1
00:00:00,520 --> 00:00:03,440
Welcome to She Persisted. 
I'm your host, Sadie Sutton, a 

2
00:00:03,480 --> 00:00:06,480
19 year old from the Bay Area 
studying Psychology at the 

3
00:00:06,480 --> 00:00:10,360
University of Pennsylvania. 
She Persisted is the Teen Mental

4
00:00:10,360 --> 00:00:12,920
Health Podcast made four 
teenagers by a teen. 

5
00:00:13,440 --> 00:00:16,160
In each episode I'll bring you 
authentic, accessible and 

6
00:00:16,160 --> 00:00:19,520
relatable conversations about 
every aspect of mental Wellness.

7
00:00:20,040 --> 00:00:23,360
You can expect evidence based, 
teen approved resources, coping 

8
00:00:23,360 --> 00:00:27,480
skills including lots of DBT 
insights, and education in each 

9
00:00:27,480 --> 00:00:30,970
piece of content you consume. 
She Persisted offers you a safe 

10
00:00:30,970 --> 00:00:33,690
space to feel validated and 
understood in your struggle 

11
00:00:33,930 --> 00:00:36,410
while encouraging you to take 
ownership of your journey and 

12
00:00:36,410 --> 00:00:38,810
build your life worth living. 
So let's dive in. 

13
00:00:42,370 --> 00:00:46,210
We don't judge or blame. 
Emotions are not good or bad, 

14
00:00:46,210 --> 00:00:47,770
Interpretations are not good or 
bad. 

15
00:00:47,770 --> 00:00:49,450
They might just not be 
effective. 

16
00:00:49,910 --> 00:00:51,830
And so that's what's important 
to remember with 

17
00:00:51,950 --> 00:00:54,670
interpretations, which is that 
if you interpret an event one 

18
00:00:54,670 --> 00:00:57,470
way and someone else interprets 
it another way, it's the 

19
00:00:57,470 --> 00:01:00,510
dialectic that both of your 
lived experiences and both of 

20
00:01:00,510 --> 00:01:02,470
your truths can be true at the 
same time. 

21
00:01:02,790 --> 00:01:04,870
Hello, hello, and welcome to she
persisted. 

22
00:01:04,870 --> 00:01:06,830
I'm so excited you're here. 
Today we are doing a solo 

23
00:01:06,830 --> 00:01:09,670
episode and we are talking about
emotional vulnerability. 

24
00:01:09,990 --> 00:01:12,830
I talk about this almost every 
single episode because it is so 

25
00:01:12,830 --> 00:01:16,070
relevant to feeling emotions, 
processing emotions using your 

26
00:01:16,070 --> 00:01:18,260
coping skills. 
It's very much. 

27
00:01:18,260 --> 00:01:21,140
It's not synonymous with mental 
health, but it's a key player in

28
00:01:21,140 --> 00:01:24,260
the mental health picture. 
But I've never done an episode 

29
00:01:24,260 --> 00:01:27,420
dedicated to emotional 
vulnerability, and what's crazy 

30
00:01:27,420 --> 00:01:30,340
about that is that it is one of 
the first things you learn and 

31
00:01:30,340 --> 00:01:34,500
one of the first pieces of 
education that happens in DBT 

32
00:01:34,500 --> 00:01:37,060
and what I learned in 
residential and in those early 

33
00:01:37,060 --> 00:01:39,500
days of therapy. 
So I'm really excited to do an 

34
00:01:39,500 --> 00:01:42,860
indepth episode here. 
I pull from these insights and 

35
00:01:42,860 --> 00:01:44,980
pieces of information on The 
daily. 

36
00:01:44,980 --> 00:01:47,980
They're absolutely essential to 
understanding your mental health

37
00:01:47,980 --> 00:01:51,260
and how you respond to things 
and how you can be effective in 

38
00:01:51,260 --> 00:01:54,140
coping with situations and do 
preventative mental health work.

39
00:01:54,140 --> 00:01:57,380
So I'm really excited for this. 
I hope you enjoyed as well. 

40
00:01:57,700 --> 00:02:00,100
And as always, if you like this 
episode, make sure to share with

41
00:02:00,100 --> 00:02:03,300
a friend or family member. 
Leave a review on Apple Podcasts

42
00:02:03,300 --> 00:02:06,010
or Spotify. 
And also if you share it on 

43
00:02:06,010 --> 00:02:09,169
social media, tag me it out to 
persisted podcast and I'll make 

44
00:02:09,169 --> 00:02:11,290
sure to reshare and give you a 
little shout out. 

45
00:02:11,810 --> 00:02:14,050
So with that we are talking 
about emotional vulnerability 

46
00:02:14,810 --> 00:02:16,730
and the first thing that we're 
going to talk about here is the 

47
00:02:16,730 --> 00:02:19,210
model of emotion. 
So how we understand and 

48
00:02:19,210 --> 00:02:21,210
describe emotions, we're also 
going to touch on the 

49
00:02:21,210 --> 00:02:24,370
biopsychosocial theory, we're 
going to talk about physical 

50
00:02:24,370 --> 00:02:27,110
vulnerabilities to. 
Emotional vulnerability. 

51
00:02:27,110 --> 00:02:29,430
There's so many different angles
to come out, this idea of 

52
00:02:29,430 --> 00:02:32,470
emotional vulnerability, and I 
want to give like a very full 

53
00:02:32,470 --> 00:02:36,110
picture of what emotional 
vulnerability is, what you can 

54
00:02:36,110 --> 00:02:38,990
do to combat emotional 
vulnerability now that you're 

55
00:02:38,990 --> 00:02:41,950
aware of it. 
But we're going to start in this

56
00:02:42,270 --> 00:02:44,710
area with this school of 
thought, which is the model of 

57
00:02:44,710 --> 00:02:47,790
emotions. 
So in DBT, there's a cycle to 

58
00:02:47,790 --> 00:02:49,590
understand and describe your 
emotions. 

59
00:02:49,950 --> 00:02:52,790
It continues on because emotions
are always coming and going. 

60
00:02:53,380 --> 00:02:56,660
But we are going to start with 
the prompting event because in 

61
00:02:56,660 --> 00:02:59,500
most cases this is what causes 
the emotion to arise. 

62
00:02:59,500 --> 00:03:03,340
Even though you might have like 
a low level emotional arousal, A

63
00:03:03,340 --> 00:03:05,340
prompting event is normally 
where you're like, wow, I'm 

64
00:03:05,340 --> 00:03:09,100
feeling guilty or ashamed or sad
or angry or whatever the emotion

65
00:03:09,100 --> 00:03:11,700
is. 
So the prompting event is 

66
00:03:11,700 --> 00:03:15,420
whatever causes the emotion. 
And this can either be internal.

67
00:03:15,420 --> 00:03:18,380
So this is like thoughts, 
behaviors, something physically 

68
00:03:18,380 --> 00:03:20,660
that happens. 
Maybe it's how you're speaking 

69
00:03:20,660 --> 00:03:23,860
to yourself. 
Etcetera, or externally. 

70
00:03:23,860 --> 00:03:26,660
So maybe it is an environment 
you're in, maybe it's an 

71
00:03:26,660 --> 00:03:29,820
interaction with someone else. 
It is much easier to think about

72
00:03:29,820 --> 00:03:31,900
these things, at least for me, 
when I think about it from an 

73
00:03:31,980 --> 00:03:34,340
external cue. 
So like I'm having an argument 

74
00:03:34,340 --> 00:03:37,020
with someone, they said 
something and then this emotion 

75
00:03:37,020 --> 00:03:39,100
comes up. 
And what is great about 

76
00:03:39,300 --> 00:03:40,900
understanding the prompting 
event. 

77
00:03:40,900 --> 00:03:43,220
And this is where the chain 
analysis skill comes in, which 

78
00:03:43,220 --> 00:03:46,580
you talked about before, where 
you analyze how an emotion or 

79
00:03:46,580 --> 00:03:50,060
behavior came to be, which 
emotional vulnerability is key 

80
00:03:50,060 --> 00:03:51,460
to. 
That's one of the big things you

81
00:03:51,460 --> 00:03:53,740
analyze. 
But prompting events are 

82
00:03:53,740 --> 00:03:57,020
important because, especially if
they become repetitive and a 

83
00:03:57,020 --> 00:04:00,060
cycle, if you understand the 
prompting event that typically 

84
00:04:00,260 --> 00:04:03,620
causes an emotional reaction, 
you can cope ahead and you can 

85
00:04:03,620 --> 00:04:06,740
do the work to decrease your 
emotional vulnerability around 

86
00:04:06,740 --> 00:04:09,460
that thing. 
So the next step in the cycle, 

87
00:04:09,460 --> 00:04:11,380
we have the prompting event, 
then we have our 

88
00:04:11,380 --> 00:04:14,170
interpretations. 
So I love this sentence from the

89
00:04:14,170 --> 00:04:16,170
article that I'm referencing 
when talking about this, I want 

90
00:04:16,170 --> 00:04:18,970
to share with you, which is that
the prompting events are not 

91
00:04:18,970 --> 00:04:22,370
what triggers the emotion, it's 
the interpretation of the event.

92
00:04:22,370 --> 00:04:26,010
So two people can experience the
exact same event, and if one 

93
00:04:26,010 --> 00:04:29,250
interprets it in a way that 
causes a really emotional 

94
00:04:29,250 --> 00:04:32,210
reaction, they'll get really 
upset and overwhelmed and 

95
00:04:32,210 --> 00:04:35,130
distressed and maybe use a 
maladaptive coping mechanism. 

96
00:04:35,130 --> 00:04:37,370
Whereas if the other person has 
a really effective way of 

97
00:04:37,370 --> 00:04:40,710
interpreting the event. 
They will have a much easier 

98
00:04:40,710 --> 00:04:43,550
time navigating it and 
proceeding in an effective way. 

99
00:04:43,950 --> 00:04:47,310
The important thing here is the 
caveat that all emotions and 

100
00:04:47,310 --> 00:04:49,910
thoughts and beliefs are valid. 
They're all allowed to be there.

101
00:04:49,910 --> 00:04:53,710
They can all show up, and we can
navigate through them in an 

102
00:04:53,710 --> 00:04:56,390
effective way. 
We don't judge or blame. 

103
00:04:56,830 --> 00:04:59,710
Emotions are not good or bad. 
Interpretations are not good or 

104
00:04:59,710 --> 00:05:00,830
bad. 
They might just not be 

105
00:05:00,910 --> 00:05:03,010
effective. 
And so that's what's important 

106
00:05:03,010 --> 00:05:05,410
to remember with 
interpretations, which is that 

107
00:05:05,410 --> 00:05:08,130
if you interpret an event one 
way and someone else interprets 

108
00:05:08,130 --> 00:05:11,010
it another way, it's the 
dialectic that both of your 

109
00:05:11,010 --> 00:05:14,010
lived experiences and both of 
your truths can be true at the 

110
00:05:14,010 --> 00:05:17,050
same time. 
So interpretations are stemming 

111
00:05:17,050 --> 00:05:19,690
from our thoughts, beliefs, 
assumptions and judgments around

112
00:05:19,690 --> 00:05:22,850
the situation. 
So how you mentally process 

113
00:05:22,850 --> 00:05:25,770
through it, the assumptions that
you make, that is what curates 

114
00:05:25,770 --> 00:05:27,770
this interpretation. 
And this is where the check the 

115
00:05:27,770 --> 00:05:29,770
fact skill is really helpful 
because. 

116
00:05:30,260 --> 00:05:33,420
If you are in an argument and 
you think that the person is 

117
00:05:33,420 --> 00:05:36,500
already mad at you, so you're 
already on the defensive, if you

118
00:05:36,500 --> 00:05:39,900
check the facts and you're like,
did they say something that was 

119
00:05:39,900 --> 00:05:41,780
maybe like a little bit passive 
aggressive? 

120
00:05:41,780 --> 00:05:43,300
Did they say that they were 
upset? 

121
00:05:43,300 --> 00:05:46,500
Do we have a previous conflict? 
Like none of those things are 

122
00:05:46,500 --> 00:05:49,260
true and maybe they actually do 
seem to be approaching this in a

123
00:05:49,260 --> 00:05:52,080
neutral way? 
You've checked the facts around 

124
00:05:52,080 --> 00:05:54,440
the idea that they're already 
mad at you and you need to be on

125
00:05:54,440 --> 00:05:57,160
the defensive, so your 
interpretation that they're mad 

126
00:05:57,160 --> 00:05:59,480
at you was ineffective. 
So if you can adjust that 

127
00:05:59,480 --> 00:06:01,760
interpretation and say they just
want to have a conversation and 

128
00:06:01,760 --> 00:06:04,640
maybe give me some feedback, you
can be a lot more effective. 

129
00:06:04,960 --> 00:06:08,280
And the interpretation of the 
prompting event means that 

130
00:06:08,280 --> 00:06:11,280
you're not as emotional and 
reactive, so the next step in 

131
00:06:11,280 --> 00:06:14,880
the cycle is your biological 
changes and experiences. 

132
00:06:15,200 --> 00:06:18,200
We are going to talk about the 
biopsychosocial theory and a lot

133
00:06:18,200 --> 00:06:20,120
more depth later in this 
episode. 

134
00:06:20,360 --> 00:06:23,920
But what's important to flag 
here is that as a teen and as a 

135
00:06:23,920 --> 00:06:26,840
young adult, biologically your 
brain is already working 

136
00:06:26,840 --> 00:06:29,880
differently, you experience your
emotions more strongly, you are 

137
00:06:29,880 --> 00:06:34,000
less predisposed to logic 
through the situation to. 

138
00:06:34,640 --> 00:06:36,920
Be rational. 
Because your prefrontal cortex 

139
00:06:36,920 --> 00:06:39,080
isn't fully developed, you're 
more hormonal. 

140
00:06:39,160 --> 00:06:42,040
You, as a young adult, 
experience things like 

141
00:06:42,040 --> 00:06:45,160
embarrassment and rejection more
strongly than adults do. 

142
00:06:45,440 --> 00:06:49,480
You place more significance and 
more value on social acceptance 

143
00:06:49,520 --> 00:06:53,160
and social groups and fitting 
in, like that's just how our 

144
00:06:53,160 --> 00:06:56,240
brains work and what has been 
shown through research. 

145
00:06:56,610 --> 00:06:59,770
We also are in a critical period
for the development of mental 

146
00:06:59,770 --> 00:07:04,730
illness. 50% of mental illnesses
developed by 1475% by 24. 

147
00:07:05,210 --> 00:07:07,970
So you're feeling your emotions 
more strongly, you're less 

148
00:07:07,970 --> 00:07:13,370
logical, you place more value on
embarrassment, acceptance, 

149
00:07:13,370 --> 00:07:16,610
rejection. 
Like it is challenging to be a 

150
00:07:16,610 --> 00:07:19,610
teen and to navigate these 
emotions because your brain is 

151
00:07:19,610 --> 00:07:21,490
operating completely 
differently. 

152
00:07:22,040 --> 00:07:24,760
And so this is one example of 
those biological changes. 

153
00:07:24,760 --> 00:07:27,560
It's also important to account 
here that this is also things 

154
00:07:27,560 --> 00:07:30,600
like your fight or flight mode, 
or if you feel really tense or 

155
00:07:30,600 --> 00:07:33,560
your fists clench up or you're 
sweating because you're anxious,

156
00:07:33,560 --> 00:07:35,560
like those are all part of those
biological changes. 

157
00:07:35,560 --> 00:07:38,920
But it's also helpful to 
understand them globally as a 

158
00:07:38,920 --> 00:07:40,800
teen. 
And also for you as a person. 

159
00:07:40,800 --> 00:07:42,840
You might experience your 
emotions more strongly than 

160
00:07:42,840 --> 00:07:44,440
someone else. 
You might be more sensitive. 

161
00:07:44,440 --> 00:07:47,200
And we'll get more into that 
with the biopsychosocial theory.

162
00:07:48,200 --> 00:07:51,240
So the next part of the cycle 
we've done the prompting event, 

163
00:07:51,240 --> 00:07:54,480
the interpretation, the 
biological changes were on 2 

164
00:07:54,480 --> 00:07:57,200
expressions. 
So this is how we express the 

165
00:07:57,200 --> 00:08:00,560
emotions, whether it's what you 
say, your facial expression, how

166
00:08:00,560 --> 00:08:04,150
you respond to the situation. 
And again, it's really easy to 

167
00:08:04,150 --> 00:08:06,070
think about this in the context 
of an argument. 

168
00:08:06,070 --> 00:08:08,270
Are you glaring at the person? 
Are your arms crossed? 

169
00:08:08,270 --> 00:08:09,830
Are you like? 
This is so unfair. 

170
00:08:09,830 --> 00:08:11,830
This was so rude of you. 
How dare you? 

171
00:08:12,110 --> 00:08:14,270
That is the expression of the 
internal emotion. 

172
00:08:14,270 --> 00:08:17,750
This may be anger or hurt or 
sadness or rejection. 

173
00:08:17,830 --> 00:08:22,630
So we can't necessarily control 
our biological sensitivity to 

174
00:08:22,630 --> 00:08:25,470
our emotions or the emotion that
arises in the 1st place. 

175
00:08:25,710 --> 00:08:28,430
We can control our 
interpretations, we can rewire 

176
00:08:28,430 --> 00:08:31,150
those, and we can also control 
our expressions. 

177
00:08:31,650 --> 00:08:34,450
And this will also help with 
things like your relationships 

178
00:08:34,450 --> 00:08:37,130
and your emotion regulation long
term and your distress 

179
00:08:37,130 --> 00:08:39,770
tolerance, because we do have 
control over the way that we 

180
00:08:39,770 --> 00:08:41,890
express them. 
And a lot of the times the 

181
00:08:41,890 --> 00:08:44,370
expressions of your emotions are
what have the. 

182
00:08:45,470 --> 00:08:48,510
Most significant consequences, 
and not necessarily using that 

183
00:08:48,510 --> 00:08:49,990
as a positive or a negative 
term. 

184
00:08:49,990 --> 00:08:53,310
But if you express your emotion 
and you're vulnerable, that has 

185
00:08:53,310 --> 00:08:56,390
a positive consequence. 
If you are really angry and you 

186
00:08:56,390 --> 00:08:59,870
see something rude or you react 
in an ineffective way, that is a

187
00:08:59,870 --> 00:09:01,350
negative consequence. 
You have to repair the 

188
00:09:01,350 --> 00:09:03,310
relationships. 
The expressions have the biggest

189
00:09:03,310 --> 00:09:06,160
impact on your life. 
And a day from now, a week from 

190
00:09:06,160 --> 00:09:09,080
now, a month from now, maybe the
thought that went through your 

191
00:09:09,080 --> 00:09:11,640
mind or the physical 
representation of the emotion 

192
00:09:11,640 --> 00:09:13,960
like your this were clenched. 
That necessarily won't have a 

193
00:09:13,960 --> 00:09:16,240
longterm impact, but the 
expression will. 

194
00:09:16,360 --> 00:09:19,080
And then the last thing which we
literally just touched on is the

195
00:09:19,120 --> 00:09:21,940
after effects. 
So this is the thoughts, the 

196
00:09:21,940 --> 00:09:26,340
memories, the relationship 
impacts what happens after this 

197
00:09:26,340 --> 00:09:29,580
whole event and cycle takes 
place that then affects us down 

198
00:09:29,580 --> 00:09:31,820
the line. 
So that is the model of emotions

199
00:09:31,820 --> 00:09:34,780
that can be really helpful to 
understand how we understand 

200
00:09:34,780 --> 00:09:37,340
describe emotions and now we're 
going to work backwards. 

201
00:09:37,540 --> 00:09:40,100
So that's what's happening when 
we are experiencing the emotions

202
00:09:40,100 --> 00:09:42,750
and going through that process. 
But what about everything that 

203
00:09:42,750 --> 00:09:45,470
comes before that point? 
That impacts how we express our 

204
00:09:45,470 --> 00:09:47,910
emotions, how we interpret them,
the thought patterns that we 

205
00:09:47,910 --> 00:09:50,670
have, how likely we are to 
experience the emotion in the 

206
00:09:50,670 --> 00:09:53,630
1st place. 
So we're working backwards, 

207
00:09:53,710 --> 00:09:55,710
right? 
We've talked about how we go 

208
00:09:55,710 --> 00:09:57,910
through the cycle of emotions. 
Now we're going to talk about 

209
00:09:57,910 --> 00:10:00,390
the biopsychosocial theory. 
After this, we're going to talk 

210
00:10:00,390 --> 00:10:02,630
about the police scale, which is
physical vulnerability. 

211
00:10:02,630 --> 00:10:05,910
But the biopsychosocial theory 
is really at the core of DBT. 

212
00:10:06,440 --> 00:10:09,640
And very relevant to individuals
who struggle to regulate their 

213
00:10:09,640 --> 00:10:12,360
emotions and feeling their 
emotions very strongly explains 

214
00:10:12,360 --> 00:10:15,280
why some people are so sensitive
and feel their emotions so 

215
00:10:15,280 --> 00:10:21,000
intensely, like me. 
So the biopsychosocial model is 

216
00:10:21,200 --> 00:10:25,600
a theory about how symptoms 
arise, symptoms for depression, 

217
00:10:25,600 --> 00:10:28,720
anxiety, emotional 
dysregulation, and also how 

218
00:10:28,720 --> 00:10:31,280
they're maintained because 
someone might be emotionally 

219
00:10:31,280 --> 00:10:33,840
distressed one time, but if it 
never happens again, that 

220
00:10:33,840 --> 00:10:36,080
symptom isn't being maintained 
and reinforced. 

221
00:10:36,520 --> 00:10:39,560
In DBT, the individuals that 
receive treatment a lot of the 

222
00:10:39,560 --> 00:10:42,360
times are maintaining and 
reinforcing these behaviors and 

223
00:10:42,360 --> 00:10:45,480
ineffective coping skills to get
their emotional needs met. 

224
00:10:46,040 --> 00:10:49,000
So the equation for the 
biosocial model is that 

225
00:10:49,000 --> 00:10:53,800
emotional sensitivity plus an 
invalidating environment equals 

226
00:10:53,880 --> 00:10:57,080
pervasive emotion dysregulation.
Diving into emotional 

227
00:10:57,080 --> 00:11:01,160
sensitivity, we just talked 
about how teens are biologically

228
00:11:01,160 --> 00:11:04,480
almost at a deficit when it 
comes to experiencing your 

229
00:11:04,480 --> 00:11:07,020
emotions. 
This is part of the bio part of 

230
00:11:07,020 --> 00:11:09,700
the biosocial theory. 
There's also the psychology of 

231
00:11:09,700 --> 00:11:12,460
it. 
So how are you interpreting 

232
00:11:12,460 --> 00:11:14,540
events? 
How are you mentally processing 

233
00:11:14,540 --> 00:11:16,500
through them? 
And that's part of the emotional

234
00:11:16,500 --> 00:11:19,060
sensitivity in the 
biopsychosocial theory. 

235
00:11:19,220 --> 00:11:21,980
Then the next part to touch on 
in this equation is the 

236
00:11:21,980 --> 00:11:25,180
invalidating environment. 
And so DBT defines an 

237
00:11:25,180 --> 00:11:28,740
invalidating environment as one 
where a person doesn't fit in. 

238
00:11:29,250 --> 00:11:32,730
It's not necessarily that it's 
an emotionally uncomfortable or 

239
00:11:32,730 --> 00:11:35,930
abusive or an unhealthy 
environment, but it's one where 

240
00:11:35,930 --> 00:11:39,930
you're not feeling validated or 
seen or heard, or you don't fit.

241
00:11:40,250 --> 00:11:42,690
You don't feel like your 
emotions are being recognized or

242
00:11:42,690 --> 00:11:46,450
fully processed or acknowledged 
in that family, friendship, 

243
00:11:46,450 --> 00:11:50,850
social interaction. 
And because this is a cycle that

244
00:11:50,850 --> 00:11:53,930
occurs over a long period of 
time, it's a dynamic that keeps 

245
00:11:53,930 --> 00:11:57,110
getting repeated. 
And so because there is this 

246
00:11:57,110 --> 00:11:59,990
role of social relationships and
it's essential for that 

247
00:11:59,990 --> 00:12:02,910
invalidating environment to 
occur in conjunction with the 

248
00:12:02,910 --> 00:12:06,870
emotional sensitivity. 
This is a transactional process.

249
00:12:07,470 --> 00:12:11,230
It takes multiple people to 
reinforce this model and lead to

250
00:12:11,230 --> 00:12:13,830
this extreme emotional 
dysregulation. 

251
00:12:14,030 --> 00:12:16,350
So to give you a little bit more
context here and I'll link the 

252
00:12:16,350 --> 00:12:19,270
website. 
And a lengthy DBT resource that 

253
00:12:19,270 --> 00:12:21,110
I'm pulling this from in the 
show notes. 

254
00:12:21,110 --> 00:12:25,750
But this theory, this equation, 
it explains how symptoms arise 

255
00:12:25,750 --> 00:12:28,790
and also how they continue to 
arise, how they get reinforced 

256
00:12:28,790 --> 00:12:31,910
and maintained over a long 
period of time, and get to the 

257
00:12:31,910 --> 00:12:34,910
point of causing distress and 
dysfunction in an individual's 

258
00:12:34,910 --> 00:12:37,310
life. 
And this is not only true for 

259
00:12:37,670 --> 00:12:40,630
borderline Personality disorder,
which is what DBT was originally

260
00:12:40,630 --> 00:12:44,750
developed for, but a whole host 
of mental health challenges and 

261
00:12:44,830 --> 00:12:47,190
we talked about emotional 
sensitivity in this equation. 

262
00:12:47,190 --> 00:12:50,830
Another key idea here that is at
the foundation of this theory is

263
00:12:50,830 --> 00:12:52,790
that emotional sensitivities 
inborn. 

264
00:12:53,270 --> 00:12:56,350
So it's the idea that we all 
have different sensitivities in 

265
00:12:56,350 --> 00:12:57,990
life. 
And the great example in this 

266
00:12:57,990 --> 00:13:00,830
DBT resource is with skin or 
scent. 

267
00:13:01,170 --> 00:13:02,970
So some people get some more 
easily. 

268
00:13:02,970 --> 00:13:06,210
Some people get rashes when they
use a certain detergent. 

269
00:13:06,210 --> 00:13:08,650
Some people don't respond well 
to a certain perfume. 

270
00:13:08,930 --> 00:13:11,930
Maybe you're more acne prone. 
So all of our skin have 

271
00:13:11,930 --> 00:13:15,770
different sensitivities to the 
same stimuli, but depending on 

272
00:13:15,770 --> 00:13:19,810
the person, they have different 
biologically born sensitivity. 

273
00:13:19,810 --> 00:13:24,330
So you respond differently. 
And the same exact thing is true

274
00:13:24,330 --> 00:13:27,210
with our emotions, even if two 
people are experiencing the 

275
00:13:27,210 --> 00:13:30,910
exact same stimuli. 
Biologically, you are going to 

276
00:13:30,910 --> 00:13:33,550
respond differently. 
That's why some people are more 

277
00:13:33,550 --> 00:13:36,950
sensitive than others. 
And a key part of this, and one 

278
00:13:36,950 --> 00:13:40,670
of the biggest takeaways that I 
had when I did DBT, is that you 

279
00:13:40,670 --> 00:13:42,710
can't change your emotional 
sensitivity. 

280
00:13:42,830 --> 00:13:45,390
It's something you're born with 
and it's okay and it's part of 

281
00:13:45,390 --> 00:13:47,310
you as a person, as part of your
genetics. 

282
00:13:47,630 --> 00:13:49,910
And it's not bad or good. 
It's just different. 

283
00:13:49,990 --> 00:13:53,350
And so if you're more 
emotionally sensitive, it's part

284
00:13:53,350 --> 00:13:56,380
of your genetic makeup. 
And it's also important to note 

285
00:13:56,380 --> 00:13:58,500
that that alone isn't 
necessarily something that 

286
00:13:58,500 --> 00:14:02,020
causes mental health challenges 
or mental illnesses. 

287
00:14:02,060 --> 00:14:05,420
It's again this environment that
can lead to longterm emotional 

288
00:14:05,420 --> 00:14:08,980
dysregulation. 
So again, going deeper into that

289
00:14:08,980 --> 00:14:12,180
environment and clarifying that 
farther, it's transactional over

290
00:14:12,180 --> 00:14:15,340
time, the individual doesn't fit
and it may or may not be 

291
00:14:15,340 --> 00:14:17,700
unhealthy, abusive, toxic, 
etcetera. 

292
00:14:17,940 --> 00:14:21,860
So to explain this further and 
clarify how this equation and 

293
00:14:21,860 --> 00:14:24,800
outcome comes to be. 
You have a person who is 

294
00:14:24,800 --> 00:14:27,320
biologically born to be more 
emotionally sensitive. 

295
00:14:27,760 --> 00:14:29,640
They're in an environment where 
they don't fit. 

296
00:14:29,640 --> 00:14:32,320
They're being invalidated, 
they're feeling misunderstood. 

297
00:14:32,640 --> 00:14:35,560
And then these transactions 
occur over time and lead to 

298
00:14:35,560 --> 00:14:38,320
emotional dysregulation. 
And this is because of the 

299
00:14:38,320 --> 00:14:40,560
reinforcement that occurs with 
time. 

300
00:14:41,840 --> 00:14:44,320
And if you've done DBT before, 
you know one of the biggest 

301
00:14:44,320 --> 00:14:46,840
challenges that people are 
navigating is emotional 

302
00:14:46,840 --> 00:14:50,420
dysregulation. 
So many challenges and conflicts

303
00:14:50,420 --> 00:14:54,140
and behaviors are a result of 
not being able to regulate your 

304
00:14:54,140 --> 00:14:56,980
emotions, whether it's self harm
to subtle ideation, unhealthy 

305
00:14:56,980 --> 00:15:00,580
relationships, a lot of those 
are attempts to cope with the 

306
00:15:00,580 --> 00:15:03,500
emotions that are arising that 
you're not able to effectively 

307
00:15:03,500 --> 00:15:05,540
regulate. 
And this is so true that 

308
00:15:05,980 --> 00:15:10,660
patients that are a good fit for
DBT are identified because they 

309
00:15:10,660 --> 00:15:13,140
have that emotional 
dysregulation and that's a core 

310
00:15:13,140 --> 00:15:15,940
characteristic of what they're 
presenting with and that's how 

311
00:15:15,940 --> 00:15:18,140
you know that DBT and the skills
that teachers. 

312
00:15:18,220 --> 00:15:21,220
This might be a good fit. 
So to kind of conclude this, we 

313
00:15:21,220 --> 00:15:23,260
have this equation and if you're
listening to this, you're like 

314
00:15:23,260 --> 00:15:25,860
what sounds like the person is 
sensitive and then they're not 

315
00:15:25,860 --> 00:15:27,380
reacting well to this 
environment. 

316
00:15:27,380 --> 00:15:30,460
So like, isn't it that person's 
issue and they need to solve 

317
00:15:30,460 --> 00:15:33,700
something here so that they're 
not being dysregulated And DBT, 

318
00:15:33,700 --> 00:15:35,540
the goals to not blame the 
patient. 

319
00:15:35,540 --> 00:15:38,540
You do have to solve problems 
that you haven't necessarily 

320
00:15:38,540 --> 00:15:41,300
created for yourself in DBT. 
That's one of the core beliefs. 

321
00:15:41,860 --> 00:15:45,300
But when it comes to emotional 
reactivity and emotional 

322
00:15:45,300 --> 00:15:47,640
sensitivity. 
We're not blaming the 

323
00:15:47,640 --> 00:15:50,080
individual. 
So it's called a no blame model 

324
00:15:50,080 --> 00:15:52,600
in DBT. 
And this is great, especially in

325
00:15:52,600 --> 00:15:55,680
adolescent DBT because a lot of 
the times the whole family is 

326
00:15:55,680 --> 00:15:57,320
doing DBT. 
And the parents were like, well,

327
00:15:57,320 --> 00:15:58,720
my teen can't regulate 
themselves. 

328
00:15:58,720 --> 00:16:01,280
They need to learn skills and 
it's causing so many challenges 

329
00:16:01,280 --> 00:16:05,320
within our family system and 
DBT, you're using a no blame 

330
00:16:05,320 --> 00:16:06,960
model. 
So the person who is coming in 

331
00:16:06,960 --> 00:16:09,640
for treatment isn't necessarily 
the one to blame for the 

332
00:16:09,640 --> 00:16:12,080
environment. 
It's not the family that is to 

333
00:16:12,080 --> 00:16:15,040
blame for this environment, It 
is the transactions between the 

334
00:16:15,040 --> 00:16:16,440
person that's emotionally 
sensitive. 

335
00:16:16,810 --> 00:16:19,970
And the environment that's 
invalidating that is resulting 

336
00:16:19,970 --> 00:16:23,770
in this emotional dysregulation,
it's the invalidation that is 

337
00:16:23,770 --> 00:16:27,650
exacerbating and maintaining the
biological sensitivity of the 

338
00:16:27,650 --> 00:16:30,730
individual. 
And so that's one of the biggest

339
00:16:30,730 --> 00:16:34,130
goals in DBT is identifying that
environment, adjusting the 

340
00:16:34,130 --> 00:16:37,570
transactions in the relationship
so that you're not reinforcing 

341
00:16:37,570 --> 00:16:40,290
that vulnerability sensitivity 
and invalidation. 

342
00:16:40,730 --> 00:16:44,170
So to kind of wrap this up and I
will link this whole resource in

343
00:16:44,170 --> 00:16:46,450
the show notes you can read more
about. 

344
00:16:46,780 --> 00:16:50,340
The biopsychosocial theory but 
the theory of how symptoms arise

345
00:16:50,340 --> 00:16:53,740
and are maintained is a no blame
model called the biopsychosocial

346
00:16:53,740 --> 00:16:55,700
theory. 
Within that equation there is 

347
00:16:55,700 --> 00:16:59,100
emotional sensitivity plus an 
invalidating environment which 

348
00:16:59,100 --> 00:17:01,260
equals pervasive emotion 
dystrigulation. 

349
00:17:01,900 --> 00:17:04,540
We believe that emotional 
sensitivities in born and an 

350
00:17:04,540 --> 00:17:07,980
invalidating environment is 1 
where a person does not fit and 

351
00:17:07,980 --> 00:17:10,420
it doesn't necessarily have to 
be an abusive, toxic or 

352
00:17:10,420 --> 00:17:13,339
unhealthy one. 
And lastly, the biosocial model 

353
00:17:13,339 --> 00:17:16,839
is transactional in nature. 
So that is the biopsychosocial 

354
00:17:16,839 --> 00:17:20,240
theory and a huge factor in 
emotional vulnerability, 

355
00:17:20,599 --> 00:17:23,760
especially if you are feeling 
vulnerable in specific 

356
00:17:23,760 --> 00:17:27,560
environment and continually 
noticing that you're more 

357
00:17:27,560 --> 00:17:29,240
vulnerable in that specific 
environment. 

358
00:17:29,240 --> 00:17:31,840
Think about the biopsychosocial 
theory, Is it an invalidating 

359
00:17:31,840 --> 00:17:34,760
environment? 
Are you biologically predisposed

360
00:17:34,760 --> 00:17:37,920
to being more sensitive and is 
this environment exacerbating 

361
00:17:37,920 --> 00:17:39,330
it? 
I probably should do a whole 

362
00:17:39,330 --> 00:17:41,010
episode on the biopsych of 
social theory because I 

363
00:17:41,050 --> 00:17:43,250
absolutely love it. 
I can get it so important. 

364
00:17:43,250 --> 00:17:45,730
It's crucial to understand, to 
understand mental health, and 

365
00:17:45,730 --> 00:17:48,770
every time I hear it, I'm like, 
that is so validating to my 

366
00:17:48,770 --> 00:17:51,690
lived experience, Like I am 
emotional and I do feel 

367
00:17:51,690 --> 00:17:54,410
invalidating and it's not my 
fault, but I can still work to 

368
00:17:54,410 --> 00:17:56,970
improve the situation. 
So we love it. 

369
00:17:56,970 --> 00:17:59,850
It's one of my favorite things, 
kind of like a little comfort 

370
00:17:59,850 --> 00:18:03,050
blanket of a belief, but the 
last thing we're going to touch 

371
00:18:03,050 --> 00:18:06,230
on is the police scale. 
So we talked about how we 

372
00:18:06,230 --> 00:18:08,590
experience emotions, how we 
understand, describe them. 

373
00:18:08,590 --> 00:18:12,510
We talk about the environment 
itself and that mix of 

374
00:18:12,630 --> 00:18:16,310
biological predispositions to 
emotional reactivity as well as 

375
00:18:16,310 --> 00:18:18,790
how the environment can 
reinforce and maintain that. 

376
00:18:18,870 --> 00:18:23,030
So if we think about the 
biopsychosocial theory as your 

377
00:18:23,030 --> 00:18:26,630
emotional vulnerability to a 
situation, your physical 

378
00:18:26,630 --> 00:18:28,350
vulnerability is the police 
scale. 

379
00:18:28,350 --> 00:18:30,990
So this is an acronym that 
stands for physical illness. 

380
00:18:31,440 --> 00:18:34,360
Eat balanced, avoid mutual 
Turing substances, sleep 

381
00:18:34,360 --> 00:18:38,400
balanced and exercise balanced. 
And whatever We're not doing any

382
00:18:38,400 --> 00:18:40,920
of those things are physical 
health suffers. 

383
00:18:41,480 --> 00:18:43,160
And it's not just your physical 
health. 

384
00:18:43,160 --> 00:18:46,320
But we are more at risk to be 
more emotional and more 

385
00:18:46,320 --> 00:18:49,840
sensitive to a prompting event. 
So for more emotionally 

386
00:18:49,840 --> 00:18:53,200
vulnerable, one of the items in 
that equation is the police 

387
00:18:53,200 --> 00:18:54,960
scale and is your physical 
health. 

388
00:18:55,380 --> 00:18:57,580
So to walk you through this 
pretty quickly, it's pretty 

389
00:18:57,580 --> 00:18:59,740
simple. 
It's one of the most intuitive 

390
00:18:59,740 --> 00:19:02,900
skills in DBT, but it's also 
really important to check in on 

391
00:19:03,220 --> 00:19:06,540
and be cognizant of, especially 
in emotional situations. 

392
00:19:06,660 --> 00:19:08,900
But the idea here is that our 
physical and mental health are 

393
00:19:08,900 --> 00:19:11,460
very connected, so one more 
emotional. 

394
00:19:11,900 --> 00:19:14,660
There is a physical reaction 
that takes place in our brains, 

395
00:19:14,660 --> 00:19:19,380
in our bodies, and how we cope 
with an emotion is connected to 

396
00:19:19,380 --> 00:19:21,460
how well we've maintained our 
physical health. 

397
00:19:21,460 --> 00:19:25,060
So for hangry, or more likely to
be snappy and irritated if we 

398
00:19:25,060 --> 00:19:28,340
haven't slept well, we're more 
irritated, we have a shorter 

399
00:19:28,340 --> 00:19:31,460
fuse we can't problem solve as 
effectively we can't process our

400
00:19:31,460 --> 00:19:34,090
emotions as well. 
If we haven't exercise, we 

401
00:19:34,090 --> 00:19:37,210
probably aren't working through 
these more strong, intense 

402
00:19:37,210 --> 00:19:39,490
emotions, but we're also not 
releasing endorphins. 

403
00:19:39,650 --> 00:19:42,170
If you aren't taking your 
medication, your physical health

404
00:19:42,250 --> 00:19:45,250
is at a loss. 
So all of these and things are 

405
00:19:45,250 --> 00:19:47,570
important to maintain, to make 
sure that we're not putting 

406
00:19:47,570 --> 00:19:51,410
ourselves at unnecessary risk to
experience really strong 

407
00:19:51,410 --> 00:19:53,650
emotions and potentially A 
fullblown crisis. 

408
00:19:53,650 --> 00:19:57,170
And so this is important in DBT 
because a lot of the times you 

409
00:19:57,170 --> 00:20:00,650
have individuals that are really
struggling, like every day is. 

410
00:20:01,120 --> 00:20:03,480
Incredibly challenging and 
incredibly overwhelming. 

411
00:20:03,480 --> 00:20:06,200
And every day you're having a 
breakdown in a huge emotion and 

412
00:20:06,200 --> 00:20:08,320
a whole crisis and a panic 
attack and whatever the heck it 

413
00:20:08,320 --> 00:20:11,280
is you are struggling. 
And so we have to do everything 

414
00:20:11,280 --> 00:20:14,200
we can to reduce the likelihood 
of these really emotionally 

415
00:20:14,200 --> 00:20:16,400
overwhelming events. 
And that means taking care of 

416
00:20:16,400 --> 00:20:18,840
our physical health. 
So first we're going to talk 

417
00:20:18,840 --> 00:20:23,080
about physical illness and this 
is also encompassed with stress.

418
00:20:23,420 --> 00:20:26,260
So we know that stress 
influences our emotions. 

419
00:20:26,260 --> 00:20:29,420
It also influences how intense 
the emotions that we feel are, 

420
00:20:29,420 --> 00:20:32,380
and feeling very stressed out 
and chronically stressed out 

421
00:20:32,660 --> 00:20:35,460
means that you're more 
physically vulnerable to having 

422
00:20:35,460 --> 00:20:37,260
an overwhelming emotional 
experience. 

423
00:20:37,740 --> 00:20:39,940
And So what we can do here is a 
couple of things. 

424
00:20:39,940 --> 00:20:42,900
The 1st is staying on top of our
physical health, so going to 

425
00:20:42,900 --> 00:20:45,300
doctor's appointments, taking 
our medications that we're 

426
00:20:45,300 --> 00:20:48,180
supposed to be taking, checking 
in on any symptoms that might 

427
00:20:48,180 --> 00:20:51,180
pop up that are concerning that 
we're again decreasing our risk 

428
00:20:51,180 --> 00:20:52,860
for emotionally overwhelming 
situations. 

429
00:20:52,860 --> 00:20:55,700
But when we're addressing stress
and chronic stress specifically,

430
00:20:55,700 --> 00:20:58,300
we also look at the environment.
So is it jobs, is it 

431
00:20:58,300 --> 00:21:00,980
relationships? 
Is it your your day today 

432
00:21:00,980 --> 00:21:02,700
routine? 
Are you not getting an exercise,

433
00:21:02,700 --> 00:21:05,220
whatever it is, making sure that
we are examining those 

434
00:21:05,220 --> 00:21:07,620
environmental factors that may 
be leading to long. 

435
00:21:07,740 --> 00:21:10,100
Term severe physical illness 
issues. 

436
00:21:10,220 --> 00:21:13,500
But to recap, the pee and 
physical illness and also L 

437
00:21:13,500 --> 00:21:16,380
because it's like physical. 
And then the last L is 

438
00:21:16,380 --> 00:21:18,300
capitalized because it's not a 
very good acronym. 

439
00:21:18,540 --> 00:21:21,420
I like to just take up aside and
say taking meds, going to the 

440
00:21:21,420 --> 00:21:24,140
doctor, making sure that I'm 
resting when my I'm sick and I 

441
00:21:24,140 --> 00:21:27,300
need to recuperate, not pushing 
my body too hard, etcetera. 

442
00:21:28,220 --> 00:21:30,540
Now moving on to eating 
balanced. 

443
00:21:31,580 --> 00:21:33,690
So. 
We know that we get hangry when 

444
00:21:33,690 --> 00:21:36,850
we don't eat enough, when we 
haven't eaten, when our body 

445
00:21:36,850 --> 00:21:39,650
doesn't have enough fuel to be 
able to physically function. 

446
00:21:39,850 --> 00:21:42,010
We also can't mentally function 
as well. 

447
00:21:42,010 --> 00:21:44,570
You don't have the fuel to be 
able to problem solve, to cope 

448
00:21:44,570 --> 00:21:46,810
with these emotions, to come up 
with an effective way to 

449
00:21:46,810 --> 00:21:49,530
navigate the situation. 
So it's really important that we

450
00:21:49,530 --> 00:21:51,650
were eating balanced and making 
sure that we're getting all of 

451
00:21:51,650 --> 00:21:54,050
our meals so we're not 
overeating with binging, which 

452
00:21:54,050 --> 00:21:56,730
can also again cause really 
intention, emotional reactions 

453
00:21:56,890 --> 00:21:59,610
or under eating, which makes us 
more susceptible to experiencing

454
00:21:59,610 --> 00:22:02,450
our emotions more intensely. 
There's also little. 

455
00:22:02,570 --> 00:22:05,330
Things like depending on what 
types of food you're eating, you

456
00:22:05,330 --> 00:22:08,290
can feel a decrease in mood, you
can feel depressed, you can feel

457
00:22:08,290 --> 00:22:10,010
sluggish. 
So making sure that you're 

458
00:22:10,010 --> 00:22:12,450
eating a balanced diet, getting 
the nutrients you need, because 

459
00:22:12,450 --> 00:22:15,530
if you're eating all junk food 
24/7, that in itself will have 

460
00:22:15,530 --> 00:22:19,210
an impact on your emotions, not 
even touching all of the mental 

461
00:22:19,210 --> 00:22:21,130
health challenges that you might
be experiencing. 

462
00:22:21,490 --> 00:22:23,970
The next thing we're going to 
talk about is addiction and 

463
00:22:23,970 --> 00:22:25,530
avoiding mood altering 
substances. 

464
00:22:25,770 --> 00:22:29,130
So I kind of split taking your 
meds on a daytoday basis between

465
00:22:29,130 --> 00:22:31,900
this and the physical. 
Illness part of the police 

466
00:22:31,900 --> 00:22:34,060
scale, but it's important to be 
taking your meds as they're 

467
00:22:34,060 --> 00:22:37,060
prescribed, not skipping doses 
or they won't work, which is a 

468
00:22:37,060 --> 00:22:40,660
big part of mental health. 
But there also is the idea of 

469
00:22:40,660 --> 00:22:44,700
how mood altering substances and
addiction can impact her mental 

470
00:22:44,700 --> 00:22:47,860
health. 
So the the overall thing here is

471
00:22:47,860 --> 00:22:50,860
avoiding them, but the key here 
is being mindful about how they 

472
00:22:50,860 --> 00:22:52,660
impact your body. 
The one that I always like to 

473
00:22:52,660 --> 00:22:54,740
bring up that most people don't 
think about is caffeine. 

474
00:22:55,230 --> 00:22:57,550
You're really anxiety prone. 
You have a lot of panic attacks.

475
00:22:57,550 --> 00:23:00,150
If you're doing like 2 lattes 
every day, that's probably 

476
00:23:00,150 --> 00:23:02,630
making you more anxious. 
It's making your mind spiral 

477
00:23:02,630 --> 00:23:04,830
more rapidly. 
You're shaking more easily. 

478
00:23:04,990 --> 00:23:06,670
Your heart rate is already 
increased. 

479
00:23:06,670 --> 00:23:09,510
So being aware of how these 
things impact your body, and not

480
00:23:09,510 --> 00:23:12,750
only your body, but your mental 
health challenges like anxiety, 

481
00:23:12,750 --> 00:23:16,350
depression, OCD, eating 
behaviors, whatever it is. 

482
00:23:16,750 --> 00:23:19,430
Sleep. 
My favorite part of the police 

483
00:23:19,430 --> 00:23:22,430
scale because it just has such a
big impact on your mental 

484
00:23:22,430 --> 00:23:25,070
health. 
Sleep hygiene is very important 

485
00:23:25,070 --> 00:23:27,910
and you are aiming for like 7 to
9 hours a night. 

486
00:23:28,270 --> 00:23:30,790
Teens need more sleep. 
College students get a lot of 

487
00:23:30,790 --> 00:23:33,670
it, but you probably need more. 
It is the biggest thing that I 

488
00:23:33,670 --> 00:23:36,710
noticed impacts my mental health
on a daytoday basis, and it's 

489
00:23:36,710 --> 00:23:39,670
absolutely essential for our 
brains to be able to process and

490
00:23:39,670 --> 00:23:42,990
regulate our emotions. 
And it's almost like the movie 

491
00:23:42,990 --> 00:23:44,830
Inside Out Every single night. 
All the. 

492
00:23:45,610 --> 00:23:48,450
Emotions and thoughts and 
memories are filtered through 

493
00:23:48,450 --> 00:23:50,250
and cycled and put away into 
longterm memory. 

494
00:23:50,250 --> 00:23:52,050
If you're not doing that, you're
not able to regulate your 

495
00:23:52,050 --> 00:23:53,930
emotions. 
The next day you are more 

496
00:23:53,930 --> 00:23:56,810
emotionally vulnerable. 
So sleep is really important to 

497
00:23:56,810 --> 00:24:00,090
process your emotions, but it's 
also important to be able to 

498
00:24:00,090 --> 00:24:03,050
problem solve, concentrate, be 
able to logic through 

499
00:24:03,050 --> 00:24:05,890
situations, and you're putting 
yourself at a deficit. 

500
00:24:05,890 --> 00:24:07,850
You're making yourself more 
emotional when you're not 

501
00:24:07,850 --> 00:24:09,930
getting enough sleep, so if you 
want to, decrease your 

502
00:24:09,930 --> 00:24:12,490
vulnerability to stress and 
emotions. 

503
00:24:12,840 --> 00:24:15,560
Get more sleep and make sure 
that you're doing everything you

504
00:24:15,560 --> 00:24:18,000
can to have good sleep hygienes.
That means that you're going to 

505
00:24:18,000 --> 00:24:20,480
bed at the same time every day, 
waking up at the same time every

506
00:24:20,480 --> 00:24:23,360
day, which you can control for 
more so than going to bed at the

507
00:24:23,360 --> 00:24:25,760
same time every day. 
Turning off screens before you 

508
00:24:25,760 --> 00:24:29,600
go to bed, making sure that you 
have like a dark, cool, quiet, 

509
00:24:29,600 --> 00:24:32,600
comfy room to sleep in. 
Reading before bed, if that's 

510
00:24:32,600 --> 00:24:35,160
helpful for you. 
Maybe you're like doing your 

511
00:24:35,160 --> 00:24:38,000
skin care before bed, like I do,
drinking tea, melatonin, 

512
00:24:38,000 --> 00:24:39,680
whatever it is that you are 
doing, making sure that you're 

513
00:24:39,680 --> 00:24:43,020
having consistent. 
Quality sleep and solving for 

514
00:24:43,020 --> 00:24:45,500
all those sleep hygiene factors.
So the last part of the police 

515
00:24:45,500 --> 00:24:47,940
scale is exercise. 
We talked about this in the 

516
00:24:47,980 --> 00:24:50,940
overall thing, but there are a 
couple different benefits of 

517
00:24:50,940 --> 00:24:53,100
exercise and mental health that 
you're probably all aware of. 

518
00:24:53,100 --> 00:24:55,980
Because I guess the first thing 
people ask you, if you're like, 

519
00:24:55,980 --> 00:24:58,060
oh, I struggled with my mental 
health, they're like, have you 

520
00:24:58,060 --> 00:25:00,460
tried exercising? 
It is great, releases 

521
00:25:00,460 --> 00:25:03,340
endorphins, You'll be so happy 
and you're like, yeah, I've 

522
00:25:03,340 --> 00:25:04,940
definitely tried that before. 
It didn't work. 

523
00:25:05,410 --> 00:25:08,770
But there are a lot of benefits 
to exercising and having 

524
00:25:08,770 --> 00:25:12,290
balanced exercise within your 
routine when it comes to mental 

525
00:25:12,290 --> 00:25:13,970
health. 
So I know you're not going to 

526
00:25:13,970 --> 00:25:15,570
want to hear this because I hear
this. 

527
00:25:16,090 --> 00:25:17,650
That's so much work that's so 
annoying. 

528
00:25:17,650 --> 00:25:21,250
But regular cardio sessions, 20 
to 30 minutes, five times a week

529
00:25:21,450 --> 00:25:24,890
have the same effects as using 
antidepressants for milder forms

530
00:25:24,890 --> 00:25:26,810
of depression without the side 
effects. 

531
00:25:27,230 --> 00:25:29,110
So it works. 
It can be really effective for 

532
00:25:29,110 --> 00:25:31,310
your mental health. 
I also like to think about it 

533
00:25:31,310 --> 00:25:33,630
shortterm. 
So knowing that, it increases 

534
00:25:33,630 --> 00:25:36,790
endorphins, it helps me build 
mastery, it boosts my mood, It 

535
00:25:36,790 --> 00:25:38,630
helps me feel like I've gotten 
something done. 

536
00:25:38,950 --> 00:25:41,110
It helps me have a purpose. 
Like, OK, I'm going to work out 

537
00:25:41,110 --> 00:25:42,310
now. 
I have this commitment. 

538
00:25:42,310 --> 00:25:45,870
I'm showing up for myself, like 
as I'm not the pinnacle of being

539
00:25:45,870 --> 00:25:49,990
a consistent, working, outgoing 
person, but it does help boost 

540
00:25:49,990 --> 00:25:51,710
my mood. 
But there are also other 

541
00:25:51,710 --> 00:25:53,670
benefits as well, more longer 
term. 

542
00:25:54,080 --> 00:25:56,840
Like your body is stronger. 
It's more resilient to emotional

543
00:25:56,840 --> 00:25:58,400
stress. 
In addition to the shortterm 

544
00:25:58,400 --> 00:26:01,120
benefits like releasing 
endorphins, improving your mood,

545
00:26:01,440 --> 00:26:04,360
and so building that into your 
routine can again help build up 

546
00:26:04,360 --> 00:26:06,440
your emotional resilience to 
that vulnerability. 

547
00:26:06,640 --> 00:26:09,160
So I just threw so much 
information at you. 

548
00:26:09,160 --> 00:26:12,560
But to recap, we talked about 
how we describe and understand 

549
00:26:12,560 --> 00:26:15,800
our emotions and that cycle of 
understanding emotional 

550
00:26:15,800 --> 00:26:18,800
vulnerability. 
We then dove a little bit deeper

551
00:26:18,800 --> 00:26:21,760
into the emotion side of 
vulnerability factors. 

552
00:26:21,760 --> 00:26:23,760
So we talked with the 
biopsychosocial theory. 

553
00:26:24,140 --> 00:26:26,500
And within that, we talked about
invalidating environments and 

554
00:26:26,500 --> 00:26:28,740
emotional sensitivity. 
And then we talked about 

555
00:26:28,740 --> 00:26:32,820
physical vulnerability and how 
that can impact our emotional 

556
00:26:32,820 --> 00:26:36,140
vulnerability as a whole. 
So I really hope you like this 

557
00:26:36,140 --> 00:26:37,780
episode. 
All of these tidbits and 

558
00:26:37,780 --> 00:26:40,820
takeaways were things that 
really helped me in treatment 

559
00:26:40,820 --> 00:26:43,420
and today and it gives you a 
sense of comfort and return to 

560
00:26:43,420 --> 00:26:45,580
like. 
It's not my fault if I 

561
00:26:45,580 --> 00:26:47,740
experience my emotions more 
strongly than my friends or 

562
00:26:47,740 --> 00:26:50,380
family members. 
It's not not necessarily on me, 

563
00:26:50,420 --> 00:26:53,020
it's just how my brain works. 
And now that I know that, what 

564
00:26:53,020 --> 00:26:56,540
can I do to set myself up for 
success and decrease that 

565
00:26:56,540 --> 00:26:58,420
vulnerabilities? 
My emotions aren't as 

566
00:26:58,420 --> 00:27:00,540
overwhelming. 
So if you enjoyed this week's 

567
00:27:00,540 --> 00:27:04,660
episode, you know, leave, 
review, share, post on social 

568
00:27:04,660 --> 00:27:06,660
media. 
It really helps the podcast and 

569
00:27:06,660 --> 00:27:08,980
it helps me out. 
I hope this was helpful, I hope 

570
00:27:08,980 --> 00:27:11,100
you enjoyed and I'll see you 
next week. 

571
00:27:11,480 --> 00:27:13,960
Thank you so much for listening 
to this week's episode of She 

572
00:27:13,960 --> 00:27:15,880
Persisted. 
If you enjoyed, make sure to 

573
00:27:15,880 --> 00:27:17,440
share with a friend or family 
member. 

574
00:27:17,440 --> 00:27:20,480
It really helps out the podcast.
And if you haven't already, 

575
00:27:20,480 --> 00:27:22,920
leave a review on Apple Podcasts
or Spotify. 

576
00:27:23,160 --> 00:27:26,000
You can also make sure to follow
along at at She Persisted 

577
00:27:26,000 --> 00:27:28,200
podcast on both Instagram and 
TikTok. 

578
00:27:28,240 --> 00:27:30,800
And check out all the bonus 
resources, content, and 

579
00:27:30,800 --> 00:27:34,200
information on my website, 
shepersistedpodcast.com. 

580
00:27:34,760 --> 00:27:37,320
Thanks for supporting Keep 
Persisting and I'll see you next

581
00:27:37,320 --> 00:27:37,560
week.
