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	Titre	Date	Durée
	Why Do I Keep Replaying Conversations? Rumination and CPTSD	28 Oct 2026	00:34:19
Do you lie awake replaying a conversation from three days ago, rewriting what you said and wondering if they're mad at you? In this solo episode, I'm talking about rumination and complex trauma: why so many of us replay, rewrite, and overthink, and why it started as a way to stay safe. We get into the difference between rumination, worry, and intrusive memories, why the loop gets stickier over time, what it does in your body, and why "are they mad at me" hits so hard when you grew up without repair. I also talk about the heavier "what's the point" kind of rumination, and what actually helps the loop soften. In this episode: Why rumination can be a protective part still doing its job How replaying keeps your stress response switched on The feeling the loop might be keeping you from Rupture, repair, and the "are they mad at me" spiral A simple body-based practice for the next time the replay starts Grab the free Dysregulation Toolkit here! Mentioned in this episode: The emotional flashbacks episode Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Why Do I Feel Worse After Therapy? EMDR and Complex Trauma	21 Oct 2026	00:40:07
Ever leave a therapy session looking totally fine, then spend the next three days clenching your jaw, snapping at everyone, and wondering if you’re just bad at therapy? Or find yourself completely checked out mid-session with no idea how long you’ve been gone? In this episode, I answer two listener questions about feeling worse after EMDR and dissociating in therapy sessions. We talk about why therapy can stir so much up when you have complex trauma (CPTSD), the difference between being stirred up and being flooded, and what an EMDR session for complex trauma looks like in my office. That includes pacing, preparation, working with parts, and closing a session so you can actually leave inside your window of tolerance. We also cover: Why “looking fine” in therapy is a survival strategy Why self-blame was protective when you were a kid The different kinds of dissociation and what each one needs What to do between sessions when you’re flooded Signs therapy is working, even when it’s hard Exactly what to say to your therapist when you need something different Many of the metaphors in this episode, including the boat and the whale, the barn door, and brakes on a car, come from Thomas Zimmerman’s book EMDR With Complex Trauma, which I highly recommend: EMDRwithComplexTrauma.com Mentioned in this episode The Dissociative Spectrum episode The Beauty and the Work of Complex Trauma Recovery with Thomas Zimmerman My functional freeze episode Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	What Greek Myths Reveal About Complex Trauma with Dr. Gillian O’Shea Brown	14 Oct 2026	00:46:56
Why do we keep reliving the same painful patterns, even when we can see them coming? In this episode, psychotherapist and complex trauma expert Dr. Gillian O’Shea Brown joins me to explore how Greek myths can help us make sense of complex trauma, CPTSD, and the relational wounds we carry from childhood. Gillian is SUCH a good storyteller, and she walks us through four myths that might feel a little too familiar. In this episode, we talk about Why stories can reach us in ways facts and diagnoses sometimes can’t Sisyphus and “the bite that fits the wound,” or why we keep reenacting old pain in our relationships The erotic emotional map, a tool for spotting the patterns in who you’re drawn to Medea and the parent wound, and what happens when the person you need for safety is also the person who scares you How defense mechanisms that helped you survive childhood can work against you as an adult Medusa’s story retold as a story of survival, and why survivors who speak up so often get cast as the problem Chiron, the wounded healer, and how people make meaning out of pain Content note: Around the 16 minute mark, Gillian tells Medusa’s story, which includes sexual assault. Please take care of yourself while you listen. About Dr. Gillian O’Shea Brown Dr. Gillian O’Shea Brown is an Irish-born, New York based psychotherapist, adjunct professor at NYU, and EMDRIA approved consultant passionate about whole living for all people. Her work on the treatment and healing of complex trauma has been featured in Vogue, Forbes, Marie Claire, HuffPost, and more. Her new book is Psyche’s Awakening: A Guide to Emotional and Somatic Healing Through the Wisdom of Greek Myth (HarperOne). Connect with Gillian Free Sisyphus chapter and erotic emotional map mini course Website Instagram Substack Order Psyche’s Awakening Today! Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Is It a Part or Is It Dissociation? OSDD, DID, and CPTSD	07 Oct 2026	00:32:38
Everyone has parts. So how do you know when a part is just a part of you, and when it's crossed into a dissociative disorder like OSDD or DID? This episode came from a listener healing from CPTSD who just found out she has a dissociative disorder. She asked two questions a lot of trauma survivors are carrying. How common are dissociative disorders in trauma survivors? And with parts work like IFS so popular right now, where's the line between ordinary parts and dissociation? So we're walking the whole dissociative spectrum, from the drive home you don't remember to PTSD, complex PTSD, OSDD, and DID. We'll talk about what clinicians who specialize in dissociation might actually pay attention to, why "not me" matters so much, and why not losing time doesn't rule anything out. In this episode: Why "dissociation" means two different things, even to professionals Structural dissociation, explained in plain language How common dissociative disorders really are, and why they're so often missed Six things that help separate everyday parts from dissociative parts "Am I making this up?" and other fears that come up Why a diagnosis is a map, not an identity What healing can look like, including goals your system gets a say in This episode is for education, not diagnosis. If something here feels familiar, bring it to a therapist trained in trauma and dissociation. Mentioned in this episode: Coping With Trauma-Related Dissociation by Suzette Boon, Kathy Steele, and Onno van der Hart My conversation with Dr. Janina Fisher on dissociative parts My dissociation Q and A episode Last week's episode, "Why Do I Want Two Opposite Things at the Same Time?" This episode's sponsor: Cozy Earth. Get 30% off home and sleepwear at cozyearth.com with code RECLAIM, through Sunday, October 11. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Why Do I Want Two Opposite Things? Conflicting Parts in Complex Trauma	30 Sep 2026	00:25:43
Why can you feel lonely and then want everyone to leave you alone, or set a boundary and immediately want to take it back? Today, I explore why conflicting parts and contradictory responses can feel especially intense after complex trauma, drawing from parts work, attachment research, fear learning, and Somatic Experiencing. You’ll hear why missing someone doesn’t mean the relationship was safe, why guilt doesn’t prove a boundary was wrong, and how the body can move toward something while also putting on the brakes. The goal isn’t to decide which response is the “real you,” but to understand what each one expects, protects, or needs. The question to take with you: how much might be right for me right now? Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Grieving What You Never Had After Emotional Neglect	23 Sep 2026	00:42:02
How do you grieve a childhood you never had? If you grew up with childhood emotional neglect, you may have heard that grief is part of complex trauma recovery and still have no idea what you're supposed to be grieving, or what that grief is supposed to feel like. This episode is built around a listener's question. She grew up without much affection, remembers wanting it, and came to believe that needing it meant she wasn't growing up properly. Decades later, she's wondering whether she has anything to grieve, and whether feeling sad about it is selfish. We talk through how the grief of emotional neglect works when nothing specific "happened," why you often only recognize the loss through contrast, and why receiving care now can sometimes make you feel worse before it feels better. In this episode: Why the grief of childhood emotional neglect is hard to locate, and how a point of comparison can suddenly make it visible What you're actually grieving when you never had the thing Why grief can feel like self-pity, and what "my childhood was good overall" might be protecting you from What this grief can look like, including anger, envy, numbness, disbelief, and trying harder with the parent you still have Why a partner's hug or a therapist's kindness can make your body brace, and how to read that response Memory reconsolidation, and how receiving care now may update old emotional learning Why you don't have to go looking for grief or perform it correctly What grieving can look like in actual life, without turning it into a checklist Whether accepting a parent's limitations means giving up on the relationship When grief gets too big, and what to bring to your therapist This episode is sponsored by Cozy Earth! I’m so excited to have them supporting The Complex Trauma Podcast. Head to Cozy Earth and use code RECLAIM for 20% off your order. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	How Narcissistic Abuse Shapes Self-Trust, Relationships and Complex Trauma with Amy Marlow-MaCoy	16 Sep 2026	00:45:13
What happens when you grow up learning that someone else’s needs, emotions, or version of reality matter more than your own? In this episode, I’m joined by Amy Marlow-MaCoy, MEd, LPC, to talk about narcissistic abuse and its relationship to complex trauma. We unpack narcissistic family systems, gaslighting and DARVO, the roles children can take on in these families, and why survivors may struggle with self-trust, perfectionism, overfunctioning, guilt, and boundaries long after childhood. We also talk about what happens when you begin changing these patterns, the complexity of low and no contact, and what it can look like to rebuild a relationship with yourself after years of learning to question your own experience. About Amy Amy Marlow-MaCoy, MEd, LPC, is an internationally known clinician and trainer specializing in gaslighting, narcissistic abuse, and complex developmental and relational trauma. She is the author of The Gaslighting Recovery Workbook and co-author of The Clinician’s Guide to Treating Adult Children of Narcissists. Amy is also the founder of The Courageous Heart Institute, a learning community for clinicians specializing in treating survivors of narcissistic abuse. Amy has advanced training in Internal Family Systems (IFS), EMDR, Brainspotting, and other trauma treatment approaches, and provides therapy, consultation, supervision, and continuing education for clinicians working with narcissistic abuse and complex relational trauma. Follow Amy on Instagram and Facebook! Check out her website here Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Functional Freeze and Why You Feel Stuck Even When You’re Functioning	09 Sep 2026	00:28:31
You’re functioning. You may even be the person everyone relies on. But inside, you feel stuck, distant, or like you aren’t fully there for your own life. In this episode, I'm answering a listener’s question: Is functional freeze actually real, or is it something the internet picked up and oversimplified? We explore what trauma clinicians mean by functional freeze, why it isn’t a formal diagnosis, and how mixed patterns of activation and shutdown can make you look capable while everything inside feels stalled. I also explain why functional freeze and dissociation aren’t interchangeable and why difficulty getting started can have many possible contributors, including complex trauma, chronic stress, depression, ADHD, exhaustion, and executive-function challenges. You’ll also learn: Why you may mobilize instantly during a crisis but struggle to begin a simple task How childhood emotional neglect and complex trauma can give you more practice responding to others than initiating from within yourself Why urgency, pressure, and responsibility may organize you more easily than desire Why stopping doesn’t always make rest feel restorative How small choices, movement, pleasure, and everyday acts of agency can help build greater nervous-system flexibility Functional freeze can be useful language for a real experience. But it was never meant to become the whole explanation for you. This episode is sponsored by Cozy Earth! I’m so excited to have them supporting The Complex Trauma Podcast. Head to Cozy Earth and use code RECLAIM for 20% off your order. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	The Longing to Be Understood in Complex Trauma Recovery	02 Sep 2026	00:24:09
You finally understand something about yourself. Something that took months of therapy to even name. And now you need someone else to get it too. This week we're talking about that longing, where it comes from, why it can feel so urgent with certain people, and what happens in your body when the conversation doesn't go the way you hoped. We'll cover emotional flashbacks, the fight flight freeze fawn response, and the difference between being understood and being agreed with. Plus, what's actually yours to hold onto when someone doesn't meet you where you're at. This episode is for anyone who has ever tried to explain their trauma response to a friend, a partner, or a family member and walked away feeling more alone instead of less. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Complex Trauma, Brain Fog, Memory & Focus Problems	26 Aug 2026	00:39:52
Why can you handle a crisis without blinking but completely blank when someone asks what you want for dinner? Brain fog, forgetfulness, trouble focusing, difficulty starting tasks, and executive dysfunction can all show up alongside complex trauma. But “trauma changed your brain” is a much more complicated story than the internet often makes it sound. In this episode of The Complex Trauma Podcast, we’re breaking down what may actually be happening when your brain feels scattered, slow, forgetful, or wildly inconsistent. Instead of another tour of the amygdala and prefrontal cortex, we’re looking at three things that can help make sense of cognitive struggles after trauma: priority, capacity, and access. We’ll talk about how trauma can shape what gets your attention, how rumination, hypervigilance, perfectionism, and people-pleasing can take up cognitive bandwidth, and why memory, focus, and decision-making may change depending on stress, dissociation, and emotional context. We’ll also unpack working memory, processing speed, executive functioning, the overlap between ADHD and trauma, and why being incredibly capable doesn’t mean your brain won’t struggle sometimes. Because maybe the better question isn’t “What’s wrong with my brain?” It’s “What is my brain trying to do right now?” This episode is sponsored by Cozy Earth! I’m so excited to have them supporting The Complex Trauma Podcast. Head to Cozy Earth and use code RECLAIM for 20% off your order. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Why Trauma Memory Gaps Don't Mean You Made It Up	19 Aug 2026	00:24:48
Maybe you barely remember your childhood. Maybe you've done years of trauma work, you're finally feeling better, and now you're wondering, was it really that bad? Did I make it all up? This episode is about trauma, memory, and self-trust. Why memory isn't a recording, why gaps and fragments don't prove or disprove anything, why healing itself can create distance from a memory, and why I don't remember doesn't have to become I can't trust myself. You don't have to make yourself hurt again to prove that you once hurt 🧡. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	The Messy Middle of Nervous System Regulation	12 Aug 2026	00:14:58
This week's episode is a little different. Instead of something super polished, I'm giving you the real time version of my own messy middle. What dysregulation actually feels like in my body right now, why regulation isn't the absence of activation, and what's actually helping me stay steady in a hard season of my life, from a walk around the block to finally asking for help. If you're a complex trauma survivor in your own hard season, this one's for you. It's okay to lower a standard, ask for the help, and let the tears come if they want to come. Grab the free Dysregulation Toolkit, an interactive tool with real techniques for whatever you're feeling in the moment here If you haven't listened to the episode about why nervous system regulation can feel impossible with CPTSD, tune in here. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Why Relationships and Connection Feel So Hard After Complex Trauma	05 Aug 2026	00:35:33
Why does connection feel so hard after complex trauma? You want closeness, but when someone gets too close, you pull away. You want support, but "I'm fine" comes out before you've even thought about it. You want to trust people, yet asking for help, receiving kindness, or staying present during conflict can feel surprisingly difficult. If you've ever wondered why relationships feel so complicated after childhood trauma or emotional neglect, this episode is for you. Today, we're exploring how your earliest relationships taught your nervous system what to expect from connection and why those expectations can continue shaping your adult relationships long after childhood is over. Rather than focusing on attachment styles we'll look at the relational experiences that teach us whether it's safe to have needs, depend on others, receive care, repair after conflict, and be fully ourselves in relationship. We'll also talk about: Why receiving help can feel uncomfortable Hyper-independence and why depending on others feels so risky Why conflict can feel like the end of the relationship People-pleasing and the fear of authenticity The difference between managing relationships and actually experiencing them Why you can still love people who hurt you The difference between love and emotional capacity Grieving the relationship you needed but may never have How healing happens through new relational experiences If you've ever felt like your nervous system wants connection while another part of you is pulling away, I hope this episode helps you understand why. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	The Impact of Emotionally Immature Parents with Lindsay Gibson	29 Jul 2026	01:05:04
What is the real impact of growing up with emotionally immature parents? Dr. Lindsay Gibson, author of the bestselling Adult Children of Emotionally Immature Parents, joins the show to explain what it costs a child over decades, and how to parent differently. In this conversation, we get into: What actually makes a parent emotionally immature Why the love can be real and the harm can be real at the same time What this can cost a child over years, including a shaken sense of trust in their own perception of reality What a healthy relationship with an emotionally immature parent can look like in adulthood The fear so many carry, that we'll become our parents, and why Lindsay says that fear itself might be a good sign The four essential jobs of parenting: protection, nurturance, guidance, and limits Her seven parental mindsets for maturity, and the chapter she calls The Absolutes Dr. Gibson's new book, How to Raise an Emotionally Mature Child, is out now. Order a copy on Amazon or Barnes and Noble Find her at lindsaycgibson.com and on Instagram @dr.lindsaygibson. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Why You Don't Know Who You Are After Complex Trauma	22 Jul 2026	00:35:08
If you've ever caught yourself wondering who you actually are underneath the anxiety, the people pleasing, or the version of you that shows up to keep everyone else comfortable, this episode is for you. I break down what a sense of self actually is, why complex trauma gets in the way of building one, and what it looks like to start forming it now, as an adult. That means looking at three capacities trauma tends to disrupt: knowing yourself, expressing yourself, and experiencing yourself, and a few grounded, body-based ways to start reconnecting with each one. In this episode: What a sense of self actually is, and why it's built through experience, not something you're born with fully formed Why survival responses like fight, flight, freeze, or fawning aren't fixed personality traits, they're predictions your nervous system learned to keep you safe The three capacities complex trauma most often disrupts: knowing yourself, expressing yourself, and experiencing yourself Why healing this is often less about finding yourself and more about forming yourself Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	When Perfectionism Takes the Joy Out of the Things You Love	15 Jul 2026	00:27:37
Sometimes a hobby amplifies whatever relationship your nervous system has with uncertainty. If you've ever found yourself staring at a blank page, putting off a creative project, or feeling tense doing something that's supposed to be relaxing, this episode is for you. Today we're exploring why perfectionism can turn creativity into a performance, how complex trauma changes our relationship with uncertainty, and why your hobbies may feel more like a test than a source of joy. We'll talk about the connection between self-worth and perfectionism, predictive processing, why healing in relationships doesn't always translate to creative expression, and gentle somatic practices to help your nervous system reconnect with curiosity and play. Whether your "painting" is art, writing, dancing, cooking, starting a business, or trying something new, this episode will help you understand why perfectionism runs much deeper than wanting to get it right. It might just be your nervous system trying to make sure you still belong. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Somatic Therapy 101: The Nervous System Basics Behind Trauma Healing	08 Jul 2026	00:33:02
If you've ever wondered why insight alone hasn't been enough to heal your trauma, this episode is your answer. We're going all the way back to fundamentals with a real somatic therapy 101, covering what somatic therapy actually is, how the nervous system holds onto trauma, and why healing from CPTSD requires more than just understanding your story. In this episode, we cover: Why trauma is a biological response, not just a psychological one (and what that means for your healing) The actual definition of somatic therapy, and the myths the internet keeps getting wrong A quick look at nervous system states: ventral vagal, sympathetic, and dorsal vagal, and why they matter for complex trauma specifically What your window of tolerance is, and why it can narrow over time Titration and pendulation: how somatic therapists help your body approach painful material safely How parts work (Internal Family Systems) connects directly to your nervous system states Why EMDR is a somatic therapy, not just "the eye movement thing" A nuanced conversation about The Body Keeps the Score and where current research agrees and pushes back Whether you're a trauma survivor trying to understand your own healing, or a fellow therapist looking for a clear, clinically grounded refresher, this episode is built to meet you where you are. Mentioned in this episode: Fawning as a Trauma Response episode Inner Child Healing and Reparenting episode Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Why Your Nervous System Craves Certainty (And Why It Looks Like Control)	01 Jul 2026	00:18:53
Ever been called controlling? Too rigid? Too much? On today's episode I breaks down why it was maybe never about control. Your nervous system has maybe been trying to answer one question this whole time: am I safe? This episode covers the real reason behind reassurance seeking, perfectionism, hypervigilance, overthinking, and food rules, and why none of it is a character flaw. Using research on predictive processing and a concept called precision weighting from EMDR therapist Thomas Zimmerman, Sarah explains why your brain keeps choosing the old danger prediction even when you're safe right now. And why understanding alone won't change it. In this episode: Why control was never the real issue What your body's been telling you Why reassurance works for five minutes and then stops What precision weighting is and why it matters What healing actually requires instead Listen to Thomas Zimmerman's episode on The Beauty and the Work of Complex Trauma here Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Emotional Flashbacks in Complex Trauma Explained	24 Jun 2026	00:36:33
Emotional flashbacks are one of the most common and most misunderstood experiences in complex trauma. Unlike visual flashbacks, they don't come with images or a clear memory. They arrive as intense feelings, shame, fear, loneliness, helplessness, often with no story attached and no warning. In this episode, Sarah breaks down what emotional flashbacks actually are. You'll learn why insight alone doesn't change the nervous system's predictions, what's happening in your body when each survival part gets activated, and what healing actually requires at the level of the body. In this episode: What emotional flashbacks are and why they're so hard to catch How implicit memory keeps the past alive in the present The four Fs and how each survival part feels in the body Why understanding your trauma isn't the same as healing it What ideal caregiver work looks like in trauma therapy A simple practice for when the wave hits Resources mentioned: Emotionally Corrective Experiences episode Understanding Dissociative Parts with Dr. Janina Fisher Pete Walker, Complex PTSD: From Surviving to Thriving Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Complex Trauma and the Belief That You're a Burden	17 Jun 2026	00:20:57
Do you feel guilty every time you need something, even from people who love you? Do you find it easy to show up for everyone else but nearly impossible to let someone show up for you? If so, this episode is for you. In episode 135, I explore the belief that you are a burden. Not as a passing thought, but as a felt sense in the body that gets activated the moment you need something from another person. I break down where this pattern might come from developmentally, how it shows up differently across attachment styles, and why receiving care can feel more threatening than giving it. I also cover the body-based signature of shame, why you might not reach out until things are really bad, and how to start telling the difference between what you actually feel and what's actually true. If you've ever deleted a text asking for help, felt sick after reaching out, or wondered whether you're actually a burden or just convinced you are, this one's going to hit close to home. In this episode: The developmental roots of feeling like a burden Why giving feels safe and receiving feels threatening How attachment tendencies shape the way this shows up for you The body's role in shame and why connection sometimes can't get in A reflection and a small practice to try this week Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Why Complex Trauma Survivors Struggle to Believe Themselves	10 Jun 2026	00:29:10
Many complex trauma survivors struggle to trust their memories, emotions, perceptions, and reactions. In this episode, we're exploring why being disbelieved can feel so painful, how emotional neglect and attachment wounds can teach us to question ourselves, and why trauma often leaves us with fragments of memory instead of a clear narrative. We discuss: • Why not being believed can feel abandoning • How self-doubt becomes a survival strategy • Trauma memory and fragmentation • Why emotional neglect can be difficult to identify • The connection between CPTSD, self-trust, and attachment • How to begin rebuilding trust in yourself Whether you struggle with childhood emotional neglect, emotionally immature parents, dissociation, hypervigilance, people pleasing, perfectionism, or chronic self-doubt, this episode will help you understand why trusting yourself can feel so difficult, and how healing begins. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Why Emotional Loneliness Runs So Deep in Complex Trauma	03 Jun 2026	00:31:15
Emotional loneliness is one of the most common and least talked about experiences in complex trauma recovery. It's not about the number of people in your life. It's about whether your nervous system has learned to let them in. And for a lot of survivors, it hasn't. Not because something is permanently wrong with you, but because your nervous system learned some very specific things about connection a long time ago. In this episode, I break down some of the neuroscience and nervous system mechanics behind emotional loneliness in CPTSD, why it runs so much deeper than social isolation, and what actually helps. In this episode: Why emotional loneliness and social isolation are not the same thing, and why adding more people to your life won't fix the second one The push-pull cycle so many survivors live in, desperately wanting connection and pulling back the moment someone gets close How emotional neglect specifically creates a loneliness that's hard to name because the wound is in what didn't happen, not what did Why hyperindependence is often a nervous system adaptation, not a personality trait The role of the HPA axis and oxytocin in why connection can feel physically threatening even when you want it How shame creates concealment, and how concealment sustains loneliness in a cycle that's hard to break What dissociation and hypervigilance have to do with why connection doesn't land even when it's right in front of you Why healing often makes loneliness feel worse before it gets better, and what that actually means What capacity building looks like when the goal is learning to receive connection, not just find it Resources that might support you: Episode 126: The Inner Critic with Emily Pagone Episode 127: Attunement and Rupture in the Clinical Relationship with Katie Fries Episode 128: Fawning as a Trauma Response Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	What CPTSD Does to Your Sleep and Why Nothing Else Has Worked	27 May 2026	00:32:00
Sleep is one of the most common struggles in the CPTSD community, and one of the least understood. If you've tried the routines, the supplements, the magnesium, the blue light glasses, and you're still lying awake at midnight or waking up at 3am feeling like something is wrong, this episode is for you. Today I break down why sleep is uniquely hard when you have complex trauma, what's actually happening in your nervous system at night, and what might actually help. In this episode: Why sleep requires felt safety and why that's so hard with CPTSD The two ends of the sleep struggle spectrum: can't fall asleep vs. sleeps but never feels rested Hypervigilance at night and why the quiet, dark room can become the trigger Nightmares as attempted processing and what's actually getting in the way The IFS lens: the protectors, managers, and exiles running the show at night Why parts work is nervous system work Sleep hygiene that actually makes sense for a dysregulated nervous system Somatic tools to try before bed and when you wake up at 3am References: Dana, D. (2018). The Polyvagal Theory in Therapy: Engaging the Rhythm of Regulation. Norton. Balban, M. Y., Neri, E., Kogon, M. M., Weed, L., Nourski, B., Picard, M., ... & Huberman, A. D. (2023). Brief structured respiration practices enhance mood and reduce physiological arousal. Cell Reports Medicine, 4(1). Southwick, S. M., Bremner, J. D., Rasmusson, A., Morgan, C. A., Arnsten, A., & Charney, D. S. (1999). Role of norepinephrine in the pathophysiology and treatment of posttraumatic stress disorder. Biological Psychiatry, 46(9), 1192–1204. Yehuda, R. (2002). Post-traumatic stress disorder. New England Journal of Medicine, 346(2), 108–114. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	What Inner Child Healing and Reparenting Actually Looks Like	20 May 2026	00:38:06
Inner child healing isn't easy work. For people living with complex trauma, it can be one of the most neurobiologically specific processes in trauma recovery. And the version most people have been handed doesn't come close to touching it. In this episode we get into what inner child healing actually is, what the young part is really doing in your nervous system, and what reparenting actually looks like and what might get in the way. In this episode: Why the inner child wound shows up as exhaustion, automatic accommodation, and disconnection from your own needs more often than it shows up as a recognizable emotional reaction What emotional flashbacks are and why the inner critic is often the young part's most audible signal The difference between toxic shame and regular shame, and why that distinction matters for healing Why insight dissolves after therapy sessions and what's actually happening when the healing doesn't land What reparenting actually is at the neurological level, including the grief piece that most content skips entirely Four body-based practices for building a real relationship with the young part of you that never got what it needed If your nervous system is chronically dysregulated and you want somewhere to start, grab the free Dysregulation SOS Toolkit here. It's a practical, body-based resource for getting out of fight, flight, freeze, and fawn in real time. Clinical frameworks referenced in this episode include Janina Fisher's structural dissociation model, Internal Family Systems, and Pete Walker's work on complex PTSD and emotional flashbacks. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Corrective Emotional Experiences After Childhood Emotional Neglect	13 May 2026	00:33:06
You've done the work. You've been in therapy, read the books, and you can name what happened to you. So why doesn't it feel like enough? That gap between understanding your story and actually feeling different in your body has a reason. And it's not because you haven't tried hard enough. It's because childhood emotional neglect creates a very specific kind of wound that requires a very specific kind of repair. In this episode we're going past the recognition and getting into what that repair actually looks like and how to start creating it in your real life. In this episode we cover: What implicit emotional learnings are and how to recognize the ones that may still be running in the background of your relationships Why insight alone often doesn't move them and what the brain actually needs instead The three step sequence that allows the brain to revise an old emotional learning at its root Why CEN survivors often have no discrete memory to target and how the implicit learning tends to surface instead How corrective experiences can happen in therapy through co-regulation, rupture and repair, EMDR, and somatic work How they can also happen outside of therapy in your relationships, your body, and your daily life What interoception is and why rebuilding it is a core part of this work How to start recognizing a corrective experience when it's happening because it often doesn't feel the way you might expect What hyperindependence has to do with all of this Why animals, nature, and routine can be legitimate corrective experiences for people who feel isolated right now What earned secure attachment is and what the research suggests about getting there What tends to get in the way, including shame, and what active receiving looks like in practice Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	CPTSD and the Stack of Diagnoses Nobody Connects	06 May 2026	00:37:42
If you've been diagnosed with more than one thing, and it feels like every provider is treating each piece in isolation, this episode is for you. Complex PTSD doesn't just show up as one condition. For many people, CPTSD symptoms include a stack of co-occurring diagnoses that are deeply connected at the nervous system level but rarely treated that way. In this episode, I break down exactly what might be happening underneath seven of the most common conditions that show up alongside complex trauma, and why understanding the connection changes everything about how healing can work. In this episode you'll learn: What the window of tolerance is and how complex PTSD shrinks or collapses it The faux window of tolerance: the nervous system concept that explains why behaviors like restriction, compulsions, and substance use are so hard to give up A quick nervous system primer covering sympathetic activation, dorsal vagal shutdown, and the vagus nerve How CPTSD and eating disorders are connected at the nervous system level, including restriction, bingeing, and purging The research-backed link between complex trauma and OCD, including a documented posttraumatic subtype Why substance use, workaholism, chronic pain, dissociation, and emotional dysregulation are all nervous system adaptations in people with complex PTSD Why treating these complex PTSD symptoms in isolation so often stalls, and what integrated trauma-informed treatment actually looks and feels like The three phases of healing: stabilization, the thaw, and integration Whether you're early in understanding your CPTSD symptoms or years into treatment and still feeling like something is missing, this episode offers a framework that finally puts all the pieces in the same room. Free Resource: Dysregulation Toolkit for CPTSD Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	It's Not People-Pleasing, It's Fawning	29 Apr 2026	00:36:21
If you've spent your life being told you're "too nice," "a people-pleaser," or that you just need to "set better boundaries," this episode is for you. Fawning is the fourth trauma response, and for most folks with complex PTSD, it's been... a thing... for decades. In this episode, Sarah unpacks what fawning actually is (hint: it's not a personality flaw), how it gets built in childhood, what it can feel like in the body, and three small experiments to begin the work of coming home to yourself. This is one of the most requested topics on The Complex Trauma Podcast. Sarah brings together the foundational work of Pete Walker, current research on complex trauma and emotional neglect, parts work and structural dissociation from Janina Fisher, polyvagal theory, and somatic experiencing into one conversation about why so many of us learned to disappear into other people, and how we begin to find our way back. In this episode, you'll learn: The difference between fawning and people-pleasing, and why the distinction matters for healing How fawning develops as a brilliant survival adaptation in childhood, often before you have language to remember it Why the latest research shows emotional neglect is the strongest predictor of complex PTSD Seven somatic markers of fawning, including the rehearsing, the scanning, the voice change, and the disappearance How blended states (sympathetic activation plus dorsal shutdown) explain why fawning leaves you exhausted and wired at the same time The reframe that changes everything: you are not a fawner. You have parts of you that fawn. Three small, sticky experiments you can try this week: The Body Audit, The 1% Honest Answer, and The Tiny No Why titration (slow, tiny, repeated) is the only way trauma responses actually unwind Mentioned in this episode: Complex PTSD: From Surviving to Thriving by Pete Walker Fawning by Dr. Ingrid Clayton Embracing our Fragmented Selves by Janina Fisher Waking the Tiger and In an Unspoken Voice by Peter Levine The CDC-Kaiser ACE Study Why Regulation Feels So Hard with CPTSD (previous episode) Sarah's conversation with Janina Fisher (previous episode) Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	When Being Seen Can Feel Unsafe in Therapy for CPTSD with Katie Fries	22 Apr 2026	00:37:39
If you've ever sat in your therapist's office and thought "I sort of just want you to take care of me" and then felt embarrassed for even thinking it, this episode is for you. Listener Laurie wrote in after the "I Finally Stopped Shrinking" episode asking why being truly seen by a therapist can feel so activating, why grounding doesn't always hit the way her therapist intends it to, and why part of her just wants her therapist to show up more parentally even though she knows that's not the answer. We took her question and ran with it. Today I'm joined by Katie Fries, LCSW, RPT, founder of All of You Therapy in Philadelphia, to talk about what's actually happening in the nervous system when the therapy relationship itself becomes the source of activation, and why that's not a sign something is wrong with you. In this episode we cover: Why wanting your therapist to parent you is not pathology, it's your nervous system doing exactly what it learned to do Why being truly seen can trigger a threat response for people with complex trauma When grounding can actually widen a rupture instead of helping What needs to happen before any regulation tool can land What co-regulation really looks like in the therapy room Why the therapist's own nervous system regulation matters more than most people realize What relational repair actually looks like in practice How to bring a rupture into the room even when it feels terrifying How to know if this is a healing edge or a therapist fit issue About Katie Fries: Katie Fries, MSW, LCSW, RPT is the founder of All of You Therapy, a group therapy practice in Center City Philadelphia serving clients throughout Pennsylvania and New Jersey. Katie works from a relational, body-oriented, experiential lens with a deep specialization in early relational trauma, attachment, and parent-child relationships. She is trained in AEDP, IFS, Gestalt, Theraplay, EMDR, and Psychedelic Somatic Interactional Psychotherapy among many others. Katie also offers clinical and business consultation. Learn more about her therapy practice: allofyoutherapy.net For theraists looking for consultation: katiefries.com Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	The Inner Critic, IFS, and Complex Trauma with Emily Pagone	15 Apr 2026	00:34:54
If you've ever wondered why the harshest voice in your head won't quiet down, this episode might help you reframe the why's behind it. This week I sits down with Emily Pagone, LCPC, founder of Authentic Growth Wellness Group and host of The Inner Critic Podcast. Emily specializes in IFS therapy, EMDR, and somatic approaches with a particular focus on complex trauma and neurodivergent trauma recovery. We talk about what the inner critic actually is through an IFS lens, why it developed, and why trying to silence it usually backfires. We get honest about our neurodivergent nervous systems, masking, and the shame that builds when your brain was never really understood growing up. If parts work is new to you, this is a great place to start. If you've been in it for a while, there's still something here. Find Emily at the Inner Critic Podcast on Apple and Spotify, and on Instagram at Emily @emilypagone. Learn more about her therapy practice, Authentic Growth Wellness Group here. Listen to The Inner Critic Podcast on Apple Podcasts Listen to The Inner Critic Podcast on Spotify Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	I Finally Stopped Shrinking… and Still Got Hurt	08 Apr 2026	00:29:36
You did the work. You stopped shrinking. You let someone in. And it still ended with you feeling invisible. So what do you do with that? In this episode I'm responding to a message from a listener going through a divorce. She didn't shrink. She showed up fully. And it still ended in abandonment. Her question was simple and devastating: how do you reconcile that? And, how do you ever trust again? On today's episode I get into why adult relationships can reopen old wounds rather than heal them, what your nervous system is actually doing when someone starts pulling away, the difference between a trigger and a real present wound, and what rebuilding trust actually looks like from the inside out. This one is for anyone who thought they'd finally broken the pattern only to find themselves right back in the wound. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Complex Trauma, Motherhood, and Cycle Breaking with Libby Ward	01 Apr 2026	00:47:37
In today's episode, I'm sitting down with Libby Ward, creator, speaker, and author of Honest Motherhood: On Losing My Mind and Finding Myself, to talk about what it really looks like to wake up mid-motherhood and realize you never actually knew yourself to begin with. Not because motherhood took you away from yourself, but because trauma did that long before your kids ever showed up. We talk about the overfunctioning, the perfectionism, the hypervigilance disgused up as "being a good mom," and the moment Libby hit a wall in her car on an ordinary morning that changed everything. We also get into repair, the grief that comes with cycle breaking, and why loving your kids, while beautiful, is not actually enough on its own. This one is raw, honest, and so worth your time. In this episode we cover: How Libby recognized her childhood trauma well into motherhood The nervous system reality behind why "just calm down" isn't a real option Overfunctioning and perfectionism as trauma responses The granola bar moment (you will feel this one) What cycle breaking actually looks like on a regular Tuesday The grief of knowing better and still struggling Why repair might be the most powerful thing you can offer your kids Libby's book Honest Motherhood and what's inside the pre-order bonus Links and resources: Libby's website: https://libbyward.com/ Pre-order Honest Motherhood: On Losing My Mind and Finding Myself at https://libbyward.com/honest-motherhood-book Follow Libby on Instagram Follow Libby on TikTok Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	The Hidden Shame in Emotional Neglect	25 Mar 2026	00:26:15
You might not call it shame. But if you were emotionally neglected, there's a chance it's been running the show. Most people who grew up emotionally neglected don't have a name for what they carry. They just know that asking for help feels wrong, that they can't stop replaying conversations, that being seen makes them want to disappear. This episode is about why that story forms, where it lives in the body, and why it's so hard to recognize as shame at all. I break down the difference between shame from overt trauma and the kind that grows from absence, why a child's nervous system is wired to turn unmet needs into self-blame, and what it actually looks like to start healing something you can't even point to. In this episode: Why emotional neglect is described as an invisible injury How shame forms as a survival strategy to preserve attachment The version of freeze that looks like high-functioning Why self-awareness can sometimes be shame in disguise What it means that your nervous system never built a map for settled The grief of growing up in an environment that couldn't hold all of you What healing actually looks like when insight alone isn't enough - Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	How Complex Trauma Shows Up in Your Sex Life— with Rachael Garner	18 Mar 2026	00:36:39
Sex and complex trauma. It's one of those topics that doesn't get nearly enough airtime, and yet it comes up so frequently in the therapy room. In this episode I'm talking with Rachael Garner, a certified sex therapist and EMDR clinician who works with complex trauma survivors, about what actually happens to our relationship with sex, desire, and our bodies when we've experienced complex trauma. And there is a lot more nuance here than most people realize. We talk about why dissociation during sex happens and what your body is doing when it checks out. We get into the difference between physiological arousal and actual desire, why zero libido sometimes has nothing to do with your partner, and how sexual neglect, not just abuse, can shape the way you relate to your own sexuality. We also talk about what healing looks like in this area, why it has to be slow, what partners often get wrong even with the best intentions, and how nervous system flexibility connects trauma work and sexual healing in a way that's genuinely hopeful. Rachael Garner is a Certified Sex Therapist, an EMDR Certified Therapist, and an EMDRIA-Approved Consultant-in-Training specializing in complex trauma and sexual issues through a somatic- and attachment-based lens. She is in private practice in Jackson MS, where she resides with her husband and two boys. Learn more about Rachael and her work at https://www.garnercounseling.com. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Why You Freeze or Shut Down When Things Get Hard	11 Mar 2026	00:18:15
If you've ever gone completely blank in the middle of a hard conversation, or found yourself frozen, heart hammering, unable to say a single thing, this episode is for you. A listener wrote in asking why she shuts down instead of getting upset. Why everyone else seems to cry or fight while she just goes numb and feels nothing. And whether something is wrong with her. The answer is no. And this whole episode is the explanation. We cover the difference between freeze and shutdown, because they get used interchangeably and they are not the same thing. Freeze is high activation trapped under stillness. Shutdown is the system going offline entirely. Two different nervous system responses, two different origins, two different things that actually help. We also talk about why the tools that usually work, breathing, grounding, thinking your way through it, don't reach you when you're in shutdown, and what actually does. If you recognize yourself in either of these patterns, this episode will give you language for something that's probably been really hard to explain. - Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Why Nervous System Regulation Feels Impossible With CPTSD	04 Mar 2026	00:30:00
If you've done the work, learned the tools, and still feel like you're white knuckling through every single day, this episode is for you. For many people with complex PTSD and developmental trauma, calm isn't somewhere familiar to return to. It's something that has to be built, maybe for the first time. And that changes everything about how healing needs to look. This episode breaks down three concepts from developmental trauma research that explain why nervous system regulation can feel so darn hard, and why that has nothing to do with how hard you're trying. Foundational dysregulation. Blended autonomic states. Defensive accommodations. These are the missing pieces that explain why you can feel wired and exhausted at the same time, why your coping strategies became your personality, and why the standard regulation tools keep hitting a wall. This episode draws on the work of Peter Levine and clinical literature on the side effects of developmental trauma. You are absolutely not broken. There is a real reason you feel the way you do. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Childhood Emotional Neglect with Dr. Danica Harris	25 Feb 2026	00:34:33
Childhood emotional neglect doesn't always look like what you'd expect. Sometimes it looks like a parent who showed up to every game, made dinner every night, and still wasn't really there. That gap between what was present and what was missing is exactly what we're unpacking today. Dr. Danica Harris is a somatic experiencing practitioner and complex trauma expert, and she breaks down why emotional neglect is so hard to identify, what it costs the body to grow up as the easy kid, and what healing actually looks like when you go low and slow. If you've ever said "I had a good childhood" and still felt like something was off, this one is for you. Find Dr. Danica Harris @theempoweredtherapist on Instagram and Facebook @empoweredhealingdallas for her group practice Check out her group practice here and learn more about working with Danica here - Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	3 Dissociation Questions Everyone's Asking (Answered)	18 Feb 2026	00:19:59
After my conversation with Janina Fisher about dissociative parts, my inbox exploded with questions about dissociation. So today, I'm answering three that showed up a few times In this episode, we're covering: Why you might dissociate MORE in therapy than anywhere else (and why that doesn't mean therapy isn't working) How to tell the difference between zoning out and actual dissociation Why you can tell your trauma story without feeling anything, and what that really means If you've ever driven home from therapy wondering why your brain keeps checking out, or if you've told your story a hundred times but can't seem to access the feelings, this episode is for you. What You'll Learn: Early warning signs of dissociation in your body (before it fully takes over) How to use orienting to stay present when things get heavy The difference between depersonalization and derealization Why emotional numbness is protection, not proof that nothing happened Three concrete ways to start rebuilding the bridge between your story and your body Mentioned in This Episode: Episode with Janina Fisher on dissociative parts (listen if you haven't yet!) Window of tolerance State-dependent memory Dorsal vagal shutdown response Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Betrayal Trauma and Learning to Trust Again with Joe Sanok	11 Feb 2026	00:33:04
Betrayal doesn't just hurt. It rewires your nervous system, shakes your ability to trust yourself, and makes you question everything you thought you knew about your relationship. In this episode, Joe Sanok shares what happened when his marriage ended suddenly on an RV trip, how he navigated the shock of becoming an unexpected single dad, and what it actually took to rebuild his life without replaying the same patterns. Joe talks openly about waking up in a camper next to someone who was already gone, the nervous system chaos that followed, and why he built a "support committee" instead of white-knuckling his way through alone. We also get into dating after betrayal, how to show up for yourself when everything feels uncertain, and what it looks like to trust again without abandoning the parts of you that are still healing. This conversation is for anyone who's been blindsided by betrayal, anyone who's had to rebuild their sense of safety from the ground up, or anyone who's wondered if they'll ever feel solid in a relationship again. Topics covered: What betrayal trauma does to your nervous system How Joe's marriage ended and what the early days looked like Why building a support committee matters more than going it alone Dating after betrayal without repeating the same patterns Learning to trust yourself again after your judgment feels broken How to parent through your own crisis Rebuilding safety in your body and relationships Download Joe's new book: Dating After Betrayal: A Guided Healing and Re-Entry Experience here. Listen to Joe's podcast, Practice of the Practice on Apple or Spotify Learn more about Joe's Consulting Services Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Understanding Dissociative Parts with Dr. Janina Fisher	04 Feb 2026	00:30:49
What if forgetting your childhood, feeling disconnected from your emotions, or experiencing different "versions" of yourself weren't signs that something's wrong with you, but evidence of how brilliantly your brain protected you? In this episode, I sit down with Dr. Janina Fisher, one of the leading experts on trauma and dissociation, to unpack what dissociation actually is and why it's a survival response, not a pathology. We talk about why so many people say "I had a good childhood" even when they can barely remember it, what's really happening when you lose time or feel like different parts take over, and how understanding your parts can change everything about how you heal. Dr. Fischer breaks down her Trauma-Informed Stabilization Treatment (TIST) model and explains why chasing "safety" might be the wrong goal if you've never known what safety feels like. This conversation gets real about fight parts, attached parts, and why noticing what's happening inside you matters more than remembering every detail of what happened to you. If you've ever felt fragmented, disconnected, or like parts of you don't quite fit together, this episode will help you see yourself through a completely different lens. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Understanding Your Response to Collective Trauma	28 Jan 2026	00:22:40
This episode is a bit different. If it's not for you, that's okay. Right now, a lot of us are struggling. The anxiety that won't quit, the rage that scares you, the numbness that makes you wonder what's wrong with you, the exhaustion that feels bone-deep. You're not overreacting. Your nervous system is responding to real threat. In this episode, we talk about what happens in your body when threat is ongoing and there's no clear way to resolve it. We look at vicarious trauma, suppressed anger, grief that doesn't feel like sadness, and the shame of struggling when you think you should be stronger. If you're trying to figure out how to care without being destroyed by it, how to stay engaged without depleting yourself completely, this one's for you. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Religious Trauma is Complex Trauma with Cassidy DuHadway	21 Jan 2026	00:37:58
In this episode, I sit down with Cassidy DuHadway, author of "Becoming Me," to talk about religious trauma as complex trauma. We dig into how growing up in systems that demand you not be yourself creates deep attachment wounds, shame spirals, and an outsourcing of your internal knowing. Cassidy breaks down what religious trauma actually is, how it shows up in adult relationships, and why leaving or deconstructing your faith creates such profound grief and identity loss. We talk about the cost of purity culture, the weight of intergenerational patterns, and what it takes to rebuild when everything you knew gets questioned. This conversation is for anyone who's felt the quiet pressure to conform, who's carried shame that never quite made sense, or who's grieving what could have been if they'd had different choices earlier in life. About Cassidy DuHadway: Cassidy DuHadway, LCSW, is a trauma therapist, EMDR Approved Trainer, and author of "Becoming Me: Unraveling and Healing the Sacred Wounds of Religious Trauma." She specializes in complex trauma and emotional neglect and is the CEO of Purple Sky Counseling in Utah. Connect with Cassidy: Follow Cassidy on Instagram: @therapywithcassidy Check out her website: cassidyduhadway.com Purchase her book: "Becoming Me: Unraveling and Healing The Sacred Wounds of Religious Trauma Learn more about her Utah therapy practice and work with her team: Purple Sky Counseling Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	I Don't Even Have Trauma Memories, So Why Am I Triggered?	14 Jan 2026	00:16:20
"What counts as a trigger for CPTSD? And why do I get triggered by everyday stuff that shouldn't feel threatening?" If you've ever found yourself completely activated by something that seems small to everyone else (a text message, a tone of voice, someone's silence), this episode is for you. I'm breaking down what triggers actually are in complex trauma, why your body responds to threat cues that your conscious mind doesn't recognize, and what to do when you feel like you're walking around with an invisible tripwire system. What we cover: Why triggers are often reminders of a state rather than a specific event The neuroscience behind why your body can hold trauma even when you don't have clear memories How to tell the difference between being triggered and being overloaded Seven practical steps to work with your triggers without turning life into a self-monitoring project Why the whole "I shouldn't be triggered because I don't remember anything" mindset is keeping you stuck. Download my FREE Dysregulation Toolkit Here! Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	The Beauty and the Work of Complex Trauma Recovery with Thomas Zimmerman	07 Jan 2026	00:29:45
What if your anxiety, depression, or chronic overwhelm aren’t personal failures, but the echoes of unprocessed trauma? In this week’s episode, Sarah sits down with EMDR therapist, consultant, and author Thomas Zimmerman, whose work has shaped how thousands of clinicians around the world approach complex trauma. Together, they unpack what recovery from complex trauma actually looks like and why it’s not about willpower, positive thinking, or pushing through. You’ll hear Thomas’ refreshingly honest take on: Why trauma is “learning that’s not meant to be changed easily” How EMDR helps the nervous system update old survival learning Why so many survivors struggle to “slow down and notice” (and what to do instead) The importance of preparation and resourcing before trauma processing How to widen your window of tolerance without getting flooded And why, even though recovery takes time, it’s one of the most beautiful acts of self-liberation there is This conversation is both validating and practical for anyone walking the long, brave path of reclaiming themselves after complex trauma. Connect with Thomas Zimmerman: Book: EMDR with Complex Trauma YouTube: Thomas Zimmerman EMDR His website: Thomas Zimmerman EMDR Connect with Sarah & Reclaim Therapy: https://www.yourcomplextrauma.com Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	A New Year's Pep Talk (Without the Toxic Positivity)	31 Dec 2025	00:07:48
It's New Year's Eve, and if you're feeling anything other than excited, there's absolutely nothing wrong with you. This isn't your typical "new year, new you" pep talk. It's for the trauma survivors who are exhausted by the pressure to transform, who feel like they're failing because they didn't have some massive breakthrough this year, or who are just relieved the dumpster fire of 2025 is over. In this episode, I talk about why New Year's can be so hard when you're healing from complex trauma, why your nervous system doesn't care about artificial timelines, and what actually supports healing (spoiler: it's not punishing yourself into productivity). I also get real about my own year, what I'm hoping for in 2026, and the moment I realized I've been so busy overfunctioning that I don't even have hobbies. Plus, a sneak peek at what's coming in 2026: narcissism in families, religious trauma, emotional neglect, dissociation, and betrayal trauma. Whatever you're feeling tonight, it's allowed. You're allowed to be exactly where you are. Happy New Year. ... Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	How to Navigate Holiday Emotional Hangovers	24 Dec 2025	00:25:50
That weird week between the holidays and New Year's hits different. You've survived the holiday chaos, the family dynamics, the endless to-do lists, and now you're supposed to just... exist? Enter: the emotional hangover. In this episode, we break down why that post-holiday crash feels so brutal and what actually helps when you're running on empty. What We Cover: Why 80-90% of adults report increased stress during the holidays (and why the crash afterwards is inevitable) The real reason that week between Christmas and New Year's feels like floating through space How family dynamics amplify emotional exhaustion (hello, suddenly being 12 years old again) Five practical ways to take care of yourself when you're emotionally hungover Why grief shows up in unexpected ways during this season How to honor your actual capacity instead of pushing through Key Takeaways: Research shows more than half of adults need weeks to feel regulated after the holidays. If you're crashed on the couch questioning everything, you're recovering. That's what your nervous system is supposed to do. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Q&A: How to Set Boundaries With Family Who Won't Listen	17 Dec 2025	00:23:44
You set a boundary. They ignored it. You repeated yourself. They pushed again. And by the fourth time, you weren't calmly redirecting anymore, you were yelling, crying, or walking out. Now you're sitting with shame, wondering if all that therapy was pointless. In this episode, I answer a listener question about what to do when family members repeatedly violate your boundaries during holiday gatherings. I talk about what's actually happening in your body when boundaries get crossed (spoiler: you're not choosing to lose your temper, you're in a survival response), why family systems resist your boundaries so hard, and the difference between a boundary and a request (this one's huge). In this episode, we cover: What happens in your nervous system when boundaries get violated repeatedly Why your family pushes back so hard when you start setting limits The difference between boundaries and requests (and why this matters) How family roles (peacekeeper, scapegoat, parentified child) affect boundary violations Six practical strategies to protect yourself at Christmas gatherings What to do if you lose your temper again (because it might happen) Why losing your temper doesn't erase your healing work Resources mentioned: Free Dysregulation SOS Toolkit Have a question for the podcast? Head to www.yourcomplextrauma.com/contact to record your question. We only share with your permission. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Invisible Rules of Dysfunctional Families with Abby Albright	10 Dec 2025	00:33:09
If family gatherings leave you feeling drained or like you're reverting to an old version of yourself, you're not alone. EMDR therapist and yoga teacher, Abby Albright, returns to discuss the invisible rules governing dysfunctional family systems and how they intensify during the holidays. We explore six categories of unspoken family rules: emotional (don't feel, don't be sad), need-based (don't need anything), relational (don't rock the boat, don't outshine anyone), role-based, loyalty (protect the family image), and safety rules. These aren't written anywhere, but they live in our bodies and shape how we show up. Abby shares how these patterns create physical tension, why breaking invisible rules feels scary, and practical ways to find choice within challenging family dynamics. We talk about being a pattern breaker and giving yourself permission to show up differently, even in small ways. What You'll Learn: How to recognize the six types of invisible family rules Why family gossip reinforces dysfunctional patterns The gap between family image and reality Small ways to practice choice during difficult gatherings When to lean into curiosity vs. contain awareness Check out Abby's Therapeutic Yoga offerings here For more on dysfunctional family dynamics around the holidays, tune into: Family Dysfunction: What It Is and What To Do With It Dysfunctional Family Dynamics & The Holidays Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Dr. Judith Herman on Complex PTSD and What Survivors Really Want	03 Dec 2025	00:31:20
In this episode, I sit down with Dr. Judith Herman, author of the groundbreaking book Trauma and Recovery, to talk about complex PTSD, trauma recovery, and what justice actually means to survivors. Dr. Herman explains why complex trauma is still overlooked in mental health training, what the three stages of trauma recovery really look like in practice, and why isolation is one of the biggest predictors of poor outcomes. We also dig into her latest book, Truth and Repair, where she interviewed 30 survivors about what they actually want when it comes to accountability and healing. This conversation challenges everything you think you know about justice, punishment, and what it takes to move forward after trauma. If you've ever felt invisible, unheard, or like the system wasn't built for you, this episode will validate every single thing you've been feeling. Topics covered: The three stages of trauma recovery: safety, remembrance and mourning, and reconnection Why complex PTSD still isn't recognized in the DSM What survivors want more than anything (acknowledgment and vindication) Why most survivors don't want punishment or even apology from their abusers The role of bystanders in healing and harm How isolation impacts recovery and why finding your people matters Dr. Herman's one message to trauma survivors If this episode resonates with you, please share it with someone who needs to hear it. Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	CPTSD vs PTSD (And, Why You Keep Getting Misdiagnosed)	03 Dec 2025	00:13:50
If you've been diagnosed with anxiety, depression, borderline personality disorder, or bipolar - but nothing quite fits - you might actually be dealing with Complex PTSD. In this episode, I break down the crucial differences between PTSD and CPTSD, why so many trauma survivors get misdiagnosed, and why traditional therapy approaches often miss the mark for complex trauma. Be sure to listen to my interview with Dr. Judith Herman next! Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
	Welcome to The Complex Trauma Podcast	03 Dec 2025	00:14:35
Welcome to the Complex Trauma Podcast, formerly Reclaim You. If you’ve been minimizing your experiences as “not that bad,” holding it together for everyone else because you don’t know another way, or you’re finally ready to understand why you are the way you are in the world, you’re in the right place. Host Sarah Herstich shares the story behind the rebrand, her journey from treating eating disorders to specializing in complex trauma, and what’s coming next. What You’ll Learn: • Why the podcast evolved from Reclaim You to the Complex Trauma Podcast • The connection between eating disorders and complex trauma that kept showing up in practice • How becoming a parent (especially to a neurodivergent child) deepened Sarah’s understanding of trauma and the nervous system • What complex trauma actually looks like in daily life beyond the symptoms • Why so many survivors say “it wasn’t that bad” and minimize their experiences • What to expect from upcoming solo episodes and expert interviews • How having language for complex trauma can change everything about your healing What’s Coming: • The critical difference between PTSD and CPTSD • Expert conversations with Janina Fisher, Dr. Judith Herman, and Thomas Zimmerman • Deep dives into how trauma lives in your body and nervous system • Understanding overlooked childhood experiences that shape who you are today Who This Podcast Is For: Cycle breakers. People re-parenting themselves. People who’ve been holding it together for everyone else because they don’t know another way. People who feel numb or dissociated. There are really good reasons for the way you are in the world. New here? Subscribe to the Complex Trauma Podcast and join a community where you can feel seen, understood, and less alone. Been here since Reclaim You? Thank you for walking alongside us through every version of this work. Same heart, same mission, new name. If this episode resonated, leave a review to help other complex trauma survivors find this podcast when they need it most Thanks for listening to The Complex Trauma Podcast! Be sure to follow, share and give us a review on your favorite podcast platform. Follow on Instagram: @sarahherstichlcsw Follow on TikTok: @sarahherstichlcsw Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment. Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER. The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.

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