Living with unexplained dizziness, tremors, or weakness can feel like a daily battle. You might wake up dreading the moment you turn your head, fearing that spinning sensation will return. Or perhaps your hands shake when you reach for a cup, and you wonder if it’s all in your head—or if something’s seriously wrong. These symptoms can make you feel trapped, isolated, and desperate for answers.
At Casa Colina Hospital in Pomona, neurologic physical therapist Dan Humphrey works with people just like you, helping them navigate neurologic and somatic symptoms to reclaim their lives. In a recent podcast, Dan shared profound insights about how our bodies process pain, the power of neuroplasticity, and the surprising connection between mind and body. Here are the key lessons to help you understand your symptoms and find a path forward.
Your Body Is Speaking—Are You Listening?
Discover how neurologic physical therapy can decode your pain, promote healing, and restore hope to your journey.
If you’re struggling with symptoms like dizziness or weakness after a stroke, brain injury, or even stress, it’s easy to feel like your body is broken. But Dan emphasizes the incredible power of neuroplasticity—your brain’s ability to adapt and rewire itself. “We’re really relying on the neuroplasticity of the brain, the ability of the brain to change,” Dan explains. This means that even if part of your brain is damaged, nearby areas can step in to help, like borrowing strength from a neighboring bridge strut when one is weakened.
What This Means for You: Your symptoms don’t have to define you forever. Through targeted exercises and strategies, a neurologic physical therapist can guide your brain to form new pathways. For example, if you’ve lost strength in one hand after a stroke, practicing tasks like writing with that hand—even when it feels exhausting—can retrain your brain. Ask yourself: What small, meaningful task (like holding a pen or walking to the mailbox) could you practice to start this rewiring process?
Lesson 2: Pain and Symptoms Often Have Emotional Roots
You might feel your symptoms physically—shaking, dizziness, or numbness—but Dan’s work reveals that these can stem from emotional or psychological stress, especially in conditions like functional neurologic disorder (FND). He describes a patient who felt unsteady months after an ear infection cleared, driven by fear that moving her head would trigger vertigo again. “This was fear avoidant behavior,” Dan notes, treated through gradual exposure to movement, like picking up objects from the floor. This isn’t “all in your head” in a dismissive way—your brain’s fear response is amplifying real physical sensations.
What This Means for You: If you avoid activities like bending over or going outside because you’re scared of triggering symptoms, your brain might be stuck in a protective mode. This doesn’t mean your pain isn’t real; it means your nervous system is on high alert. Working with a therapist trained in cognitive behavioral therapy (CBT) or habituation techniques can help you safely face these triggers. Try this: Next time you feel a symptom flare, pause and ask, “Am I feeling anxious or unsafe?” Naming the emotion can be a first step to calming your body’s response.
Lesson 3: Meaningful Goals Make Healing Possible
Rehabilitation can feel grueling, especially when symptoms make everyday tasks daunting. Dan stresses that healing happens when you have a reason to push through. He worked with a patient with a spinal cord injury who loved fishing, so therapy focused on getting him back on a boat—not fixing his injury entirely, but enabling what mattered most. “How can we still get you doing the things that you care about?” Dan asks. This salience, or personal importance, drives your brain to adapt.
What This Means for You: Think about what you miss most—writing a note to a loved one, playing with your kids, or even gardening. These goals give your brain a “why” to rewire itself. Share these with your therapist so they can tailor exercises to what lights you up. For instance, if you want to write birthday cards again, practicing hand movements with that goal in mind can feel less like a chore and more like a step toward joy. What’s one activity you’d love to reclaim, and how could you start practicing it today?
Lesson 4: Your Mind and Body Are Inseparable
You might feel frustrated when doctors can’t find a clear cause for your symptoms on a scan, or worse, suggest it’s “psychological.” Dan challenges this outdated separation of mind and body, rooted in historical ideas from philosophers like Plato. Modern science shows “very real interactions between the mind and body that require treatment in both senses,” he says. For example, a woman with tremors had no physical cause on tests, but her symptoms eased when Dan helped her face feared movements in a safe space, reducing her brain’s stress response.
What This Means for You: Your symptoms might feel purely physical, but stress, trauma, or anxiety can amplify them. This isn’t your fault—it’s how your brain prioritizes threats. A holistic approach, combining physical therapy with mental health support, can address both sides. If you’re told “it’s all in your head,” seek providers who validate your experience and offer tools like graded exposure or mindfulness. Reflect: Could talking to a counselor about stress or past trauma complement your physical therapy?
Lesson 5: You Have the Power to Take Charge
It’s easy to feel helpless when symptoms persist, especially if you’ve tried treatments that didn’t work. Dan believes in self-efficacy—empowering you to drive your own recovery. He tells patients, “I didn’t do anything. I just bossed you around!” to emphasize their role in their success. For one patient, suggesting she find her own path outside his care sparked a shift toward ownership. “The work’s been done… This for the rest is up to you,” Dan says.
What This Means for You: You’re not just a passenger in your healing journey. Small choices—like doing prescribed exercises, asking questions about your treatment, or exploring new therapies—build confidence. If a provider’s approach isn’t clicking, it’s okay to seek someone who resonates with you. A strong therapeutic alliance, where you feel heard and supported, can make all the difference. Try this: Write down one question to ask your doctor or therapist at your next visit to feel more in control.
Healing Starts With Understanding
Learn how personalized care from a neurologic physical therapist can help you reconnect with your body and regain your life.
Your symptoms—whether dizziness, tremors, or unexplained pain—are real, and they’re your body’s way of signaling that it needs help. As Dan Humphrey’s work shows, healing isn’t just about fixing a broken part; it’s about teaching your brain new ways to move, calming its fear responses, and reconnecting with what makes life meaningful. Your brain is adaptable, your emotions are valid, and you have the strength to take charge.
If you’re ready to explore these ideas, consider reaching out to a neurologic physical therapist or a mental health professional who understands the mind-body connection. At Casa Colina, experts like Dan are dedicated to helping you rebuild independence, one meaningful step at a time. What’s the first step you’ll take today to listen to your body and start healing?
Pelvic floor therapy targets the muscles, ligaments, and connective tissues that support your pelvic organs—think bladder, bowels, and reproductive system. These structures play a starring role in everyday functions like urination, digestion, and even sexual health. Problems here can affect anyone, regardless of gender, and can throw a wrench into your quality of life. In a recent interview, Dr. Rachel Daof, a pelvic floor physical therapist at Pelvic Model Physical Therapy, sat down with Dr. Connor McClenahan to unpack this essential yet often overlooked topic.
What Pelvic Floor Therapy Can Do for You
Pelvic floor therapy tackles a surprising variety of issues that might be disrupting your daily routine. Dr. Daof sums it up with a memorable phrase: “We help with pee, poo, and pleasure.” Here’s a closer look at the common challenges it addresses:
Urinary Incontinence: Ever leak a little when you cough, sneeze, or hit the gym? That’s more common than you might think.
Bowel Dysfunction: Struggles like constipation or fecal incontinence can be tough to talk about, but they’re treatable.
Pelvic Pain: Discomfort in the genital, anal, or lower abdominal areas can stem from muscle tension or injury.
Sexual Health Challenges: Pain during intimacy, erectile dysfunction, or premature ejaculation can all tie back to pelvic floor issues.
These problems don’t discriminate—they can affect people of all ages and genders, often triggered by things like childbirth, trauma, or even prolonged stress. The good news? They’re not something you have to just live with.
Pelvic Floor Therapy is About Safety
At Pelvic Model Physical Therapy, the treatment process is all about creating safety. It starts with a conversation—a detailed chat about your symptoms and history. Dr. Daof stresses that consent is non-negotiable: “We make sure patients are comfortable with every step.” Depending on what you’re dealing with, the next phase might involve an internal exam to check how those pelvic muscles are functioning. Don’t worry—these are done with care and always with your boundaries in mind.
From there, the team crafts a plan tailored just for you, targeting any weaknesses or tightness in the pelvic floor. “We want them to feel safe in our environment, with our presence, and with the manual therapy,” Dr. Daof explains. That sense of safety isn’t just a bonus—it’s what’s actually required for the muscles and nervous system to elongate and heal.
Pelvic Guarding and Kegel Exercises
Dr. Daof uses a simple yet powerful analogy to illustrate why pelvic floor issues often go beyond a lack of strength: imagine trying to clench your fist tightly for hours on end. Eventually, the muscles tire out, becoming so fatigued that they can no longer contract effectively, even if you want them to. This is similar to what happens with an overly tight or hypertonic pelvic floor. When these muscles are chronically tense—whether from stress, poor posture, or overcompensation—they lose their ability to relax and then contract properly. It’s not a matter of weakness but rather a state of exhaustion or dysfunction.
This is why Kegel exercises, which focus on strengthening through repeated contractions, often fall short or even worsen the problem. For many, the pelvic floor doesn’t need more tension; it needs release, retraining, and balance to restore its natural function. This points to the need to relax, elongate and understand the chronic tension we carry.
Emotional History Impacts Pelvic Floor Muscles
Here’s where it gets interesting: your pelvic health isn’t just about muscles—it’s tied to your emotions, too. Dr. Daof points out that experiences like childhood shame or trauma can show up years later as physical issues. Imagine a kid taught to “hold it in” because of strict rules or embarrassment. Over time, that habit can turn into chronic muscle tension down below.
That’s why pelvic floor therapy often takes a holistic approach, sometimes teaming up with psychotherapists to tackle both the physical and emotional sides of healing. It’s not just about fixing a symptom—it’s about understanding the whole picture to get lasting results.
Create Safety and Healing
If any of this sounds familiar—whether it’s a little leak or a nagging pain—know that you’ve got options. Pelvic floor physical therapy can make a real difference, and there’s no reason to let embarrassment keep you from getting help. Dr. Daof and her team are here to guide you with expertise and compassion.
We believe emotional and physical healing are 2 sides of the same coin. The pain you experience creates an emotional stamp that’s felt by both your internal world of relationships and self, as well as your body’s muscular and nervous system. Whichever side of the tunnel you approach it – whether with a psychotherapist or with a pelvic floor therapist – we know the healing is worth reaching out.
Brain Mapping and Neurofeedback at Vital Brain Health
What’s Happening Under the Hood
The brain is more than just the seat of our thoughts—it’s a dynamic organ where hardware (neural structures) and software (thought patterns) interact. At Vital Brain Health, advanced tools like EEG-based brain mapping and neurofeedback allow clinicians to peek into this hardware, revealing how brain waves and regions influence behavior. Brain mapping involves placing a cap with sensors on the scalp to record electrical activity over 20 minutes—10 with eyes open, 10 with eyes closed—creating a “movie” of the brain at rest. This isn’t about static images like an MRI; it’s about function, showing how areas fire and connect in real time. Neurofeedback builds on this by training the brain to adjust those patterns, using visual feedback (like a Netflix show that distorts when waves go off-track) to encourage healthier rhythms.
Why It Matters
Understanding the brain’s wiring offers a new lens on struggles like focus, anxiety, or emotional regulation. Rather than seeing these as personal failings, they can be viewed as biological responses—sometimes to stress, sometimes to inherited tendencies. This approach doesn’t just label issues; it provides a roadmap for change, empowering individuals to work with their brain’s natural plasticity.
The Neurology Behind ADHD-Like Focus Issues
Beyond the Label: What’s Really Going On
ADHD is often diagnosed through behavioral checklists—16 questions about focus or impulsivity—but this surface-level approach misses the deeper story. Neurologically, attention relies on the prefrontal cortex, which handles planning, impulse control, and sequential thinking (e.g., “Do A, then B”). Under stress or trauma, blood flow shifts away from this region to the amygdala and limbic system, prioritizing survival over organization. This can manifest as fast brain waves in the prefrontal cortex slowing down, or the amygdala over-firing, keeping someone in a reactive, high-arousal state. For a child, this might look like outbursts or distraction; for an adult, it’s losing track of tasks. The catch? These symptoms mimic ADHD but may stem from entirely different causes—like a tough life transition or chronic anxiety.
State vs. Trait: How Focus Issues Evolve
A “state” is a temporary reaction—like struggling to focus during a stressful week—while a “trait” is a wired-in tendency, shaped by prolonged experience. When stress persists (think post-COVID isolation or a family crisis), neurons fire together repeatedly, strengthening pathways that favor reactivity over focus. Over time, the prefrontal cortex might become “sluggish,” less efficient at sending inhibitory signals to calm the limbic system, while the amygdala stays on high alert. This isn’t a permanent flaw—it’s an adaptation that can be reframed and retrained.
Reframing the Struggle
Instead of “I can’t focus because I’m broken,” try: “My brain’s in a high-arousal state, reacting to something real.” This shifts blame from character to context. For example, a child labeled ADHD might have a prefrontal cortex overwhelmed by a traumatic move, not a disorder. Recognizing this opens doors to targeted solutions beyond medication—like addressing the root stress or using neurofeedback to boost prefrontal efficiency.
Practical Takeaway
If focus feels off, check your arousal level. Too drowsy or too wired (shaky, restless)? Both tank attention. Try a quick reset: a brisk walk if you’re sluggish, or a minute of slow breathing if you’re amped up. It’s not about forcing focus—it’s about tuning your brain’s engine.
Shared Trauma and Its Impact on the Brain
The Collective Experience
Trauma isn’t always personal—it can ripple through families or communities. Take a city hit by wildfires: homes lost, schools gone, cafes erased. This collective shock disrupts everyone’s sense of safety, sending limbic systems into overdrive. The amygdala ramps up, scanning for threats, while the prefrontal cortex dials back, reducing patience and impulse control. A parent might snap more easily, a child’s tantrums might spike—not because they’re “bad,” but because their brains are syncing to a shared stress signal. Post-COVID lockdowns showed this too: isolation and fear spiked arousal levels, leading to a surge in ADHD-like symptoms and medication shortages.
The Neurological Ripple Effect
In these scenarios, the brain’s wiring reflects the group dynamic. Hypervigilance—seen in fast “lambda waves” at the back of the head—might drive constant scanning, even in safe settings. This isn’t voluntary; it’s the visual cortex over-connecting to the amygdala, creating a feedback loop of alertness. For a family, this might mean everyone’s on edge, amplifying each other’s reactivity. It’s a collective “buzz” that can persist, turning a temporary state into a trait if unchecked.
Reframing the Impact
Rather than “Why are we all falling apart?” consider: “Our brains are carrying a shared load.” This perspective reduces guilt—parents aren’t failing, kids aren’t defiant; they’re adapting to a shaken world. It’s a call to see behavior as a signal, not a sentence.
Practical Takeaway
Break the buzz with a collective pause. A family walk, a silly game, or even a group deep-breath session can lower arousal across the board. It’s not about erasing trauma—it’s about giving everyone’s brain a moment to recalibrate together.
How Relationships Wire Our Brain
The Social Synapse
Our brains are built for connection. The prefrontal cortex doesn’t just manage tasks—it relies on relationships to regulate emotions and behavior. A child’s meltdown often eases with a calm adult nearby because their brain “borrows” that stability, a process tied to mirror neurons—cells that mimic others’ states. But if those systems are offline (e.g., less right-brain activity), bonding can feel elusive, even with effort. A parent might nurture tirelessly, yet the child struggles to connect—not due to lack of love, but a difference in wiring.
From Parent to Child, Spouse to Spouse
This wiring starts early and never stops. A preoccupied parent—say, distracted by a phone—might leave a child’s prefrontal cortex without that external “shushing” signal, letting limbic reactivity run wild. In adults, a stressed partner’s withdrawal can trigger the same loop in their spouse. Over time, these interactions shape traits: a child’s self-regulation might falter without consistent co-regulation, or an adult’s anxiety might spike without a steady anchor. It’s not blame—it’s biology.
Rewiring Through Neurofeedback
Here’s the hope: neurofeedback can shift these patterns. By placing sensors over key regions (like an overactive amygdala), clinicians guide the brain to slow its waves—think 900-1000 reps in a 20-minute session, all while watching a show. Over weeks, this builds a new trait: less reactivity, more calm. It’s like teaching a jittery cat to trust safety, compressing years of change into months.
Reframing Connection
Swap “They’re distant because they don’t care” with “Their brain might need help feeling safe.” This fosters patience and curiosity—maybe it’s not rejection, but a wiring hiccup you can address together.
Practical Takeaway
Boost your brain’s social wiring with daily check-ins—a quick chat with a friend or loved one. If connection feels strained, try co-regulation: sit quietly together, syncing breaths. Small moments can rewire big patterns.
Strategies for Change
Understanding Your Baseline The Yerkes-Dodson law—a bell curve of arousal vs. performance—shows optimal focus lies in the middle. Too low (drowsy), and you’re foggy; too high (manic), and you’re scattered. Brain mapping reveals your baseline—say, a fast-firing thalamus inherited from a parent, pushing you toward high arousal. Knowing this helps you target the real issue.
Breaking the Loop For rumination—linked to the anterior cingulate, the brain’s “Chihuahua” that won’t stop chewing—distraction works wonders. When stuck on “Did I mess up?” write it down, then shift to a tactile task (e.g., folding laundry). It’s not avoidance—it’s giving your brain a new toy.
Leveraging Neurofeedback Available in-office or via at-home sensors, neurofeedback targets specific waves (e.g., slowing fast alpha for anxiety). After 40 sessions over four months, many see 30-50% improvement—focus sharpens, reactivity fades. It’s a game-changer for stubborn traits.
Embracing Collective Support Share your journey—tell a friend, “I’m working on my focus.” Their encouragement can co-regulate you, amplifying progress. You’re not alone; your brain thrives with others.
Your Brain, Your Potential
Focus issues, shared trauma, and relational wiring aren’t defects—they’re your brain doing its job, shaped by experience. Whether it’s a prefrontal cortex on pause, a community reeling, or a connection needing a boost, you’re not stuck. Tools like brain mapping and neurofeedback, paired with simple reframes, reveal a truth: your brain’s adaptable, and you’ve got the keys. Start small—tune your arousal, lean on others, explore your wiring. You’re not fixing a flaw; you’re unlocking potential. What could change if you saw your brain as a partner, not a problem
Attachment styles profoundly impact the way you view yourself and your world.
Have you ever wondered why you react the way you do in relationships? Whether it’s a romantic partnership, a friendship, or even a professional connection, the way you form and maintain bonds with others is deeply influenced by something you may not even be aware of: your attachment style. Rooted in early childhood experiences, attachment styles act as a lens through which we view and navigate our relationships. This lens can either clarify or distort how we connect with others, often without us realizing it.
In this article, we’ll explore what attachment styles are, why they matter, and how they impact your life as an adult. We’ll also discuss practical ways to move toward a more secure way of relating to others. By understanding your attachment style, you can gain valuable insights into your relational patterns and take steps to build healthier, more fulfilling connections.
What Are Attachment Styles and Why Do They Matter?
Attachment styles are patterns of behavior, emotion, and thinking that we develop in early childhood based on our interactions with primary caregivers—typically our parents. These patterns form a template for how we approach relationships throughout our lives. The concept of attachment was first introduced by British psychologist John Bowlby, who observed that the bonds formed between children and their caregivers have a profound impact on emotional development and relational behavior.
At its core, attachment is about survival. Human beings are wired to seek safety and security through social bonds. Our brains, particularly the prefrontal cortex, evolved to help us form secure tribes or communities where we feel protected and valued. This need for connection doesn’t fade as we grow older; it simply shifts from parents to peers, partners, and colleagues. However, the way we learned to attach as children continues to influence how we seek and maintain these connections as adults.
Understanding your attachment style is crucial because it affects every relationship you have. It shapes how you handle conflict, express emotions, and perceive the availability of support from others. Fortunately, attachment styles are not set in stone. With self-awareness and effort, you can move toward a more secure way of relating to the world.
The Four Main Attachment Styles
Researchers have identified four primary attachment styles: secure, avoidant, anxious, and disorganized. Each style reflects a different way of perceiving and responding to closeness and emotional needs in relationships.
Secure Attachment: The Foundation of Healthy Relationships
People with a secure attachment style feel comfortable with intimacy and independence. They trust that others will be there for them when needed and are confident in their ability to navigate challenges. In childhood, securely attached individuals typically had caregivers who were responsive, attuned, and consistent in meeting their emotional needs. As adults, they tend to form stable, trusting relationships and are skilled at balancing their own needs with those of others.
Avoidant Attachment: The Struggle with Emotional Closeness
Avoidant attachment develops when caregivers are emotionally distant or dismissive of a child’s needs. As a result, individuals with this style learn to suppress their emotions and rely heavily on self-sufficiency. They often view asking for help as a weakness and may feel uncomfortable with too much closeness. In adult relationships, avoidantly attached people can appear independent and self-reliant, but they may struggle to form deep emotional bonds and often feel isolated.
Anxious Attachment: The Fear of Abandonment
Anxious attachment arises when caregivers are inconsistent—sometimes attentive, sometimes unavailable. This unpredictability leads to heightened anxiety about relationships. Anxiously attached individuals often crave closeness but fear that others will abandon them. They may become overly dependent on their partners, constantly seeking reassurance and validation. In adult relationships, this can manifest as clinginess, jealousy, or difficulty trusting that their partner truly cares.
Disorganized Attachment: The Impact of Chaos and Trauma
Disorganized attachment is the most complex and often stems from traumatic or abusive experiences in childhood. Caregivers in these situations may have been a source of fear rather than comfort, leaving the child confused and without a clear strategy for seeking safety. As adults, individuals with disorganized attachment may exhibit a mix of anxious and avoidant behaviors, often feeling overwhelmed by their emotions and struggling to maintain stable relationships.
How Attachment Styles Impact Adult Relationships
Your attachment style doesn’t just stay in childhood—it follows you into adulthood, influencing how you interact with others in profound ways. Here’s how each style typically manifests in adult relationships:
Secure Attachment: Securely attached adults are generally confident in their relationships. They communicate openly, handle conflict constructively, and trust their partners. They are also comfortable with vulnerability, which allows them to form deep, meaningful connections.
Avoidant Attachment: Adults with avoidant attachment often prioritize independence over intimacy. They may avoid emotional discussions, struggle to express their feelings, and distance themselves when relationships become too close. This can lead to feelings of loneliness or dissatisfaction, even in otherwise healthy relationships.
Anxious Attachment: Anxiously attached individuals tend to be hyper-vigilant about their relationships. They may overanalyze their partner’s words and actions, constantly seeking proof of love and commitment. This can create tension, as their need for reassurance may feel overwhelming to their partners.
Disorganized Attachment: Those with disorganized attachment often experience intense emotional highs and lows in relationships. They may oscillate between seeking closeness and pushing others away, driven by a deep fear of rejection or harm. This unpredictability can make it difficult to maintain long-term, stable partnerships.
It’s important to note that attachment styles exist on a spectrum. You may recognize elements of more than one style in yourself, and that’s perfectly normal. The goal isn’t to fit neatly into a category but to understand how your attachment history influences your current relationships.
Moving Toward Secure Attachment: Strategies for Growth
The good news is that attachment styles are not fixed. With self-awareness and intentional effort, you can develop a more secure way of relating to others. Here are some strategies to help you on that journey:
1. Cultivate Self-Awareness
The first step toward change is understanding your attachment style and how it affects your relationships. Reflect on your emotional responses, especially in moments of conflict or stress. Ask yourself: Do I tend to withdraw when I’m upset? Do I constantly worry about being abandoned? Recognizing these patterns is key to interrupting them.
2. Practice Emotional Vulnerability
Secure attachment requires the ability to express your emotions openly and honestly. If you’re avoidantly attached, this might mean pushing yourself to share your feelings, even when it feels uncomfortable. If you’re anxiously attached, it might involve learning to sit with uncertainty without seeking immediate reassurance.
3. Seek Support from Trusted Relationships
Healing attachment wounds often happens in the context of safe, supportive relationships. Whether it’s a friend, partner, or therapist, having someone who can listen without judgment allows you to explore your fears and vulnerabilities. Over time, these experiences can help you build a more secure internal template for relationships.
4. Engage in Therapy or Counseling
Therapy can be a powerful tool for addressing attachment-related challenges. A skilled therapist can help you process past experiences, develop healthier relational patterns, and practice new ways of connecting with others. Modalities like attachment-based therapy or emotionally focused therapy (EFT) are particularly effective for this purpose.
5. Be Patient and Compassionate with Yourself
Changing deeply ingrained attachment patterns takes time. It’s normal to experience setbacks along the way, but each step forward is progress. Treat yourself with the same kindness and understanding you would offer a close friend. Remember, the goal is not perfection but growth.
The Power of Understanding Your Attachment Style
Attachment styles are a fundamental part of what makes us human, shaping how we connect, love, and navigate the world. By understanding your attachment style, you gain a powerful tool for self-awareness and relational growth. Whether you identify as securely attached or recognize elements of insecurity in your patterns, know that change is possible. With patience, reflection, and support, you can move toward a more secure way of being—one that allows you to form deeper, more fulfilling relationships.
The human brain is remarkably adaptive, especially in response to adversity. When individuals experience neglect, emotional or verbal abuse, sexual abuse, or witness family violence—particularly in early childhood—their brains undergo survival-based changes to help them navigate a dangerous world. These adaptations are, in many ways, a reflection of the brain’s resilience. However, when trauma survivors move into safer environments, they often struggle deactivating the survival mechanisms they developed. Understanding how the brain adapts to trauma can be the first step in healing and reclaiming a sense of safety.
Imagine a child growing up in a confusing home where every interaction holds the potential for emotional or physical harm. This child’s brain learns to adapt for survival. Now, picture this child as an adult now living somewhere safe. Logically, they know they’re no longer in danger, but their brain hasn’t fully caught up yet. Instead, it continues to operate in survival mode, shaping the way they think, feel, and connect with others—even long into adulthood.
Much like animals in the wild, who develop specific survival tactics in response to threats, trauma survivors exhibit similar resilience. Nature documentaries often showcase how animals adapt to harsh environments—whether it’s a gazelle learning to anticipate predators or a bear cub developing defensive skills after early hardships. While these adaptations serve them well in the wild, if these animals were relocated to a protected sanctuary, they might initially struggle adjusting to the lack of danger. Similarly, trauma survivors may find it difficult to shift from survival mode to a state of peace and trust, even when they are safe.
Here are five ways your brain changes in response to trauma:
1. In Trauma, Hypervigilance Becomes the Norm
After experiencing prolonged danger, your brain becomes hyper-aware of potential threats. The amygdala, the part of the brain responsible for detecting danger, becomes overactive, leading to heightened anxiety and an exaggerated startle response. This makes it difficult to relax, even in safe environments, as your brain continuously scans for danger.
In the animal kingdom, prey animals like deer or rabbits exhibit similar hypervigilance. Their finely tuned senses help them detect danger, but when placed in a controlled environment where threats are minimal, they may still exhibit skittish behavior until they learn to feel safe.
How This Affects Relationships:
You may constantly anticipate conflict, even in peaceful relationships.
Small misunderstandings may feel like major threats, leading to overreactions.
You might struggle to believe your partner’s reassurances, fearing hidden dangers.
2. Emotional Regulation Becomes Difficult when Traumatized
Trauma impacts the prefrontal cortex, the area of the brain responsible for impulse control and emotional regulation. When this region is impaired, it results in heightened emotional reactivity, difficulty managing stress, and challenges in expressing emotions in a healthy way. You may find yourself easily overwhelmed or reacting to situations that seem minor to others.
Similarly, animals that have faced repeated stress, such as rescued shelter dogs, often struggle with emotional regulation. They may lash out or retreat, not because they are naturally aggressive, but because their past experiences have wired their brains to expect harm.
How This Affects Relationships:
You might experience sudden mood swings, feeling fine one moment and deeply upset the next.
Expressing emotions may feel overwhelming, leading to either emotional outbursts or complete withdrawal.
Your partner may struggle to understand why small triggers cause big reactions.
3. Trust Issues Become Deeply Ingrained through Trauma
Because early trauma often involves betrayal or harm from caregivers, the brain learns that people—even those who claim to love you—may not be completely safe. The brain wires itself to be cautious in relationships, leading to difficulties in trusting others, fear of vulnerability, and challenges in forming healthy attachments.
In nature, animals that have been hunted or mistreated by humans often remain wary, even when approached with kindness. A rescued horse that has been abused may take years to learn to trust its new caretaker, despite being in a loving home. The same applies to trauma survivors—learning to trust again takes time and patience.
How This Affects Relationships:
You may struggle to believe that your partner’s love is genuine or lasting.
Opening up emotionally may feel impossible, leading to distance in relationships.
Fear of abandonment might cause you to push people away before they have a chance to leave.
4. Survival Mode of Trauma Disrupts Logical Thinking
The hippocampus, a brain region involved in memory and learning, is affected by trauma, making it difficult to differentiate past from present. This means that even in a safe environment, your brain may react as if the trauma is happening all over again. This can lead to difficulty making decisions, chronic stress, and difficulty retaining positive experiences.
Consider a wild animal repeatedly exposed to danger—its brain remains wired to react instinctively rather than logically. A fox that has barely survived multiple predator encounters may struggle to distinguish a genuine threat from a harmless situation. Likewise, trauma survivors often operate from a protective than connective place.
How This Affects Relationships:
You may misinterpret neutral comments or actions as personal attacks.
It can be difficult to see your partner’s intentions clearly, leading to misunderstandings.
Conflict resolution may feel impossible, as your brain automatically assumes the worst.
5. Trauma Distorts Self-Perception
When trauma happens early in life, particularly at the hands of caregivers, the brain may internalize the experience as a reflection of self-worth. This can result in deep-seated feelings of shame, guilt, or unworthiness. Survivors may develop negative self-talk, struggle with self-compassion, and feel as though they are fundamentally broken.
A perfect example of this can be seen in elephants that have been held in captivity. Even when freed, some remain chained mentally, believing they are still confined. Similarly, trauma survivors may feel stuck in limiting beliefs about themselves, even when those beliefs are no longer valid.
How This Affects Relationships
You may feel unworthy of love, leading to self-sabotage in relationships.
Accepting compliments or kindness from others may feel uncomfortable or even suspicious.
A deep fear of rejection may cause you to settle for unhealthy relationships or avoid intimacy altogether.
Reach Out and Move Toward Healing
The good news is that the brain remains plastic—meaning it can change and heal even after years of trauma-induced adaptations. Therapy, mindfulness, and trauma-informed practices can help retrain the brain to recognize safety, regulate emotions, and develop healthier relational patterns.
Like rehabilitated wildlife that learns to thrive in a protected environment, trauma survivors can relearn what it means to be safe, loved, and emotionally free. If you recognize these trauma responses in yourself, know that you are not alone. Your brain adapted to survive, but now, you deserve to heal. With the right support, you can create new neural pathways that foster a sense of safety, trust, and emotional balance in your life.
Have you ever found yourself staring at a to-do list, feeling completely overwhelmed and unable to start even the simplest task? Maybe your house is a mess, your inbox is overflowing, or that big project is looming like a dark cloud. You’re not alone. Many of us struggle with motivation, especially when life feels like a high-wire act with no safety net.
But what if I told you that understanding your brain’s natural mechanisms could help you regain your drive and accomplish your goals? In this podcast episode, we dive into the psychology of motivation, why we lose it, and how to get it back—without beating yourself up in the process.
The Overwhelm Trap: Why Motivation Slips Away
Picture this: You’re trying to walk a high wire, 200 feet in the air, with no safety net below. Every step feels like a life-or-death decision, and the fear of falling keeps you frozen in place. This is what happens in your brain when you’re overwhelmed. Your limbic system—the emotional center responsible for sensing safety and danger—gets flooded with too many signals. Deadlines, chores, expectations—they all pile up, screaming “threat!” until you shut down.
This overwhelm often triggers a depressive spiral. You know something needs to get done—a report, the laundry, calling a friend—but instead of acting, you feel a heavy weight settle in. Sadness creeps up, followed by a sense of “I can’t do this.” In that moment, what you really need is comfort, rest, or a helping hand. But too often, what you get instead is your inner critic swooping in: “Why can’t you just get it together? You’re so lazy!”
I’ve been there. I once had a huge presentation due, and instead of starting, I berated myself for procrastinating. The harsher I got, the less I accomplished—until I was a ball of exhaustion and guilt. Sound familiar? That self-critical voice might feel like a tough coach pushing you forward, but it’s actually sinking you deeper into the spiral. The sad, overwhelmed feelings almost always win, leaving you stuck.
How Your Brain Wants to Motivate You
Here’s the good news: Your brain is built to motivate itself—it’s just that overwhelm and self-criticism throw a wrench in the works. Three key areas team up to get you moving:
Limbic System: This is your safety detector. When it’s calm, you feel secure enough to act. When it’s flooded with “danger” signals, you freeze—like you’re stuck on that high wire.
Prefrontal Cortex: Think of this as your inner planner. It breaks big goals into bite-sized steps and keeps you on track, like a coach mapping out a marathon training schedule.
Ventral Striatum: This is your reward center, and it thrives on social connection and meaning. It’s the cheering crowd at the finish line, the pride of sharing your win with someone, or the feeling of becoming the person you admire.
When these parts work together, motivation flows naturally. The problem? Modern life floods the limbic system, drowns out the prefrontal cortex, and leaves the ventral striatum starved for meaningful rewards. But you can flip the script with a few smart strategies.
Three Steps to Reignite Your Drive
Ready to get unstuck? Here’s how to tap into your brain’s natural motivation system:
1. Create Safety First
If your limbic system thinks you’re on a high wire, it’s going to keep you paralyzed. Bring it back to solid ground with these simple tricks:
Gratitude: Jot down three things you’re thankful for—it could be coffee, a sunny day, or a kind text.
Comfort: Give yourself a hug (seriously, it works!) or call a friend to vent about your day.
These acts dial down the overwhelm, signaling to your brain that it’s safe to move forward.
2. Break It Down—Way Down
Your prefrontal cortex loves a clear plan. Big tasks like “clean the house” or “finish the project” can feel like unclimbable mountains. Instead, shrink them into tiny, doable steps:
Instead of “write the report,” start with “open the document.”
Instead of “organize the closet,” begin with “pull out one shelf.”
Focus on just the next step. Once you check it off, the momentum builds—and suddenly, that mountain looks more like a hill.
3. Make Rewards Social and Meaningful
Your ventral striatum doesn’t care about another cup of coffee or a Netflix binge. It lights up for rewards that connect you to others or your values:
Social: Who can you share your win with? Plan to text a friend, “I did it!” or celebrate with a loved one.
Meaningful: Link the task to who you want to be. Maybe finishing that report means you’re responsible like your role model, or helping a teammate aligns with your desire to be kind.
For example, when I finally tackled that presentation, I told myself, “This is me being the reliable person my dad always was.” Plus, I called my best friend to brag when it was done. Those rewards pulled me through.
The Real Motivation Killer: Self-Criticism
Here’s the catch: None of this works if your inner critic is running the show. That voice saying, “You’re not good enough,” or “Why can’t you keep up?” isn’t motivating—it’s paralyzing. Often, it’s a leftover habit from childhood, when you needed help but got sighs or eye rolls instead. Over time, you learned to turn that criticism inward.
Next time it pipes up, pause. Ask yourself, “What would I say to a friend who’s struggling?” Chances are, you’d be gentle: “It’s okay, you’ve got a lot on your plate. Let’s figure this out together.” Offer yourself that same grace. If the self-criticism feels like a brick wall, therapy can help you explore where it came from and set it aside—so you can focus on who you want to become.
You’ve Got This—And You Don’t Have to Do It Alone
Lack of motivation isn’t about laziness or a lack of discipline. It’s your brain crying out for safety, clarity, and purpose amid the chaos. By calming your limbic system, leaning on your prefrontal cortex, and feeding your ventral striatum with rewards that matter, you can break the overwhelm spiral and get moving again.
So, next time you’re staring down that to-do list, try this: Take a deep breath, list three things you’re grateful for, pick one tiny step to start with, and decide who you’ll tell when it’s done. You might be surprised how far it takes you. And if you’re still stuck? Reach out—to a friend, a loved one, or a professional. Motivation isn’t a solo sport, and you don’t have to go it alone.
IBS and anxiety can negatively impact some of the most meaningful and connecting moments in life. It can turn a casual get-together or date sour. People who experience IBS can constantly worry about having another attack. Agoraphobia is common too – the fear of leaving home. It’s understandable why people who experience IBS issues experience heightened anxiety around everyday situations.
People with IBS can sometimes feel powerless, like the best they can do is avoid food triggers.
Yet one of the main causes of the inflammation of the gut is your brain.
We’re going to look at the link between anxiety and the gut so you can understand your body better. You’ll learn how anxiety impacts your gut and how to listen to your gut’s activity as a signal. My hope is that by learning to pay attention to yourself in a new way, you’ll be able to not only avoid difficult IBS symptoms, but to learn how to soothe anxiety and feel more like yourself.
The gut is connected to the brain? How? Why??
First of all, all parts of the body have a bi-directional connection with the brain. In fact, the purpose of the brain is to receive input from the entire body, make sense of it contextually, then relay a response that changes the body. The reason the gut-brain connection often needs special explanation is because it’s hard for us to think of the gut as a part of the body that would need connection with the brain. Isn’t the purpose of the gut kind of passive? Don’t we just digest food there? Why would it need to be connected with the brain?
There are 2 reasons worth exploring.
First, what we eat tells us a lot about our environment.
When we’re full, for example, it’s a signal that our bodies are safe, we have what we need. When we’re hungry, that’s contextual information too. We can extend this to how our bodies feel when we eat certain foods. All of this is good information that should impact our intuition about our environment, something the brain is always trying to grasp.
But there’s a second reason for the connection as well:
The gut needs context to do its job well.
Imagine, for example, you have a 16oz steak you’re trying to digest (something that requires significant blood flow and energy), and suddenly you need to run from a threat. If the gut didn’t know there was a threat, it would continue to try to digest the steak and you would be unable to run. But since your brain is connected to your gut, your gut receives a signal to stop digesting (and in some cases to vomit or defecate) so you could use that blood and energy for your heart, lungs, and muscles. In contrast, when you feel safe, you’re surrounded by loved ones, and you eat a satiating meal, your brain tells your gut it’s time to dig in.
In this way your mental state – ideally a result of your intuition of your current environment – impacts the permeability, blood flow, gut microbiome composition, and digestive enzyme composition… and vice versa.
There are 2 main pathways by which your brain and gut interact: a hormonal pathway and a neural pathway. Both pathways are bi-directional, meaning that the activity of the gut impacts your brain, and also that the activity of the brain impacts the gut.
The cortisol pathway: stoking the fire
The hypothalamus-pituitary-adrenal axis (HPA axis) is the hormonal highway between your brain and your gut. The hypothalamus’ job is to keep your body in homeostasis – to keep things in rhythm. When you wake up in the morning, like clockwork your hypothalamus signals to your pituitary to produce adrenaline to get your body moving. Your adrenal glands in turn release cortisol. Your gut has cortisol receptors that signal to the gut that it’s time to move around. This signal changes the composition of your gut biome, your gut biome’s permeability, and blood flow.
Cortisol, over time, creates a leaky gut that is vulnerable to IBS episodes.
The vagal pathway: dousing the fire
Your body also needs a way to soothe itself and return to normal. This is the job of your vagus nerve, which signals for your body to slow back down. If cortisol is like gasoline on the fire, then your vagus nerve is like cooling water that helps the gut return to normal. The vagus nerve is part of your parasympathetic nervous system, which is the way your body returns to safety and calm.
The vagus nerve runs down past your heart, lungs, and gut. When you see something sweet or comforting, you might feel an opening sensation in your chest and put a hand over your heart. You might take a deep breath and say “awww”. This wonderful sensation is your vagus nerve signaling for your heart, lungs, and gut to open up and slow down.
When your gut receives the vagus nerve signal, lots of things change. The vagus nerve signal:
Starts an anti-inflammatory process in your gut
Slows the cortisol signal
Enforces a stronger gut barrier (decreases gut permeability)
The vagus nerve signal builds a strong gut environment that protects you from IBS episodes.
What an IBS episode looks like inside: Anxiety as a firestorm
When your body is in extreme and prolonged states of stress, high cortisol levels keep the gut in an inflamed state, leading to chronic changes in the gut microbiome and difficulty processing food. This puts the gut – and brain – in a fragile position, or a high “allostatic load”: the cumulative burden of multiple stressors. In this fragile state, any additional stressor can set off a spiral much like a spark will ignite a dry pile of hay.
An additional stressor could be anything: an inflammatory food, or a psychological or environmental stressor, or a combination of all three. While the trigger may be like a spark that starts the fire, the real issue is not the spark itself. The real issue is the spiral – the firestorm – left unmitigated.
When your body gets anxious, it usually has methods to calm back down.
We call this self-regulation. It’s like a fire hose that stops the emotional mind from getting overwhelmed. We might think of a person who is able to take a deep breath when they feel stressed, or to reassure themselves of a positive outcome when they are auditioning. This calming ability happens in our frontal lobes. The orbital frontal cortex and our anterior cingulate helps us soothe ourselves by bringing to mind soothing experiences from our past. We quite literally pull into mind a comforting memory, perhaps a parent rubbing our backs when we’re scared. For someone with a panic disorder or IBS, this frontal lobe circuitry isn’t strong enough to combat the flames of anxiety.
Thus, in an IBS episode, anxiety creates inflammation in the gut either directly or via the HPA axis. In turn, the gut sends a stress signal back to the brain that there’s a problem. If not soothed, this signal triggers the HPA axis, and we release more cortisol into the gut. The changes in our levels of cortisol change our brains as well. When in a panicked state, our frontal lobes shut down in order to get to immediate safety. When this happens, our ability to soothe ourselves is inaccessible. It’s as if the raging fire destroys the few available fire hoses.
When our level of stress passes a certain point, we are unable to stop the spiral: the fire will simply exhaust itself. For those who experience IBS, this is a familiar emotional place: the depressing surrender to an uncontrollable experience.
So what can you do? How to stop the firestrom of anxiety and heal IBS
It’s common for people with IBS to simply avoid triggers. This often means making a list of foods that trigger an attack and avoiding the list as much as possible. Yet, if we think about IBS as a complex neurological pattern that doesn’t simply originate in the gut, but in the relationship between the brain and the gut, then we can start to think about healing in a different way.
1. Create a calmer baseline
Part of the reason certain foods are triggering is the fragility of your gut – the baseline level of functioning that exists. Earlier we referred to this as the “dry bed of hay” that is ready for a match to send it up in flames. What would it mean to have less fragile intestine? Part of what creates fragility in the gut is chronic stressors, or high allostatic load. Elevated cortisol changes our entire physiology. In a real way, anxiety is not simply a “feeling” that impacts IBS – it’s a bodily state.
As such, our blood flow, immune response, inflammation of gut lining, and even our gut microbiome change dramatically when cortisol is present. When our bodies are in chronic stress, our gut cannot heal. The gut stays in this permeable, inflamed, stressed state. Healing our gut doesn’t simply mean avoiding triggers, it means increasing the times when we are completely relaxed and safe. The “safe feeling” we get when we sit down to talk with a trusted friend, when we meditate or pray, or when we receive a long hug, is an indication of our physiology returning to a soothing baseline. That state is what your gut needs to reduce baseline inflammation and restore your microbiome.
2. Grow your Self-Awareness
While some triggers may be food-related, other triggers may be contextual. When looking back at recent attacks, we can wonder about larger contexts that might have created a higher cortisol response. It’s highly possible that attacks are due as much to your emotional state as the foods you eat.
If you are unaware of the cause of your anxiety, you are also unable to self-soothe. To use our fire analogy, a lack of self-awareness is akin to having a fire department that has headphones in. It can’t hear the bells going off until they reach a deafening level; until it’s too late. However, when we’re aware of our anxiety, we’re able to self-soothe before the fire starts raging. We can calm ourselves down, helping the vagus nerve to send signals to our gut that we’re safe.
Self-awareness isn’t an intellectual, but an empathetic effort.
Sometimes we can think of self-awareness as a cold process similar to cartography. For example, if we could just chart out our anxieties we could keep them in control. The real process is much more emotional. Heinz Kohut describes the process of self-awareness as “empathic inquiry”. This means visualizing, leaning in, and coming close enough to the emotions for us to feel their pain. This is a difficult and sometimes scary process to encounter alone. Often we don’t have the perspective to see ourselves. Sometimes we are simply too defended against our own pain to really feel it.
Yet our brains are meant to heal with empathy. Remember those self-soothing frontal-lobe areas we mentioned earlier? (Orbital-frontal cortex and the anterior cingulate) Those pathways aren’t just there by default. When we’re very young, the empathy and soothing we receive by our caregivers become etched in our brains. These early interactions are the pathways that we rely on throughout life to self-soothe.
Your self-soothing ability can grow. When we increase our self-awareness, our empathy for our the anxious and unsafe feelings grow. That empathy is like a fire department that can respond to a fire with soothing water before it begins to rage.
3. Reduce Chronic Anxiety
It’s been demonstrated that even momentary times of calm and peace can be overshadowed and outweighed by stressors. When we’re exposed to a stress, or multiple stressors, the injection of cortisol into your system takes a while to subside. This is called allostatic load. The moments of deep breathing or mindfulness you practice throughout the day are important, but they sadly don’t outweigh the internal stress that can keep you in a high-cortisol state.
What’s the solution? Often the biggest stressors we carry are internal beliefs that impact our entire outlook on life. There is a relationship between early traumatic experiences and later IBS symptoms. This is because like a tea bag in hot water, our childhood experiences color and impact everything we experience. Resolving IBS means experiencing the relief of working through your anxiety. Anxiety is a signal that needs attention and understanding in order to resolve.
IBS and Anxiety: You can heal your gut
We have therapists who can help you reduce chronic anxiety. Identifying triggering foods is important, but can only get you so far. The stressor that most aggravates IBS is often not specific foods, but the chronic stress and anxiety that creates a fragile gut lining. Resolving and reducing anxiety physiologically allows your gut to repair the gut lining so you can be resilient.
Reducing anxiety impacts your everyday life. Not only does it help your gut, but helps your relationships, your job performance, your sleep, and your enjoyment of life. What would it be like for you to experience freedom from anxiety? How different would your day be today if you had more peace? We want to help you get there. Contact one of our therapists who specializes in anxiety. Schedule a free consultation and see how we can help you.
My gut wrenched as I lifted myself from the bathroom floor. I looked in the mirror at my face. It was covered in hives. The hives went down my neck. I lifted my shirt to find my entire torso was covered in hot, red, itching hives. Internally, my stomach was tied in knots. What was happening to me? I had no history of allergies. I didn’t eat anything out of the ordinary. And yet I had just spent to last hour on the toilet.
I had traveled to the desert to facilitate a leadership retreat. I pulled up to the AirBnB where we would all be staying, set out the chips and guacamole, and people began arriving. That’s when my scalp started itching. I ignored that until I began to feel a stabbing pain in my stomach and ran to the bathroom. The people I was there to lead filled the time. Finally I mustered the strength to come out of the bathroom and ask for help. They ended up driving me to the emergency room.
When I returned home, my doctors were perplexed. The allergy tests, MRI’s, scopes, bloodwork and exams showed nothing.
Two months later, I traveled to visit family for Christmas. The night after our Christmas family dinner, I woke at 2am with hives and pain in my stomach so intense I lost consciousness. My family called an ambulance and I spent three days recovering in the hospital.
Over two years, this happened six times, all of them during a flight or visit with family. Finally, after numerous visits to doctors, I saw a therapist. Over the course of several months, we were able to explore each of these events. We began to pay attention to what my gut was signaling to me. It became clear that my body was dealing with anxiety that I had been repressing for years, anxiety I had become numb to.
Under the care of my therapist, I’ve been able to go on trips again without attacks. I am actually able to feel my anxiety now, rather than becoming crippled by it.
Today, I see my gut pain as one way that I can tell that I’m getting anxious. When my stomach begins to tighten up, I pay attention to what could be causing anxiety. In the past, my gut had to “shout” to get my attention that something was wrong. After therapy, my gut only has to tighten a little and I respond by caring for myself and asking for help.
Does serotonin make you happy? Maybe you feel like no matter what you do, how hard you try, you can’t seem to get “out” of sadness. You can’t cheer yourself up, and you feel guilty about it. In this moment, we use a belief – a story – about what we should do to feel better. The false story is that serotonin, the “happiness hormone”, is to blame, and we need to find ways to increase it.
Serotonin is often referred to as the “happy chemical.” The idea is everywhere: from wellness blogs to pharmaceutical ads. But this simplified narrative leaves out something crucial. Happiness, healing, and emotional well-being are far more complex than a single brain chemical.
But here’s the catch: Serotonin does not create “happiness”, despite what you and I are told.
We’ve been sold a “mechanistic view” of serotonin. In this view, serotonin is like a lever we can pull to increase happiness. This incorrect view has led to ironically unhappy outcomes. In this blog, we’re going to look at the neurotransmitter serotonin. We’ll pull apart the assumptions that have kept us from understanding our own needs and propose a more holistic view that will help you achieve lasting happiness.
What is serotonin?
Serotonin is a neurotransmitter, a chemical messenger that helps transmit signals between neurons in the brain. It plays a crucial role in regulating mood, appetite, sleep, and social behavior. It also triggers increased neuroplasticity (our brain’s ability to adapt and learn). While serotonin is often called the “happiness hormone,” it doesn’t simply cause us to feel happy. While it’s present when we experience happiness, we have to be careful about assuming causation.
This begs a few questions about serotonin:
What is happiness?
Does serotonin make you happy?
How does serotonin work?
If I want to be happy, do I increase serotonin?
Serotonin’s is not a drug that “makes you happy“
As we begin, let’s start by reorienting our view of neurochemicals. Within a Western worldview, we tend to think dualistically about our brains. This means we tend to view our brain as something separate from our “selves”. Further, it’s a way of experiencing the self as a soul-like, unaffected entity that only interacts with our body. A Western worldview sees the brain as a mechanism that causes certain feelings and behaviors in the self.
Someone with a dualistic view of the mind might say, “because my brain was in fight or flight mode, I didn’t feel like myself.” Or again, “my serotonin made me feel happy”. In both cases, we assume two separate entities: the brain and the self. More-so, we assume a causal relationship between the brain’s activity and the self. As such, the cortisol (first example) and the serotonin (second example) “cause me” to feel a certain way. These dualistic assumptions lead to problematic understandings about our happiness. Let’s explore why.
Don’t confuse the cart with the horse, neurologically
Imagine sitting with friends and feeling a bit bored. In an effort to get into a different mood, you exclaim: “Let’s start having fun.” Unless delivered tongue-in-cheek, such a comment is almost certain to result in comically ironic discomfort. Sensing the discomfort, you insist: “Come on, really: Let’s have fun now.” Why doesn’t this work? While these friends are more than capable of having fun, fun is a byproduct, not a cause. Trying to directly infuse “fun” into the interaction misses the point.
In the same way, it’s a mistake to focus directly on increasing happiness through serotonin.
What Serotonin Really Does
Serotonin is a neurotransmitter, a chemical messenger that helps nerve cells communicate. While it’s most commonly associated with mood, serotonin affects many parts of the body. In fact, most of the body’s serotonin lives not in the brain but in the digestive system.
In the brain, serotonin plays a role in helping people feel emotionally balanced, focused, and calm. It supports emotional regulation, which can allow a person to better cope with stress. But it doesn’t cause happiness. Instead, serotonin is part of a much larger network that helps the body and mind maintain balance.
It also plays critical roles in sleep, digestion, appetite, and even wound healing. When serotonin levels are disrupted—too low or too high—it can contribute to a wide range of symptoms, from irritability and fatigue to gastrointestinal discomfort or even serious medical complications.
What Causes Low Serotonin Levels?
There’s no single cause. Sometimes, the body doesn’t produce enough serotonin. Other times, the brain may not use it effectively. Stress, trauma, sleep disruption, poor nutrition, and chronic health conditions can all affect serotonin function. But these biological factors often exist alongside emotional wounds, relationship dynamics, and past experiences that shape a person’s inner world.
The mechanical view of serotonin keeping you unhappy
A quick Google search for “serotonin and happiness” yields a number of articles that celebrate the mechanistic view of serotonin. Here are a few title and subtitle snippets you can find when searching for serotonin:
“Happy Hormones: What They Are and How to Boost Them”
“Serotonin is often described as the body’s natural feel-good chemical” “To boost the serotonin levels in your brain you should…”
“The Chemistry of Happiness: Unlock the Power of DOSE to be a happier you!” “You can also get tiny shots of serotonin by earning likes for your random social media posts. Yet that high is so short-lived that it is hardly worth it!”
In each of these examples, serotonin is treated like a drug we can mechanically increase to “make us” feel good. To be clear: this is not correct.
However, it makes sense that we’re excited by this idea. Our minds can be chaotic, frustrating, and clunky. If we could only “hack” the code we could unlock what we’ve so desperately wanted from our minds: to be content, happy, full of virtue and productivity.
We’re distrustful of biohacking happiness, at least on the silver screen
As much as we’re excited by the idea of “biohacking” our serotonin, we’re equally terrified. Movies such as The Eternal Sunshine of The Spotless Mind, The Matrix, and The Truman Show express both the longing to artificially create happiness, and the dystopian outcomes of these efforts. These stories showcase a godlike effort to “hack” the characters’ experience of the world and effectively pacify a darker reality. Truman is given a safely controlled, domed environment partitioned away from a deceitful world. Neo is shielded from the horrors of a post-apocalyptic planet, and Clementine willfully erases painful memories to help her feel happy again. In each film, the biohack intended to produce happiness backfires. It becomes a “prison for your mind” typifying hell. In each story, the characters reject the biohack in favor of something more “true”.
The lesson? When we reverse engineer happiness, we’re not happy.
In the sections below we’ll re-understand serotonin so you can have a realistic and attainable goal for your own well-being that does not fall into the dualistic, mechanistic trap of chasing a happiness hormone.
The Myth of the “Happy Chemical”
The belief that serotonin creates happiness likely grew from the success of antidepressants, particularly SSRIs (Selective Serotonin Reuptake Inhibitors). These medications increase serotonin availability in the brain and can help some individuals manage symptoms of depression and anxiety.
However, this doesn’t mean serotonin is the single cause of these conditions or that boosting serotonin guarantees emotional well-being. Emotional healing isn’t just a matter of chemistry. It involves relationships, history, nervous system patterns, identity, and lived experience.
Relying solely on the “chemical imbalance” explanation can unintentionally reduce a person’s emotional pain to something mechanical or broken. It may also lead to disappointment when medication alone doesn’t provide lasting change.
Serotonin is not just about feeling happy. Research supports this idea.
A study by Stanford University School of Medicine in 2013 found that oxytocin, the “love hormone,” drives our urge for social connections, and that this in turn triggers the release of serotonin. This chain reaction results in a happy feeling, as serotonin activates the reward circuitry in the nucleus accumbens. A study by the University of Cambridge in 2015 found that low levels of serotonin are associated with lower self-esteem and reduced social status. This suggests that serotonin not only helps us feel connected to others but also influences how we perceive ourselves within our social networks.
Further, the research on the connection between serotonin and social belonging supports what we know about human brain evolution. The Dunbar number is the correlation between the size of a primate’s cortex (the large, energy intensive outer part of the brain) and the size of its tribe. This correlation suggests that the purpose of the cortex isn’t simply to make us “smart”, but to help us attach to a tribe.
Serotonin is a meter of our connection to others
If the need to attach to a tribe is inherent to our survival, would we expect a bodily signal – a sort of meter – that helps us sense and respond to our level of security in the tribe? The body’s answer is a neurotransmitter that responds to our level of connection with others. It’s interesting that the release of serotonin isn’t just connected to the reward centers of our brains, but also opens our brain to learning new behaviors and skills (neuroplasticity). It’s no wonder that when we sense we’re “in” a tribe we also become more moldable to its customs and skills.
Serotonin makes us feel rewarded to be included with others, and it stimulates our brains as if to say, “learn how to be useful to this group.”
This dramatically changes our approach to serotonin and happiness. Happiness itself is not just an internal “feeling”. It’s your awareness that you belong. Much like the feeling you get when you’re at a good family gathering. It’s the feeling of a campfire at the end of a hike, a running team that runs and supports each other every week, a hug with a long childhood friend, the singing of a national anthem at a sporting event, or a group prayer in a place of worship. The feeling is that of being at home.
SSRI’s aren’t all bad…
Increasing serotonin through direct means (such as SSRIs, sun exposure, etc.) still have an important roll. For some people with depression, it’s difficult to accomplish daily tasks. Much like pouring starter fluid in an engine, these methods can dramatically help a person increase their energy. The purpose of this “kick-start”, however, is to help the person build connections and belonging. The stimulation of serotonin receptors can start a positive feedback loop to generate real change.
Reading your serotonin meter
Your body’s serotonin levels swing day to day. 50% of the difference between people’s serotonin levels is a biological set-point. Of the remaining half, we experience a mix between the external world conditions, and our internal way of processing these conditions. For example, if I receive a compliment, that’s an external condition. It may contribute to an increased sense of belonging and self-esteem, thus raising my serotonin levels. But I also make sense of this external condition based on past similar experiences. If I have routinely experienced relationships as flighty or inconsistent, I may immediately reject the compliment. This augments my ability to receive the serotonin experience. In this way, our serotonin levels do not simply reflect our current external conditions. They reflect a combination of our biology, our history of experience, and our current external conditions.
What does high serotonin feel like?
High serotonin is the feeling of self-security. It’s the feeling we described above: home, connected, belonging, part of a team. It carries with it a feeling of “identity” or being grounded in my own body. It couples with the feeling of learning and curiosity. When you feel this way, your body tells you you’re safe and you’re engaged in an activity/behavior/social group that is healthy for you.
What does low serotonin feel like?
In mild cases, low serotonin feels like being bored or understimulated. In Los Angeles (where I’m writing from today), our Western individualist cultural influences tend to carry a mild but constant sense of disconnection from one another. We likely have become used to a relative dearth of connecting experiences. In such a societal structure, such experiences deprive our brains of serotonin.
On first glance, the results are what you’d expect: higher rates than the global average for depression and anxiety. But we also find some milder but common experiences that we come to see as normal. Existential dread, meaninglessness, isolation, and high levels of alcohol and caffeine consumption point to our difficulty coping with adequate social connection.
Low serotonin feels a bit empty. Think of the feeling of “FOMO”, or the experience of waiting for a friend that’s taking too long to show up. It feels uncomfortable. These uncomfortable feelings are your serotonin levels dropping in response to less social connection. Similar to our bodies producing the experience of hunger when we have a need for food, our bodies produce the feeling of loneliness when we’re feeling outside of the circle of our social connections.
How to respond to low serotonin levels
If we focus not on increasing serotonin directly, but listening to our level of serotonin as a social connection meter, we can find new solutions. As we mentioned before, there are two ways we can respond to increase our connections (and therefore serotonin levels): The first is to change our external conditions, the second is to create new ways of making meaning out of those experiences.
Change your external conditions
Let’s start with changing our external conditions. This is usually where we want to start to create a change.
Coffee Shop Habit. Create normal, small, daily interactions with others you know. One way to do this is to show up at a coffee shop at the same time a few days per week. See if you spot familiar faces. Simply learning a person’s name can help you feel socially connected. Accordingly, other spaces might be a gym or grocery store. Be consistent, patient, and open (maybe no headphones).
Call a Parent/Grandparent. Checking in with an attachment figure can help you feel connected again. For example, call someone just to say hi. If you have a trusting relationship with a parent or grandparent, a short call can remind you that you belong.
Call instead of text. Hearing a person’s voice and tone can help you feel connected. This normal, everyday, constant way of being connected is quite low in our digital age.
Go somewhere social for work. As much as traffic can be inconvenient, studies have shown the social and mental health benefits of being in a social setting for work. For example, if an in-person office is inaccessible, consider setting up shop at a local coffee shop (checking off tip #1 and $4 in one swoop!)
Schedule regular interactions with friends. Having a scheduled time can help you mind positively anticipate a meeting, thus giving benefits to your social mind before and after the gathering. Some people join a book club, or a CrossFit gym, or a religious study group. Focus on small gatherings, between 3-8 people, and it can be helpful to have an intention besides simply catching up. Play a board game, read a book together, or go on a run.
Is It Possible to Boost Serotonin Naturally?
Yes, but again, it’s not a guaranteed fix. Activities like getting sunlight, exercising, eating tryptophan-rich foods, and reducing stress can all support serotonin levels. Therapy itself may play a role as well, through emotional processing, nervous system regulation, and improved sleep and self-care.
These practices are not replacements for medication when it’s needed, but they are powerful supports for overall well-being. The most effective approach often blends biological, psychological, and relational care.
Serotonin, Trauma, and the Nervous System
People with trauma often experience dysregulation in their nervous system, feeling chronically unsafe, hypervigilant, or emotionally numb. This state can affect the brain’s ability to use or produce serotonin effectively.
Trauma-informed therapy focuses not just on mood symptoms, but on rebuilding a sense of safety in the body and mind. Healing trauma may, over time, support the brain’s natural chemistry — but more importantly, it restores the capacity to feel, connect, and live fully.
How Therapy Helps Beyond Chemistry
While serotonin affects emotional regulation, therapy provides the structure to address what chemicals alone cannot: the underlying causes of emotional pain.
Therapy helps:
Make sense of past experiences
Recognize patterns of thinking and behavior
Strengthen self-compassion and emotional resilience
Create new, healthier ways of relating to others
Calm the nervous system through relational safety
These are all things serotonin alone cannot do. When combined with lifestyle changes or medication when appropriate, therapy offers a complete path toward healing and integration.
Healing Is Relational
Serotonin plays a role in mood, but healing from depression, anxiety, or trauma doesn’t come from one molecule. It comes from connection. From telling the truth in a space where it’s safe to do so. From working with someone who knows how to listen beneath the surface.
Therapy is more than symptom relief. It’s a process of integration. Of coming back to yourself. Of understanding what shaped you and beginning to rewire patterns that no longer serve you.
There’s room for medication in this journey. But there’s also room for something deeper: healing through relationship, presence, and insight.
Changing our internal condition
Much more important than the external conditions is our history of experience with the world. Long ago, these experiences dug the channels through which our current experiences flow. While changing our external conditions is important, real change happens when we can see the network of “channels” we hold, and form new pathways. If we do not do this, our external experiences may never yield internal relief.
This process of creating new pathways happens naturally as we experience empathy and awareness. Simply by talking about our internal process, noticing it, understanding how we came to feel these ways, our minds begin to form new pathways that help us take in our current experience. It’s a bit like having a nightmare, where talking about it helps you to see it for the dream it is, separate from your current reality.
That’s what we do. We have therapists who can help you build new serotonin pathways so you can create change in your life.
Serotonin is much more than just a “happiness hormone.” It plays a crucial role in our social connections, self-esteem, and overall mental well-being. By understanding its complex relationship with our social lives, genetic factors, and our internal and external conditions, we can take proactive steps to build strong and wide social connections to naturally boost our serotonin levels. So go ahead and start building those connections – your serotonin levels will thank you.
Maybe you’re wondering about how EMDR therapy can treat trauma. Trauma can negatively impact an individual’s life and well-being for years, even decades, after the traumatic event has passed. Trauma is a natural survival response to any life-threatening situation. If you’ve experienced trauma, you may notice how it seems to intrude into everyday situations.
Trauma can impact:
Sleep: the quality and restfulness of your sleep
Relationships: increase feelings of insecurity and fear
Addiction: increased dependence on external substances to reduce symptoms
Focus: increased scattered, intrusive thoughts
Our brains heal from trauma.
In fact, like a wound that simply needs rest and clean bandages, there’s a natural reparative process that takes place – all on its own – when our minds feel safe enough. We find ourselves sharing more, feeling more, telling the story of what happened with a trusted other. EMDR therapy taps into this natural healing process.
EMDR (Eye Movement Desensitization and Reprocessing) therapy is a powerful tool in helping individuals overcome trauma and regain control of their lives. In this article, you’ll learn how EMDR works for you, and why the relationship between the therapist and client is key in producing long-term change.
How EMDR works
EMDR therapy is based on the idea that traumatic memories are stored in a person’s brain in an unintegrated form. Normally, in non-traumatic experiences, memories of the experience can be retrieved and shelved easily with language (think of checking out a video at a library), giving us control and mastery. When someone experiences a traumatic event, however, their brain shields itself from the painful memory, leading to the memory becoming “stuck” in the right prefrontal cortex and limbic system. This can result in persistent symptoms such as anxiety, depression, and post-traumatic stress disorder (PTSD). EMDR therapy works by accessing these stored memories and integrating them through a shared experience with the therapist.
EMDR Therapy and Tapping
The key component of EMDR therapy is the rapid back-and-forth movement of the eyes, also known as “tapping.” This tapping is believed to stimulate the brain’s information processing system, allowing it to process and integrate the traumatic memories. As a result, the negative emotions and physical sensations associated with the trauma are reduced. The individual is then able to move beyond the event and regain control of their life.
EMDR Therapy and the hidden ingredient: Your therapist
While the tapping component of EMDR therapy is crucial, it is not the only factor that leads to successful outcomes. In fact, research has shown that the therapeutic relationship between the client and the therapist iseven more importantin producing long-term change in trauma. A strong therapeutic relationship provides a safe and supportive environment for the individual to explore their traumatic experiences and work through them in a controlled and guided manner.
Your brain wants – and even needs – to process trauma. Biologically, your brain is looking for safety. While safety can come from trusting a specific intervention or technique, such as EMDR, it will primarily come from your relationship with your therapist. Your ability to feel comfortable and safe with your therapist is exactly the environment your brain is looking for to integrate a painful emotional experience.
A good EMDR therapist will help you
Gingerly approach the trauma, listening to your comfort level
Will appropriately challenge you to trust yourself to share
Give you space to stop when you’re feeling overwhelmed
Review and help you understand what you’re feeling
Check in about your symptoms
In conclusion, EMDR therapy is a powerful tool in helping individuals overcome trauma and regain control of their lives. The rapid back-and-forth movement of the eyes (tapping) stimulates the brain’s information processing system, allowing it to process and integrate traumatic memories. However, it is the therapeutic relationship between the client and therapist that is the most important factor in producing long-term change. A strong therapeutic relationship provides a safe and supportive environment for the individual to work through their traumatic experiences, leading to a more successful outcome.
EMDR Therapy can help you
Consider reaching out to a qualified EMDR therapist. With the right support and guidance, it is possible to overcome trauma and reclaim your life.
You want a therapist who fits you, who you feel safe talking with. I promise, it’s worth it to work through trauma. We can help you find the right fit so you can regain health and peace.
Sometimes focusing our attention feels impossible. As soon as we settle down at the computer, or into a conversation, we can find ourselves darting around, proverbially switching channels back and forth. We can start to wonder, “Do I have ADHD?”
Today we’re going to look at what actually happens in the brain when we have trouble focusing. Whether or not you’ve been diagnosed with ADHD, understanding how our brains pay attention will help you make changes so you can hold attention in a healthy way.
Here’s what’s happening in the brain when you focus attention
Your mind is constantly receiving thousands of inputs every second – from your skin and muscles (the uncomfortable chair you’re sitting in), from your ears (that air conditioning in the background), from your stomach (it’s been a while since breakfast!), from your social awareness (I’m surrounded by people right now) and from communication from others (this article teaching you about ADHD), among other things.
It’s a wonder that your mind can focus its attention at all. It needs a way of organizing a whole world of constantly changing pieces of information so it can keep you safe. The way the mind does this is really important: it focuses your attention on threats so it can resolve them and feel safe again.
Attention Neurology:
The floodgate. First, your mind measures how much information it wants to take in. Picture the difference between eating an apple on an empty stomach, versus eating an apple after an ice cream sundae. On an empty stomach, you might taste intense, complex flavors from the apple. After an ice cream sundae, however, it might hardly taste sweet. This is the job of the reticular formation. It measures how much stimulation (excitement) your brain can take to keep you somewhere between feeling bored and overwhelmed.
The emotional stamp (limbic system). Next, the information is stamped with emotion. Like a message coded by urgency (?), the limbic system tags how important this new information is to your safety and prepares your body to respond. When you feel a tinge of stomach tension at receiving an email from your boss, it’s because your limbic system told you there’s a threat to your safety: you could be in danger of being dismissed or abandoned. Your entire body responds right away, changing your heart rate, blood flow, and attention so you can be safe.
The planning center (prefrontal cortex).Imagine a rider on top of an emotional elephant. The elephant is our emotional brain, charging haphazardly away from danger and toward safety. The rider (prefrontal cortex) has to decide how to direct the elephant’s energy. The rider is a bit frustrated with the elephant’s erratic impulses! He tries to navigate the elephant in a straight line toward the main goal of connection and safety, taking into account social norms, past experiences and outcomes, contextual cues, and other emotions in ourselves and others. The rider considers two main voices: the Behavioral Activation System (BAS) and Behavioral Inhibition System (BIS). The BAS is like a forward-thinking rider. She decides how to direct the elephant’s energy down a certain path. It’s good at planning logical steps that help it achieve goals and satisfy needs for connection and safety. The BIS is like a cautious rider. She pulls the reigns to keep the elephant from running wild. She’s concerned with holding back on emotional impulses, trying to steer clear of social stigma, rejection, and shame.
The reward center (ventral striatum). Think of a party at the end of a marathon: the runner endures enormous pain, finally crosses the finish line, and feels immense relief and pleasure. He completes the goal and finally wins the needed sustenance and support. His brain is flooded with dopamine, which slows his heart rate and relaxes his muscles. Next time he runs the marathon, his mind will stay on task, knowing the reward at the end.
To summarize,
Whenever your mind receives an input, it first evaluates its strength and connection to your survival, and you feel your body become ready to respond. Your prefrontal cortex then plans what to do – to either resolve the need or suppress it and stay on task toward the current goal and reward.
So let’s say you’re writing a brief.
When the project first came up, you felt excitement. Your limbic system tagged the project as important because of your long term goal to make money – and more importantly – be included in a community and avoid abandonment (safety).
Right away, you felt engaged with the project. Your BAS was organizing your excitement and planning different behaviors to get closer to your goal. You might sit down and outline your project.
BUT THEN – you get a text. This time it’s from your partner. It says, “I didn’t feel great about how we ended last night.” You feel another rush in your body. This time, it’s not excitement but anxiety. Suddenly the project is out of your mind. If you pay attention, you might notice your BAS organizing yourself differently: “If I don’t respond right away, will they think I don’t care?” You feel the pain of an attachment strained. Your BIS then struggles to evaluate. How important is this new goal in relation to the project? How do I weigh my long-term survival against this immediate conflict? Should I stop working on the project now and call my partner?
Just then, a co-worker asks you a question. “Did you see the game last night?” Your mind is now balancing a few different bids for attention. This is where you start to feel your mind struggling to focus.
Attention problems can be caused by a few different areas
If you struggle with holding attention, there may be a problem with one or several of the brain areas we mentioned earlier.
Now, before we jump ahead, it’s important to note that the structure of your brain is the combination of your genetics, past experiences, and present experience. For the sake of simplicity, let’s say about 50% of your brain’s structure is caused by your genetics, and 50% is the result of your environment. Why is this important? Too many people confuse “brain structure” with organic/genetic causes. If you have a weakness in your reward pathway, making it difficult to feel pleasure when you achieve a goal, it might be because of an organic/genetic difference, or it might be due to the way rewards have been handled throughout your life. Both genetics and experience alter the structure of your brain.
With this in mind, let’s look at different ways you might be experiencing problems with attention.
Is my focus issue a “floodgate” problem?
Sometimes our problems in attention have to do with how stimulating our environment is. Each of us has a “Goldilocks” zone where we aren’t too bored or overwhelmed, where things are just right and we feel engaged. For some of us, reading a book doesn’t hold our attention. It feels boring and it’s hard to pay attention. For others it feels just right: a quiet room, a book, low light is the perfect amount of stimulation to hold our attention. This has to do with our floodgate, the reticular formation, that is monitoring the volume of the world around us.
Extraverts might need to add music, bright light, or tap their feet to raise the volume of the reading so they can pay attention. Introverts tend to feel overwhelmed by this idea! They might struggle to engage with reading in a loud room, needing to pull away into a quiet room to read.
How about you? If you struggle with attention, it’s possible that you’re either overwhelmed (“I can’t focus! It’s too much!”), or bored (“I can’t focus! It’s too mind-numbing!”).
Try adjusting the volume of the task by adding or removing stimulation.
Add music or exercise beforehand to make a boring task more engaging. Retreat to a quiet space away from distractions to make an overwhelming task more engaging. These volume adjustments help us focus our attention.
Is my focus issue an emotional problem?
Attention is anything but a cognitive task. Attention is mostly an emotional task that begins and ends in our brain’s limbic system (emotional center). Our emotional state is the elephant that moves our attention toward a goal to help us feel safe and connected. If anxiety and dread overwhelm you, writing a report is going to be incredibly difficult. Your mind will keep redirecting, over and over, toward your emotional state.
If you’re depressed, your concentration suffers. Your mind will keep redirecting toward your sadness. But if your mood improves, so does your attention. You’ll even find yourself being more creative at solving problems.
So what do we do? Trying to force ourselves to pay attention when we’re emotionally overwhelmed is like a tiny rider on top of that emotional elephant: it’s not gonna do much good.
The only solution is to help ourselves feel safe.
Regulating our emotions, and soothing ourselves is the first step. Sometimes this is as simple as reminding yourself of a loved one who cares about you. Other times this is about addressing emotional patterns in therapy.
Is my focus issue a planning problem?
After you feel an emotion and your body gets ready to act, your prefrontal lobe starts to plan how to achieve the goal. Sometimes it means telling yourself to stop working on other goals. Other times it means taking time to plan out each step you need to get to your goal. How you manage these two voices (BAS and BIS) has a lot to do with how others in your life have helped you achieve goals. For example, picture a child who’s trying to stack blocks, and gets frustrated. The parent who swoops in and stacks the blocks for the child, while well-intended, doesn’t help the child learn the planning skills they need. A parent that shows the child step by step how to stack the blocks will help strengthen the child’s frontal lobe, nurturing their ability to set and achieve goals.
In the same way, if we struggle with attention problems today, it might be a planning issue. Maybe it’s hard for you to take a moment to stop and plan the steps to get to your goal. Maybe it’s hard to say “no” to something you want so you can get the larger goal. This can be a powerless feeling – like there’s no way to move forward. This is where we switch attention – largely to avoid feeling powerless.
If this sounds like you, you’ll need to take the time to outsource this part of your brain to a checklist.
You might try taking time, before the start of the task, to outline the steps you’re going to need to take to get it done. You might also benefit from therapy. Addressing and understanding the feelings you have about setting goals can help you feel focused and in control again.
Is my focus issue a reward problem?
Sometimes our problem with holding attention has to do with a lack of reward. If we can hold our attention well, it’s because we know that by planning and holding out attention on a task, we’ll feel good again, relieved. Think of an Olympic athlete: they strain to hold their attention hour after hour because of the promise of winning gold. Think of a parent who spends an hour learning to bake a cake for their child: they hold their attention because of the promise of vicariously feeling their child’s joy. We hold our attention when we know there will be a reward.
For some of us, there’s no promise of reward. Maybe your own childhood involved a depressed parent who struggled to “light up” when you achieved a goal, and you felt like you could never make them proud. This experience lays pathways in your frontal lobe that influence how you experience daily tasks. Or maybe you’re living alone, so cleaning your house goes unnoticed. Maybe you have a preoccupied boss who doesn’t reward your hard work. In each of these situations, it will be a struggle to hold attention on a task, because your mind struggles to see the reward it’s working toward.
If this is the main obstacle to holding your attention, you might tend to feel tasks are meaningless, hopeless, or boring.
How do we help this issue? Some suggest giving yourself a treat when you complete a task: like rewarding yourself with chocolate. You’re welcome to try that if it works for you! For many people, however, this will only get you halfway there. The dopamine (reward) area of the brain is built around social rewards. The strongest reward we can receive is another person’s praise.
If you struggle with reward pathways, don’t think of giving yourself a treat; think of making the task meaningful.
How can you link the task with how it will contribute to your feeling connected and helpful in the world? Is there a way to include others in the task so you can receive feedback and praise? Is there a way the task could help someone else? How could you change the task to heighten these aspects?
So, do I have ADHD?
ADHD requires a diagnosis, something you can get by scheduling an assessment with one of our psychologists. Why a psychologist? Because too often, we diagnose ADHD whenever we spot an attention problem, without considering other factors, such as emotional health, life stressors, introversion/extraversion, etc.
Whether or not you have ADHD, you can rework your relationship with attention. Whether it’s about reducing/increasing the input (floodgate), regulating your emotion (making it more meaningful or less panic-inducing in the limbic system), taking more/less time to plan, or giving yourself more meaningful rewards, there are ways we can shift gears to pay attention, regardless of your diagnosis.
The effort it takes to hold attention can be frustrating. Talk with one of our therapists today. We’ll help you find your way to feel on top of your life again.
Connor McClenahan, PsyD
I help lawyers and other professionals overcome difficult emotions and experience meaning and purpose in their lives.
