Chava Lederer MSC - Caring For Klal Yisrael in Times of War

so first I'll go a little bit through um how how we'll Define these three different things that are very related fear and anxiety and Trauma um fear is a physiological biological appropriate response to a perceived threat if I'm just going to like put it in it's one sentence which means that um the way that that I as Mir mentioned I work I'm a psychotherapist I work a lot with understanding how the nervous system responds and how we can use what we know now about the body and the nervous system to help help ourselves with many many things so what happens when when um there's a perceived threat or a real threat either way the nervous system responds and like galvanizes the entire body to protect to protect itself so fear is a response to that that's what fear is as opposed to anxiety which is kind of when that gets stuck when the fear gets stuck stuck or other feelings get stuck then the system gets overloaded and like in a repeat response to something that's um that's going on whether that's um a perceived threat if it's a lot of feelings that are happening on the inside that don't have a weight that haven't um had their way out yet that's what's happening with anxiety which is not about an actual immediate threat it's a different thing and Trauma is when it gets and there's some uh some incident or series of events that overwhelms the system and then that goes the the um the symptoms of the anxiety or not just anxiety can go on and get really and really disrupt life and it's highly triggered from a specific event or series of events okay so what is it that's going on with these things is that um our brain has this uh very small and very crucial um mechanism in that's moderated by the mdala you may have heard this word a mdala is like really popular now and like trying to understand trauma and what it does is like basically an alarm system it's a red alert system that when the nervous system perceives like it uses these really um sometimes even like subtle and nuanced data that it picks up from our surroundings and it sends a red alert system through our body that's like when I say nuanced small things it's our brain is doing it all the time like from when we walk into our room there's a part of our brain that's like scanning like you know where am I what do I like here I don't mean like enjoy I mean like what's okay here what's not you know is it hot is it cold is it you know all of this is happening literally a few times a second in our brains so as soon as there's any data that says there's a threat the whole system is going to get flooded by all kinds of chemicals that that works with but basically to send the body into a state of self- protection like now we're on alert so what um let's I want to think about together with you like what does that look like and you can like maybe you can use your own experiences or people that you've seen what it looks like when the when the there's a threat system that's been triggered un alarmed yeah working in the classroom children will go under the desks or they're all know away stand away people say oh they're shy but really they walked into the classroom surveyed it it's not safe right it's threatening to them it's new it's unfamiliar perhaps right and they withdraw right so they withdraw they go into like a like a shell avoiding right to help protect themselves the avoiding is a self self- protection from all the stimuli or um or things that didn't feel safe what else might you see yeah um physical resp like stomach ache headaches I just got a call literally just now from my daughter who is touring a high school she's going into seventh grade so not high school but and it's not the school she wants to go to and the girls are very different and she called me freaking out my head hurts my stomach hurts and and knowing this child what she's telling me is I'm not comfortable in this situation get me out of here right get me out of here right she's calling for help to get me out of here I'm in so she she had like a really um adaptive response to help her with like what you know in the attempt so it's not going to she not going to be able to pick her up right now but she reached out for help right she called for help and the physical symptoms that she was calling with were her stomach and her head right what else might you see stuttering [Music] stuttering go ahead um sometimes somebody thinks it's like a stroke or something and it's a panic attack right right I'm going back to the phone again that wonderful phone I was talking about being up till 3:00 a.m. just tuning out like hyper focused on oh look what the cat did and look what you know like just totally cutting right you know I mean that's maybe one step later but right what you're you're describing and know even said that you said a panic attack you you gave it a name already right where there's either like a a feeling of like their heart um extreme pain in their heart or other muscular pain right and you're talking about how you're coping how one might cope with that right by going to the screen to shut down all the stuff that's going on yeah what else and like meaning and I'm thinking like okay on the one hand I want to help him learn to sleep by himself but like he feels the stress of everyone around him he's and so maybe now time for for cuddle right so you see distracted sleep and as a mom who's like trying to tune in you're like okay how can I right what what's what does he need here right what else disrupted sleep and well anytime there's any sound that's loud my daughter I see her face and she just go like this and and then she waits and she's like okay it's an ambulance she's like I hate that so any little sound even if she's watching something and there's a siren right she can't handle it and she she just has to shut off she runs out of the room she does this right so her mind like most people I haven't yet met the person who's not in some way like a little bit more alert right they're on alert for signs of something that might be a threat right before October 7th we might have not even heard those sounds right exactly you know like Machinery or Sirens or different things like that now our like system goes like what right and that's what happens you know when I did that like what happened physiologically what did you or her body was ready right her body exactly exactly anything else that anyone wanted to make sure we disordered eating so Disturbed sleep and Disturbed eating exactly right those are things so so you described here a number of things that basically what happens is that when we um we all are like going through our day our week our month our life with a certain amount of like in order to do that well we're going through um our nervous systems is on like a basic level of like relatively okay like I can do this and what happens when there's um something that H that happens in our life or that we meet up with that's too much our system is either going to go into what people call anxiety or what people call depress depression or shutdown right or it might like kind of flip-flop between those two but you've described basically we've been describing the syst symptoms so with the more on the anxious end of the spectrum it's going to be things like um worrying a lot on hyper alert there's going to be um um there might be stuttering or pressured speech or rushed thinking or like I can't stop the thinking um they'll be with it um this is not mine opion else I think people also there studies that are using medication self medicating so these were so these are ways of coping with it first let's go through like no no I I appreciate it very much that there's going to be um there's pressured speech there's pressured thinking there's like a an overall urgency of like I'm I must like I have to whatever the end of then sentence is it doesn't really matter that is that is how the anxiety um will show itself as opposed to like no interest or uh like I can't get myself out of bed orj just the only thing I can do is like look at the screen um those are also called anxiety those so those are more the symptoms of like a shutting their nervous system being on an overload and shutting down into like I can't versus the nervous system being in like a hyperaroused of like I must those are basically two different ways that the nervous system is um they signs of the nervous system being in overwhelm we call it anxiety or depression or shutting down right does that make sense um so in the also in the the when the nervous system is more like revved up and Hyper alert there's more irritability right or like anger Outburst those aren't things that we mentioned yet but those are also things that are going to be happening there that may happen there um the and and in the the shutting down when the system's like in such an overload that it's already that it's a more of a shutdown there's like the sad the like the sadness that we like can't doesn't go anywhere um or depression or like I can't or instead of like a pressured speech and pressured Rush thinking it's like the thought they're like blank or like can't think can't put together um clear thoughts or clear um clear sentences a numb feeling like just numb that would be like another symptom of the nervous system the person being in a kind of um overwhelm so and those when when when we're in those States the brain the higher parts of the brain the parts that we rely on like to get us you know for rationality and logic and seeing the bigger picture um and self-awareness and perspective taking like all that stuff which we need and is is really important and it's like our we rely on like our adult brain like kids don't can't do that grown-ups can do that guess what when we're in a a nervous system in this overload that is simply not available so even as as adults you know sometimes there might be like some far off voice being like you know you shouldn't be yelling right now but it's not accessible when the person's in a state of overwhelm right when they're either you know call set anxiety and I mentioned the word depression but really I'm speaking like the nervous system on overload that's what's happening yeah so this is porus theory in my mind poal Theory M so it's dorsal is to shut down there's an icon for kids and adults that's the turtle right the middle one is sympathetic parasympathetic like you cannot be sympathetic to the rest of the world because it's not safe for you yet you're still in fight or flight and ventel is the ready to learn ready to be engaging with the world and I can do this right right like that you know I said that like you know we're in like a relatively okay I can do this I can you know I can do there's a lot of things that we get we can do even if they're hard to do but I can do this when we're in what you're what po just calls the V the vental V go or the social engagement system like we're still on like if I you know if you look around the room and you see like who's you know whose eyes are like with you and who's like has still has their social Smile as opposed to when you look at someone and you're like I don't think she's fully present here with me right that's there that's um the way that poor just describes it and how we understand it in those in that hierarchy is that like it's a ladder where you can kind of climb climb down from the social engagement into something where it's our systems um like in self-protective either in the um the activated sympathetic or the or further down the ladder shutting down so the things that maybe at least once upon a time maybe it's less common now that we used to do or people thought was right is like just calm down or like it's going to be okay or come on let's let's make a plan about this often is not accessible in those times like okay so you're just going to let's go to the supermarket like it's not accessible at those times um yet and what we know now about um you know especially learning by through trauma is that what helps to settle the the nervous system most reliably and most quickly is by working with um the Soma working with the body okay so these are these are so I want to go over some of the um some really fundamental basic easy readily available things that we can do when you're sitting with someone who's in some kind of overload um so um what needs to happen is that the amydala the one that that piece in our brain that little almond shaped thing that sent out the alarm that things are not safe it has to get the message that things are safe enough now okay and I'm qualifying it safe enough now that's what I'm how I'm qualifying it um so how does the amigdala speak like how do we get like what language does it speak it speaks basically um I'll just summarize in that speaks via um the information that gets from our senses and our bodies um and it speaks via um feeling safe in relationship those are the basically the language like and that's from even pre-day one upon entering this world as an infant this is how the system knows if things are safe or not based on what's going on physically sensorially and um like a you know is it is it relationally safe now so if we're going to speak the migdal's language these are the that's these are the words we've got to use okay it's um I'm going to start with the body cuz it's like a little bit less complicated but the way the things that I'm going to give you in terms of relationally is also not so complicated what I'm going to give you in terms of very practical um so we went through like a lot of symptoms that we see what do we see when someone's anxious or over on overload if you're sitting with someone and they're an overload what might you see CU you might not see their heart pounding in their chest right you may not even if they're quiet you may not hear that if they were to speak they would stutter right so what might you see sweat if you're really like you know if they're really sweating or if you're heavy breathing blushing heavy breathing what else their eyes what would you see either getting very wide to like scan and like trying to like right great great what else you might they might be like withdrawn reserved right what else lack of eye contact lack of eye contact right anything else it's great the color in their skin their face right just they might just lose when someone is scared all of a sudden their face becomes right so we heard blushed and right flushed and we also learned and we also were hearing now they might be like a drained during interviews or something girls like really pulling at their skin on their hands shaping something or or ripping so what do you think is go meaning what so then what is that happening is there's the mus muscular tension right that they're there's coming out eyes are big they're really focusing there's something just going on where so so I want to I'm going to start with the eyes because it's been mentioned a couple times where are they looking it's said not eye contact but what if you're just looking at their body language they're looking for safety but where where are their eyes going you said one is like they might be scin SC and that's like one option what's the other option that might be down like a wait not eye contact they're not with you here right it's usually off here dissociating you might also get it like higher up but it's usually not not um it's not with you face to face us usually not going to make um hard fast rules about it so one of the things that that we can do to help is by what we call call it in Psychotherapy we call it orienting you don't have to use that word but basically it's coming V like really inviting them to really check where they are right now because if they're scanning the room with their these wide open eyes and they're still in a in a overload state it means they haven't really seen where the room is right because in this room thankfully right now if I look around there isn't a media threat here right but if I'm looking then I'm not all the way here right so that's one thing you can do is like in know um you can you know find the words that kind of fit you but like now could we just take a moment and check where we're at like where we are right now you know and um you know like there's a picture there someone's got vegetables in front of them you know like just really one entrance so then entr yeah there I see the door you're asking them to describe what they see I if they if they can verbally do it with you great even if they don't and I'm doing it like I'm thing as I'm with I'm like there's the door you know you know being able to there's a picture I can like maybe count the coffee cups on the table something where they are like grounding it's a ground it's a grounding technique it's orienting because this is something that the brain is doing all the time checking for safety so you're using that to help them with it um and it's not like a I'm not like this is not like a meditative like let's you know it's just like looking for the facts in the room visual ually orienting to where they are visually um another one that's really important um are you saying that you're already at the point where you're with someone and and you have the relationship you're helping them or did you introduce I'm just I'm just not someone's coming to you so I'm I'm a so and maybe help me out I'm imagining you're you know you want to use help someone who's coming to you okay right anxious or an overload or like I can't or what was the example like I can't I can't leave the I can't get out of the house my kids can't get out of the House's someone's coming to you yeah stud you know someone's on the phone and they're like I just can't I'm just so scared all the time and I can't leave my house and my kids and like we haven't left in you know the whole week or long whatever it is so and you want to in order to be able to figure out what they need really next or what the bigger picture need is here they're right now in her voice and in what she say saying you know she's right now in an overload there isn't like okay guys let's make a plan you know like what do you that's my that's not you know so first thing is you need to help her system to slow down a little bit that's the next thing that I'm going to say is slowing down okay one of the Hallmarks of anxiety is that the speech is rushed you can't get a word in they're speaking loud or fast right and you can even you know if you do it your own head now and just like imagine that and then just slowing down helps you the person on the other end of the line who wants to help the person who's really anxious on the line slowing down because when it they're in an anxious I think they're also sending out a lot of rushed pressured emergency and like that's what it feels like this is an emergency she hasn't left the house and she's right first thing is slowing down so you can slow down your speech you can lower your voice right and if you want to and and if they can do this with you asking them to if you can physically slow them down it'll help even more their mind slow down and their nervous system slow down um like a really um easy quick way to do this if you want to do it all with me now that would be great start your hands like somewhere above your shoulders and you're going to you need your elbows off the table to do it what you're going to do is you're going to lower your hands very slowly as though they're moving like through I don't know maple syrup okay like really really slowly and whenever they reach the bottom you know just notice what impact that had breathing what happened in your breathing this is atic move Som just means body so yeah it's a sematic move right when you slow physically down when you slow physically down then everything inside slows down your breath will get deep Mo your breath will generally get deeper your heart rate will lower which means if that the person you're speaking to is can do this with you or can see you doing it there's this all this cool stuff about mirror Neons but even if they can see you do it or hear your voice slowing down that will help them okay um another really great one is movement movement because when we are in overload um often what happens is especially in like the overload that's going into shutdown is it can't move like it feels like stuck or everything is can and so even a very subtle movement is really helpful like um I we're too big for this to do for me that I only have a few I have these little stress balls um but you can use anything could be an orange uh or an apple or something that's like easily like easily fits in the hand and being able to just move it back and forth like passing from one hand to the other um you know you can do it with just like stuff that you have around a pan or a cup just like more comfortable and there's more you know like in um comfortable sensory information when you get like something that fits in your hand but it doesn't have to be even being able to move something back and forth and I I notice my wrists moving and I see the cup and how the water moves when I move the cup and you do that for like 60 seconds it's going to have a really a big impact on the the nervous system slowing down yeah when I use Excuse me my my 2 Kil weight I just that great that's great that you know that that for you like um right stimulating these muscles which are really good really if you stimulate these um these muscles here and also your thigh muscles very large muscles in your body they really um if you wake them up if you stimulate them then they're also going to help you with um big feelings yeah rocking rocking so right so what's different right when there so what something that's similar in this and this and this is that it is intentional movement which means that it's sending the information to the amydala that you're okay now which is different than rocking that's unintentional I'm not saying that that's bad I'm just saying in terms of a tool right um rocking or shaking or ripping paper that's unintentional like if I if there was someone ripping paper and I thought maybe that they're you know if they wanted some help and we say like you know um is it make that ripping more intentional can you like feel your fingers like doing it so that there's an intentional movement it sends the message to the brain skin or their skin SK right that's not you're not doing anything right that's the nail biting so if someone is coming to you and saying like I'm really anxious and you see them doing like that you might say like hey you know I have got this silly putty you know like or I've got this you know you want something whatever it is you have and it depends you know which context they're coming to you in what you're going to offer them what else um do I want to give you yes someone's in a more Panic States they can't take in your your recommendation right so they can't hear you right so if they're in a full Panic there's not much you can do except be there with them like when the Panic is in full-blown you're there to use this this last one on my list I'll say one I'll go back to one more is your voice you know I started with your the pace of your voice but your voice um is a really important resource so you being able to say like I'm here with you it's going to pass I'm here with you this is just you know this is just a panic attack that's what's going to be important till that wave has passed because there isn't you're right they're not going to be able to do something very very um very different yet when they're in a full-blown panic but if it's before the Panic or on the way down yes sorry deep breathing together if they can do that if they can do that some people breathing is like a um focusing on their breathing specifically is um triggering I'll just say I don't really love the word but some people that is can you with the voice thing can you ask them to repeat after so that they are using their voice to imate if they can do that great and I'm saying like your voice and like a steady calm clear voice is in itself resource if they can do that if they can say say things after you great but I'm not but it's really just to help them ride the Panic that's what that is about you're safe here it's going to pass and so after okay so so once they've like over the hump and being like that's you're you know I say things like like you're still alive you're still you know like you you got it you're here um but the main main point that I'm using now is your voice and your pace one of the other things too they say right away is to give them water because the water dilutes the chemicals you talked about Ro what's Tye of body that has this intense fear response all these chemicals are being okay so you need to it so so there's so there's so many things you can do I'm getting I'm specifically focusing on the things that are going to help the amydala receive the information that right now is safe enough for now so there's a lot of things that are happening when we're drinking water there's a lot of sensory information if the esophagus and can is working that's important information for the for the amydala because when we're in a trauma state or a panic State all the blood is leaving the digestive system and going elsewhere so when you're stimulating a lot of different things so there's tons of things you can do but basically in a panic you're waiting for panic to to ride that yes um so one of the things that we try to do um I have a nine-year-old and the anxiety has obviously been high the past few months yeah is when she's feeling it whether it's about the war or a siren or something else when I see her I'll say tell me three things that you could see right she's able to like oh okay I see the blue table and I see you know we the picture um and then we'll go to okay and what can you hear so that this way she's tuning into the senses and she's starting to feel right exactly this is sensory information saying that's something that you can do when the person like getting towards a panic mode or sure sure there's like I you know I um want to you know if you want to remember those things it's like a it's got five senses we go five four 3 two 1 through the senses one is going to be the one that there's going to be the least for like taste you know or smell might be you know like a two or but it doesn't really matter the order except that vision and and touch are going to be the and S vision and touch maybe sound are going to be the higher up there like the five and the fourest um and then usually it's sound and smell and taste but those yeah so what that is doing is that it's giving very concrete information to the amigdala that they're safe now like this right now physically it's okay enough um another one is um where are we on time m is miror here I don't know if we're ending that almost 12: right so this so lunch is in a couple minutes so so um so there's I'm going to give you another one that's like really good when their system is really overloaded self there's different ways of using self-touch I um and there there are many I'm going to give you like one right now um what you can all do with me if you choose you take two hands put them on your head like find the crown of your head and um let the weight of your hand you're not pressing in you're just letting the weight of your hands um move through your head give it them at least 10 seconds or more let's see if you can notice what that does we good some people are really liking it so take your time to enjoy it as long as you like it grounding yeah grounding what else hang on what else did you notice anyone sleepy MH so it settled something in the way down right I noticed my breath got deeper I if anyone else noticed something like that yes what was your question I I found when rela yeah sure's that I don't know enough about but there's so many different things in terms of um pressure points um and yeah and so that yes absolutely so if something works for you then it's great you know these are like the top of the head yeah not you said only head it kind of feels like a self there you go great yes so some people just say like no no I don't like that but if it works for someone then great there's no I'm not giving this like this has to work for everybody these are things that really work for a lot of people and really the most important thing is that um when you that someone comes away with like one or two things that they're like oh okay when I'm really feeling like overload I can do this thing and it works pretty well right um usually only think of it after well I'll tell you that if if you do this thing where you're slowing down if I'm slowing down someone else but if I'm the one that's in panic and no one's around I don't know if I'll remember to do so what I loved was someone's it was whose daughter was your daughter right called for help right and that is the like um it's the first line of uh would say like of self- protection that that our U nervous system goes to and it's so so important so when someone says you know you said something earlier like saying you got here like being but being like wow I'm so so glad you reached out you know and that that reaching out is okay and appreciated or it's a value you know that is actually the first line um of and the word is not defense it's the first line of self- protection that person goes to is reaching out and it's really really valuable I think this oh there it went that's why um so so and that's that's the speaking to the the social part of the brain which is right next to the Mida and why I said that um in addition to using um what I'm called somatic resources or using the senses and the body to help calm down is using the relationship to calm just the fact that this is safe here right now not exactly what you're talking about right now but I just see you have a good uh wisdom on this I wanted to ask another question what if a some a student doesn't realize what's triggering them like they are either in a panic State on extrem or they're just having high an but they can't really connect the DS to what's doing again and sometimes it's even what was spred earlier is that long-term trauma where it's even coming from their upbringing and something so how you um so I'm going to like flip something for maybe for maybe a lot of you is um I actually don't really care very much about triggers meaning that may you know if in a long-term therapy process that may come up and be important but in terms of helping someone now and giving them School skills that they can use in their day-to-day life what was the cause is much less interesting to me than what helps them helps their system their nervous system their body like know that I'm okay now and I can do things to do that because what happens then it's reactive and you're not really trying to correct so that's what I mean when if you're going for like a long-term therapy process that may be relevant I can a book afterwards I this is like just hands on and which which they have to live with their hands on at the moment every hour of every day and they don't have someone like to help them figure out what it was all the time you know every time that they feel like a little uh you know like a little stressed or panicky you know that they might come up in the middle of their classroom or in their wherever they are and they have got to like find a way like okay you know um help them get through the moment and what happens is that when someone can learn to do that get through the moment again and again is that overall the anxiety comes down so it's not just a Band-Aid for that moment yeah cuz what happens what did we say in the beginning we said in the beginning that when there's overload the thinking is not clear the thinking is pressured the thinking is all over the place the dots don't connect so we're not trying to find out what they're anxious about we're just not really you know like if that you know if that helps them to say that might but I find that that's usually not what helps them so just to get them being say I'm here and then you know and if they're once they're in a place because when they're overload there's not clear thinking once they've returned to their you know the words are green zone window of Tolerance um social engagement system vental vehicle these are all talking about the same thing when they're back there then there's more um then there is capacity for the for them to figure out like oh you know like what was that about you know do I do I need to really address this maybe there's like something I need to address here or um oh yeah you know and my roommate yelled and she was like being super loud and I was over tired and oh yeah that's what that was I don't know what they'll come up with but they will not come up with something when they're in overload not something that's useful or helpful I'll say um but when they're when their system's okay when they're safe enough then there will be the then there's the possibility of figuring it out if that's if that's important to them but it's true that like you said if there's things that are really old it's going to be really hard to to make sense and this is what I see and like well it doesn't really make sense why would when she says that then I'm like in total freaking out because it it's it maybe it is something old so it's not going to feel like a satisfying connect the dots because it doesn't make sense in that moment and that's really something important that you're bringing up is that um this war and anytime that there is a sudden overload or a big or a trauma you know different ways that we don't SP what it will H often happens is that it will trigger some childhood traumas if there are any so that's like kind of expected like that that understood that's very common that that will happen and at the same time most people the data on this is just not from this war only but across the board that 75% of the human population goes through a trauma and does not experience PTSD that's a huge percentage right it's that most people they may have anxiety they may have to deal with that and find some tools to help themselves but long like long term we're talking like three months after the incident's over most people will not have PS ttsd it's like a 20 you know 25% and they deserve and it's appropriate that they get help for if that happens but it's a very small percentage so those are those are usually very strong incidences they're very direct I think because of people's histories we don't know we don't know who's going to be those people you know has there's a lot of things that they may have to do with with their you know their nural makeup um yeah yeah the degrees and the longevity of that you know a PTSD so I think later is that is this true that later in the day there's going to be specifically figuring out PTSD versus no maybe I misunderstood that so um the question was how do you know if it's PTSD Define it oh how do I Define it you can look up the diagn you know in the diagnostic manual the thism you canity and intensity yeah how often that it's uh you know it's right longevity and intensity it's disruption in life things it's um that is that is triggered by like that you can it's triggered by the event right which when there are things like complex trauma you may not be able to find oh like why is that the trigger especially if you don't know what their the history is um but basically what's what's important when I when I'm thinking about it what's important is this um when the nervous system is stuck on or off meaning not in the green window up tolerance social engagement not in the okay Zone um if I had a whiteboard I'd show you this I'm going to but if if it's if if this is my wind if this is my window of Tolerance this is how much I can take before my system goes like right before you know that whatever that is and that can be like an oncoming truck before I step back onto the curb or that could be something else that sends me into right if this I'm using this like this is my window of Tolerance and my nervous system gets stuck up here for too like it gets stuck and I can't find my way back into so that you would either call maybe you'd call it anxiety or You' call it like a traumatic response okay or if they go like down into this like under my window where they're shut down and that getss stuck what I'm looking for is like is it stuck or is it Ono aniy because of yeah and then again like what sometimes we may not know if it's because of a traumatic event especially if you know if we're working with adolescent or adults and it's old stuff you may not know that um but if it's stuck on or stuck off those are times where it's you know then um it's it is important to get some outside professional help um so that they can find their way back and yes I heard something recently about a soldier that went through this and it was so frightening to me to hear this story he had caught on October 7th being rep valiantly and he was just going and going and all of a sudden one day he stopped being able to see oh yes right heard read this yeah able to see right in the middle of the battle when at first they thought he was didn't believe inur right yeah nothing right and after yeah the end of the story the end of the story is that his eyesight returned it did his ier did return yeah that was his body just saying enough and he's also back in his unit they didn't want to take him back but he fought to get back into his unit he's back in his unit his mind was protecting him seeing they've been doing Coy have they been meaning with the soldiers I don't I don't know [Music] EES there's a you know there's a lot there's a lot a lot being offered um I don't yeah the self management of the anxious moment redu the anxious moment because the student what yeah go ahead if because no because if she's learning how to like even these hand tricks I don't know little tools I call them tools but you could call them trick I do sometimes with my adolesence I call them tricks sure okay so whatever if um if they start to realize they can help themselves do you find there's a reduction in anxiety yeah they can they may be shorter or they may be less intense or you know less often that's ideally you know if they if if someone can really use use use the tools and they find the ones that really help them you know and different ones you know I gave I gave you a bunch different ones are going to speak to different people CB nowadays I I mean I'm not a CBT expert but nowadays CBT does include mindfulness um no cognitive behavioral therapy um nowadays I think they call it third wave CBT I don't I'm not it's not my it's not my training um does include mindfulness which would include body awareness these are specifically interven so interventions that you can use um that are based on the nervous system and the and the body getting the information that it's safe [Music] now