0:00
Whereas when health anxiety is primary,
0:02
the treatment often includes like
0:04
tolerating uncertainty. It's sitting
0:06
with yourself in the unknown, reducing
0:08
your need for reassurance and
0:10
reassurance seeking, and just being with
0:12
yourself in that moment. It can have,
0:14
you know, more cognitive and behavioral
0:16
strategies as part of the treatment
0:18
because exposure to uncertainty rather
0:21
than bodily threat is part of it. And
0:23
then when both are present, which is
0:25
really unfortunately very common,
0:27
treatment must address both loops, not
0:30
just the symptoms. You can't think your
0:31
way out of grief and you can't reprocess
0:34
uncertainty without first addressing the
0:36
fear. And so, what I love is that EMDR
0:39
is a really beautiful fit for these
0:41
presenting issues because it's
0:43
particularly helpful when panic attacks
0:45
trace back to earlier losses. I always
0:47
teach my therapists, "When you have a
0:50
client that presents with panic, ask
0:52
them when they first had their panic
0:53
attack. What was happening in their life
0:55
at the time of the first event?"
0:57
Usually, there was some kind of loss,
1:00
whether it was parents divorcing or a
1:01
loss of a family member or something
1:04
going on that really was, you know, that
1:06
might have upside down their life. Body
1:09
sensations are tied to helplessness or
1:11
abandonment or that grief. And early
1:14
panic experiences created lasting fear
1:17
networks basically that the other shoe
1:19
was going to drop and I've got to be
1:20
always on alert that it's going to
1:23
Someone logically knows that they're
1:25
safe. They can look around their life
1:27
and they can say, "I know that this
1:28
isn't now and this this isn't my life."
1:31
But their body just will not buy it. It
1:32
won't agree. So, EMDR helps the nervous
1:35
system to update that old information so
1:38
that the body no longer needs to sound
1:40
this alarm. That threat is now. PTSD
1:43
symptoms and all of these trauma
1:44
response symptoms are really a time
1:46
orientation issue. The body thinks that
1:49
now is then. And when we're triggered in
1:51
the in the sensory stimulus or the
1:53
environment now, we're alerted to past
1:56
unresolved memories that are not fully
1:58
encoded accurately. And so, it doesn't
2:01
eliminate the uncertainty. It just helps
2:03
to resolve what's already been carried
