280: Integrative Trauma Therapy With Dr. Karol Darsa
4 Jun 2021 · 42 min
This is a podcast episode (Therapy Chat episode 280) featuring Laura Reagan interviewing Dr. Karol Darsa, a licensed psychologist (about 23 years) who specializes in trauma. Dr. Darsa describes her multimodal training (EMDR, Somatic Experiencing, Sensorimotor Psychotherapy, brainspotting, gestalt, energy work), her Reconnect trauma treatment center (an IOP in Pacific Palisades with intensive individual-focused programming, neurofeedback, acupuncture, trauma-informed massage, yoga, art/music/movement therapies, and previously a six-bed residential program), and her Rhythm/ReConnect Integrative Trauma Treatment Model and training for clinicians and allied practitioners. She outlines five common mistakes in trauma treatment (forcing disclosure/repeated storytelling; skipping stabilization; pushing memory processing/too-soon deadlines; belief that cathartic abreaction is necessary; memory processing in group settings) and critiques indiscriminate use of exposure/prolonged exposure for relational/complex traumas. She also mentions a public-facing book (The Trauma Map) and clinician trainings and upcoming retreats/courses; sponsor ads (TherapyNotes and others) are interleaved throughout.
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Therapists ready to stop just listening and start doing? I offer several ways to work with me and accelerate your trauma expertise. You can join my Trauma Therapist Network Membership Community for ongoing support. Book a one on one clinical consultation with me for personalized guidance, or buy my course for Clinicians on supporting survivors of Sexual Trauma and check out the retreats coming up in 2026.
All that info and more is on.
4 therapists page of trauma Therapist Network and you can find a link in the show notes.
Therapy chat podcast episode 280 this is.
The therapy chat podcast with Laura Reagan, LCSWC. The information shared in this podcast is not a substitute for seeking help from a licensed mental health professional. And now here's your host, Laura Reagan, LCSWC.
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Hi, welcome back to Therapy Chat. I'm your host Laura Reagan, and today I'm very happy to be speaking with my guest, Dr. Carol Darca. Carol is the author of the Trauma Five Steps to Reconnect with Yourself and I'm very excited to be speaking with her. Carol, thank you so much for being my guest on Therapy Chat today.
Thank you for having me, Laura.
You're welcome. I'm so excited. As I'm speaking with you before we started recording, I'm just really aware that there's so much similarity in the way you practice and all of the things that I'm so interested in in trauma work. I can't wait to dive in and talk more about everything you're doing. But first, can we just start off by you telling our audience a little bit about who you are and what you do?
Sure. So I've been a licensed psychologist for about 23 years now, always been specialized in trauma from the very beginning. In fact, I started working as social worker with foster kids. And then after having worked with kids, I really got much more interested in working with adults. It actually helps me because I work with childhood abuse anyway, so when you really work with kids, you get to sort of understand why adults are suffering from their childhood trauma. And so what I found throughout my career is that I wanted to get trained in specific modalities really targeting trauma much more than anything else. And I found that just pure talk therapy was great in terms of understanding yourself, having insights, but wasn't really creating the change that I was looking neither for myself nor for my clients. I by the way, as a psychologist, I'm a strong believer I always have to work on myself if I can. If I want to help others, I have to be on top of my own issues and my own traumas.
Amen to that.
So I went first, got training in emdr, which is a really good way of targeting memories directly. Then I said, okay, something is missing here. And the body oriented therapy became more and more known. And so I got my training in somatic experiencing. Then I had kids. So I have a few years of sort of a pause there. And I wanted to be an attachment oriented parent, nursing long time and taking care of my kids. So I, you know, there's a pause there. And then I went into further training, sensory motorcycle therapy, brain spotting, gestalt therapy. And I have this sort of long term energy work training that's mainly focused about the importance of really grounding yourself in your body and really being present. So all of that I was in private practice for a long time and then I started working at different rehabs, you know, drug and alcohol abuse centers as a trauma therapist. And then I realized there's actually not a trauma treatment center that focuses only on trauma. Not dual diagnosis like addiction and trauma, or addiction and behavioral issues, but just trauma that you would go day in, day out, you will do just trauma work. And with that in mind, eight years ago I opened my own trauma treatment center.
That is so amazing.
Yeah. Here in Los Angeles, actually Pacific Palisades for those of you who are familiar with California. And so it's an IOP intensive outpatient program that people come in from anywhere from three to five hours a day, could be every day, could be three times a week. And then you get a whole team of people working with you. So we have obviously all these modalities that I mentioned to you. But then I also have neurofeedback, acupuncture, we have massage. Our massage therapist is trained in trauma, yoga, acupuncture, art therapy, music therapy, movement. So it's all really encompassing very much body mind connection to help people heal from the trauma.
That's awesome. That's amazing. I'm so glad that I now know that you have that because as we were talking before, there's many times when people need more intensive trauma treatment than outpatient private practice can provide. But a lot of the IOP and PHP programs are not trauma informed and they're certainly not using bottom up approaches like you are. So I think that's fantastic and you'll be getting some referrals from me.
Thank you. Well, also one of our differences between reconnect by the way is the name of the treatment center, Reconnect trauma treatment center versus the other ones is that we do less group therapy and more individual therapy. And I mean, I worked at different treatment centers, so I know how an IOP of 15 hours a week program looks like. They usually have 10 to 13 groups a week and maybe couple of individual sessions. With us, it's completely the opposite. Literally. Flip side, so you have two, three groups and everything else is hours and hours of individual support. So then what you can achieve in two weeks is really probably what you might achieve in a year or so in a private practice setting or in other treatment centers even. It's almost like a boot camp a little bit.
Yeah. Well, hopefully it sounds like it's a nice boot camp because, like, boot camp usually is like, you know, I.
That's an interesting way. I was always looking at boot camp as sort of this, like, focus, intense but positive, fast change.
Yeah, maybe that's just my bias. You know, if I think about being in boot camp, I feel like it's like the military, you know, like so, you know.
But our approach is very gentle. We are very client centered. So that means we really look at what everybody needs. We come up with a plan, and our plan actually changes every week. So if, when you come in, I think you should have, let's say, three sessions of somatic therapies in the week and then the next week we realize this isn't helpful or you need more, we adjust it. It's not like, okay, here's the program and you have to follow it. It's. We meet with the clients every week and come up with the right formula, really, which is, I think that's really what's important in trauma treatment. You know, everyone has their own unique history and story and symptoms. And to treat everyone as if they are one doesn't make sense to me.
Oh, that's so true. And, you know, we were talking how. I don't know. I guess what's coming up for me as I'm thinking about what you're saying is that it's like no people are the same. No one's experience is the same. You could take 10 people who were all physically abused as children, and their experience may have similarities, but they're not all going to feel the same inside and respond the same way if you put them all through the same treatment method.
Exactly, exactly. And that's what's important for people to understand to when they go into treatment, to sort of try, like, what. What works for me. What. What Helps me. What doesn't help me even to find the right therapist in terms of chemistry. Right. Because you have to feel comfortable and safe with the person and, and not everyone is right for everyone. This is where individuality comes in.
Yes. It sounds like the way that it works at your center is more of an organ, you know, putting people into boxes and saying, this is, this is what you know you're going to get. And here's how it's going to work. It reminds me of how I've worked with many people who were in the military who, let's say someone may have been sexually assaulted as a military member. And then when they're having trauma symptoms from it, they are put into groups and they would tell me, yes, I have to go to a group every day or three groups a day. And it was like, stop smoking group. You know, spirituality. When they're like, but I don't even smoke.
I don't.
Why am I in this group? You know, so it's not a one size all fits all approach.
It's interesting you mentioned military because I worked with military. I'll tell you a project that I did, but what you're sharing reminds me of that. I've met survivors who actually told me they were put in the same group with perpetrators. They were not their own perpetrators, but they were perpetrators. Can you imagine?
Yeah, no, that's absolutely horrible. And I, I don't. That doesn't surprise me, sadly, because the same people who were saying that they were put into like a stop smoking group were also, you know, fighting not to be discharged from the military for having, quote, a personality disorder after they were only reacting to being raped or sexually assaulted by someone they trusted in their unit, you know, and they didn't have a personality disorder, but it was, you know, this was, this was in the early 2000s. So it was a lack of. Understand the military's part. I don't think it was intentional, but it was harmful.
Yeah. I don't know if you've watched the documentary the Invisible War.
I know of it, but I haven't watched it.
Okay. It came out about eight years ago. It is about military sexual trauma. And I have collaborated with the producers of that documentary and created a two week intensive program, kind of like a residential, in fact, because we rented a place and we were a group of therapists. And so I put together this program. I literally lived there for 14 days with the clients. And we did intense, six women at a time, intense treatment, but every woman every day got a group and every day they had individual EMDR and somatic therapy sessions. And at the end of the 14 days, they were just really quite healed, I want to say, from just initial military sexual trauma memories that we worked on. So we only had one target and that was the target. And we just heard horror stories of when they were trying to get treatment from the va. Unfortunately, because of the lack of resources of what kind of groups they would, you know, put in and, and so many of them were really not wanting to even come to our program, expecting that.
Yeah, I understand that's a, you know, that's such a important misattunement there that the, that the treatment did not fit the need of the patient or client. And that's so significant and really impacts trust. So I'm grateful that they were able to give your program a chance and find some relief.
Yes, with. Actually I also opened a residential treatment facility some years ago here in, in Malibu for women only. It was a six bed facility, but unfortunately it burned down two years ago. I don't know if you've heard of Malibu fires here. Wy fires. Yes, I lost that house.
I'm so sorry. That's terrible.
Yeah, thank you. So I kept my outpatient. I'm still hopeful about helping people and even have some nice plans for the future to maybe expand and hopefully help even more people. Because I have clients that come from different cities and different states to California because they're really looking for an intense trauma. That's trauma treatment, that's really individualized. In fact, because of that idea, I created a training program for therapists because what I've seen, I don't know if you've experienced this, but I have so many clients that come to me from different treatment centers or from different therapists that, that were told they know how to do trauma work and then yet what they share with me, it's clearly against what should be done in a trauma treatment. Some of them are actually re traumatizing clients. And so I got quite passionate and sort of angry at the same time about this topic of I started asking my clients about the wrong treatments that they got and really collected sort of, you know, interesting stories of how they were hurt rather than being helped. So I decided to start going around and talking about this topic. So I have actually talked in various clinics and UCLA and some colleges and hospitals about just an hour of sort of a workshop of five common mistakes in trauma treatment and what not to do. And it was surprising to hear so many people who will say they were in the field when they would Hear my items. Sort of being surprised that some of the things that we do as therapists could actually be hurtful.
Wow, I'm really glad you brought that up. And I mean, you also brought up your training, which I'm really interested in having you talk more about. But would you. Would you be willing to take a minute or two and just kind of talk a little bit about those five common mistakes, or do you feel like that's too much to go into for right now?
No, no, I. I probably could do a quick explanation about it, no problem. So let's see. The most important thing is really about not doing damage to the clients, right? So people. Some. I don't know about you, but when I. When I got trained, what we were learned. What we learned is if you're empathic with a client, you can't do wrong. Oh, it really isn't true. Right. So I think the first important thing in terms of mistakes is believing that the client has to tell what happened to them, like in detail. The story has to be talked about and sometimes has to be talked about over and over again. So this common mistake is not only with therapists, but it's actually quite a lot in laypeople. So when you have something happen to you, they say, oh, you just have to talk about it and then you'll feel better. Well, that's not true. In fact, that could make a person feel much worse, and definitely it can retrigger them. So that's one item that I talk about, and I give good examples of how that could cause a problem. The second common mistake is really not knowing about stabilization phase and skipping it or minimizing it. I go with the Pierre Genette three phases. You know, the stabilization, memory processing and integration phase. So sometimes people skip that stabilization phase and just go straight into memory processing, which if you ask a client to tell their story, basically that's memory processing and the nervous system can't take it. So that's another common mistake that I talk about. The other one is pushing for the traumatic memory processing. Either pushing for it or pushing for it too soon. And really not sort of giving the client a chance to see it as their choice and making them, in fact, feel bad. I have to give this example. I had recently a client, a teenager client, that came out of a treatment center, residential, and she had a sexual abuse history, but she wouldn't talk about it. All she said was that, and her symptoms weren't improving. And finally they said, okay, you have two weeks left and we give you a deadline by this date, you're going to have to talk about it. And she didn't. She just didn't. She just couldn't. But to put a time frame to someone and say, by that time, we need to know what happened to you is not going to be helpful. It is a very intrusive way of, you know, trying to help someone.
I've seen that happen in eating disorder programs, too. It's like this is, you know, they're being trauma informed in their. They're attempting to be trauma informed. So they say, well, you experience a trauma. That's why you have this eating disorder. So you need to talk about it. If you aren't going to talk about it, then you're not going to get better. And it's like they can't talk about it because they can't talk about it. You don't make people talk. You don't take away people's power and control or what are you doing? You're becoming a perpetrator.
Exactly, exactly.
We don't want to do that.
Those people come to me and say, okay, apparently I'm not treatable because I can't talk about it. And then they say, when I try to talk about it, I dissociate. Yes, of course you dissociate. That's how you protect yourself from feeling the pain. So we have to first strengthen you. Right? Help you, give you some tools, calm your nervous system down. And, you know, but it's just that. That's. Unfortunately, yeah, that's. That's what's believed.
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Therapists ready to stop just listening and start doing? I offer several ways to work with me and accelerate your trauma expertise. You can join my Trauma Therapist Network Membership community for ongoing support, book a one on one clinical consultation with me for personalized guidance, or buy my course for clinicians on supporting survivors of Sexual trauma and check out the retreats coming up in 2020.
All that info and more is on.
The four therapists page of Trauma Therapist Network and you can find a link in the show notes.
Another common belief is the abreaction. It's necessary, like cathartic. It has to be. This person has to sort of purge the feeling and has to cry it out and otherwise, you know, it's not healing. So people expect that kind of reaction and when they don't have it they're like, am I not processing? Am I not dealing with it? Am I in denial? So that's another one that I saw and my last one in my five common mistakes is a bit debatable for, for some people, but I strongly believe it is that memory processing during group therapy. I don't think the group therapies should be about memory processing. I think it should be much more about skill based and, and psychoeducation and grounding or mindfulness. But not asking people to get into the details of, of a memory in a group setting. It could be highly, highly destabilizing for some people.
I agree. Both for the person who's sharing the memory and the listeners. People who are listening. Right, can become traumatized or re traumatized by that. Yes. Oh, those are great. Thank you so much. That is really, really helpful because I think I can tell you when I graduated from grad school in 2010 and when I was in my internship from 2009 to 2010, it was in an agency for us in Maryland. Internship is when you're still in school. And so they had this Wiley treatment planner book. And it was like, oh, you have to do a treatment plan for your client. If you don't know how to do it, use this Wiley treatment planner book. And it was on the bookshelf. So I looked at the book, it was kind of outdated. I could tell it was like a few years old. And I already knew about trauma before I started this internship. So I looked up sexual abuse to see what did it say for the treatment plan. And it said goal number one, have the client tell their story over and over from beginning to end. And I was like, oh my gosh, no, no. You know, even then I knew and I didn't have, have nearly the training I do now, but I knew that was re traumatizing. And so you know, if how many not to knock that book because I think that that was an older idea about how to deal with trauma. But that's not, not safe to do to people. And so you know how many people learned through things like that?
Exactly. I don't know if you've ever looked up experiment, exposures, therapy details, but I, I, I pretend like I don't know anything about trauma one day and I said I'm just going to kind of google trauma treatment and see what shows up. Right. And of course CBT shows up. Cognitive behavioral therapy has the strongest evidence. Fine.
Gold standard.
Exactly. But for the exposure therapy actually have written here, I'm going to read it to you. It says you make a list of things you've been avoiding and learn how to face them one by one in a session. You recount a traumatic experience to your therapist. Then go home and listen to a recording of yourself doing this as homework over time may help ease your symptoms. And I thought who would want to talk about their sexual abuse and then listen to it again and again from their own voice at home.
Right.
As if they're not reliving it anyway, without that. So that sounds very harmful. And yes, I agree. You know, I don't really know that much about prolonged exposure but, or exposure therapy. I don't know if pe. Prolonged exposure and exposure therapy are exactly the same. Yeah. So I know, you know, people will say right now, today, what's the best thing to do to help someone with trauma treatment? And someone else, another therapist will answer, oh, prolonged exposure is the gold standard. And you know, maybe for some, like a car accident or something, if you want to get back to driving or something, maybe that's a good fit. But not for relational and especially abuse related traumas or, you know, anything that you have to dissociate whenever you think about it is not, that's not, that's why you're dissociating. So I agree with you. That's not, to me that feels very unsafe. Maybe there's a part of it that I'm missing, I don't know.
You're not, you're not, you're not missing. I actually think exposure therapy could be okay for phobias, but not for trauma. Trauma therapy has to be so much more gentle and exposure is not necessarily a gentle way of approaching something. So we're back to basically saying include the body, go slow, don't rush it, you know, acknowledge that people are saying no to some things because that's their capacity. Everyone has, has a tolerance of how much they can remember or how much they can go in it. So it has to be just really slow process.
Yes. I think one of the hard things about working with people who've experienced trauma and, you know, I think similar to you, for me, the majority of my client population is people who have childhood trauma that they may feel like, why is this taking so long? I should be better by now. You know, I mean, they kind of come into therapy oftentimes with the like. But that happened 30 years ago. I mean, shouldn't I be over that by now? Which, of course we know that that's not how it works. But also this sense of like, look, I've been doing therapy for six months now. Like, I need to get into processing these memories. We need to get this done. Like, let's stop delaying. And so for me, I find one of things the biggest challenges is just helping people slow down with their feeling of urgency about finishing therapy. Because it's, you know, it takes the time it takes. It's just not something you can really rush.
Right, exactly.
But I think, you know, from what you're saying, with all the different tools you use, you know, you can, you can get there as efficiently as you're going to be able to get there by using these, these different tools.
Right. So, I mean, in the way that I work with clients, which is sort of how I put together my training program. It's called Rhythm, by the way, Reconnect Integrative Trauma Treatment Model. It's integrated because I put together a bunch of different models that I've studied over the 20 some years. And so in the beginning, I'm teaching specific tools of how to help client to calm their nervous system down. We don't talk about trauma for a while. I don't even need to know much when they come in. I don't get that much information on purpose. Right. So then it's just really understanding. Okay, let's learn how to use mindfulness. Let's do grounding techniques, let's do breathing techniques. Let's do somatic tracking tools. There's even EMDR and brain spotting resource techniques that we can use. I also teach like EFT and emotional freedom Tapping. Right. So there's a lot of things that in the beginning you can do with a client. Then they start just almost like coming out of the water and they can breathe a little bit. Once they can breathe a little bit and they can be present in, in here and with you and in the room and in their body. Then you can say, okay, let's look at what were those traumas that caused these symptoms eventually. And then that's when I teach. I take different tools from each, each these modalities that I was mentioning to you and Then a therapist learns sort of how to use them appropriately to the issue or, you know, to the person. Right. Because sometimes some techniques work for, for some clients and some of them doesn't. They don't work. You just have to have like a tool and go, okay, let me use my intuition. Which one's gonna work? And. And you just go with that.
That sounds wonderful. And you know, in a way it's like sort of sounds like it parallels that three stage model of trauma treatment like you mentioned before. Before. The beginning phase is stabilization. So that's, you know, calming your nervous system is part of that.
Exactly. Yeah, exactly. I follow that model. I mean, it's from the 1800s, but I think it's still pretty good if it's followed in the right way.
Yeah, I agree very, very much. So now you're training. Who is that for?
That's actually a good question. So it is for licensed and pre licensed therapist therapists, psychotherapists, licensed psychologists. So all in there. But the, so I also opened the first module because in the first module I only teach stabilization tools. I also open that for coaches or like life coaches or acupuncturist massage therapists, people who are not going to be clinicians, but they're working with people. That's open for them. But for the second and the third module, people have to be eventually a clinician because I teach now how to process memories and there you don't want to mess up with, with something so fragile.
Yes, very true. And, but I think that's great because as far as the first module, the truth is massage therapists, coaches, acupuncturists, craniosacral therapists are out there working with people directly. And oftentimes that's, that's the only, I guess you could say, emotional health treatment that the client is getting. They're not working with any type of licensed clinician or practitioner. So for body workers and other people who encounter people with trauma to have these skills, it's sort of like arming them with what they need to know to help the client to get to the more intensive, you know, so they can say, I can help you with this much, but I think you need to find a therapist who can. This is what they'll do with you. They'll take it from what we've done to a deeper level. And it kind of looks like this. And you know, so instead of, you know, saying, hey, those people shouldn't be, you know, learning about trauma at all, I mean, they are working with people who have trauma even if the people don't necessarily know it.
Exactly right.
Which is one of those things about being a trauma therapist. There's, you know, so many therapists who say, I don't work with trauma, so I don't really need trauma training. And it's like, well, it may not be your specialty, but people who come see you have trauma whether they know it or not.
I have not met yet anybody who doesn't have trauma. Have you?
No, I haven't.
You know, in the past, people thought trauma meant really bad, big, like, I don't know, you went to a war or you had to be, you know, raped and only sort of really big things. But now they're really noticing and becoming more aware of the relational trauma too, which wasn't really considered trauma for a long time. So if you go up with a physically non abusive parent, but emotionally completely absent, that is considered trauma for a child because we need that relationship in order to survive. We're not just robots, right?
Absolutely. That's so true. You know, even when people use that phrase, big T or little T traumas, I hear, you know, people misunderstanding that quote, little T trauma is a trauma that's not that important, not that serious. Whereas, you know, if a baby is being ignored by their primary caregiver and no one's coming when they cry, that's life threatening to that baby.
Exactly.
The baby's nervous.
I don't know if you notice, when I work with clients, even clients who have complex trauma, I mean, years of sexual abuse, death in the family and this and that, they tend to all still minimize their traumas. And I often hear from them saying, yeah, but at least I wasn't at the war or there are people who had it much worse than me. It's just so fascinating how easily people go into the minimization and, and I say to, to the clients, when you are a kid and you're in the midst of abuse, being abused, do you think you're going to say, well, it's not so bad. Somebody else is being abused much worse than me right now. You know, it's not a cognitive thing. You are being abused, period. Your life is upside down, you're under threat, you're facing maybe death. That's it. You don't need more reasons. You don't have to go to war. And for it to be considered trauma, that's, that's.
Thank you for saying that. I've said that here on this podcast probably at least three or four times. And I'm glad you said it first this time. So maybe. Maybe anybody who's listening, who I've talked to in the past, who's saying, oh, that's what Laura always says, too, maybe there's something to it, because, you know, I feel like that minimum minimization is actually one of the symptoms of trauma.
You know, I agree. I talk about that a lot in my book. My book, by the way, is not for therapists. It's for a general public, The. The trauma map. Because what I found is that I was saying a lot of these things that we're talking about right now over and over again, and I was like, I wish I could write those down and just kind of say, read it again. Read it again to the clients. Because I don't. I want people to stay compassionate with that themselves, you know, and so I. I have very sort of easy, practical tools. I wrote the book on purpose with a very simple language, so it's not so much theoretical oriented. And, you know, when you're traumatized, your brain is not working that well and you want it sort of maybe a simple language. And so I wrote it that way, and I'm hoping that people will continue to enjoy it.
Well, yes, and thank you for mentioning your book, too, because it's wonderful. And I'll be. Now that I'm aware of it, I'll be. Tell my clients about it. I think that it's. It's wonderful. And, you know, I'm always looking for things that I can sort of refer people to reading when they're not in our session, when they're not feeling so much emotion, you know, and the relationship between us, that can be bringing up feelings for them, too. And just like, check this book out. It's kind of talking about the same stuff that we've been talking. So it's sort of reinforcing what. What we're talking about in therapy and them being able to read it in their own time when they're feeling more, you know, relaxed.
Yeah, yeah, exactly. I'm working on a second book, but that's going to be for clinicians. That's actually going to be about the rhythm model.
Oh, great.
When's that supposed to be finished?
Oh, God. I. I have a meeting in half hour with my editor.
Oh, gosh.
But we're at. The beginning phase is going to take at least a year.
Wonderful, wonderful. I hope you'll come back and talk about that when it's ready. But, yeah, for today. Carol, where can people find all of these good things you're doing?
Well, they can definitely follow me on Instagram, Carol Darcer Reconnect or the Trauma Map. I'm the Carol Darcer Reconnect is also on Facebook. So these are my professional pages. I can definitely connect or or if they want to know more about our program and they want to come in for treatment, then it's reconnectcenter.com on the website. Yeah.
Okay. I'll put the links and the Instagram and Facebook info in the show Notes thank you so much for being my guest today. This has been an awesome conversation and think it's going to be really helpful for so many people.
Thank you. Actually I enjoyed I like to talk very passionately with other people who think that way the same way. So it definitely was great to talk to you.
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Chat with your host Laura Reagan, LCSWC. For more information please visit therapychatpodcast.com TherapyNotes.
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