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Dr Rangan ChatterjeeDr Rangan Chatterjee

Your Body Keeps Score! - Unhealed Trauma Making You Feel Lost, Addicted, Stressed | Dr. Bessel

Today’s returning guest is Dr Bessel van der Kolk. Bessel is a professor of psychiatry at Boston University School of Medicine and President of the Trauma Research Foundation.

Dr. Bessel van der KolkguestDr. Rangan Chatterjeehost
Oct 9, 20241h 43mWatch on YouTube

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At a glance

WHAT IT’S REALLY ABOUT

Bessel van der Kolk on Trauma, the Body, Connection and Psychedelics

  1. Van der Kolk defines trauma as an overwhelming experience with no one to step in, after which the nervous system keeps reacting to ordinary events as catastrophes, often showing up as irritability, repeated relationship conflict, or addiction.
  2. He argues that trauma disrupts basic bodily housekeeping such as sleep, appetite and arousal, so substances and compulsive behaviors are attempts to calm a body that cannot regulate itself, and that knowledge alone rarely changes this.
  3. Healing, in his view, comes through multiple routes including being truly seen by another person, yoga, theater, martial arts, bodywork, EMDR and IFS, while avoiding a victim identity and building a sense of competency, hope and agency.
  4. He describes his MDMA-assisted therapy research as highly effective for PTSD, explains why the FDA rejected it, and says his team now plans to pursue state-by-state legalization in the US.
  5. He also draws on culture and community, noting how different societies manage trauma through practices like yoga and Tai Chi, and recommends doing things in sync with others, such as singing, cooking or sport.

IDEAS WORTH REMEMBERING

5 ideas

Trauma is defined by the ongoing reaction, not just the event

Van der Kolk says the nervous system stays stuck viewing the world through the overwhelming experience, so people react to trivial challenges as catastrophes. He notes trauma can be invisible, such as a frozen, emotionally quiet household where nobody blows up.

Trauma symptoms are largely a body that cannot take care of itself

He says trauma affects deep functions like appetite, motivation, arousal and sleep, which is why people turn to alcohol, drugs or food to avoid losing control. He links the ACE study's findings to people not liking, trusting or caring for their body.

Understanding your past helps only if you use it to move forward

Citing Pennebaker's writing research, he says writing about how trauma affects you now made a difference, while writing about the trauma alone did not. He warns that trauma can become an alibi, and that telling people to choose differently does not work either.

Feeling seen and known lowers shame and enables change

He says people need someone with deep interest in them, and he laments that American medicine has swapped human connection for pills. Both he and the host describe how simply talking with and knowing a patient can change outcomes.

There are many routes to healing beyond talking

He says talking and remembering everything often does not remove symptoms, and points to yoga, martial arts, theater, tango, bodywork, EMDR and IFS. He recommends therapists trained in several methods, ideally including something body-oriented.

WORDS WORTH SAVING

5 quotes

Trauma lodges itself in a very elementary housekeeping part of your brain. It's not a rational process.

— Dr. Bessel van der Kolk

People don't take heroin in order to make you feel bad about somebody taking heroin. You take the stuff because you cannot stand the way you feel.

— Dr. Bessel van der Kolk

To tell a patient, "This is a hopeless condition you have to live with for the rest of your life," is malpractice even though the statistics are on your side.

— Dr. Bessel van der Kolk

When you get stuck in your victimhood, life passes you by. The only thing that you can experience is insult and injury.

— Dr. Bessel van der Kolk

Anything that gets you in a synchronous relationship with people around you is very good for you.

— Dr. Bessel van der Kolk

Read the available transcript
Defining trauma and its signsTrauma's effect on the body and addictionVictimhood versus agencyBeing seen and the doctor-patient relationshipBody-based and movement therapiesMDMA and psychedelic-assisted therapyCulture, community and choosing a therapist

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SPEAKERS

  • Dr. Bessel van der Kolk

    guest

    Psychiatrist and trauma researcher, best known as the author of "The Body Keeps the Score."

  • Dr. Rangan Chatterjee

    host

    Medical doctor and host of the podcast "Feel Better, Live More."

High quality AI-generated summary created from speaker-labeled transcript.

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