When therapy can retraumatize

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My Guest:

Dr. Nicole LePera is the creator of The Holistic Psychologist, a platform with over 12 million followers, and the author of three New York Times bestselling books, including her newest, Reparenting the Inner Child.

Key Learnings:

Nicole was good at everything, so struggling meant failure. Her family's message was clear: success in life meant financial security through academics or athletics. The implicit message: you're worthy when you're bringing home A's, when you're winning the softball game. She quickly learned to identify things she wasn't immediately good at and just not pursue them. She filtered life, staying on the path of comfort.

Your childhood adaptations don't leave. Nicole calls it the inner child. It doesn't matter how old you are or how far beyond your childhood you think you've gotten. It impacts you in reactions, in identities, in your way of being. What was once your best attempt at safety, security, or connection still drives behavior today.

Not all adaptations are problems. Many continue to benefit us.

The question isn't whether the adaptation is good or bad. The question is: are you choosing it, or is it choosing you? Nicole's drive for achievement created opportunities. It led to massive impact. But she still has the overachiever who wants to blow past her limits and say yes when she's exhausted but means no.

The Holistic Psychologist started in 2018, and Nicole had no idea it would explode. She was living in Philadelphia, operating within a private practice model. Within the first year, people from around the world were resonating, joining, and interested in working with her in this new way. But at the beginning, even learning how to speak on camera was such a big challenge. Her partner would say, "Say what you said to me earlier," and Nicole's mind would go blank. Just putting a camera in front of her was near debilitating.

Boundaries are about knowing who and when to take feedback from. Sometimes the feedback from a loved one, while uncomfortable, is helpful to hear. Other times, it's a helpful boundary where you're not opening yourself up to the opinion of someone who has a different vantage point or is speaking from their own projection. That's allowed Nicole to create safety in herself, confidence in herself, which translates to flow.

Several years in, Nicole's dad sat front row at her book event, crying with pride. In the beginning, her dad and mom would ask, "Why do you have to use us as the example? Why do you have to share about our family?" Nicole would explain: " This is the only experience I can speak from, and our family's experience is so common. To see her dad, who came from a family largely shut down emotionally, crying in understanding and pride, was overwhelming and validating for why she does this work.

At 13, Nicole was getting straight A's but unraveling on the inside. She was socially shy, struggled to order food at restaurants, and had very few friends. Then she discovered alcohol and pot made her feel comfortable. That anxiety she lived with suddenly felt freer. She would stumble through the living room at night, her parents already in bed, then wake up at 6:00 AM the next day, pitch a softball tournament, win it, and seemingly be fine.

Her parents had no idea. She was very good at suppressing her emotions and coping. By contrast, on the surface, it seemed like she was doing well. They were a family who didn't really talk about emotions, so they had no indication.

The drive itself isn't the problem. It's the energy that inspires action. Nicole's dad worked into the night to support the family. Her mom would say, "why not 100?" when Nicole brought home a 96. That translated into drive and ambition. That's not a problem. For a lot of us, it's the energy that inspires action and translates into impact. It can become a problem when we have no limits to our working, where we exhaust ourselves and burn out, where we don't feel worthy in moments of inaction or rest.

The marker of a healthy relationship with drive is flexibility. When you're forced to stop because you're sick, exhausted, emotionally overwhelmed, or someone else needs you, can you be flexible enough to do that without feeling terrible about yourself? The ability to choose to say, "Okay, contextually speaking, I need to pause," and still feel okay about yourself, that's the marker.

Hold space for both: acknowledging harm and taking agency. Other people have contributed to our discomfort. Maybe parents didn't meet our needs. If we don't acknowledge that, we suppress. But we also can't stay stuck in anger and resentment.

A true boundary isn't demanding that someone else be different. That's still giving away your agency. A true boundary is saying: you've hurt me, and I'm gonna take responsibility that I'm allowing it. I'm gonna show up differently now to limit the impact of what you're doing.

Talking about trauma can keep it alive in your body. Trauma doesn't live in logic and understanding. It lives in your body. It lives in habits and reactions. Your mind is so powerful that you can think something and feel as if you're living it in that moment. If you're going week after week talking about all the things that are hurting you, you're continuing to keep that alive in your body.

Holistic psychology bridges the gap between mind and body. Traditional psychology focused solely on the mind. The CBT model says if we think differently, we produce different feelings, then different actions. But Nicole was missing the body. Our nervous system, our earliest environments, neurobiologically created patterns wired into us. Science now shows we maintain the ability to change throughout our lives.

Drop into your body. Where is your attention right now?

• Are you feeling your muscles, your heels impacting the earth, where you're sitting?
• Or are you so lost in thought you're disconnected?
• Jaw clenched? Fists clenched? Shoulders up to your ears?
• Holding your breath? Breathing short and quick from your chest?

These are markers that your body is under stress right now.

Once you have that information, make small shifts. Slow and deepen your breath. Elongate your exhale just a little longer than your inhale. If your movements are quick, slow them down. If you're holding tension, release it. Now you're regulating your body so you can show up differently.

Meditation is just awareness. It's not sitting cross-legged trying to make your mind quiet. Life can be a meditative experience. Thoughts are helpful. They're where we create things, have insights. The goal isn't a blank, quiet mind. The goal is awareness.

Nicole calls it her spaceship. Her protective habit for so long has been to dissociate, to disconnect. She pursued clinical psychology where she can live in her mind. When what she's feeling in her body is too uncomfortable, the quickest path out is to distract herself with someone else, with the next achievement.

This work has made Nicole's relationships more real. More authentic. More grounded in vulnerability, messiness, emotion as opposed to curated versions of who she thinks she needs to be. What she's most familiar with is dealing with all her feelings alone.

The Harvard study found one thing leads to a happy life: love. Ryan referenced the longitudinal Harvard study that has gone on for 90 years studying what leads to a happy life. At the end of the day, it's love. The ones who live the happiest, longest, most fruitful lives are surrounded by people they love and who love them.

What a gift it is to be loved for all of yourself, not just the perfect parts. When you can show someone all of yourself, your messiness, the things you hid and kept secret, and still be loved. The overachiever gets to show more parts of herself, and people don't abandon her. They stay. That's the love most of us are striving for.

We are all a bunch of messy humans trying to figure it out as we go.

Nicole's champagne moment a year from now: presence and beingness. Whatever is happening or not happening in her life, she's celebrating the celebration of that moment. Being alive. Feeling the gratitude, the joy. Not focusing on what was produced to give her the opportunity to celebrate, but being present to the life around her. The taste of the champagne, the humans surrounding her in that moment.

Reflection Questions

• Which childhood adaptations are still driving your behavior today? Are you choosing them, or are they choosing you?
• When was the last time you actually dropped into your body and checked: am I tense? Am I holding my breath? Am I stressed?
• Who in your life sees all of you, not just the polished version, and loves you anyway?

More Learning

#547: Dr. Michael Gervais - Stop Worrying About What People Think of You

#140: Dr. Carol Dweck - The Power of a Growth Mindset

#229: Dr. Henry Cloud - Be So Good They Can't Ignore You

Podcast Chapters

00:00 Book Announcement

01:08 Show Intro and Guest Setup

02:36 Good at Everything: The Hidden Cost

06:47 When Therapy Stopped Working

09:32 How The Holistic Psychologist Started on Instagram

11:20 Purpose, Fame, and Setting Boundaries

15:06 How Her Family Reacted to the Spotlight

19:21 At 13: Straight A's and Self-Medicating

22:12 What Her Parents Missed

23:48 Drive vs. Worthiness: Where It Becomes a Problem

29:20 Why Flexibility Beats Rigidity

31:03 Agency vs. Blame in Therapy

31:57 When Therapy Becomes an Excuse

33:47 What a Real Boundary Actually Is

35:44 The "Bad Therapy" Debate

38:50 What Holistic Psychology Actually Means

41:35 Daily Body Practices, Not Retreats

44:06 How to Drop Into Your Body

46:38 Meditation Is Just Awareness

49:36 Why Vulnerability Makes Relationships Real

52:07 The Harvard Study: Love Is Everything

55:36 The Champagne Question: Being Present

57:33 EOPC