The mental health needs of LGBTQ+ individuals are unique and complex, often shaped by the distinct challenges they face in society. Discrimination, stigma, and the pressure to conform to heteronormative and cisnormative expectations can create an environment where LGBTQ+ people are more susceptible to mental health issues. Studies show that LGBTQ+ individuals are at a higher risk for depression, anxiety, and suicidal ideation compared to their heterosexual and cisgender counterparts. These elevated risks underscore the importance of providing tailored and sensitive mental health support that acknowledges and addresses these specific challenges.

One critical aspect of supporting LGBTQ+ mental health is understanding the impact of minority stress. Minority stress refers to the chronic stress experienced by individuals from stigmatized minority groups. For LGBTQ+ individuals, this stress can stem from various sources, including internalized homophobia or transphobia, experiences of discrimination, and social rejection. Such stressors can profoundly affect mental health, leading to feelings of isolation, low self-esteem, and chronic anxiety. Mental health professionals need to be aware of these factors and incorporate them into their therapeutic approaches, creating a safe and affirming space for LGBTQ+ clients.

Healing the nervous system is a vital component of mental health care for LGBTQ+ individuals. Chronic stress and trauma can dysregulate the nervous system, leading to symptoms such as hypervigilance, anxiety, and emotional numbness. Techniques that promote nervous system healing, such as mindfulness, deep breathing exercises, and somatic therapies, can be particularly beneficial. These practices help individuals reconnect with their bodies, release stored tension, and cultivate a sense of safety and calm. By integrating nervous system healing into mental health care, therapists can help LGBTQ+ clients build resilience and recover from the impacts of trauma.

Moreover, social support plays a crucial role in the mental well-being of LGBTQ+ individuals. Building and maintaining connections with affirming and supportive communities can mitigate the negative effects of minority stress. LGBTQ+ support groups, community organizations, and online forums can provide safe spaces for individuals to share their experiences, receive validation, and find solidarity. These connections not only reduce feelings of isolation but also empower individuals to embrace their identities with pride and confidence. Encouraging LGBTQ+ individuals to seek out and engage with supportive communities can significantly enhance their mental health and overall well-being.

Ultimately, a compassionate and holistic approach to mental health care is essential for LGBTQ+ individuals. By addressing the unique challenges they face, promoting nervous system healing, and fostering supportive social connections, we can create an environment where LGBTQ+ individuals can thrive. Mental health professionals, allies, and communities all play a crucial role in this process. Through understanding, empathy, and proactive support, we can help ensure that every LGBTQ+ person has the opportunity to live a fulfilling and mentally healthy life.

Self-care is a fundamental aspect of maintaining overall well-being, especially for individuals navigating the complexities of trauma and its aftermath. As trauma specialists, We've witnessed the transformative power of self-care in supporting individuals on their healing journeys. In this blog post, we'll explore the definition of self-care, its significance in promoting nervous system healing, and practical strategies for incorporating self-care into your daily life.

At its core, self-care encompasses intentional actions and practices that nurture and replenish the mind, body, and spirit. It involves prioritizing your physical, emotional, and psychological needs, recognizing that caring for yourself is essential for resilience and vitality. Self-care is not selfish or indulgent but rather a vital aspect of maintaining balance and well-being, especially in the face of stress, trauma, and adversity.

When it comes to trauma healing, self-care plays a crucial role in supporting the restoration of the nervous system. Traumatic experiences can dysregulate the autonomic nervous system, leaving individuals in a state of chronic stress, hypervigilance, or dissociation. Self-care practices act as soothing agents to the nervous system, signaling safety and relaxation in the midst of perceived threat. By engaging in self-care activities, individuals can promote nervous system healing, reduce stress levels, and cultivate a greater sense of inner peace and resilience.

Practicing self-care involves tuning into your own needs and preferences and honoring them with compassion and kindness. It's about carving out time and space in your life to prioritize activities that nourish your body, mind, and spirit. Self-care can take many forms, including physical activities like exercise, nourishing your body with healthy food, getting enough restorative sleep, engaging in relaxation techniques such as deep breathing or meditation, and fostering connections with supportive relationships.

As a trauma specialists, we often encourage clients to develop a personalized self-care plan that reflects their unique needs and preferences. This may involve experimenting with different self-care practices to discover what feels most nourishing and fulfilling for them. It's important to approach self-care with a spirit of curiosity, exploration, and self-compassion, recognizing that it's okay to prioritize your own well-being. Remember, self-care is not a luxury but a necessity for thriving in life, and you deserve to prioritize your own well-being.

​In the journey of healing from trauma, fostering self-compassion is not only crucial but also deeply transformative. Here, we delve into practical steps individuals can take to cultivate self-compassion as they navigate the complexities of trauma recovery.

1.    Mindfulness Practices: Begin by cultivating awareness of your thoughts, emotions, and bodily sensations without judgment. Mindfulness allows you to observe your inner experience with curiosity and kindness, rather than getting caught up in self-criticism or rumination. Practices such as mindfulness meditation, body scans, and mindful breathing can help anchor you in the present moment and cultivate a compassionate attitude toward yourself.
2.    Self-Kindness vs. Self-Criticism: Notice the ways in which you speak to yourself and challenge the inner critic with self-kindness. When faced with self-critical thoughts, imagine what you would say to a close friend experiencing similar struggles. Offer yourself words of encouragement, validation, and support, acknowledging that you are doing the best you can in challenging circumstances.
3.    Self-Compassionate Self-Talk: Develop a repertoire of compassionate phrases or mantras to soothe and reassure yourself in times of distress. Repeat these phrases regularly, especially when facing triggers or difficult emotions. Examples include, "May I be kind to myself in this moment," "I am worthy of love and understanding," and "I am not alone in my struggles."
4.    Cultivate a Supportive Inner Dialogue: Engage in a compassionate inner dialogue, acknowledging your experiences with empathy and understanding. Reflect on the ways in which you have shown resilience and strength in the face of adversity. Celebrate your progress, no matter how small, and recognize that healing is a journey that unfolds gradually over time.
5.    Practice Self-Care: Prioritize activities and practices that nourish your body, mind, and spirit. Engage in activities that bring you joy, relaxation, and a sense of fulfillment. Whether it's spending time in nature, practicing yoga, or connecting with loved ones, self-care is an essential aspect of self-compassion and healing.
6.    Seek Support: Reach out for support from trusted friends, family members, or mental health professionals who can offer validation, empathy, and guidance on your healing journey. Surround yourself with individuals who uplift and support you, and don't hesitate to ask for help when needed.

By incorporating these practices into your daily life, you can cultivate a compassionate relationship with yourself that serves as a cornerstone of your healing journey. Remember, self-compassion is not about denying your pain or minimizing your experiences but rather embracing yourself with kindness, understanding, and acceptance as you navigate the path toward healing and wholeness.

In the wake of trauma, amidst the pain and challenges, there exists a profound opportunity for growth and resilience known as post-traumatic growth (PTG). This transformative process involves finding meaning, cultivating resilience, and experiencing personal growth in the aftermath of adversity. When healing from trauma, it is essential to understand PTG and how it intertwines with the healing of the nervous system.

Post-traumatic growth is not about minimizing the impact of trauma or dismissing the pain it causes. Instead, it acknowledges that trauma can catalyze profound inner change and transformation. Through PTG, individuals may develop a deeper appreciation for life, experience increased personal strength, forge deeper connections with others, and discover new possibilities for growth and fulfillment.

Central to the process of post-traumatic growth is the healing of the nervous system. Trauma can dysregulate the autonomic nervous system, leaving individuals in a state of chronic stress, hypervigilance, or dissociation. However, through interventions such as trauma-informed therapy, mindfulness practices, and somatic experiencing, it's possible to restore balance and resilience to the nervous system. These approaches help individuals regulate their stress responses, release stored trauma from the body, and cultivate a greater sense of safety and well-being.

Fostering post-traumatic growth requires a safe and supportive therapeutic environment where individuals feel empowered to explore their experiences and emotions. By validating their struggles and offering tools for healing, therapists can guide clients on a journey of self-discovery and transformation. Through compassionate listening, empathy, and unconditional positive regard, therapists can help individuals navigate the complexities of trauma and embrace the potential for growth and resilience.

While the path to post-traumatic growth may be challenging, it offers hope and possibility for those who have experienced trauma. By embracing the journey of healing, individuals can cultivate resilience, find meaning in their experiences, and ultimately thrive in the face of adversity. For us therapists, it is a privilege to witness the resilience and strength of individuals as they embark on this transformative journey toward post-traumatic growth.

In conclusion, post-traumatic growth is a testament to the human spirit's capacity for resilience and transformation. By understanding the role of the nervous system in trauma healing and creating a supportive therapeutic environment, trauma specialists can facilitate this process of growth and empowerment. Together, we can honor the courage and resilience of trauma survivors as they navigate the path toward healing, growth, and a renewed sense of purpose.

When discussing Post-Traumatic Stress Disorder (PTSD) with clients in the aftermath of their traumatic experience, we have noticed a recurring experience. Many times, clients who meet criteria for the diagnosis of PTSD understand this to mean that they will always suffer from the effects of their trauma. All too often, we see a shadow sweep over our client’s faces as shame and fear rise in their bodies. We want to help clarify this particular diagnosis with a message of hope. PTSD is not a lifelong chronic condition, rather a description of how our bodies work to restore safety after trauma. Let’s talk about Post Traumatic Stress and how we can use this information to work toward healing.

Post-traumatic stress (PTS) is a natural response to experiencing or witnessing a traumatic event, impacting both mind and body. When confronted with trauma, the body's nervous system initiates a complex cascade of responses aimed at survival. Understanding the neurobiological impact of trauma can shed light on the symptoms individuals may experience, such as hypervigilance, flashbacks, and emotional dysregulation.

Understanding PTS must involve the nervous system's role in trauma, which illuminates how our body reacts to perceived threats. Traumatic experiences can dysregulate the autonomic nervous system, leading to a state of hyperarousal or dissociation. This dysregulation can disrupt the body's ability to distinguish between real and perceived danger, resulting in ongoing feelings of fear and vulnerability. By learning about the nervous system processes at play, individuals can gain insight into their symptoms and recognize that they are not signs of weakness but rather adaptive responses to overwhelming circumstances. This knowledge can also inform treatment approaches, emphasizing interventions aimed at regulating the nervous system's stress response.

Treatment for PTS often involves therapeutic modalities that target both the mind and body. Polyvagal theory helps to pay attention to nervous system signals and to use this information to create safety in the mind and body. Dialectical Behavior Therapy (DBT) helps individuals become skillful in mindfulness, emotional regulation, interpersonal skills and distress tolerance, while somatic experiencing focuses on releasing stored trauma from the body. Eye Movement Desensitization and Reprocessing (EMDR) and Brainspotting harness the brain's natural healing mechanisms to reprocess traumatic memories and alleviate distress. These approaches not only address psychological symptoms but also aim to restore balance to the nervous system.

Despite the challenges posed by PTS, there is hope for recovery. With the right support and resources, individuals can learn to regulate their nervous system responses, reduce symptoms, establish safety and cultivate resilience. It's essential to approach treatment with compassion and patience, recognizing that healing is a gradual process that unfolds over time.

In conclusion, understanding the neurobiological impact of trauma is crucial for navigating post-traumatic stress with compassion and efficacy. By integrating this knowledge into psychoeducation and treatment approaches, we can empower individuals to reclaim agency over their healing journey. Remember, recovery is possible, and there is hope for a brighter future beyond trauma's shadow. Next week’s blog post will be about Post Traumatic Growth. 

Healing from the effects of trauma can be terribly daunting. In "8 Keys to Safe Trauma Recovery," author Babette Rothschild invites us to navigate trauma healing with wisdom and compassion, offering a roadmap to reclaiming safety, empowerment, and wholeness. Therapists in our practice often recommend this book for clients who are wanting to understand the basics of trauma recovery. Below is a short summary of the 8 keys to safe trauma recovery:

Key 1: Plot Your Course With Mindfulness
Mindfulness is awareness of the present moment, and includes an awareness of emotions, body sensations and cues and more. Using mindfulness to observe our physiological cues can give us vital information to keep us safe and regulated in our post-traumatic life. Inherent in this point is a permission to make choices to keep our bodies and minds regulated, to preserve our peace and safety.

Key 2: Begin with Your Epilogue
This chapter speaks to the importance of noticing that our traumatic experience has ended. Healing can only happen when we know that we are no longer being traumatized and that we made it through the terrible experience. Making these realizations also helps us recognize the internal and external factors that support our ongoing survival.

Key 3: Remembering is NOT Required
Although there is much discussion about this in the mental health community, the author makes the argument that remembering and revisiting traumatic experiences is not required for trauma healing. This argument builds on the skills developed in the first two chapters, stating that developing mindful observation of nervous system cues and using that information to create safety can be enough to heal and move forward. Also inherent in this argument is a question of consent: do you want to revisit your traumatic memories?

Key 4: Stop Flashbacks
Trauma flashbacks are one of the hallmark side-effects of trauma, and they are intrusive and highly disruptive. The author works to reduce and eliminate flashbacks by focusing on the language we use to process them. Are we describing the flashback to ourself in present or past language? Is there a negative or critical message we have internalized when we see our trauma replay in our mind? Moving a flashback from present moment to memory and bringing in compassionate language can make all of the difference for our post-traumatic life.

Key 5: Reconcile Forgiveness and Shame
Oftentimes, healing from a traumatic experience will require us to reconcile our feelings of guilt and shame. The author recommends bringing self-forgiveness and self-compassion to our limitations and sharing about our shame. Both of these gentle practices reduce the lasting impact of shame and guilt.

Key 6: Take Smaller Steps for Bigger Leaps
This chapter speaks to the overwhelm so many feel toward trauma recovery. The author validates the common desire to rush through trauma recovery and, in doing so, taking big steps that end up creating more distress and overwhelm. She advocates for small steps that work to keep trauma survivors feeling safe and regulated, which actually serves to establish nervous system trust and healing.

Key 7: Get Moving
Trauma reverberates throughout our physical bodies, and because of this, physical activity can have a lot of potential to heal our physical selves. Physical activity not only moves us out of the nervous system freeze response, but building strength and endurance can also provide a sense of physical empowerment and even safety. Each individual heals from different types of movement, so this concept also provides an invitation to explore what types of movement are right for each trauma survivor.

Key 8: Make Lemonade
This chapter highlights the benefits of finding the growth opportunities that exist in our post-traumatic life experiences. While no traumatic experience is primarily beneficial, we may be able to find ripple effects in our lives that leave us in a more resilient, wholehearted or healed state of being.

Conclusion: Embracing Gentleness and Safety for Trauma Recovery
Babette Rothschild reminds us that a slow, gentle and common-sense approach to trauma healing is possible. Her 8 Keys invite the trauma survivor to collaborate and even lead the healing journey. May we walk this path together, empowered by the keys to safe trauma recovery, and emerge stronger, wiser, and more resilient than ever before.

In the ups and downs of our lived experience, our nervous system translates and stores the impact of what we experience. Trauma disrupts the delicate balance of our nervous system, leaving behind discordant echoes that reverberate through our bodies, minds, and spirits. Today, we explore a healing journey informed by Polyvagal Theory, illuminating the pathways to safety and healing after trauma.
The Polyvagal Perspective on Trauma
Polyvagal Theory, pioneered by Dr. Stephen Porges, offers a revolutionary lens through which to understand the impact of trauma on the nervous system. At its core lies the recognition that our autonomic nervous system – comprised of the sympathetic and parasympathetic branches – plays a pivotal role in regulating our responses to threat and safety.
Trauma hijacks the autonomic nervous system, propelling us into states of hyperarousal or hypoarousal. Hyperarousal, characterized by the activation of the sympathetic "fight or flight" response, plunges us into a state of vigilance and reactivity. Conversely, hypoarousal triggers the parasympathetic "freeze" response, leading to dissociation and disconnection from our internal landscape.
The Quest for Nervous System Safety
In the aftermath of trauma, reestablishing physical, emotional and relational safety becomes top priority– not just as a concept but as a physiological imperative. Nervous system safety transcends mere physical refuge; it encompasses the restoration of neurophysiological equilibrium, allowing us to navigate the world with a sense of calm and connection.
Central to Polyvagal Theory is the concept of ventral vagal engagement – a state of social engagement and connection fostered by the parasympathetic nervous system. Cultivating ventral vagal pathways is essential for re-establishing safety after trauma, facilitating intimacy, trust, and attunement in our relationships.
In the realm of Polyvagal Theory, healing unfolds within the crucible of safe and supportive relationships. Co-regulation – the reciprocal exchange of physiological and emotional cues – serves as the cornerstone of healing, offering a roadmap for navigating the complexities of interpersonal connection with grace and compassion.
Embodied Resilience and Empowerment
Resilience, from a Polyvagal perspective, is not merely a psychological construct; it's an embodied state of being. Embodied resilience entails attuning to the wisdom of our bodies, harnessing the innate capacity for self-regulation, and integrating our experiences into the tapestry of our being with gentleness and acceptance.
Empowerment begins with understanding. Polyvagal literacy equips us with the knowledge and insight to navigate the terrain of trauma with clarity and agency. It invites us to become fluent in the language of our nervous system, attuning to its cues and messages with curiosity and compassion.
Nurturing Hope Through Nervous System Awareness
In the vast expanse of trauma's aftermath, hope emerges as a guiding light – a beacon of possibility beckoning us towards healing and wholeness. Polyvagal awareness infuses hope with substance, grounding it in the neurophysiological realities of our embodied experience and illuminating the path towards transformation.
In closing, the journey of healing after trauma, as illuminated by Polyvagal Theory, is a testament to the resilience of the human spirit and the transformative power of connection. May we remember that healing is not just a destination but a sacred unfolding – a journey of rediscovery, reclamation, and profound self-compassion.
So, to all those embarking on this nervous system healing path, know that you are not alone. Within the wisdom of your nervous system lies the map to healing and wholeness. And as you navigate the terrain of trauma with courage and grace, may you find solace in the knowledge that safety, connection, and resilience are not just within reach – they are your birthright.
Embrace the journey, dear reader, for within its twists and turns lies the promise of a life reclaimed, a spirit renewed, and a heart restored to its truest rhythm. And it is our privilege to provide guidance, safety and relational support on the path of healing and restoration. 

Radical Acceptance is a core skill in Dialectical Behavior Therapy (DBT). This skill falls into the category of Distress Tolerance skills. We reach for this skill when we are navigating something big and hard in our life that is outside of our control or influence. The idea behind Radical Acceptance is that we can work to improve our wellbeing even in the midst of the big and hard things.
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To appreciate what Radical Acceptance can offer us, we must first understand the difference between pain and suffering. Pain is an inevitable part of being human in our world. We will all experience pain at different times in our life. Suffering, however, is caused when we make choices that make painful circumstances harder for ourselves. Radical Acceptance seeks to accept pain and reduce suffering. When we reduce suffering, we grow in emotional resilience and wellbeing. 

​Radical Acceptance is the act of fully acknowledging and embracing reality without judgment or resistance. In other words, Radical Acceptance is a choice to stop fighting against reality. Likely something is happening in our life that is hard and beyond our ability to change it, and we are left with the decision to accept (radically) or reject the reality of the situation. The radical part of Radical Acceptance speaks to the complete and total nature of our choice to accept reality. Radical Acceptance is not resignation or apathy, rather it is a conscious choice to yield to what is real. Radical Acceptance also does not require our stamp of approval on the difficult circumstances, instead a simple acknowledgement that it exists and that we will stop fighting against it. Suffering comes when we fight against painful events that we don’t have the power to change, and Radical Acceptance offers us a peaceful alternative.

DBT offers us some step-by-step guidance on how to execute the choice to Radically Accept painful circumstances.

1. Observe the internal resistance to pain or painful circumstances
2. Notice and describe the emotions or sensations related to this resistance
3. Embrace the reality of the present moment
4. Find and acknowledge peace in accepting things as they are

​We can draw upon other DBT skills as tools to help us in this process. Mindfulness skills help us notice what is happening internally and externally and bring awareness to the present moment. Additionally, mindfulness skills call us to self-compassion and nonjudgmental observation of emotions.  We may have an opportunity to reframe negative thoughts about our reality and notice growth opportunities or unexpected benefits. Some nourishing activities like journaling and spending time in nature can help promote acceptance. Often times, Radical Acceptance requires patience and practice, as most painful events will require us to choose acceptance over and over again.

Disclaimer: Radical Acceptance is not an excuse for harmful or abusive dynamics, but it may be a starting point for being honest about the harm that exists. May this honesty open doors for healing and support.

Written by Christian Swan on July 30, 2017

Last night, I had the opportunity to watch the Colorado Symphony perform the score from Harry Potter and the Chamber of Secrets while the movie itself played behind them. It was a really fun night out with my sister-in-law, as we both love the Harry Potter series and also gained appreciation for the stunning John Williams score. As I reflect on the movie today, there is one line that continues to repeat in my head. At the end of Harry's confrontation with Lord Voldemort, Ginny Weasley is revived and Harry Potter's basilisk injury is healed. Harry looks up at Ginny and says "It's alright Ginny, It's over. It's just a memory." Harry and Ginny have just suffered immense traumas that included actual threat to their lives, and yet in this moment, the traumatic memory is consolidated. Harry recognizes that he is safe, and that the events will now only exist in a memory in his mind. The memory remains, but it has no power over him. 

​In one line, Harry Potter summarized the goal of trauma therapy: successful recognition of one's safety. 

As many of us know, recognizing that you are safe after experiencing trauma is much easier said than done. Sure, you may have the cognitive realization that you are no longer in danger, but the nervous system often operates as if the trauma is ongoing. This sense of ongoing trauma manifests itself in the form of post-traumatic symptoms such as sleeplessness, panic attacks, flashbacks, irritability, fearfulness, or compulsive behavior. The goal of trauma therapy, then, is not only to know on a cognitive level that one is safe, but to develop coping skills around the post-traumatic symptoms so that the nervous system can start signaling that one is truly safe. 

Each individual heals from trauma differently. Some, like our friend Harry Potter, may integrate the traumatic story more quickly. However, others may continue to suffer from post-traumatic symptoms for months or years after the traumatic event. Where are you in your healing from trauma? Perhaps you have achieved complete healing and can say confidently, "This event happened to me and is part of my story, but it is now only a memory." Perhaps you are experiencing some of the symptoms I mentioned above. It's also possible that you fall somewhere in the middle. Some traumatized individuals may function at a high level, while frequently feeling blindsided by irritability, anxiety, or memories of the traumatic event. 

If you are considering whether or not you might pursue counseling for your trauma, I encourage you to think back on the event and try Harry's statement: "it's alright; it's over; it's just a memory." How does that sit with you? Are you able to believe yourself, visiting the memory from a distance, or do thoughts of the event trigger anxiety and fearfulness? If you responded with the latter, I want you to know that there is hope, and that you don't have to live a life haunted by your trauma. With counseling, you can begin the healing work of returning to a safe place not only in the world, but also within your own body. 

 Written by Christian Swan on March 16, 2017

I still remember my exact location and can nearly return to the sensations I felt in my body the moment I got the text message. I remember reading the words, "active shooter," from my husband who was in his office on that sunny day in June. While my husband returned home safely that evening, there is no arguing that he suffered a major traumatic incident. 

In the days and weeks that followed, my husband and I received an overwhelming amount of support. Our phones were overloaded with text messages and calls from loved ones, and we even received a few free meals. I was very thankful for the community we had at the time, and yet noticed a common thread in all of the support we were receiving. "How is your husband? Is he doing better?" people would ask me. I would answer their questions, and they felt relieved to hear that my husband was healing well. However, I was still suffering, and I struggled to advocate for the support I needed at the time. 

As the loved one of a survivor of trauma, I also became a survivor of secondary/vicarious trauma. Secondary trauma occurs as a result of secondary exposure to traumatic content. When our loved ones are impacted by trauma, we want to listen to their story and help in any way possible. And yet, it is too easily to overlook the effects their stories have on our own bodies. These effects can manifest themselves in various ways, from sleep disturbance to irritability to excessive fear and worry. 
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Do you have a loved one who recently survived a traumatic event? Perhaps you are feeling overwhelmed and excessively tired as you seek to provide care. You may also find yourself struggling to find meaningful ways to support your loved one. Below are some ways that you can support yourself during this time:
   1.) Honor your experience as a secondary survivor of trauma. Often, secondary survivors feel guilty when they become overwhelmed by their loved one's story. It is too easy to say, "I need to stop feeling badly because the trauma didn't happen directly to me." Instead, consider the effects that these stories are having on your body and take time to name your own traumatic experiencing. 
    2.) Seek activities that nourish you. Some ideas may be getting outside, practicing yoga or meditation, going to a concert, calling a close friend, or taking  a nap. What activities help you feel refreshed? Pursue them.
    3.) Consider professional counseling. Taking time to focus on your own experience will not only help you to heal but will also give you more freedom to care for your loved one.