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In Part One, we explored the core practice of somatic tracking — that gentle, curious way of zooming in on a pain sensation, reminding your nervous system it's safe, and watching what happens when you stop fighting the signal. If you tried it even once, you may have noticed something surprising: the sensation shifted. Maybe just a little. Maybe a lot. Either way, that movement is your brain beginning to update its story.
But what happens when the alarm doesn't quiet down so easily? What happens when you sit down to practice and your mind immediately argues back — "This isn't just a false alarm. This is REAL. I've had this for years." That's where Part Two begins. Your Brain Is Doing Its Job — Just a Little Too Well Here's something worth sitting with: your brain developed this pain response to protect you. It isn't malfunctioning out of spite. When chronic primary pain persists long after an injury has healed (or when no structural cause is found at all), it's often because the nervous system has learned — very efficiently — that this body part is a danger zone. The brain becomes a hypervigilant watchdog, scanning constantly for trouble. Neuroscientist Dr. Tor Wager, whose research helped lay the foundation for Pain Reprocessing Therapy, describes this as the brain running a "prediction" about the body rather than simply reporting what's there. In other words, a big part of what you feel is the brain's expectation of pain, not just tissue-level information coming in. That's not a dismissal of your experience — it's actually the most hopeful news there is. Predictions can change. This is the heart of neuroplasticity: the brain rewires based on new, repeated experiences. Every somatic tracking session is a new data point. Every moment you observe a sensation with curiosity instead of alarm, you are quietly, persistently teaching your nervous system something different. The Hidden Barrier: Fear of the Feeling Itself One of the most common — and least talked about — obstacles in this work is pain-fear. Not just fear of what pain means, but a kind of reflexive flinch away from noticing it at all. Many people living with chronic pain have spent years learning to brace, distract, push through, or mentally flee the moment a sensation rises. That makes complete sense. It was survival. But in PRT, we gently begin to reverse that reflex. The goal isn't to white-knuckle your way through discomfort — it's to approach the sensation from a place of genuine safety and curiosity, the way you might lean in to examine an interesting cloud formation rather than brace against a storm. If you notice resistance to the practice itself — a reluctance to "go there" — that's worth being compassionate with. It's not weakness or failure. It's simply the nervous system doing what it's always done. You can even name it: "There's the flinch. Hello, flinch. I see you." That small act of acknowledgment, without judgment, is itself a form of re-appraisal. Expanding the Practice: Three Ways to Go Deeper Once the basic three-step somatic tracking feels familiar, here are some ways to enrich it: 1. Add the "What's Not There" check. After labeling what you do feel, gently scan for what's comfortable or neutral in your body right now. A relaxed jaw. Soft hands. The weight of your feet on the floor. The brain tends to spotlight threat and ignore safety — this exercise retrains that spotlight. Relief doesn't always begin with changing the pain; it often begins with expanding what you're paying attention to. 2. Notice the story that arrives with the sensation. Pain rarely shows up alone. It brings a narrative: "This means I'm getting worse." "I'll never be normal again." "I shouldn't have done that yesterday." When you notice the story, you don't have to argue with it — just label it. "There's the fear story. There's the frustration story." Separating the raw sensation from the interpretation it carries gives your nervous system a little more breathing room. 3. Work with "windows," not marathons. Research and clinical experience both point to the same thing: short, frequent practices outperform long, infrequent ones. Think of your nervous system like a muscle you're conditioning — brief, consistent reps do more than one exhausting session. Two minutes while your coffee brews. Ninety seconds in the parking lot before an appointment. These micro-moments accumulate into real change over time. When Progress Feels Invisible Healing from chronic pain is rarely linear, and that can be discouraging. Some days the sensation is quieter; others it seems louder than ever. This is normal — and it's actually part of the process. As the nervous system begins to reorganize, fluctuation is expected. The goal isn't to graph a steady decline on a pain chart. The goal is to change your relationship with the sensation — to move from terror to tolerance to, eventually, indifference. One of the most encouraging signs of progress isn't "no pain today." It's noticing that you responded differently. You paused instead of spiraling. You stayed curious for even thirty seconds. You caught the story before it carried you away. These are the real milestones. Resources to Keep You Going Book: The Way Out: A Revolutionary, Scientifically Proven Approach to Healing Chronic Pain by Alan Gordon & Alon Ziv (Penguin Random House, 2021). If you haven't read this yet, it's the most accessible, science-backed introduction to PRT available — written by the therapist who developed the approach. Available at PenguinRandomhouse.com. Article: Ashar YK et al., "Effect of Pain Reprocessing Therapy vs Placebo and Usual Care for Patients With Chronic Back Pain" — JAMA Psychiatry, 2022. This is the landmark clinical trial showing that two-thirds of participants became pain-free or nearly pain-free after a short PRT program. Worth reading even just the abstract if research isn't usually your thing. (JAMA Network) Podcast: Tell Me About Your Pain by Curable Health. A warm, practical, and deeply validating podcast hosted by Alan Gordon himself. A good next episode after the somatic tracking introduction from Part One: "Why Does Pain Linger?" — it walks through the brain-based pain model in a way that feels like a conversation, not a lecture. Available on Spotify and wherever you listen to podcasts. The Bigger Picture What PRT is really offering isn't just a technique — it's a fundamentally different way of relating to your body. Instead of treating it as an unreliable source of threat, you begin to approach it as a communication system that can be gently updated. One that responded to experience in the first place, and can respond again. That shift doesn't happen in a single session. It happens in the accumulation of small moments where you chose curiosity over alarm, presence over avoidance, and self-compassion over self-criticism. You are not broken. Your brain learned something that made sense at the time. And it can learn something new. Ready to take this deeper with personalized support? Reach out to Debra for one-on-one healing from chronic pain with Pain Reprocessing Therapy. #PainReprocessingTherapy #ChronicPainRelief #Mindfulness #SafetyReappraisal #SomaticTracking #PainScience #NervousSystemHealing #MindBodyConnection #PainManagement #PRT #ChronicPainSupport #Neuroplasticity #DebraEngLCSW #TraumaInformedCare
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In recent years, many of us have experienced moments when the world feels overwhelming—like everything is burning, both metaphorically and, at times, literally. The relentless news cycle, global crises, personal challenges, and collective anxiety can leave us feeling helpless, anxious, and exhausted. If you’ve ever found yourself saying, “It all feels too much,” you are not alone. While we cannot control all the events unfolding around us, we can cultivate practices and mindsets to help us cope, find moments of peace, and build resilience. In this blog post, we’ll explore why the world can feel so overwhelming, offer practical strategies for managing stress, and provide a guided meditation script to help you ground yourself when everything feels like it’s on fire. Why Does the World Feel So Overwhelming? There are many reasons why the world feels so intense right now. Social media and 24/7 news cycles mean we are constantly bombarded with information—much of it distressing. Climate change, political polarization, economic uncertainty, and public health crises add to the collective stress. On top of this, many of us have personal struggles: family issues, work stress, health concerns, and loss. Our brains are not designed to process this much information or stress all at once. When we’re exposed to constant threats—real or perceived—our bodies can enter a state of chronic fight-or-flight. This can lead to anxiety, insomnia, irritability, and burnout. Coping Strategies: Finding Calm Amidst the Flames While we can’t extinguish all the fires in the world, we can learn to manage our reactions and build a toolkit for coping. 1. Limit Your Media Consumption It’s important to stay informed, but constant exposure to bad news can be toxic. Set boundaries around your media intake: choose specific times to check the news, and avoid doomscrolling before bed. Curate your feeds to include positive stories and reliable sources. 2. Practice Self-Compassion Remind yourself that it’s normal to feel overwhelmed. It’s okay to take breaks, to feel sad, or to ask for help. Treat yourself with the same kindness you would offer a friend. 3. Connect with Others Isolation can intensify distress. Reach out to friends, family, or support groups—whether in person or online. Sharing your feelings can lighten the load and help you feel less alone. 4. Engage in Mindful Activities Mindfulness practices like meditation, yoga, journaling, or simply taking a walk can help you reconnect with the present moment. These activities can calm your nervous system and give you a sense of control. 5. Take Action, However Small When the world feels overwhelming, taking meaningful action—no matter how small—can help restore a sense of agency. Volunteer, donate, advocate, or make small changes in your daily life that align with your values. 6. Seek Professional Support If your distress feels unmanageable, consider reaching out to a mental health professional. Therapy can provide tools for coping and a safe space to process your feelings. Guided Meditation: Grounding Yourself When Everything Feels Like It’s On Fire Below is a guided meditation script you can use when the world feels overwhelming. Find a quiet space, sit comfortably, and let yourself be led through this grounding practice. Guided Meditation Script Begin by finding a comfortable position. You may sit or lie down, whatever feels best for you. Close your eyes gently, or soften your gaze. 1. Arriving in the Present Take a deep breath in through your nose, and exhale slowly through your mouth. Feel the air entering and leaving your body. Notice the sensations of your body against the surface beneath you—your feet, your hands, your back. With each breath, allow yourself to arrive in this moment. Release any tension you might be holding in your shoulders, your jaw, your forehead. 2. Noticing the Flames Imagine, for a moment, the chaos or “fire” that you feel in the world around you. Picture it as a swirling energy outside of you. You might visualize it as flames, smoke, or a storm. Notice how it feels to acknowledge this chaos—perhaps there is fear, sadness, or anger. Allow yourself to notice these feelings without judgment. Say to yourself, “It’s okay to feel this way. I am safe in this moment.” 3. Creating a Safe Space Now, visualize a protective bubble forming around you. This bubble is strong, cool, and calming. The flames and chaos remain outside, unable to touch you. Inside your bubble, you are safe, grounded, and at peace. Feel the boundary between your calm inner space and the outer chaos. With every breath, imagine your bubble growing stronger and more soothing. 4. Grounding in the Body Bring your attention to your body. Notice the weight of your body on the chair or floor. Feel your feet pressing into the ground. If you wish, press your fingertips together, noticing the gentle pressure. With each breath, silently repeat: “I am here. I am safe. I am grounded.” 5. Releasing What You Can’t Control Imagine the chaos outside your bubble slowly fading, becoming quieter and less intense. You do not need to fix everything. You do not need to carry the world’s burdens alone. With every exhale, let go of what you cannot control. With every inhale, invite in peace, calm, and resilience. 6. Returning to the Present Take a few more deep breaths, feeling the air move in and out. When you are ready, gently wiggle your fingers and toes. Open your eyes, bringing your awareness back to the room. Remind yourself: “I can return to this calm space whenever I need.” Absolutely! Here’s a loving-kindness meditation (also known as “metta” meditation) you can include in your post. This meditation is designed to help soothe yourself and extend compassion to others, even when the world feels overwhelming. Loving-Kindness Meditation: Cultivating Compassion in Turbulent Times Find a comfortable position, sitting or lying down. Let your hands rest gently in your lap or by your sides. If you feel comfortable, close your eyes or lower your gaze. Take a few deep, cleansing breaths. With each exhale, allow your body to soften and relax. 1. Offering Kindness to Yourself Begin by bringing your attention to your heart. You might place a hand over your heart if that feels comforting. Silently repeat these phrases to yourself, allowing the words to settle gently: May I be safe. May I be healthy. May I be happy. May I live with ease. If your mind wanders, that’s okay—just gently bring it back to the phrases and the feeling of warmth and care for yourself. 2. Extending Kindness to Someone You Love Now, bring to mind someone you care about—a friend, family member, or even a pet. Picture them in your mind’s eye. Silently offer them the same wishes: May you be safe. May you be healthy. May you be happy. May you live with ease. Notice any feelings of warmth, tenderness, or connection that arise. 3. Widening the Circle Next, think of someone neutral—perhaps an acquaintance, a neighbor, or someone you see regularly but don’t know well. Visualize them and offer the phrases: May you be safe. May you be healthy. May you be happy. May you live with ease. 4. Extending Kindness to Someone Difficult If you feel able, bring to mind someone you find challenging. You don’t need to force any feelings—just gently offer them the same wishes, as best you can: May you be safe. May you be healthy. May you be happy. May you live with ease. Remember, this is for your own peace and healing, not to condone harmful behavior. 5. Sending Loving-Kindness to the World Finally, extend your circle of compassion outward to include all beings—your community, your country, and the whole world. Imagine your loving-kindness radiating out like light, touching everyone: May all beings be safe. May all beings be healthy. May all beings be happy. May all beings live with ease. Rest for a few moments in this feeling of open-heartedness and connection. When you’re ready, bring your attention back to your breath and your body. Gently open your eyes, carrying this sense of loving-kindness with you. You can return to this meditation whenever you need to reconnect with compassion for yourself and others. Even in difficult times, loving-kindness can help soothe your heart and remind you of our shared humanity. Conclusion: Building Resilience, One Breath at a Time When the world feels like it’s on fire, it’s easy to feel powerless. But by cultivating mindful practices, connecting with others, and setting healthy boundaries, we can find moments of peace amidst the chaos. Remember: you are not alone. Your feelings are valid, and you have the inner resources to cope—even when things feel overwhelming. Try returning to the guided meditation whenever you need to ground yourself. Each breath is a step towards resilience, and every moment of calm is a victory. Take care of yourself. The world may be burning, but you can still find your calm center—and from there, help others do the same. The holiday season is often painted as a time of joy, warmth, and togetherness. Yet for many, it’s also a period marked by stress, anxiety, and complicated family dynamics. Whether it’s navigating difficult conversations, feeling pressure to meet expectations, or simply managing a packed schedule, holiday stress is real—and you’re not alone.
In this blog, we’ll explore practical strategies for coping with holiday family stress, highlight helpful podcasts and articles, and share resources to help you find peace and connection during the festive season. Understanding Holiday Family Stress The holidays bring families together, but they also bring together old patterns, unresolved tensions, and differing expectations. Common sources of stress include:
Practical Strategies for Coping 1. Set Realistic Expectations. Perfection is a myth. Accept that things might not go as planned, and that’s okay. Focus on what truly matters—connection, kindness, and making memories. Tip: Before gatherings, remind yourself: “It’s okay if things aren’t perfect. I’ll focus on enjoying the moment.” 2. Communicate Boundaries. It’s healthy to set boundaries around time, topics of conversation, or how you spend your energy. If certain subjects are off-limits, gently steer conversations elsewhere or let family members know ahead of time. Tip: Practice saying, “I’d prefer not to discuss that right now. Let’s focus on enjoying our time together.” 3. Prioritize Self-Care. Amidst the hustle, make time for yourself. Whether it’s a walk, meditation, or reading, self-care helps you recharge and show up as your best self. Tip: Schedule 10–15 minutes daily for an activity you love, even during busy days. 4. Practice Mindfulness. Mindfulness can help you stay present and grounded when emotions run high. Try breathing exercises, guided meditations, or simply notice your surroundings to stay anchored. Tip: When stress hits, pause and take three slow, deep breaths. 5. Seek Support. You don’t have to do it alone. Reach out to friends, support groups, or mental health professionals if you’re feeling overwhelmed. Tip: Identify one person you feel comfortable talking to, and check in regularly. Podcasts to Listen To Podcasts offer a comforting way to hear relatable stories and expert advice. Here are some top picks for holiday stress and family dynamics:
If you need extra support, these resources are available:
Real-Life Tips from Experts Dr. Sharon Martin, LCSW, author of “The CBT Workbook for Perfectionism,” suggests: “It’s okay to say no. You don’t have to attend every event or take on every responsibility. Protect your peace by prioritizing what’s most important to you.” Dr. Nedra Glover Tawwab, therapist and author of “Set Boundaries, Find Peace,” recommends: “Boundaries aren’t about keeping people out; they’re about letting the right people in and keeping yourself safe. Communicate them with kindness and clarity.” Coping with Grief or Loneliness The holidays can be especially tough if you’re missing a loved one or feeling isolated. Give yourself permission to feel your emotions, honor your memories, and create new traditions if needed.
Sample Self-Care Plan
#HolidayStress #FamilyDynamics #MentalHealthMatters #SetBoundaries #MindfulHolidays #SelfCareSeason #GriefAndHolidays #PeacefulHolidays #DebraEngLCSW Perimenopause, often referred to as the “menopausal transition,” marks the period when a woman’s body begins to shift from its reproductive years toward menopause. While menopause is officially defined as the point when a woman has not had a menstrual period for 12 consecutive months, perimenopause can begin years earlier—sometimes as early as a woman’s late 30s or early 40s. This transition is not only physical but can also have profound effects on mental health, often catching women and even healthcare providers off guard.
Recognizing Early Perimenopausal Symptoms: The early stage of perimenopause is characterized by subtle hormonal changes, most notably fluctuations in estrogen and progesterone. These changes can trigger a variety of symptoms, including:
The Mental Health Connection: The hormonal fluctuations of perimenopause don’t just affect the body—they can profoundly impact mental health. According to Dr. Jen Gunter, author of The Menopause Manifesto, many women experience increased rates of anxiety and depression during perimenopause, even if they have no prior history of mental health disorders. This is due in part to the direct effects of estrogen on neurotransmitters like serotonin, which regulate mood, as well as the indirect impact of physical symptoms such as insomnia and fatigue. A recent New York Times article, “Women Have Been Misled About Menopause,” highlighted that many women feel unprepared for the emotional rollercoaster of perimenopause. The article points to a lack of education and open discussion about the mental health aspects of perimenopause, which can lead to feelings of isolation and confusion. Common Mental Health Symptoms in Early Perimenopause
Dr. Lisa Mosconi, neuroscientist and author of The XX Brain, discusses how hormonal changes during perimenopause can impact cognitive function and emotional regulation. She notes that women may experience “brain fog” and memory lapses, which are often temporary but can be distressing. Strategies for Managing Symptoms: Navigating early perimenopausal symptoms—especially those affecting mental health—requires a multifaceted approach. Here are some evidence-based strategies: 1. Education and Awareness Understanding that perimenopause can affect mental health is the first step. Listening to podcasts like The Menopause Podcast by Dr. Louise Newson can provide valuable insights and practical advice. 2. Lifestyle Changes
Prioritize good sleep habits, such as maintaining a regular schedule, creating a calming bedtime routine, and limiting screen time before bed. 4. Medical Support Consult with a healthcare provider about symptoms. Hormone therapy may be appropriate for some women, while others may benefit from antidepressants or counseling. 5. Social Support Connecting with other women experiencing perimenopause can reduce feelings of isolation. Online communities and support groups can be invaluable. Breaking the Silence: Despite the prevalence of perimenopausal symptoms, many women still feel uncomfortable discussing their experiences. The stigma surrounding menopause and mental health can prevent women from seeking help. As highlighted in the New York Times article, open conversations and accurate information are key to empowering women during this transition. Podcasts like The Menopause Podcast and books such as The Menopause Manifesto and The XX Brain are helping to change the narrative, providing reliable information and fostering supportive communities. When to Seek Help: If mental health symptoms become overwhelming or interfere with daily life, it’s important to seek professional help. Perimenopause is a normal life stage, but no one should have to suffer in silence. Healthcare providers can offer a range of treatments, from medication to therapy, tailored to individual needs. Conclusion: Early perimenopausal symptoms can be confusing, especially when they affect mental health. By increasing awareness, seeking support, and utilizing available resources, women can better navigate this transition and maintain their well-being. Remember: you are not alone, and help is available. Contact Debra Eng, MSW, LCSW for integrative health and mental health counseling to address perimenopausal symptoms. References:
#Perimenopause #MentalHealth #WomenHealth #MenopauseAwareness #Hormones #Wellbeing #MenopauseMatters #BrainFog #MoodSwings #TheMenopauseManifesto #XXBrain #DebraEngLCSW The nervous system is the command center of our bodies, responsible for everything from movement and sensation to thought and emotion. Proper nervous system regulation is essential for optimal health, cognitive function, and emotional well-being. While genetics and lifestyle play major roles in nervous system health, nutrition is a powerful, often overlooked factor. Certain foods contain nutrients that support neurotransmitter production, protect nerves, and promote healthy brain and nerve function. In this blog, we’ll explore five foods scientifically shown to support nervous system regulation, and share resources for further learning.
1. Fatty Fish Why it helps: Fatty fish such as salmon, mackerel, sardines, and trout are rich in omega-3 fatty acids, especially EPA and DHA. These healthy fats are crucial components of neuronal cell membranes and play a vital role in neurotransmission and anti-inflammatory processes. Omega-3s help regulate mood, improve cognitive function, and protect against neurodegenerative diseases. Scientific support: A meta-analysis published in the Journal of Clinical Psychiatry found that omega-3 supplementation can reduce symptoms of depression and improve overall brain health (Grosso et al., 2014). Omega-3s are also linked to improved memory, learning, and reduced risk of Alzheimer's disease. How to include: Aim for two servings per week of fatty fish, or consider a high-quality fish oil supplement if dietary intake is insufficient. 2. Leafy Green Vegetables Why it helps: Leafy greens such as spinach, kale, Swiss chard, and collard greens are packed with magnesium, folate, and antioxidants. Magnesium is essential for nerve transmission and muscle contraction, while folate supports methylation—a process critical for neurotransmitter synthesis and nervous system repair. Scientific support: A study in Frontiers in Aging Neuroscience showed that higher intake of leafy greens is associated with slower cognitive decline and better nervous system function (Morris et al., 2018). Antioxidants in greens help protect nerves from oxidative damage. How to include: Add a handful of spinach to smoothies, sauté kale as a side dish, or toss Swiss chard into soups and stews. 3. Nuts and Seeds Why it helps: Almonds, walnuts, flaxseeds, chia seeds, and pumpkin seeds are rich in vitamin E, B vitamins, zinc, and healthy fats. Vitamin E is a powerful antioxidant that protects nerve cells from damage, while B vitamins (especially B6, B12, and folate) are crucial for neurotransmitter synthesis and myelin formation. Scientific support: Research published in Nutrients highlights the neuroprotective effects of nuts and seeds, with studies showing improved memory, reduced inflammation, and better nerve function in those who regularly consume these foods (O'Brien et al., 2020). How to include: Sprinkle seeds on oatmeal or salads, snack on a handful of nuts, or blend nut butter into smoothies. 4. Fermented Foods Why it helps: Fermented foods like yogurt, kefir, kimchi, sauerkraut, and miso contain probiotics—beneficial bacteria that support gut health. The gut-brain axis is a bidirectional communication system between the gut and nervous system. A healthy gut microbiome can positively influence neurotransmitter production, stress response, and overall nervous system regulation. Scientific support: A review in Frontiers in Psychiatry discusses how probiotics from fermented foods can reduce anxiety, improve mood, and regulate nervous system function by modulating the gut-brain axis (Sarkar et al., 2016). How to include: Enjoy a cup of yogurt with fruit, add sauerkraut to sandwiches, or sip on kefir as a refreshing beverage. 5. Dark Chocolate Why it helps: Dark chocolate (at least 70% cocoa) is rich in flavonoids, magnesium, and theobromine. Flavonoids have neuroprotective properties, improving blood flow to the brain and supporting cognitive function. Magnesium helps regulate nerve impulses, and theobromine acts as a mild stimulant, enhancing mood and alertness. Scientific support: A study in the Journal of Nutrition found that regular consumption of dark chocolate is associated with improved cognitive performance and better nervous system function due to its high flavonoid content (Socci et al., 2017). How to include: Enjoy a square or two of dark chocolate as a treat, add cocoa powder to smoothies, or use it in homemade energy bites. Putting It All Together Supporting your nervous system through nutrition doesn’t require drastic changes—small, consistent choices make a big difference. Try incorporating these five foods into your weekly routine, and notice the positive effects on your mood, focus, and overall well-being. Additional Resources Podcast:
Conclusion Nourishing your nervous system is about more than just avoiding junk food—it’s about purposefully choosing foods that provide the nutrients your nerves and brain need to thrive. Whether it’s the omega-3s in fatty fish, the magnesium in leafy greens, or the probiotics in fermented foods, each bite can make a difference. Explore, experiment, and enjoy the journey to better nervous system health. #NervousSystem #BrainHealth #Nutrition #HealthyEating #Neuroscience #MentalWellness #EatToBeatDisease #GutBrainAxis #Omega3 #Superfoods #DebraEngLCSW |
Debra Eng, MSW, LCSWShe has over 20 years of experience with a wide range of issues. She currently focuses on aging, caregiving, developmental trauma and chronic health and pain conditions. Archives
March 2026
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