Real quick, I recommend listen to the show on Spotify. We can listen to all of your favorite artist and podcast in one place for free without a premium account. Spotify has a huge catalog of podcast on every imaginable topic, plus he can follow your favorite podcast, so you never miss an episode premium. Users can download episodes to listen to offline wherever and whenever and easily share what you're listening to with your friends on Instagram. So if you haven't already be sure to download the Spotify app search for optimal living daily? On Spotify or browse podcasts in the your library, Tab also make sure to follow me, so you never miss an episode of optimal living daily This is optimal living daily episode. Fourteen forty two, what veterans with PTSD can teach you about overcoming. Fear by Dr Yolanda Miller, of Zen, psychiatry, dot com and I'm just a Moloch happy Friday, a welcome to the podcast, where simply red blogs to you for free coming personal growth and so EL topics like mindfulness minimalism, self care method

vision and a lot more if you like. The show greatly appreciate you fearing it was someone getting them to subscribe, does really long way to keep this all guy in really, he's a lot. It makes my data here people sharing it or c p, sharing online. So thank you for that. For now, let's get right to today's post, our optimizing, your life what veterans with PTSD can teach you about, overcoming fear by doktor. You Miller of Zen. Psychiatry cried treat come. Let me ask you a question: how can you have a daughter more if you have a daughter, imagine her she's about five and one day, she's been by a dog, now she's, terrified of all dogs and you notice her starting to avoid places she might run into dogs like the park or the neighbor's house. What would you do to help her get back to the answer in a minute. The secret to overcoming fear is facing it.

As a psychiatry resident of the last year of treat many young veterans who have come back from Iraq and Afghanistan with post, traumatic, stress, disorder, PTSD first session, as I see to engage them in therapy and can be stem neither about to start the difficult process of getting better. I ask the same question: if you, anyway, like my patience, he might have answered something like I'd. Get her a puppy or might take too how'd and show her the cute dogs intuitive. We understand that the way to overcome a fear is to face it in psychiatry. More psychology? This is called exposure therapy. What is the science of fear before? I explain why exposure there be worse, Let me tell you a little bit about the biology of fear will say: you're walking, through the woods and all of a sudden, you come across a giant grizzly bear what happens your body? Will flood with stress hormones like adrenaline,

nor journal and also on his up enough for an enormous effort, activating the fight or flight response. Your heart will start a race you'll breathed more heavily your pupils with dilate, your hands will shake as your scale the muzzles time and he might feel, obviated as blood flow, guess, diverted away from your gut and two more essential organs like the brain heart and lungs of sensations are mediated by the binding of es hormones to receptors in your organs now there can be a normal adaptive response. When you come, also bear in the woods, you want to be prepared to fight or most likely run, fear becomes a problem. However, when you start to feel afraid in situations that aren't truly dangerous. How does fear hold you back from my patience with PTSD fear and held them back in sad, but predictable ways. These young men has spent months or even years in combat zones where their lives were in constant danger, every sound or movement could indicate the threat of

enemy, combatants or improvise explosive device. Many had friends violently killed fun of them or were themselves seriously injured even further. Back alive. They spent many sleepless nights, assuming they would not one of my patients. Erin found himself unable to adjust to life back in the states. He was terrified to be around people even though he wanted to go back to school fear setting foot on a crowded college campuses kept him from pursuing his dream. Whenever you outside of his house, he would whip his head around every few seconds to see if anyone was behind him or following him, he rear he left his apartment. We had to go to the grocery store for food. He choose twice our stores and go in the middle of the night when No one else was there. What stories does fear tell you You may not have experience such an extreme version of fear, but chances are fear has held you back in small but significant ways. Maybe your Alright, I'm making a mistake that you don't try new things:

if you're so afraid of saying the wrong thing and looking foolish that you know, anything at all, maybe you're afraid. What you want to create art writing a business will be good enough, so you procrastinating procrastinate where our fears start ever heard of Pavlov's dogs Ivan Pavlov physiologist, who set out to study the savary glands of dogs, but inadvertently disk over that pairing, a neutral stimulus, a bell within unconditioned stimulus, food, coolly, the dog this- is our salivating when he rang the Bell, even in the absence of food, if there's something you're afraid of changes are, there was a point in your life when you learned to be afraid, maybe at a specific scary experience because many experiences over time- or maybe you just heard stories from influential people in your life, your parents, teachers- eighty etc. Like Pavlov's dogs, you may have to associate something that did not dangerous, making a mistake, speaking in public with the emotion of fear,

trying to ask a girl out on a day by your body is acting like you, ve come across a bear in the woods, but there is good news. Fear. Is often learned and what is learned can be learned, the process of facing your fears, is an opportunity to learn a new story, before a new way of interacting with the world, the science of exposures, Araby, therapy? Teaches you teaches you a new story as your fear start to realize o dismissing gonna kill me, your body stopped releasing stress hormones and stars re absorbing the stress hormones that have already been released. In psychological terms, you activate the fear structure. Put yourself in a situation that makes you afraid can hunting incorrect cognitions he may have. If I get reject it'll, be horrible or if I get a panic attack I'll die Therefore, allowing the fear structure to be modified, you learn a new story with systematic practice

situations that used to evoke fear and anxiety will no longer do so. I promise it. Science had successfully face your fears, don't go for broke on the first try one held Aaron come up with his homework assignment. I didn't send into a crowded movie theatre to see a violent war movie on day one day we have been too overwhelming out of most likely led him to feel discouraged and to quit. Therapy is much more important that you face smaller fears, but face them every day Aaron and I created a fear hierarchy. Elusive situate since he was afraid of ranked from one to ten mile one when you feel board and a ten is when you feel your eminence, you going to die, the sweet spot is to choose is that ring around six to seven out of ten on your fear, scale for air and his men, going to the grocery store at six p M rush hour or sitting in restaurants, with his back to door prolonged and repeated repeated and prolonged. When my supervises told me that there are four secrecy doing exposure

therapy right, prolonged and repeated repeated and prolonged get it. There are only two secrets. Whatever fear you are facing, you face, it free day you face it over and over for as long as it can possibly tolerate. If its not working because you're not doing it enough a minimum to the exercise for twenty minutes every day. More is use. Narratives is not practical or say to face your fear in real life, write it down right out story of your worst fear coming. True, the more detail then gory the better first, my business fails them I please me, then everyone tells me I'm a loser again and again, while you just cause. Your very own, in vitro in the lab exposure exercise. After about six months of work together Erin was a changed man. He enrolled in class This is at the local college, was dating and had started going to parties and social events. Again he wasn't fear free

we no longer felt held back from living, his life. You just listen to the post titled. What veterans with PTSD can teach you about becoming fear by doktor you wanna Miller of sense. I treat our come. A real, quick thanks to anchor for hosting the spot cast anchor is the easiest way to make upon cast they'll distributor podcast for you, so it can be heard everywhere. Spot

by Apple podcast, Google, podcast and many more. You can easily make money from your bike ass to with no minimum listener ship aggregates you everything you need in one place for free, which you can use right from your phone or computer creation tools, light record and edit your podcast. So it sounds great download the anchor up or go to anchor dot fm to get started. They get to relaunch a great tips. I know how hard it is to take this very simple men. Useful advice, so are reinforced. The part about starting small one, tiny step of exposure daily can make a huge difference ass. She went is ass. I started the show was forced myself to speak more daily, I think is held so stick with it. Keep it up that should do it for the Friday episode of a great weekend. If you listening in real time and I'll catch you, the weekend where optimal life awaits.