The Biology of Trauma® With Dr. Aimie

• Why Trauma Therapy Made Me Sicker: The Missing Biology Behind Emotional Healing

  Why does trauma therapy sometimes make you feel worse physically? What if the key to healing isn't just changing your mindset, but understanding your cellular capacity for stress? When you dive into trauma work without addressing your biology first, you might be opening Pandora's box in ways that overwhelm your body's ability to cope. Dr. Aimie Apigian discovered this the hard way - developing multiple health conditions including autoimmunity and chronic fatigue while doing "cutting-edge" trauma therapy. Her physical reactions to emotional healing led to a groundbreaking understanding: trauma isn't just stored in your mind, it's living in your cells, and your body has a limited capacity for processing stress. In this illuminating conversation with Dr. Tom O'Bryan, Dr. Aimie reveals why the popular focus on mindset and "being stronger" actually sabotages healing. She breaks down the three biological survival mechanisms that keep trauma locked in your body and explains why addressing toxic burden is essential for emotional recovery. You'll hear more on: Why trauma therapy can trigger physical flare-ups including gut issues, chronic fatigue, and autoimmune symptoms The critical difference between emotional capacity and physical homeostatic capacity for healing How cellular capacity - not mindset - determines how much stress you can handle without breaking The three survival mechanisms your body uses during trauma: dissociation, immobilization, and energy conservation Why you crave specific foods like bread and sweets after emotional breakthroughs (and the biology behind it) How gluten affects your brain through opiate receptors and hypoperfusion, creating a "dumbed down" state The connection between trauma burden and toxic burden - why they're the same at the cellular level Dr. Tom's four-quadrant approach to chronic conditions: structure, biochemistry, emotional/spiritual, and electromagnetic Why all chronic health conditions are related to trauma biology, according to adverse childhood experiences research How to recognize if your body is holding trauma through specific biological patterns The "emergency brake" effect: why comprehensive medical care fails when trauma biology isn't addressed How to approach trauma healing while staying within your capacity and building resilience safely Whether you've experienced physical reactions during emotional healing work, struggle with chronic health conditions that don't respond to treatment, or are supporting someone through trauma recovery, this episode reveals why befriending your body and honoring your biological limits is essential for lasting transformation. Dr. Aimie's groundbreaking approach, validated by Dr. Tom's decades of clinical experience shows us that healing trauma isn't about pushing through or being stronger - it's about creating safety at the cellular level so your body can finally let go of what it's been holding to protect you. 🎧 Want the deeper dive? This conversation builds on the foundational concepts from Episode 138: "The Biology of Trauma: Why Your Body Holds On When Your Mind Has Healed with Dr. Aimie Apigian" where Dr. Aimie explore the cellular mechanisms of trauma storage and the critical importance of understanding your biological capacity for healing.

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• The Biology of Trauma: Why Your Body Holds On When Your Mind Has Healed with Dr. Aimie Apigian

  In this special reverse interview episode, my friend and colleague Steven Wright from Healthy Gut interviews me about the core concepts from my upcoming book, The Biology of Trauma. Steven understands the somatic work, the parts work, the biology, the capacity, and the overwhelm from his own healing journey, making this conversation uniquely insightful. I share stories I haven't told anywhere else - including my keto diet disaster during surgery residency that became my first clue about the biology of trauma. We explore why I rewrote this book seven times, how I discovered I had all three major biochemical imbalances, and the painful decision to place my adopted son Miguel in a different home - the grief that ultimately led to my autoimmune diagnosis and this entire body of work. Key Topics & Timestamps [00:00] The Eight Drafts of the book: Dr. Aimie's journey as an author [04:12] Beyond ACEs Scores: Why we can become obsessed with our score  [08:36] Capacity is Everything: Understanding your nervous system's dynamic capacity  [13:47] The Biology Block: How Dr. Aimie discovered her own biology was sabotaging her trauma healing [21:55] The Pain Equation: When humans decide to change  [25:44] Perception vs. Reality: How we create mountains from molehills  [28:19] The Healing Timeline: Why trauma work doesn't have to be a lifelong journey [34:04] Safety First: The critical sequence for healing trauma without retraumatization [37:18] Stress vs. Trauma: The crucial distinction that changes everything [38:18] Miguel's Story: The heartbreaking adoption journey that changed Dr. Aimie Main Takeaways The Three-Legged Stool: True trauma healing requires addressing psychological, emotional, AND biological aspects simultaneously Biology Keeps You Stuck: Inflammation, oxidative stress, and biochemical imbalances create internal danger signals that perpetuate trauma responses Capacity Changes Moment to Moment: Your nervous system's capacity is dynamic and requires constant awareness, not just daily check-ins Perception Creates Your Reality: Your body responds to your perception of danger, not actual danger - making that molehill into a mountain The Right Sequence Matters: Creating safety must come before attempting to process trauma, or symptoms worsen Fast Healing is Possible: When addressing all three domains properly, healing happens faster than medication with only positive "side effects" Notable Quotes "If something makes you sick, that is not stress. Let's call it for what it is. That is your body having gone into a trauma response." "Our capacity is not being measured up against our reality, it's being measured up against our perceptions." "The pain of staying the same has to become so bad that we're willing to undergo the pain of change." "If their body had already felt safe, it would have already opened up all of this stuff and let all of these emotions and trauma go. It hasn't felt safe." Episode Takeaway Trauma healing doesn't have to be a lifelong journey. By understanding that trauma lives in your biology - not just your mind - and following the proper sequence of safety, support, then expansion, you can heal faster than traditional approaches suggest. The key is addressing all three aspects: psychological, emotional, and biological, rather than focusing on just one. Resources Related To This Episode Resources/Guides: Biology of Trauma book - Bonuses are available when you Pre-order now. Go Deeper With Dr. Aimie with The Biology of Trauma Book (available only until September 22nd): Guided Seeker: Get the Workbook + Mastercourse to go with the book - walking you through each chapter's key concepts Accelerated Implementer: Everything above + live half-day online group intensive with Dr. Aimie for implementation support Fast Track Professional: Everything above + one full day in-person with Dr. Aimie at her home to identify your biggest personal block to your next level of healing and regulation as a professional and guide for others  Foundational Journey - If you want to be guided through The Essential Sequence laid out in the Roadmap and the book, join me and my team for this 6 week journey into your inner world with practical somatic and parts self-practices to lay your foundation to do the deeper work safely. These are the daily practices I have found that change one’s biology and health symptoms the fastest. Steven Wright - Healthy Gut - Learn more about Steven's gut-brain support products: HoloZyme™ digestive enzymes with dual-strain activation technology, Tributyrin-X™ for microbiome diversity and gut lining health, and HCL Guard™ for protein digestion support Related Episode: Episode 122: Shutdown Before Stress: The Misstep in Trauma Healing That Often Gets Missed Related YouTube Video: Shutdown Before Stress: The Misstep in Trauma Healing That Often Gets Missed | Dr. Aimie Apigian About Dr. Aimie Apigian Dr. Aimie Apigian is a double board-certified physician in preventive and addiction medicine who bridges the gap between Western medicine and somatic healing practices. After her own health crisis in 2014 while in medical residency, she discovered how stored trauma was affecting her biology. She has since dedicated her career to helping others understand and heal the biological impacts of trauma through her courses, clinical practice, and her new book "The Biology of Trauma."   Disclaimer: By listening to this podcast, you agree not to use this podcast as medical, psychological, or mental health advice to treat any medical or psychological condition in yourself or others. This podcast is for informational and educational purposes only and does not constitute professional advice, diagnosis, or treatment. Always consult your own physician, therapist, psychiatrist, or other qualified health provider regarding any physical or mental health issues you may be experiencing. Comment Etiquette: I would love to hear your thoughts on this episode! Please share your constructive feedback by using personal name or initials so that we can keep this space spam-free, and let's keep the discussion positive!

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• Why Weight Shifts After Leaving a Toxic Relationship: The Biology Behind It

  Why do so many people suddenly start losing weight when they finally escape a toxic relationship or environment? What if your body's stubborn weight isn't about willpower, metabolism, or even food - but about stored trauma keeping you in survival mode? When you're trapped in toxic relationships or environments, your body operates from what I call chronic functional freeze. This isn't just emotional - it's a complete biological shutdown that affects everything from your thyroid function to your detoxification pathways. Your metabolism hibernates, toxins accumulate, and your body holds onto weight as a survival strategy. In this Biology Behind It mini episode, I answer practitioner Zay's excellent question about why clients lose weight effortlessly after leaving toxic situations, even without doing deep healing work yet. I break down the hidden biology keeping you stuck and why your nervous system won't let go of excess weight until it feels truly safe. You'll hear more on: Why avoiding feelings creates a biology of energy conservation and metabolic shutdown How chronic functional freeze affects your thyroid hormones - including reverse T3 that doctors rarely test The connection between stored trauma and toxin accumulation that makes weight loss impossible Why detoxification pathways shut down when your nervous system is in survival mode How toxic relationships create the same biological effects as physical toxins Why your inner operating state drives all your body systems - not individual organ problems How creating inner safety naturally eliminates coping mechanisms like emotional eating The integrated approach to clearing both emotional and physical toxins safely Whether you've struggled with stubborn weight that won't budge despite your efforts, or you're supporting someone who's finally ready to leave a toxic situation, this episode reveals why your body refuses to let go until your nervous system feels safe. I give you hope that when you address the real root - stored trauma - your body naturally returns to health. 🎧 Want the full story? Listen to Episode 137: "Does Somatic Healing Work: How Mind-Body Healing Can Change 30 Years of Chronic Illness In 6 Weeks" for Keisha's complete transformation story and the science behind rapid healing.

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• Does Somatic Healing Work: How Mind-Body Healing Can Change 30 Years of Chronic Illness In 6 Weeks

  Many people struggle with chronic fatigue, autoimmune conditions, and exhaustion that no amount of sleep seems to cure. They've tried medications, supplements, therapy, and self-care practices, yet still find themselves needing daily naps just to function. They can't understand why their body seems to be working against them instead of healing, or why they feel so disconnected from the energy they once had. In this episode, you'll meet Kecia, whose story reveals what's possible when we finally address trauma where it lives - in the nervous system. After 30 years on medical disability and needing daily three-hour naps just to survive, Kecia was sleeping 16-18 hours daily and housebound for years. By age 25, autoimmune illness had taken her career as a respiratory therapist, her ability to hike, even basic tasks. After completing the Foundational Journey, something happened that might sound impossible - she went seven weeks without needing a single nap for the first time in decades. Her husband said she became "like the person I knew 30 years ago." This isn't about willpower or positive thinking. It's about understanding how unresolved attachment wounds show up as physical symptoms decades later, and why trauma healing requires addressing the nervous system directly. You'll hear more on: [3:30] Why Kecia never expected to live past 18 and how autoimmune disease changed everything for her by age 25 [8:00] The struggle to get medical validation and how one doctor's compassion literally changed her physiology [14:00] The shift that seemed impossible - seven weeks without daily naps after 30 years of needing them [16:00] What's actually happening in your body during chronic freeze and why extreme sleep needs make biological sense [19:00] How coming out of freeze brought back joy, energy, and the ability to experience life fully again [25:00] Why being praised for "resilience" can actually create stored trauma patterns in your body [29:00] Dr. Aimie's guidance on capacity management and energy investment for sustainable healing Whether you're personally dealing with chronic fatigue and autoimmune conditions that doctors can't fully explain, or you're a practitioner supporting clients with unexplained physical symptoms, this episode shows how addressing trauma at the nervous system level can create changes that seem impossible when we've been stuck for so long. Helpful Links Related To This Episode Resources/Guides: Biology of Trauma book - how the body experiences and holds fear, pain and overwhelm, and how to heal. Pre-order now and, at the time of this recording, you’ll get over $400 in bonuses included! Those bonuses are only for the pre-order window which goes until Sept 22, 2025. Book Bundles (available only until September 22nd) - Go deeper with exclusive bundles that include the book plus additional support: Guided Seeker Bundle: Book + workbook + master course walking you through each chapter's key concepts Accelerated Implementer Bundle: Everything above + live half-day online group intensive with Dr. Aimie for implementation support Fast Track Practitioner Bundle: Everything above + one full day in-person with Dr. Aimie at her home to identify your personal blocks and create your customized 30-day healing plan Foundational Journey - If you want to be guided through The Essential Sequence laid out in the Roadmap and the book, join me and my team for this 6 week journey into your inner world with practical somatic and parts self-practices to lay your foundation to do the deeper work safely. These are the daily practices I have found that change one’s biology and health symptoms the fastest. Related Podcast Episodes: Episode 71: Understanding the Trauma Connection Between Attachment, Autoimmunity, and Fatigue Episode 133: Autoimmunity and Childhood Trauma: How Your Immune System Reflects Your Past Related Youtube Videos: Childhood Freeze & Autoimmunity: Insights with Keesha Ewers | Dr. Aimie Apigian Prevent Autoimmunity: Trauma, Toxins & Diet Steps | Dr. Aimie Apigian   Disclaimer: By listening to this podcast, you agree not to use this podcast as medical, psychological, or mental health advice to treat any medical or psychological condition in yourself or others. This podcast is for informational and educational purposes only and does not constitute professional advice, diagnosis, or treatment. Always consult your own physician, therapist, psychiatrist, or other qualified health provider regarding any physical or mental health issues you may be experiencing. Comment Etiquette: I would love to hear your thoughts on this episode! Please share your constructive feedback by using personal name or initials so that we can keep this space spam-free, and let's keep the discussion positive!

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• Why You Always Feel Responsible for Everything and What Your Body Is Really Trying to Tell You

  Do you carry everyone else's emotions like they're your personal responsibility? What if that crushing weight isn't your personality, but your nervous system still running on childhood survival biology? When you feel like everything depends on you - fixing problems, managing emotions, preventing disasters - your body is operating from what I call protection mode. This isn't about being caring or responsible. It's complex PTSD showing up as hyperresponsibility, and there's specific biology behind why your nervous system won't trust others to handle anything. Think of protection mode like living with an internal security system that never turns off. Your shoulders stay braced, your nervous system scans for problems to solve, and you exhaust yourself trying to control outcomes that aren't actually yours to manage. Meanwhile, everyone else seems to relax while you carry the mental load. In this Biology Behind It mini episode, I break down the highlights from Episode 136, explaining why adults who experienced childhood chaos still live with their hearts protected and an exhausting need to manage everyone else's stability. You'll hear more on: Why neuroception (your body's background safety calculator) still reads danger signals everywhere How protection mode creates the physiology of chronic responsibility and hypervigilance The hidden costs of living protected: sleep issues, chronic fatigue, muscle tension, and autoimmune problems Why you can't be in protection mode AND connection mode simultaneously - they're opposite physiological states How childhood experiences of "I never want to feel that way again" create lasting protection patterns The difference between telling yourself you're safe versus creating actual inner safety Why waiting for someone else to make you feel secure keeps you stuck in survival biology Practical somatic approaches to shift from protection mode to authentic safety Whether you're the person everyone calls when things fall apart or you're supporting someone whose strength might actually be stored trauma, this episode reveals why your nervous system refuses to let others take responsibility. I give you the roadmap back to trusting life enough to finally let your guard down. 🎧 Want the full deep-dive? Listen to Episode 136: "Why You Always Feel Responsible for Everything: Hidden Signs of Complex PTSD from Childhood" for the complete framework on recognizing protection patterns and creating the inner safety your body needs to finally relax.

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