Tag: Trauma

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  • Looking Honestly at the Challenges of Mindfulness Practices

    Looking Honestly at the Challenges of Mindfulness Practices

    While the challenges of mindfulness practices are real, research confirms that mindfulness can also be helpful in preventing relapses into depression and reduce healthcare visits.

    Willoughby Britton, a psychiatrist and mindfulness practitioner, has researched what he terms the “difficult or challenging mind states” among advanced meditators and scholars that can occur as a result of intense meditation practice.

    The challenges of mindfulness are real. The truth is, meditation is not all calm and peace. Mental material can come up that can be uncomfortable or need to be addressed.

    Britton spoke generally with Mindful about how mindfulness has been marketed in this country as a “warm bath,” when in actuality, you have to deal with whatever comes up in the mind.

    “A lot of psychological material is going to come up and be processed. Old resentments, wounds, that kind of thing,” says Britton, “But also some traumatic material if people have a trauma history, it can come up and need additional support or even therapy.”

    Halliwell asks: “Does something beneficial have to be delivered perfectly—and to bring about a perfect world—before we will accept it as worthwhile?”

    Ed Halliwell, mindfulness teacher and author of The Mindful Manifesto, admits that meditation can be an emotional rollercoaster. “Mindfulness has a great many benefits,” Halliwell writes, but he takes issue with mindfulness being touted as a cure-all. At the same time, there’s an all-or-nothing mentality brewing around the adoption of mindfulness practices, and Halliwell asks: “Does something beneficial have to be delivered perfectly—and to bring about a perfect world—before we will accept it as worthwhile?”

    Elisha Goldstein, clinical psychologist and mindfulness teacher, noted that it’s not a question of whether mindfulness is harmful or not. When we’re assessing the challenges of mindfulness practices, the better question is where you’re getting that mindfulness training from. “It comes down to an education on mindfulness (and a variety of factors that it represents) and finding an experienced teacher as a guide to meet the practitioner where they are at.”

    Research is ongoing

    Research on mindfulness and depression is still preliminary, but there are promising indicators.

    Scientific American surveyed findings and some of the key controversies regarding the application of mindfulness for depression and anxiety, and concluded:

    When it comes to treating diagnosed mental disorders, the evidence that mindfulness helps is mixed, with the strongest data pointing toward its ability to reduce clinical depression and prevent relapses.

    In particular, new research has emerged indicating that an 8-week mindfulness-based cognitive therapy (MBCT) program might reduce the risk of relapses into depression. Study authors identified that mindfulness helped in the following ways:

    • MBCT allowed people to be more intentionally aware of the present moment, which gave them space to pause before reacting automatically to others.
    • Bringing mindful awareness to uncomfortable experiences helped people to approach situations that they would previously avoid, which fostered self-confidence and assertiveness.
    • Study participants also described having more energy, feeling less overwhelmed by negative emotion, and being in a better position to cope with and support others.

    Another piece of research reported that frequent health service users who received MBCT therapy showed a significant reduction in non-mental health care visits over a one-year period.

    “We speculate that mindfulness-based cognitive therapy has elements that could help people who are high health-care utilizers manage their distress without needing to go to a doctor,” says Dr. Paul Kurdyak, lead author and Director of Health Systems Research at Centre for Addiction and Mental Health (CAMH) and Lead of the Mental Health and Addictions Research Program at the Institute for Clinical Evaluative Sciences (ICES).



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  • Addiction, Trauma, and the Problem of Being Present

    Addiction, Trauma, and the Problem of Being Present

    The Power of Then

    I remember one day in rehab, after a particularly gruelling day of group therapy, the facilitator decided to end with a mindfulness meditation. Feeling exhausted and overstimulated, I welcomed the chance to close my eyes and shut out the world for a little while.

    But as she guided our awareness through the body, I became painfully aware of what was happening inside mine—the tightness in my jaw and throat, my heart pounding, the knot of fear twisting in my stomach. My body didn’t feel like a safe place to be; it felt like a war zone.

    When the meditation ended, she reminded us of how important it is in recovery to live in the now.” And that left me with a burning question that I didn’t dare ask: What if my now feels unbearable?

    When the meditation ended, she reminded us of how important it is in recovery to live in the now.” And that left me with a burning question that I didn’t dare ask: What if my now feels unbearable?

    For many people in recovery, being in the body can feel like stepping onto enemy territory. It’s where we hold the emotional pain, unresolved trauma, and survival responses we’ve spent years trying not to feel. Mindfulness invites us to tune in—to become aware of our bodies and minds, to sit with our emotions and thoughts. 

    To many people, this is a neutral concept. However, for the addict in recovery, it’s also being asked to return to the danger our addiction once protected us from.

    I once heard someone say, “You can’t feel the power of now until you’ve healed the power of then.” That statement really stuck with me. 

    When the nervous system is carrying trauma—when we’re dysregulated, overwhelmed, or trapped in a state of fight/flight/freeze—mindfulness doesn’t always feel supportive. Sometimes it simply heightens our awareness of the pain and discomfort within, without giving us the resources to cope.

    The Root of Addiction

    Many experts in the trauma and addiction field believe trauma sits at the root of addiction. Gabor Mate, one of the most influential voices in this work, invites us to shift the question from, Why the addiction? to, Why the pain? 

    Many of us are working from an outdated idea of what trauma actually is. Trauma isn’t defined by the event. It’s defined by what happens inside of us as a result of the event, the imprint it leaves on our body and mind.

    That reframing, turning the attention toward the suffering beneath the behavior, was one of the most powerful turning points in my recovery.

    You might be reading this and thinking, “This doesn’t apply to me. I don’t have trauma.” Yet many of us are working from an outdated idea of what trauma actually is. Trauma isn’t defined by the event. It’s defined by what happens inside of us as a result of the event, the imprint it leaves on our body and mind.

    Trauma expert Pat Ogden describes trauma as “any threatening, overwhelming experience that we cannot integrate.” When understood this way, it becomes more relatable. It’s not limited to catastrophic events; it also includes the undigested life experiences most of us carry in varying degrees—the moments that shape how safe we feel in the world, in our relationships, and in our own bodies.

    If substances became a way to soothe, regulate, or find relief from the imprint of those experiences, that is the link between trauma and addiction. Addiction doesn’t manifest without reason. It’s your body and nervous system attempting to restore balance—to escape an unbearable now—when nothing else seems to work.

    The Challenges Mindfulness Presents

    Mindfulness isn’t inherently problematic for everyone living with trauma; for some, it’s deeply supportive. The difficulty for some people living with symptoms of trauma is that mindfulness can sometimes intensify those symptoms, and in some cases even cause re-traumatisation.

    Mindfulness eventually became one of my greatest resources. But in the early days, before I was trauma informed, I often pushed through discomfort, believing that was part of the practice. I remember one meditation in particular where I forced myself to sit with an increasingly uncomfortable sensation in the pit of my stomach. I was convinced that if I just stayed with it long enough, I’d eventually reach some blissful state of transcendence. Instead, it sent me into an intense dissociative state which lasted for weeks—something I later learned is not uncommon for trauma survivors. 

    This is why it’s important to understand the potential challenges of mindfulness for some—so that if you do encounter problems, you know it’s not a sign of failure. It’s simply a signal from your nervous system that more safety is needed.

    Here are some primary signals to pay attention to: 

    Focusing on the body or breath can be activating

    Trauma lives in the body as physical sensations, constriction, tension, and survival responses. When we bring awareness to the breath, or to areas that hold this survival energy—the chest, throat, belly—these sensations can feel overwhelming.

    Mindfulness can trigger traumatic memories or flashbacks

    Turning inward creates space for memories, images, or emotions that were previously suppressed to rise to the surface. When they do, the body and mind may react as if the past is happening again. In other words, we start experiencing the power of then.

    Stillness can feel threatening to a dysregulated nervous system.

    For someone who is used to living in a state of fight, flight, or chronic hypervigilance, stillness can feel unfamiliar and unsafe. Even the feeling of calm can feel threatening when the body is used to scanning for danger.

    Self-observation can activate shame or self-judgement

    Turning attention inward can make self-critical thoughts louder, especially for someone whose trauma involved blame, guilt, or a loss of self-worth.

    None of this means mindfulness should be avoided. Far from it. It simply means the practice may need to be approached differently: with more pacing, choice, and with safety at its core.

    Practising Mindfulness Safely

    Safety is the foundation of trauma recovery and one of the cornerstones of trauma-informed mindfulness. David Treleaven, founder of Trauma-Sensitive Mindfulness, emphasises that mindfulness for trauma survivors must be flexible, and adapted to suit an individual’s nervous system and needs. Instead of pushing through discomfort, this approach supports choice, regulation, and autonomy.

    Here are some adjustments you can make to your mindfulness practice when you start to feel activated: 

    1. Start outward. For many people, beginning with external anchors feels more supportive than turning the attention inward. Noticing sounds, feeling your feet on the floor, or gently orienting to your surroundings can help settle the nervous system.
    2. Switch it up. Once a sense of grounding is established, you can then gently approach your inner experience. It can help to move between inner and outer awareness, so that if anything becomes too intense, you can shift your focus back outward, adjust your posture or pause completely. Having a reliable anchor, something that feels supportive to return to, can be especially helpful.
    3. Get mobile. Movement can also be a powerful bridge to presence. Walking, stretching, or gentle swaying may feel more accessible when stillness feels too threatening. You don’t have to sit motionless in a lotus position to be mindful. 
    4. Open your eyes. For some people, closing their eyes means they can’t scan for danger. As people are learning to find safety, practising with eyes open, or with a soft gaze, can also reduce the vulnerability that may come with closing the eyes.
    5. Be gentle with a noisy mind. It’s also worth noting that the mind—even when busy or critical—can feel safer than the body. Understanding this can help reduce frustration when the mind doesn’t quieten in the way we might expect.

    One of the most important things to remember with trauma-sensitive mindfulness is that you have choice and autonomy. Treleaven says, “We want them to know that in every moment of practice they are in control.” So, if things become too much, return to what feels safe. Stay within your window of tolerance, which allows for some discomfort, but not to where it’s overwhelming.

    When practiced with care, mindfulness can be one of the greatest tools for trauma healing and addiction recovery. For me, the benefits were profound, so much so that I wrote a book about it. But the greatest benefit was reconnecting with that part of myself that addiction and trauma never touched: the part that was always there, quietly watching, peaceful and still. My true self!

    Mindfulness doesn’t rewrite the past, but when we can embody a sense of safety, it helps us to hold it differently. So that the power of then no longer overshadows the power of now.



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  • The Role of Trauma in Chronic Health Conditions and Healing

    The Role of Trauma in Chronic Health Conditions and Healing

    Healing Trauma: Updated Insights and Approaches

    Dr. Stephen Feig believes that healing from trauma is possible with the right tools and with emotional, physical, and behavioral support. By becoming more aware of trauma’s impact and seeking a professional who can assist in resolving the trauma that remains embedded in the mind, body, and nervous system, resilience can grow, and an entirely new life perspective can be achieved.

    Trauma can result from a wide range of distressing experiences, such as accidents, abuse, neglect, or prolonged stress. Interactions that are less obviously intense can affect someone deeply if they are sensitized to them by previous trauma. Because trauma depends on how a person experiences and interprets an event, almost any situation can feel traumatic to someone. New neuroscience confirms that trauma alters the brain’s alarm system (amygdala), memory processing (hippocampus), and decision-making (prefrontal cortex), often leaving survivors stuck in a loop where the body reacts as if the threat is still present. Traumatized individuals remember past events in dysregulating ways and may perceive future events with anticipatory trauma. Past trauma can make people feel constantly on edge. When trauma is unresolved, there is a tendency for stressful bodily sensations and thoughts to arise even when there is no danger. However, it’s also very common for an individual to function well in most of their life experiences, but have certain very specific experiences that are related to past trauma, causing great emotional and physical dysregulation.

    How Perception Shapes the Experience of Trauma

    Madison grew up in a warm, affectionate family where hugs were a natural way to express love. For her, physical touch feels safe and comforting. Katherine, on the other hand, was raised in a family that expressed love through words, with little physical affection. For Katherine, hugs are deeply personal and reserved for those she trusts after a long period of dating or developing a friendship.

    At a party, Madison greets Doug with a long, heartfelt hug. Doug feels uplifted by her warmth and wants to share that feeling with others. His nervous system shifts into a protective state after hugging Madison. He turns to Katherine and offers her the same kind of hug. But Katherine, who sees hugs as intimate and private, perceives Doug’s gesture as intrusive. Her body reacts with tension, her heart rate increases, and her nervous system shifts into a protective state. She interprets the hug as a violation of her boundaries and leaves the party feeling unsafe and emotionally shaken.

    This example highlights how the same event—a hug—can trigger vastly different physiological and emotional responses depending on a person’s past experiences and internal beliefs. Madison’s nervous system interprets the hug as safe and joyful, while Katherine’s interprets it as threatening. These interpretations activate different stress responses in the body, influencing heart rate, muscle tension, hormone release, and even memory formation.

    Trauma isn’t defined solely by the event itself, but by how the nervous system perceives and processes that event. A sudden loss in the family may devastate one person and inspire personal growth in another. The difference lies in how the event is interpreted, the meaning assigned to it, and the body’s ability to return to a state of safety afterward.

    Unresolved trauma can have a lasting impact on both our mental and physical health, especially when the body doesn’t fully process and release the emotional charge of what happened in the past. Sometimes, individuals may not even recognize an event as traumatic until symptoms like anxiety, depression, sexual dysfunction, moodiness, anger outbursts, or avoidant behavior surface. Complex trauma refers to the psychological and emotional effects that result from prolonged or repeated exposure to traumatic events, especially those that occur during critical developmental periods such as childhood.

    The Impact of Unresolved Trauma on Health

    When trauma is resolved, you can think about what happened without a significant emotional charge and without a strong physiological response, such as an elevated heart rate, intrusive thoughts, or sleep disturbances. When trauma is unresolved, the body may remain stuck in a cycle of alarm, hypervigilance, and stress, which can have detrimental health effects over time. This ongoing state of stress can interfere with the body’s ability to repair itself and maintain balance.

    Unresolved trauma often leads to coping behaviors that may further harm health, such as eating disorders, addictions to food, substances, or pornography, sleep disturbances, and emotional dysregulation. These behaviors can compound the effects of trauma and create a feedback loop of continual physical and emotional distress. The combination of trauma, addictions, and poor health choices can increase inflammation, suppress immune function, and disrupt hormonal balance—factors commonly linked to the development of chronic illnesses.

    Research has connected early-life trauma—known as Adverse Childhood Experiences (ACEs)—with increased risk for a wide range of health conditions throughout life:

    • Mental Health Conditions:
    • Depression
    • Anxiety
    • Post-traumatic stress disorder (PTSD)
    • Suicide
    • Substance use disorders, including alcohol and prescription drug misuse
    • Physical Health Conditions:
    • Heart disease
    • Obesity
    • Diabetes
    • Chronic pain and autoimmune disorders
    • Asthma and respiratory issues
    • Neurological and Developmental Effects:
    • Altered brain development
    • Disrupted stress response systems
    • Cognitive impairments such as reduced executive function and learning difficulties
    • Behavioral and Social Outcomes:
    • Poor academic performance
    • Risky behaviors, including early sexual activity, delinquency, and violence
    • Unstable employment and lower socioeconomic status
    • Relationship difficulties and social isolation

    Trauma activates brain regions responsible for emotion and threat detection, such as the amygdala and prefrontal cortex. This can affect mood, sleep, digestion, and blood pressure. People with unresolved trauma may remain in a state of hypervigilance, reacting strongly to minor stressors without understanding why. These patterns can become deeply embedded, shaping identity and self-image. Living in a constant state of alertness can create a disconnect between the mind and body. Many traumatized individuals feel unsafe in their own bodies and rely heavily on mental processing, which can lead to brainwave patterns associated with anxiety, insomnia, and vigilance.

    The vagus nerve, which regulates the parasympathetic nervous system responsible for ‘rest and digest’ functions, is often affected by trauma. People with Post Traumatic Stress Disorder (PTSD) may show signs of vagal nerve dysregulation, such as digestive difficulties, sleep disturbances, increased anxiety and stress sensitivity, fatigue, and difficulty recovering from illness.

    Recognizing the Physical and Emotional Signs of Unresolved Trauma—and Its Impact on Relationships

    Many people don’t immediately connect their physical or emotional symptoms to past trauma. Yet trauma often leaves behind a lasting imprint—not just in the mind, but in the body. This phenomenon is known as body memory, where the body retains sensations and reactions associated with traumatic experiences, even when the conscious mind has suppressed or forgotten them.

    Physical Signs

    Unresolved trauma can manifest through a variety of physical symptoms that may seem unrelated at first glance. These include:

    • Racing thoughts and chronic anxiety
    • Muscle tension, especially in the shoulders, neck, or jaw
    • Digestive issues, such as bloating, nausea, or irritable bowel symptoms
    • Sleep disturbances, including insomnia or restless sleep
    • Fatigue or chronic pain without a clear medical cause

    These symptoms often reflect a dysregulated nervous system, where the body remains in a heightened state of alertness long after the original threat has passed. The sympathetic nervous system (responsible for fight-or-flight responses) may stay overactive, while the parasympathetic system (responsible for rest and recovery) struggles to restore balance.

    Emotional and Relational Signs

    Emotionally, unresolved trauma can show up as:

    • Mood swings, irritability, or emotional numbness
    • Hypervigilance, or constantly scanning for danger
    • Difficulty concentrating or making decisions
    • Avoidance behaviors, such as withdrawing from relationships or responsibilities
    • Overreactions to minor stressors, often without understanding why

    These emotional shifts can deeply affect how individuals relate to others. In work environments, trauma may lead to difficulty trusting colleagues, misinterpreting feedback as criticism, or feeling unsafe in hierarchical structures. In friendships, people may struggle with vulnerability, fear of abandonment, or emotional detachment. In intimate relationships, trauma can manifest as fear of closeness, difficulty with physical affection, or cycles of conflict and withdrawal.

    These reactions are not signs of weakness—they are survival responses. The brain, particularly the amygdala and hippocampus, may misinterpret neutral stimuli as threats, triggering emotional and physiological responses that feel disproportionate to the situation.

    The Intergenerational Impact of Unresolved Trauma

    Unresolved trauma in parents can significantly hinder the emotional development of their children, often in ways that are subtle yet deeply impactful. When parents carry unhealed emotional wounds, they may struggle with emotional regulation, attachment, and communication—key components in nurturing a child’s sense of safety and self-worth. Children are highly perceptive and often internalize the emotional states and behavioral patterns of their caregivers. As a result, they may develop anxiety, low self-esteem, or difficulties in forming healthy relationships. Inconsistent emotional availability, heightened reactivity, or emotional numbing in parents can create an unpredictable environment, leading children to adopt maladaptive coping mechanisms. Over time, these early experiences can shape a child’s worldview, influencing how they perceive themselves and others, and potentially perpetuating cycles of trauma across generations.

    This phenomenon is often referred to as generational or intergenerational trauma, where the psychological effects of trauma are passed down from one generation to the next. Even in the absence of direct exposure to traumatic events, children can inherit the emotional and behavioral consequences of their parents’ unresolved trauma.

    Emerging research in the field of epigenetics supports the idea that trauma can lead to biological changes that are passed on to future generations. Stress and trauma can alter gene expression, particularly in genes related to stress regulation and emotional resilience, potentially predisposing offspring to heightened sensitivity to stress and mental health challenges.

    The Mind-Body Disconnect

    Unresolved trauma can also create a disconnect between the mind and body. It may cause individuals to have nonstop thinking, feel detached from their physical sensations, or experience dissociation—a sense of being “zoned out” or disconnected from reality. This is the brain’s way of protecting itself when overwhelmed, but over time, it can interfere with emotional regulation, self-awareness, and the ability to connect meaningfully with others.

    Pathways to Regulation and Repair

    Recognizing these subtle and not-so-subtle signs of unresolved trauma is a critical first step toward healing. Therapists trained in trauma-informed care can help individuals identify when they are in a state of dysregulation and teach strategies to return to a balanced state. These may include:

    • Somatic practices like breathwork, movement, or grounding exercises
    • Mindfulness and body awareness techniques
    • Cognitive approaches to reframe and process traumatic memories

    Healing begins when we learn to listen to the body’s signals and respond with compassion, rather than judgment. As regulation improves, so does the capacity for connection—allowing individuals to build healthier relationships, communicate more clearly, and feel safer in both personal and professional environments.

    Approaches to Healing and Recovery

    Healing from trauma often begins by working with a professional who can look at the traumas that have occurred throughout your lifetime and who has special training that gives him/her specific trauma-clearing tools. This frequently goes beyond standard talk therapy. Trauma-informed care is becoming essential in addressing the trauma-related aspects of chronic illness. Trauma-informed professionals can make a significant difference in healing and recovery from trauma because they understand how trauma shows up in both behavior and biology. New approaches now include body-based therapies and tools that help calm the nervous system, giving individuals more pathways to healing. Some individuals benefit greatly from body-based practices. Breathwork, exercise, and mindfulness can re-establish a connection between the body and mind, especially when words are hard to find.

    Some of the tools to resolve trauma include the following:

    • Eye Movement Desensitization and Reprocessing (EMDR): Helps people process traumatic memories by using guided eye movements to reduce emotional intensity.
    • Family Constellation Therapy: Explores family dynamics and hidden patterns that may contribute to emotional distress, helping individuals find resolution and peace.
    • Somatic Experiencing: Focuses on bodily sensations to release trauma stored in the nervous system, promoting physical and emotional healing.
    • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT): Combines cognitive restructuring with emotional processing to help individuals reframe negative thoughts and reduce trauma symptoms.

    Recent studies show that combining conventional therapy with gentle stimulation of a nerve in the body called the vagus nerve (vagal nerve stimulation) can help people recover from trauma, even when other treatments haven’t worked. New methods like brain training (neurofeedback), virtual reality, and guided therapy with special medicines are showing great promise in helping people recover from trauma. Engaging in creative outlets like art or music can also support healing when verbal expression feels limited. Not every method works effectively for everyone, so personalizing the approach is key.

    Empowering Clients Beyond the Victim Identity

    It’s essential for therapists to avoid reinforcing a client’s identity as a victim within the framework of the Karpman Drama Triangle, which consists of three roles: victim, rescuer, and persecutor. While acknowledging a client’s pain and validating their experiences is a critical part of trauma-informed care, therapists must be cautious not to inadvertently entrench the “victim” role as a fixed identity. Doing so can limit the client’s sense of agency and reinforce patterns of helplessness, dependency, and external blame—making it harder for them to move toward healing and empowerment.

    Instead, effective therapy encourages clients to recognize their resilience, develop self-regulation skills, and take ownership of their healing journey. When therapists help clients shift from identifying as a victim to seeing themselves as active participants in their recovery, it fosters growth, accountability, and healthier relational dynamics. This shift is especially important in trauma work, where the goal is not just to process past harm, but to build capacity for safety, connection, and autonomy in the present.

    Functional Medicine

    Functional medicine offers a holistic approach to trauma recovery by examining how physical health imbalances may contribute to emotional distress.

    Trauma can disrupt hormone regulation, particularly stress hormones like cortisol and adrenaline. Chronic stress may lead to adrenal fatigue, thyroid imbalances, and reproductive hormone shifts, all of which can affect mood, energy, and sleep. Functional medicine practitioners assess these hormone levels and use targeted interventions such as bio-identical hormones, adaptogenic herbs, lifestyle changes, and nutritional support to restore balance.

    Gut health is another critical area impacted by trauma. The gut and brain are closely connected through the gut-brain axis, and trauma can lead to digestive issues, leaky gut syndrome, and changes in the gut microbiome. These imbalances may increase inflammation and reduce the production of neurotransmitters like serotonin, which are essential for emotional stability. Functional medicine addresses these issues by thoroughly testing urine, stool, blood, and sometimes even the home environment. After reviewing test results, recommendations may include probiotics, food allergy elimination protocols, anti-inflammatory diets, hormone balancing, detoxification protocols, microbiome balancing supplements, and gut-healing nutrients to support both physical and emotional recovery.

    Inflammation is often elevated in individuals with unresolved trauma. This systemic inflammation can worsen symptoms of anxiety, depression, and fatigue. Functional medicine uses lab testing to identify inflammatory markers and personalized interventions such as omega-3 fatty acids, antioxidant-rich foods, and stress-reducing practices to lower inflammation. Nutrition plays a foundational role in this approach, as nutrient deficiencies can impair brain function and emotional resilience. Personalized dietary plans help ensure the body receives the vitamins and minerals needed to heal and thrive.

    Conclusion

    Healing from trauma is a courageous and deeply personal journey. As we deepen our understanding of how trauma affects the mind, body, and spirit, we open the door to more compassionate and effective paths to recovery. From recognizing the signs of unresolved trauma to exploring integrative approaches like functional medicine and somatic therapies, individuals are increasingly empowered to reclaim their sense of safety, identity, and purpose.

    This journey is not about erasing the past but about transforming pain into resilience and wisdom. With the right support, tools, and a nurturing environment, healing becomes not only possible but profoundly transformative. As we continue to embrace holistic, trauma-informed care, we foster a world where individuals are seen, heard, and supported in their full humanity—where healing is honored as both a personal and collective act of restoration.

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  • Jenée Johnson on How Mindful Leaders Can Heal Trauma

    Jenée Johnson on How Mindful Leaders Can Heal Trauma

    Jenée Johnson explains how healing trauma and mindfulness go hand in hand in this 5-minute video.

    In this video from the Wisdom 2.0 Conference held in San Francisco in 2019, Jenée Johnson shares her own journey of doing trauma-informed work within traumatizing systems, and explains how mindful leaders can help heal trauma. Watch the video, or read the transcript below.

    Jenée Johnson discusses trauma-informed work and how mindful leaders can help heal trauma.

    San Francisco is in the midst of probably the worst housing crisis in the country, and the San Francisco Department of Public Health is tasked with stewarding the health of the city and county’s population, and inside of that we have recognized that the way we function is often trauma-inducing not only to the communities that we serve, but to the workforce.

    That we are often bureaucratic, siloed, that people are demoralized, that we are not trustworthy, and that it can be a very mean place to work. And because of that, we have gone on a mission to move from being trauma-inducing to a trauma-informed, and ultimately a healing organization, and organization that is trustworthy and has at its core compassion and empathy, and is thoughtful about the way we deliver services. 

    We ask the key question—not, “What is wrong with you?” but, “What has happened?”

    We ask the key question—not, “What is wrong with you?” but, “What has happened?” And when you ask what has happened it invites compassion, it invites looking at strengths in the face of adversity.

    I was an embedded trauma trainer inside a maternal adolescent health ward, and as I was delivering the trauma training I noticed that the workforce, although interested in trauma principles, did not seem like it had the strength and the bandwidth to really hold the important work that was ahead of us. And it occurred to me that what we needed to do was become a mindful organization, in order to become a trauma-informed organization. That trauma-informed and healing needed to exist inside of a nest of mindfulness.

    I went to the trauma leader and I said I know of an organization that has curated mindfulness in the workforce, the Search Inside Yourself Leadership Institute. I went to Search Inside Yourself, and thus began the journey of me becoming a trained teacher to deliver the program, and then I landed the role of the program innovation leader in mindfulness, trauma, and racial equity.

    It occurred to me that what we needed to do was become a mindful organization, in order to become a trauma-informed organization.

    Mindfulness, trauma, and racial equity are knit together, because part of what makes our organization trauma-inducing is we can be a very demoralizing place to work, and the people who have the worst health outcomes across every data point that we measure are people of colour. And it’s telling us a story of how we have yet to truly, honestly, grapple with racial equity, and part of the challenge of grappling with racial equity is we need people to be strong in their core, we need people to grapple with white fragility, which often derails the conversation.

    To move the conversation forward, we all need to be able to be resilient, and mindfulness is the pathway.



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