terror. I'm terrified, which is often a question that I ask my autoimmune patients, by the way. What's going on in your life? Where you feel terrified. And this is a-- to clarify, I perceive your perception. not necessarily a terrifying external event, but could be you're going to lose it, you think you may lose your job or your spouse may be leaving you. Like that kind of perception. And that's often the answers that I get, right? Like I'm terrified that my marriage is falling apart. I'm terrified that my boss is going to fire me. And then we get, I'm terrified I'm not going to have a baby, right? I'm terrified that I'm not going to have a baby. It's not just the level of, well, I'm a little nervous about it. I like that's the stress response that's stress biology. When we're at the level where we could say, yeah, I feel terrified about this. But you have you found that you talked about the dissociation. Some of the women mentally don't they think they're fine because they're so used to it or numb, but their biology is telling them you're terrified. There's that too, right? Absolutely. And this is a great conversation starter for me is when I'm seeing someone with auto beauty. And they're telling me, well, no, I mean, I'm fine. Then I know that you are so used to living in terror that it's become normal for you. You're not even recognizing it. That's, that's how far your level of disconnection has gone, which makes this work even more important for those people. Now, I took you off track. You're talking about the gut and then brain and I think immune cells in the brain for the brain fog. I'd love to hear more about this. So this was one of the primary symptoms that I was having when I noticed that I would go into this overwhelmed place. And I thought how interesting and I started studying it doing this deep dive study of what triggers my brain fog. And what I found, of course, this is not going to surprise you. It was the emotional stress that was leading to a sense of terror. And I thought how interesting because I thought that it was only biochemical. I thought that this was only when a toxin was triggering my immune cells in my brain and having the cytokine unleashing that creates the brain fog. No, my immune system. And there's a specific cell in the brain called the microglia. It's an immune cell and its job is to be the guardian of our neurons. And so it's got its surveillance and whenever it senses danger is going to unleash all these cytokines in order to keep that danger away and protect our neurons. And the emotional response when we feel overwhelmed triggers those immune cells. It doesn't need to be an infection. It doesn't need to be bacteria. It doesn't need to be though it will be those things as well. It can also be I feel under attack emotionally and it was triggering those immune cells and all of a sudden I'm back in my brain fog and wondering how did we get here again. And of course at that point, it's very hard to sink your way through because that's what it's doing. It's doing this to protect you so that you don't think you just hibernate. You just kind of surrender. You know, that's what it believes is the best thing to do when we are under that degree of threat, even emotional threat. Again, I'd love for you to continue here on your approach because you talk about safety a couple times today. And this is what's happening that on a cellular level, they don't feel saved. And the emotion I see in patients when I distill it down in my conscious work with them, it comes down to a form of shame. Shame as there's something herely wrong with me, which means I'm not lovable. Like this is now I'm talking conscious work when we get this subconscious. So people come in, I want to have a bit whatever they want. We start with what it is. We regress. We find things often in their childhood, but we find beliefs or programs that have nothing to do with why they think they came in. And if I distill down all the stories, the narratives are very different, but when I distill it down, there's something wrong with me. I'm not enough. I'm not lovable. There's this form of shaming guilt. I'm curious from your research, the book, your clinical experience, your personal experience, because I live this too. Is that aligned? Are we are we on to something? And this is it, especially with auto beauty auto beauty is the manifestation of I don't like myself. If our parent is unhappy, maybe they're moody, whether they, you know, have a mood disorder or not. We as children are so narcissistic, we always think it's about us. Oh, I did something. Oh, I'm not good enough. It's my job to make my parent happy. These are normal thoughts that a child will have. And unless a parent is recognizing that and being able to see, oh my goodness, like my child is taking on responsibilities that they shouldn't be at that age. Then these are the beliefs that we form about ourselves. And this is even Bruce Lipton says biology of belief. This is what then becomes our biology. And it's a representation of what we feel and believe about ourselves and others. A lot of auto immune patients also have this belief that I can't trust other people. And this, this regulation, like so I want to summarize what I think I've heard then is you have like trauma, emotional dysregulation in the body. Something's happened. We are not going to talk today about it. We did another episode about intergenerational. So it's even coming before your birth that there's signs behind this is not just. We talked their signs about that. And then through this it develops oxidative stress, which can impact the mitochondria. So now you have chronic fatigue. The body is not healing well. It's showing up in the gut inflammation in the brain brain fog. And there's just this vicious cycle of oxidative stress poor mitochondria function and immune dysregulation coming from your nervous system. So how do we heal this? Like you have, you know, because you talk about you have to you heal it in reverse. And one thing I'd love clarification you talk about you use mind body biology right those are the three terms I hear. I always think of mind body soul or mind body spirit. I would love for you to differentiate for me to differentiate body and biology. So when you say mind body and biology to me body is biology. So I love the I want to clarification on that and your way of healing and how you dress it at all levels, not at one level. Yeah, so when we look at at the center is of the nervous system. The autonomic nervous system and it drives everything. It's the conductor of our life from our actions to our thoughts to our health. So if everything really is about well, what does my nervous system perceive right now? Is it perceiving safety that it's going to be then giving an output of safety or is the input danger. And it's going to be sending an output of we're in danger. And this is what we need to do when we are in danger. So this feedback loop that you've talked about then is where our own sense of danger has created a biology. And that biology now creates more of a sense of danger keeping us in this dysregulated state. And how do we disrupt that there are three phases of the healing journey and many people will jump into the third phase not realizing that they've got a creative foundation before they do the deeper work. So they're jumping in thinking I need to process my past. I need to talk about those stories. Yes, and not yet. Let's create a sense of stability in the nervous system first because then with that sense of stability and safety and security. We can approach those stories and actually create a different outcome have a resolution of those stories rather than just the reliving of those stories. I love this part. I made a note because it's something through my own personal experience and working with my patients over the 25 plus years. I call it we're going to do this bi directional. So some people come in and then you know, if you you know if you come if you're young kid and your parents get divorced. There's a good chance there's trauma living in your cells. As you said, we're narcissistic as children. We take it as our fault and you know why can't it keep them together and we become the people please or right or sometimes it gets really messed up. And the role reverse and the child becomes the parent right it's you know all messed up. That's a whole other thing to unpack that you guys can do with doctor Amy. We're not going to do that today but the bi directional part is when people come in I go we're going to address this both ways. You know, we're going to use the conscious work energies ecology my practice to unpack what's going on in life. This trauma idea. But you got to have the biology the physical body has to be able to contain and and deal with the stuff the energy that you're releasing. So we're going to we do our functional medicine testing we look at diet will use supplements movement will do things to help the body so it can metabolize and help transform the the stress so it's bi directional and we're still addressing it. So I call it let's not be archaeologists. We don't need to excavate our past. The body will bring it up when it's ready. So let's talk about the difference between body and biology then. Body for me refers to the somatic piece. And the somatic piece is this idea that our body will have a reaction that's coupled with fear. It will also be coupled with. with lots of things, but this is an example that we can look at if someone is in a car accident and they're driving down the same stretch of road where that accident was. Their mind can say, "This is clearly a different day. This is clearly a different drive. I am not in danger." And yet their body starts to sweat. Their heart starts to race. They start to have this body reaction that is not able to be controlled by their logical mind. You know, we have women often say when they drive by the street, the IVF clinics, so they have that body reaction. Yeah, this is what our body does. It's quite incredible, actually. It's a memory that gets formed in our muscles, in our tissues, and in our autonomic nervous system. So we're not talking about mitochondria and oxidative stress. That's the biology level. We're talking about a response at the. This role, somatic level. And that also needs to then be, I want to say, you know, kind of untethered and unwinding because that stretch of the road has been coupled with fear and danger and life threat. It's still coupled, which is why your body is still having a reaction when you drive down that section of the road. We need to un-couple it. And so this is where I talk in my book about how our somatic level can still be giving us cues of danger, even though our mind can say, "No, this is a different day, a different drive." So we do need to be able to work on mind level, the beliefs that we hold about ourselves, but also this somatic body level and the biology level, because these are the three levels that can continue to give our nervous system signals of danger, regardless of the other levels that we may have healed. And this is where. So mine, this is what I call my conscious work, energy psychology, working on those beliefs, those thoughts, and my listeners will know the notice except choose again. So we start to notice we've been triggered. So you're noticing because you're having a body response, right? So you're noticing me triggered. The idea here, Dr. Amy, is like, we see the world through the lens of our subconscious. So that's what has been imprinted on us. We didn't choose these programs or beliefs. We came into the world with them and they got imprinted. No blame. It's just how it happened and we perceive the world that way. So everything is neutral and we give it meaning. So we're meaning makers. And when you believe in the story, you're at the effect of it. So now you're suffering. So first, just notice you're triggered. It's not happening to you. It's happening for you is the same. Then I have a process where I bring in many tools, somatic tools, where you accept what's happening. You're not resigned to it. We're not saying you like it. We're just helping get present with it and observe it. So rather than fighting it, which amplifies it, you're just noticing it and observing it. This is somewhat detached because you're being curious and compassionate, but you're feeling it. Like you are feeling it, it's still uncomfortable. You have to be willing to feel it, but there's some agency because you're choosing to experience it and notice it. And we use tools then to help metabolize it. Really, the tools are healthy, stay present with it. By being present with it, it kind of releases. Right. And then once the resistance drops because the resistance comes from fighting with what is you feel more at peace. You resist the resistance lowers. You have more flow and receptivity. There's that cheap flow. You have flow again. So you're no longer in the survival mode. You come out of the sympathetic trauma reaction because the resistance dropped. There's a sense of almost relief. And then you choose again, how do you want to be in this world? Now you move forward. And again, in my practice, needles help with somatic. I do acupuncture low level laser therapies, helping with oxidative stress, mitochondria health to give the biology the opportunity to heal. And we're working on it. Then for now that I understand your words, we're working on it from a mind level, your thoughts and beliefs, working on a body level. We're fulfilling these experiences somatically viscerally. And we're using an acupuncture, herbal supplements, everything to help with that. And then the biology kind of starts to take care of itself when you're taking care of the mind in the body. The biology, I think you talk about the epigenetic aspect of this work, right? Which means the genes turn on and off differently because they can either be going towards poor health or they can go towards vitality and health. If you want to talk a little bit about that, maybe. Yeah, so I do want people that as they're doing the acupuncture and I just had my acupuncture treatment yesterday. And it was just like, oh, like this, this is this is so much support for my body. Like the more that we can address all three layers, the more we can experience these shifts in our whole being and our how we're showing up in the world. So as someone's working on the beliefs, as someone's working on the somatic level, I would also want them to be eating more antioxidants. I would also want them to be using less plastic and more glass. I would also want them to be doing these things that will decrease their physical biochemical burden of toxins because that will also then open up energy for them to do even the emotional work and to be resetting and reestablishing this flow that needs energy to reestablish. So you're talking about what we call the free therapies or the pillars of life. So movement, so move, rest, sleep, diet. By the way, shout out on the acubalance.ca website free anti-inflammatory low glycemic index diet. So that's beneficial. So movement, sleep, rest, exercise, diet, and then reduce as much as possible the toxins in the environment that put a load on to your body. So that's always expected that you're doing that. And then you can add supplements and herbs and acupuncture and the mind body work, all that stuff. But I don't think any of these modalities can override smoking and excessive drugs and alcohol, not sleeping, no movement, eating, processed foods like you do need to do your part, then your body's ready to do the emotional work. Yeah, that state of readiness. And I think people downplay how much energy is required to do the emotional work. And yet that's exactly what it takes. Change takes energy. We know this from Einstein, right? Like change takes energy. And yet when we have been in a state of energy depletion for so long, that's exactly what we don't have. We don't have the energy. So that's why it all plays together of well, we do need to do the biology work so that we have the energy to then do the beliefs and do the hypnosis and do all these other things that need to be done without energy. We find ourselves still stuck. And when you unstuck and you feed your body on the mind body biology level, like you're sharing, then you have energy to clean up the the oxidative stress. I call that body rust, right? Exactly. You talked about the gas, the car putting I love it the exhaust in the car. I often look at it as when you moa lawn, moan the lawn and you don't have a bag on it. It's a mess. There's leaves, right? Eating antioxidants, doing meditation is like putting the bag around the lawn more. So as you cut the lawn, that oxidative stress, all those cut grass tiles in a bag. It doesn't mess up your yard, right? So we're talking about diet that way and antioxidant. So then the brain fog is in there because you have the energy and the inflammation. So basically, we're giving the cells rather than the cells when the cells feel unsafe on a cellular level, then reproduction gets dampened down, digestion gets dampened down, and your your resources are going to fight or fight, right? And when you let your body feel safe again, you're freeing up those resources for healing, for creativity and reproduction. And so this is really why people all the sudden will get clear minds start to be peak potential at work. So if you're looking to be that peak potential person at your job, now you have clarity of mind, now you have stamina and energy because the cells have energy, you're absorbing the food you eat because you're eating good food, but now you're able to absorb it. This is what you're sharing that the symptoms reverse, the this predictive auto immune that you use that term earlier, all the sudden they start to reverse and you don't have these symptoms anymore. You're no longer predictive of autoimmune because you've reversed the pattern that you were exhibiting. My get my like gives me so much hope. And for me, the conversation around trauma is a conversation of hope because there's so much that we can do. I remember so many patients who would come to me and say, but Dr. Amy, don't you know that I have a high ACE score? I have that high average childhood experience. I want you to define it. At a versus childhood experience is the ACE for yeah. I have a child experiences. So this idea of, you know, how much trauma I had in my childhood. So don't you know that this is what I can expect. I can expect poor health. I can expect to die early because that's what the research shows. And I then come along and say, but no, there's so much that we can do that is true for those who don't resolve their trauma. That's unresolved trauma. And yes, that is the outcome. But there's so much resolution that we can do. I call it repair. I love the word repair. There's so much repair that we can do. And when we know the way in which our body needs the repair and the order in which it needs the repair, then we can experience shifts even faster than what we thought possible even faster than what we thought possible. You remind me have a quote by the author and medical doctor Deepak Shope or when you talked about, you know, the ACEs, you know, adverse childhood experiences are, you don't have to live that out, right? He said, it's okay to believe in the diagnosis, but you don't have to believe in the prognosis, right? So yeah, you have ACEs. You had adverse childhood experiences, right? But that doesn't mean you're going to develop all these diseases. That's the prognosis, because if you read Dr. Amy's book, the biology of trauma, she shares how you can resolve this and reverse the, that basically change lanes. You're on a lane to poor health because of your history. And this book and the courses that Dr. Amy offers, allows you to switch lanes, so you're taking an exit and now you're on to good health. Regardless of where you started from, you've changed lanes and now you're on the path to vitality. Yeah, I would take that quote and I would change it just slightly. I would say you can believe in the diagnosis, but you don't need to be come the diagnosis. Yeah, yeah, I like that. You don't have to become the diagnosis and you're not the prognosis. Like the doctor says, this is what's going to happen. You can say, no, it's not. Yeah, I'm going to eat differently exercise. I'm going to read Amy's book. I remember how much I would need to correct my patients because they would come in and they would say, oh, my anxiety has just been terrible lately. My depression, my auto-munity, my this. And I'm like, let's what claim that? Let's not become our diagnosis. It is the anxiety. It's not mine. If it's mine, then that's a whole other aspect of needing to let go of that and needing to be able to see, no, this isn't me. So even again, like this is just normal society now to see this as who we are and who we have become rather than being able to, as you say, like have a certain level of detachment, not disconnected, but detachment where it's this isn't me. And I'm working to get to my true self. One last thing I want to share about your your book here when I was reading it, that reminded me of how I understand Chinese medicine. As you talk about the trauma and these emotional experiences and it leads to dysregulation, dysregulation in the nervous system, dysregulation in the immune system and then all these symptoms become really apparent. In the West, in conventional medicine, autoimmune diseases are usually treated with autoimmune suppressants, right? We shut down the immune system. My understanding how I was trained in Chinese medicine is well, how we look at autoimmune is a very strong immune system, but it's confused. And so Chinese medicine with herbs, acupuncture diet is to uncomfuse the immune system because we don't want to suppress it because if we suppress it, now we're going to have other problems because you need the immune system for survival and health and vitality. Now I get that paradigm because if that's the only tool you have, it is a good tool versus no tool. The beauty of Chinese medicine is it looks at the body and says, well, it's confused. How do we unconfuse it? And when I was reading the biology of trauma, because Chinese medicine does not separate your thoughts and feelings from the physical. So we address resentment, unresolved trauma in our treatment with our needles. So we're addressing it on a body level and a mind level, always in Chinese medicine, verbally as well. They are always addressing both. And so that's when I was reading your book, your dietary approach, your supplement approach, the mind body biology approach, to me, you are uncomfusing the immune system, meaning you have a dysregulated nervous, therefore immune system. And now that you're regulating it, it no longer attacks self. That's 100%. Yeah. It's being able to have that have clarity on, I'm not in danger right now. And I am not the problem. Yeah. Stop hitting yourself. Right. It's not me. And stop holding yourself to the standard of perfectionism. Yes. Where you will always come up short. Yeah. Yeah. Well, you know, so many successful people are very insecure. And I talked from experience where I was always driven as a young fella. And after every success I had in life, external success, I wouldn't even celebrate. I would be on to the next thing. Like, just as soon as I get this, then I'll be happy. I would get it. And the next day, I'm not happy. I need to do something else. And through this kind of work, this work, I became very aware that my drive was because I didn't feel enough. And so there's a plus side. All the great stuff that's happening in this world is because so many people don't feel enough that they're trying to feel that void and they're creating things. However, you can come to a place where you feel enough and create. So it's no longer out of a need to fill a void. It comes through you because you want to share and you're excited. You're not as attached to the outcome anymore. And now you're not feeling burnt out. You're not feeling the it's fun. It becomes fun. So, but that's what, you know, when I look at people and they're achieving, achieving, achieving, and I can see their health, I'm suspecting because it was my story, not good enough, right? Nothing's ever good enough. There's a perfectionist. And no matter how many people said, look what you're doing inside. I was like, okay, I got to do something better. And if I had time off, that's when I would really feel bad because I'm not producing, then I have no value. Do you relate to that? Because I think from your story, if that might have been part of your personality, quirk as well. 100%. Yes. In fact, Gaubermote decided to share that opinion of me and my accolades and all of my accomplishments and his forward. He's like, this, you know, hyper educated. I forget, you know, exactly how you put it. But that is very much, very much true is that the discomfort with stillness and the need for trying to find a place to belong and trying to seek validation from outside of myself rather than providing myself that validation. And then getting to a place where we're running on fumes. Right. Rather than giving from a place of abundance. I'm so glad you've written this book and I just want to share, you know, I never read your bio at the beginning. Maybe they'll put this at the front or at the end. It is in your first episode, one, 24. But let's talk about your hyper edge chase here. And then we're going to let let's share with our listeners just where they can find you. And just if you give a shout out about you have courses for the public, you have your book public and professionals that love to talk about that. Just for my colleagues, hasn't happened at the time of recording. But I've already asked Dr. Amy if she can create a special course on healthy seminars for you guys. So we'll see if that manifests. But here's Dr. Amy's bio that I did not read at the beginning. And this is from her book cover on the biology of trauma. So I'm using a different one than I did last time, I believe. Dr. Amy is a pioneering forest bridge and biology and healing as a double board. There's the hyper educated certified physician, you preventative and addictive medicine, addiction medicine, with master's degree in biochemistry and public health. Dr. Amy's expertise extends beyond her foundational medical and surgical training into areas like psychosimatics, functional medicine, neural auto immunity, nutritional biochemistry and epigenetics. So we touched on a bit of all that today. I'm her extensive training in somatic art and psychodramatrama therapies combined with her first hand experience with trauma as a foster adoptive mother and her own chronic health issues, letter to discover a missing piece to interventions. By the way, she goes into more detail in episode 124 on our podcast. If you want to listen to that. And as a founder of the Mind Body Biology Institute and creator of the biology of trauma framework, she has developed a revolutionary integrative approach that addresses the full impact of fear and powerlessness. Through her courses, speaking and practitioner training programs, Dr. Amy provides a holistic structured and science-based process for repair. You talked about how important that is. Repair of the impact from stored fear, pain and overwhelm so you can live your best and most authentic life. It did. No, I would not be here today without my experiences and my stories and the people who've been there along the way. So if, you know, yeah, this is where we I feel like get to the next level of our healing where we look back and we say, I would not have chosen it any differently as hard as it was would not have chosen differently. Thank you for writing your book. Thanks for joining me again on the podcast. Everybody, check out our show notes for where you can find Dr. Amy. Amy, can you give a shout out some of your social media and then where they can get your book and then what's available if people want to do a deeper dive for their own work and repair through you. How is can they contact you? What programs you have available at this time? Yeah, they can find me at biologyoftrauma.com and there they will find all the resources. I have a pretty active YouTube channel that they can find some free education. They can connect with me on Lee Dinn on Instagram and have my courses which are really working with the nervous system through this integration of mind, body and biology and showing how to integrate all three of those at the same time as we look at things like attachment, grief, anxiety, overwhelm and being able to really reprogram our nervous systems that it can respond very differently to life's challenges. Thank you very much Dr. Amy. Thank you. Thank you for spending this time with us on the Coherence Code podcast. I'm Dr. Lauren Brown and I will see you next week for another conversation on Coherence and Healing. If this conversation resonated with you, please like, subscribe or follow the show and also share it with someone who might benefit from it as well. remember to take a moment to breathe, reflect, and stay connected. Welcome to the Coherence Code Podcast.

Podcast Summary

Key Points:

  1. Autoimmunity often stems from early emotional wounds and a belief of "I don't like myself," even without a formal diagnosis.
  2. Chronic survival mechanisms (dissociation, immobilization, energy conservation) become trauma patterns that disrupt the body’s ability to reset to safety.
  3. High-functioning perfectionists are especially prone to "predictive autoimmunity," where symptoms like fatigue, pain, digestive issues, and brain fog appear despite normal lab results.
  4. The vagus nerve communicates freeze/shutdown to the digestive system, causing deeper gut dysfunction than ordinary stress.
  5. Accumulated oxidative stress damages mitochondria and DNA, leading to exhaustion and worsening symptoms over time.
  6. A triggering event often only reveals underlying trauma biology that has been building for years.

Summary:

The transcription discusses the link between unresolved trauma and autoimmunity. Dr. " Chronic survival mechanisms—dissociation, immobilization, and energy conservation—become entrenched trauma patterns, causing the body to remain in a state of perceived danger.

These patterns manifest as five recognizable signs, including disconnection from the body, stuckness in life, and depletion. High-functioning perfectionists are particularly susceptible, experiencing symptoms like fatigue, pain, digestive issues, and brain fog—often without an official autoimmune diagnosis (termed "predictive autoimmunity"). The vagus nerve communicates this freeze response to the gut, causing deeper digestive dysfunction than ordinary stress.

Oxidative stress from chronic energy conservation damages mitochondria and DNA, leading to exhaustion and symptom accumulation. Dr. Amy emphasizes that a triggering event is usually the final straw on an already overwhelmed system.

She advocates for treating the individual's vitality and symptoms rather than solely relying on lab results, focusing on restoring the body's ability to reset to safety.

FAQs

Predictive autoimmunity is when a person has autoantibodies or autoimmune-like symptoms but does not meet the full criteria for an official autoimmune diagnosis. It indicates the body's immune system is attacking itself, even if standard labs appear normal.

Many people associate trauma only with major events like accidents or war, but emotional wounds and chronic stress can also create a trauma response in the body. This stored trauma can manifest as chronic health issues without the person recognizing it.

Women with autoimmunity often are high-functioning, perfectionists, and highly driven. They tend to push through symptoms and may say 'I'm fine' even when struggling, reflecting a pattern of disconnection from their body.

Chronic trauma changes metabolism and mitochondria, reducing energy production efficiency. This leads to background exhaustion, which people push through, causing oxidative stress buildup that further damages mitochondria and deepens fatigue.

The three survival mechanisms—dissociation, immobilization, and energy conservation—become chronic and form five recognizable patterns: disconnection from the body, stuckness in life, depletion, and other signs of stored trauma.

The vagus nerve, which controls digestion, communicates a shutdown response when the body perceives life threat. This leads to reduced stomach acid, bile production, and intestinal permeability, causing stuckness and poor digestion.

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