The Biology of Trauma® With Dr. Aimie

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.

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!

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.

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!

Do you feel responsible for everyone else's emotions? This podcast explores the concept of protection mode, rooted in childhood trauma, where your nervous system operates like a relentless security monitor. It reveals how this state leads to chronic fatigue, emotional isolation, and a hyperactive need to control situations. Learn about neuroception, our body's internal safety gauge, and why past chaos shapes adult behavior. Insightful tips on fostering inner safety help listeners understand the journey from protection mode to healthier connections.

Dr. Tian Dayton, a leading expert in psychodrama therapy and author, joins the conversation to dissect the hidden implications of complex PTSD stemming from childhood. They delve into how children raised in chaotic environments often take on adult roles, resulting in lifelong emotional struggles. Dr. Dayton explains the inadequacies of traditional talk therapy for trauma resolution and advocates for body-based approaches. Listeners will discover the significance of nurturing relationships, community support, and movement in effective healing.

Being praised for strength or handling everything so well might seem like a positive thing. But what if those compliments aren't celebrating resilience, but actually highlighting stored trauma masquerading as strength? Being called resilient might be one of the most dangerous compliments you've received. True resilience flows from safety and support, but trauma resilience is your nervous system running on emergency biology that will eventually make you sick. In this mini episode, Dr. Aimie goes into the biology behind the difference between healthy resilience and trauma resilience. She explains why the child who never complains and the adult who never misses work despite chaos are running on trauma biology that leads to chronic illness decades later. You'll hear more on: The two types of resilience and why only one is actually healthy How trauma biology creates leaky gut, inflammation, and autoimmune responses Why your nervous system is actually stuck in survival mode The connection between adverse childhood experiences and adult chronic illness How stored trauma shows up as digestive issues, fatigue, brain fog, and autoimmunity Why traditional stress management doesn't work for trauma biology What needs to be repaired in order to start building authentic resilience  Whether you're the person everyone calls mature for your age or supporting someone whose strength might be stored trauma, this episode gives you practical tools to move from functioning in survival mode to building authentic resilience from a place of safety and support.  🎧 Want the full deep-dive? Listen to Episode 135: The Hidden Difference Between Stress and Trauma for the complete framework on understanding how your body keeps the score.  

Most people think stress and trauma are just different points on the same scale. But what if that belief has kept people stuck in cycles of chronic illness, autoimmune flare-ups, and emotional overwhelm? Many people are doing everything "right." They’re eating well, exercising, going to therapy, yet they still struggle with gut issues, brain fog, anxiety, and fatigue that won't go away. They can't understand why their body seems to be working against them instead of healing. In this episode, Dr. Aimie reveals the crucial difference between stress and trauma, and why understanding this distinction changes everything about how you heal. She explains how unresolved trauma gets stored in the body and creates a biology of trauma that keeps your nervous system stuck in survival mode. You'll discover why trauma doesn't have to be "big" to be significant, how it shows up as chronic health conditions decades later, and the repair tools that address trauma at the emotional, somatic, and cellular levels, creating accelerated healing that single approaches cannot. You'll hear more on: [2:30] The simple question that reveals childhood trauma you may have downplayed [6:45]  How chronic conditions like autoimmunity follow predictable trauma patterns [9:00]  What happens during nervous system shifts and why they affect your whole body [15:30]  How brain inflammation fuels “body trauma loops” that keep you stuck [19:44] Why brain inflammation is part of your trauma response (and how to recognize it!) [25:00] The three levels of repair needed for lasting trauma healing [27:30] How generational trauma passes through epigenetics (and how to break the cycle) [30:15]  The #1 thing to prioritize for nervous system regulation and recovery [32:45] Daily habits that increase resilience, healing capacity, and overall well-being Whether you're personally dealing with chronic health issues and unresolved trauma, or you're a practitioner helping clients understand the mind-body connection, this episode provides the scientific framework and practical tools you need to start addressing trauma at all levels and create lasting healing.     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. Essential Sequence Guide - Discover why doing the right things in the right order is key to releasing trauma and achieving your full potential. Get the insights you need to make lasting change. 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 48:How To Heal Bracing And Hypervigilance with Cat Dillon Episode 122: Shutdown Before Stress: The Misstep in Trauma Healing That Often Gets Missed Related Youtube Videos: 

Have you ever been so mentally drained that even choosing breakfast cereal felt impossible? It’s not just that you’re being indecisive. It’s decision fatigue, and it’s your nervous system’s way of saying your nervous system capacity is running low. Think of nervous system capacity like an internal energy bank account. Every decision, big or small, is a withdrawal. When that account is empty, even simple choices can feel like climbing a mountain. Your brain hits “insufficient funds,” and suddenly you’re overwhelmed. In this Biology Behind It mini episode, Dr. Aimie responds to a listener  who shared his embarrassing moment of having to leave the grocery store because choosing cereal felt impossible! This question opens the door to understanding decision fatigue, neuroception, and why our survival system treats every choice as a potential threat. You'll hear more on: Why every decision is a withdrawal from your capacity account Why your nervous system doesn't distinguish between small and big decisions What happens when your energy reserves can't meet the demands you're facing How attachment filters from early life determine which decisions drain more energy than others Why low energy triggers trauma biology and chronic functional freeze Practical strategies to reduce decision fatigue Whether you're struggling with decision overwhelm or supporting someone experiencing these "adult meltdowns," this episode helps you understand why small decisions can feel impossible and gives you concrete tools to build your capacity back up. 🎧 Want the full deep-dive? Listen to Episode 134: "The Biology of Overwhelm: Why Small Demands Feel Impossible" for the complete framework on building your energy reserves and capacity account.  

Many people feel constantly exhausted and easily overwhelmed, even when they're doing everything "right". They’re eating well, exercising, and trying to manage stress. They can't understand why small things overwhelm them so much or why they always feel so tired and stressed.  One simple email or a broken appliance can completely derail their day, leaving them feeling like they're barely keeping it together. In this episode, Dr. Aimie Apigian explains how your body doesn't react to stress based on what's happening to you. It actually reacts based on whether you have enough energy left to handle it. Think of your nervous system like a bank account. Every challenge, decision, or demand, no matter how small, takes energy out of your account. When you're already running low from everyday stressors, even tiny problems can push you into overwhelm and emotional shutdown. This isn't about changing your mindset or trying harder. It's about understanding what's actually happening in your nervous system when you get overwhelmed by daily life, so you can start making small changes that add up to feeling stronger and more resilient. You'll hear more on: [3:52] The simple difference between life's demands and your energy to handle them [5:32] How small events can feel overwhelming [9:36] The daily energy "drains" that add up over time and quietly exhaust your system [11:51] What's actually happening in your body during shutdown and overwhelm [8:06] Why even good things (like travel or celebrations) can still drain your energy [17:11] How to build up your reserves so you're ready for unexpected challenges [19:33] Simple ways to reduce daily energy drains and add small "deposits" back to your system Whether you're personally dealing with chronic exhaustion and burnout, or you're a practitioner helping clients who want better stress management techniques that actually work, this episode gives you practical action steps to start feeling better right away.   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. Foundational Journey - If you're ready to create a felt sense of safety in your body and experience the benefits of 26% decrease in daily physical pain, 28% decrease in sleep issues and digestive issues, 30% decrease in anxiety, depression, or want to learn how to do this for those you help - join me.  Related Podcast Episodes: Episode 96: Pain as Protection: Why Your Body Creates Chronic Pain & The 3 Questions to Ask to Release It with Georgia Oldfield Episode129: Why You're Still in Survival Mode (Even After Years of Therapy and Healing Work) Related Youtube Videos:  The 2 Things Your Body Needs To Come Out Of The Freeze | 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. This entire disclaimer also applies to any guests or contributors to the podcast. Under no circumstances shall Trauma Healing Accelerated, any guests or contributors to The Biology of Trauma® podcast, or any employees, associates, or affiliates of Trauma Healing Accelerated be responsible for damages arising from the use or misuse of the content provided in this podcast.