Outsmart Burnout: The Podcast for High-Achieving Women with Dr. Zarya Rubin
You're smart, driven, and accomplished — but you're exhausted. Not the kind of tired that a good night's sleep fixes. The kind that makes you wonder how much longer you can keep going at this pace, and whether the life you've built is actually the life you want.Welcome to Outsmart Burnout.I'm your host, Dr. Zarya Rubin — a Harvard-educated physician, TEDx speaker, burnout expert, and recovering overachiever — this show is for high-achieving women who are done white-knuckling their way through life and ready to reclaim their passion, purpose, and joy. As a physician who burned out in medicine and found my way...
Is Burnout a Response to a Broken World? with Liz Moyer Benferhat
Liz Moyer Benferhat spent nearly two decades in sustainable development, grassroots poverty work, and UN-affiliated policy research before noticing that the people doing the world's hardest, most heart-centered work were quietly burning out, with no real language for it. In 2018 she founded We Heal for All, a circle-based model blending neuroscience, storytelling, and embodied practice to help changemakers process the emotional weight of their work instead of suppressing it. Her debut book, When the World Hurts, argues that burnout among people who care deeply isn't a personal failing — it's an unprocessed, entirely rational response to what they're carrying.
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"Immiguilt" - Serena Arora on Shame, Shoulding and Reclaiming Your Worth as an Immigrant Daughter
Serena Arora has spent over 25 years teaching Ayurveda and yoga therapy, yet she still burned out completely before writing Unbound, her memoir about recovery. She's dedicated much of her career to guiding transformation, both at her retreat center in Costa Rica and across the globe, helping women reconnect with their bodies through Ayurveda and yoga therapy — addressing burnout, seasonal shifts, and life transitions by teaching them to align with the body's natural rhythms rather than push against them. In this conversation, she introduces the concept of "immiguilt," her term for the inherited guilt she carried as an immigrant daughter, tr...
"Immiguilt": Serena Arora on Shame, Shoulding, and Reclaiming Your Worth as an Immigrant Daughter
Serena Arora has spent over 25 years teaching Ayurveda and yoga therapy, yet she still burned out completely before writing Unbound, her memoir about recovery. She's dedicated much of her career to guiding transformation, both at her retreat center in Costa Rica and across the globe, helping women reconnect with their bodies through Ayurveda and yoga therapy — addressing burnout, seasonal shifts, and life transitions by teaching them to align with the body's natural rhythms rather than push against them. In this conversation, she introduces the concept of "immiguilt," her term for the inherited guilt she carried as an immigrant daughter, tr...
The Hedonic Treadmill : Why Achievement Never Feels Like Enough - with Dr. Jeannie Lawrence
Dr. Jeannie Lawrence spent years looking like she had it all together — a thriving psychiatry career, a new marriage, a beautiful home — while quietly wondering why none of it felt like enough. She and Dr. Zarya trace her slow-burn path into burnout, the light-bulb moment that pulled her out of it, and why "stable" is not the same as "thriving." They dig into the hedonic treadmill, what it really means to disconnect from your body to survive medicine, and the framework Dr. Jeannie uses to help physicians move from surviving to actually feeling alive.
KEY TAKE...
Be a Facilitator, Not a Fixer - Laurie Maddalena on Sustainable Leadership
Laurie Maddalena spent years as the "fixer" — the leader who carries her team's entire workload — before discovering the archetype shift that changed her career: becoming a facilitator instead. She and Dr. Zarya unpack why "open door policies" and multitasking quietly fuel burnout, the five-minute practice that ends workday chaos, and how Laurie holds a 40-hour workweek while running a company and raising three kids. They also share a candid conversation about parenting kids with chronic illness and the mantras that help them stay grounded when control isn't an option.
KEY TAKEAWAYS
- The fixe...
The Burden of Being "The Strong One" - with Dr. Nikia Smith
Dr. Nikia Smith, board-certified anesthesiologist and founder of She Is Fire Forged, has burned out in medicine not once, but twice — and lived to build a framework for catching it earlier the second time. She and Dr. Zarya dig into the invisible "third shift" (the mental load of kinkeeping that goes beyond housework), the specific toll of being a Black woman in medicine, and why rest without guilt is a skill you have to relearn. It's a candid, funny, and sharply honest conversation for anyone who's been praised for being "the strong one" while quietly running on empty.
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The Pattern That Kept You Safe Is The Pattern That's Keeping You Stuck - with Anik Malenfant
What if burnout isn't about doing too much, but about invisible subconscious patterns running the show? Anik Malenfant — a former corporate finance branch manager turned inner work strategist — joins Dr. Zarya to unpack how the coping patterns that once kept us safe are often the very things keeping us stuck, exhausted, and stalled beneath an invisible ceiling. They dig into brainwave states, the biology of stress addiction, and why identity itself can become the thing high achievers protect at their own expense. It's a science-meets-soul conversation for anyone who's checked every box and still feels like something's missing.
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The Bridge to Calm: How Movement Regulates the Nervous System - with Lisa Danahy
Lisa Danahy spent years in corporate HR at a law firm, living in a state of hypervigilance she didn't have language for — until her body and her family life forced a reckoning. In this episode, she joins Dr. Zarya to trace her path from corporate burnout to 20 years running an early learning program to founding the nonprofit Create Calm, and to unpack the idea at the center of her book, Creating Calm in Your Classroom: the adult in the room has to regulate first.
Lisa and Dr. Zarya go beyond theory — Lisa leads a live, guided movement sequ...
Your Nervous System Killed Your Libido (Here’s How to Get It Back) — with Dr. Julie Merriman
Dr. Julie Merriman has spent nearly 30 years studying compassion fatigue and her own “scorched earth” burnout. A PhD-educated counselor, educator, and former department chair, her latest book, Are We Gonna Have Sex or What?, takes on the question hiding underneath every burned-out woman’s silence: what happened to my desire?
We unpack the difference between burnout, compassion fatigue, and moral injury; why a dysregulated nervous system reads a stressful email the same way it views a saber-toothed tiger; and why desire is the first thing to go offline when your body doesn’t feel safe. She reframes resentme...
Get Curious Before You Get Furious - With Eva Medilek
Eva Medilek spent decades being the woman who did it all — full-time dental hygienist, side-hustling real estate investor, wife, mother of daughters, and self-described control freak — until burnout quietly almost cost her the thing she was working so hard to protect: her marriage. In this episode, Eva joins me to unpack what she calls “as soon as” disease, the belief that rest and joy are only available on the other side of the next milestone, and the wake-up call that made her rebuild her relationship, her health, and her business from the ground up.
Eva is also the foun...
Success Without Stress: The Even Achieving Framework — with Erika Coleman
Summary
What if the reason you keep burning out isn't that you're doing something wrong, but that you're doing too much right?
Erika Coleman is a speaker, consultant, organizational psychologist, and self-described recovering overachiever who built a million-dollar training company, survived her mother's terminal cancer diagnosis, and then watched both collapse simultaneously. What she discovered in the aftermath — through grief, therapy, and a Harvard master's degree — became the "Even Achieving Framework": a research-backed approach to doing your best work without sacrificing your health, relationships, or sense of self.
In this episode, Dr. Zarya and...
Shedding the Armor: Burnout, Belonging and Being a Woman Surgeon with Dr. Erin Sheffield
What does it actually cost to survive in a system that wasn't built for you?
Dr. Erin Sheffield is a board-certified oral and maxillofacial surgeon, founder of The Doctor Is ALL In retreat, and co-host of The Resting Stitch Face Podcast — and she's spent her career in one of the most male-dominated surgical specialties in medicine. In this conversation, she and Dr. Zarya go deep on the kind of burnout that doesn't come from working too hard. It comes from shrinking yourself to fit.
From her origin story — marine biology student turned oral surg...
You're Not A Fraud, But Your Brain Thinks You Are - How Impostor Syndrome Contributes to Burnout, with Dr. Amanda Tobe
Have you ever worked yourself to the bone to prove you deserve to be there — and ended up more exhausted than ever? That's probably impostor syndrome fueling burnout, and it's one of the most common — and most overlooked — patterns Dr. Amanda Tobe sees in her psychology practice every day.
Dr. Amanda Tobe is a Toronto-based organizational psychologist, researcher, and founder of Amanda Tobe and Associates, a group psychology practice specializing in career-focused psychological services. She works with high-achieving professionals, leaders, and entrepreneurs on the internal barriers that quietly drain them: impostor syndrome, performance anxiety, perfectionism, people-pleasing, and burnou...
The Seven Types of Rest That Can Transform Your Life - with Dr. Saundra Dalton-Smith
Summary
Dr. Saundra Dalton-Smith is a Board-Certified internal medicine physician, speaker, and award-winning author. She is an international well-being thought-leader featured in numerous media outlets including Prevention, MSNBC, Women’s Day, Fast Company, Psychology Today, INC, CNN Health, and TED.com. She is the author of numerous books including her bestseller "Sacred Rest: Recover Your Life, Renew Your Energy, Restore Your Sanity," including insight on the Seven Types of Rest needed to optimize your productivity, increase your overall happiness, overcome burnout, and live your best life. In this episode, explore Dr. Saundra Dalton-Smith's groundbreaking concept of the Se...
The Real Reason You're Burned Out (It's Not What You Think) - Root Causes of Burnout with Cait Donovan
Summary
Cait Donovan is one of the most recognized voices in the burnout recovery space. As the founder and host of FRIED -- The Burnout Podcast, a top 1 % global podcast with over 300 episodes, Cait has spent years helping high-achieving individuals understand that burnout is not a personal failure, but a call to action. A licensed acupuncturist, keynote speaker, and author of "The Bouncebackability Factor"
Cait brings a rare blend of Eastern medicine wisdom, neuroscience, organizational psychology, and hard-won personal experience to her work. She holds degrees in bio-behavioral health and traditional Chinese medicine and...
The Truth Behind Physician Burnout - with Dr. Sasha Shillcutt, MD
Summary
Dr. Sasha Shillcutt is a cardiac anesthesiologist, entrepreneur, author, and international speaker. As the founder of Legacy Collective and Brave Enough, she has led sold-out women’s leadership events worldwide, coached thousands of women, and built a global community dedicated to connection and growth. Featured in Forbes and more, Sasha is a TEDx speaker, two-time author, and host of The Brave Enough Show podcast with over 400K downloads.
In this inspiring episode, Dr. Sasha Shillcutt shares her personal journey through burnout, the importance of setting boundaries, and building community among women in medicine. Discover pr...
The Midlife Marriage Crisis No One Talks About: Perimenopause, Burnout & Relationships with Brooke Davis
Keywords
perimenopause, relationships, marriage, burnout, hormone health, divorce rates, mental health, communication, education, support
Summary
In this enlightening conversation, Dr. Zarya Rubin and Brooke Davis, marriage and menopause expert, delve into the often-overlooked intersection of perimenopause and relationships. Brooke shares her personal journey of navigating hormonal changes and their profound impact on her marriage, highlighting the lack of education surrounding women's health in medical training. They discuss the rising divorce rates among women in midlife, the importance of communication and support in relationships, and the societal pressures that exacerbate these challenges. The episode e...
Why Stress Is Wrecking Your Gut (And What to Do About It) with Alison Marras
Summary
In this insightful episode, Dr. Zarya Rubin interviews Alison Marras, a functional nutritional therapist gut health expert, about the complex relationship between diet, stress, and autoimmune health. They explore practical strategies for healing, the gut-brain connection, and overcoming food-related anxiety to achieve better health and well-being.
Keywords
gut health, autoimmune, stress, diet, healing, autoimmune disease, gut-brain connection, burnout, autoimmune protocol, mindful eating
Sound bites
"I felt like a stranger in my own body"
"Digestion begins in the brain"
"Celebrate your wins and trust your body"
Find Your Zone of Genius: Helping Women Leaders Thrive without Overfunctioning with Dr. Denee Choice
Keywords
leadership, burnout, women empowerment, zone of genius, emotional alignment, self-trust, overfunctioning, women in business, leadership coaching, personal development
Summary
Dr. Denée Choice is a leadership strategist who helps ambitious women expand their influence with grounded presence and authentic authority. She works with women who are tired of twisting themselves to fit outdated leadership molds and ready to lead from a deeper, more aligned source of strength. In this episode we talk about how to find your Zone of Genius, how to stop overfunctioning, and the unique challenges women leaders face. In he...
From Hustle to Harmony: MJ Mitchell on Sustainable Strategies for Women Business Owners
keywords
burnout, women entrepreneurs, coaching, wellness, business strategy, mental health, self-care, productivity, stress management, sustainable success
Summary
In this episode of Outsmart Burnout, Zarya Rubin speaks with Monica Jeane (MJ) Mitchell, an integrative life and business coach, about the pervasive issue of burnout among women entrepreneurs. With over 30 years of real-world business experience and a background in wellness, productivity, and coaching, MJ helps women who are successful on paper but secretly overwhelmed behind the scenes—exhausted from doing too much for too many - find a better way to run their business and...
Work from Anywhere in the World - Even as an MD - with Dr. Kristine Goins
eywords
burnout, mental health, global citizenship, psychiatry, work-life balance, travel, physician well-being, Nomad MD, telemedicine, lifestyle medicine
Summary
In this episode, Dr. Kristine Goins shares her remarkable journey from traditional psychiatry to becoming a global citizen, traveling the world, working remotely through telehealth and founding Nomad MD, where she helps other physicians do the same. She discusses the importance of reimagining work-life balance, recognizing burnout, and the systemic issues affecting physician well-being. Dr. Goins emphasizes the need for personal fulfillment and the potential for a life that integrates travel and work, encouraging listeners t...
Transforming Chaos into Calm: How to Tame The Clutter with Organizer Tracy Hoth
Keywords
organization, mindset, clutter, life coaching, decluttering, overwhelm, productivity, business organization, personal development, time management
Summary
In this episode of the Outsmart Burnout Podcast, Dr. Zarya Rubin interviews Tracy Hoth, a certified life and organizing coach on a mission to help women simplify their homes, lives, and businesses. Tracy is the host of the top 1% globally ranked Organized Coach Podcast, where she equips women to declutter with confidence, create systems that last, and step into the role of Organized Life CEO. The conversation delves into the importance of mindset in organization, the five...
Navigating Neurodivergence and Burnout with Therapist Laura Sgro
Keywords
neurodivergence, burnout, trauma, therapy, emotional dysregulation, ADHD, mental health, self-care, coping strategies, mental wellness
Summary
In this enlightening conversation, Zarya Rubin, MD, and Laura Sgro, LCSW, a licensed anxiety and trauma therapist, delve into the complexities of neurodivergence, trauma, and burnout. Laura shares her journey to becoming a therapist, her own experiences with ADHD, and how these factors influence her practice. They discuss the stigma surrounding neurodivergence, the impact of trauma on mental health, and the unique challenges faced by neurodivergent individuals in a neurotypical world. The conversation also explores practical strategies...
Thriving Through Infertility: Emotional Resilience and Authentic Hope with Dr. Erica Bove
Keywords
infertility, emotional support, stress management, coaching, trauma, authentic hope, women's health, reproductive endocrinology, burnout, self-care
Summary
In this episode of Outsmart Burnout, Dr. Erica Bove discusses the emotional complexities of infertility, the impact of stress, and the importance of community support. She shares her journey as an OBGYN and reproductive endocrinology and infertility specialist, emphasizing the need for a compassionate approach that combines medical science with emotional support. The conversation explores the multifactorial causes of infertility, the role of trauma, and the concept of "authentic hope" in navigating the fertility journey...
How to Be a Boss Without Burning Out: Sustainable Sales & Systems for Women Entrepreneurs with Sausha Davis
Keywords
burnout, entrepreneurship, women in business, sales strategies, work-life balance, mental health, self-care, business systems, women empowerment, coaching
Summary
In this episode of Outsmart Burnout, Zarya Rubin, MD, speaks with Sausha Davis, founder of Sales Mama, about how high-achieving women can break the burnout cycle by leading and living from a regulated, grounded nervous system instead of constant survival mode. Sausha shares her personal journey through burnout, the importance of self-care, and how she focuses on the hidden patterns that drive burnout including people pleasing, perfectionism, over functioning, and tying worth to...
"Suck the Joy Out of Life" - Anticipatory Grief with Dr. Tasha Faruqui
Keywords
burnout, caregiving, grief, resilience, motherhood, rare disease, anticipatory grief, self-care, community, hope
Summary
In this episode of Outsmart Burnout, Dr. Zarya Rubin speaks with Dr. Tasha Faruqui, a pediatrician, rare disease advocate and author, about her journey through anticipatory grief, caregiving burnout, and the emotional challenges of raising a medically complex child. They discuss the intersection of hope and resilience, the importance of community, and the necessity of self-care for caregivers. Dr. Tasha shares her experiences as a physician and mother, the struggles of navigating the medical system when her second daughter...
Brain Health & Aging: What Every Woman Needs to Know with Dr. Sara Margolin
Keywords
aging, cognition, brain health, social connections, perimenopause, technology, healthy aging, cognitive resilience, mental health, stress management
Summary
In this episode of Outsmart Burnout, Dr. Sara Margolin, a PhD in cognitive neuroscience and associate professor at SUNY Brockport, discusses the complexities of aging, cognition, and the importance of social connections. She debunks common myths about aging, emphasizing that cognitive decline is not inevitable and that social engagement plays a crucial role in maintaining brain health. The conversation also touches on the effects of technology on our cognitive abilities and offers practical tips...
The Healing Power of Meditation and Mindfulness - with Dr. Rashmi Schramm
Keywords
burnout, meditation, mindfulness, wellness, integrative health, yoga nidra, mind-body connection, self-care, holistic health, stress reduction
Summary
In this episode of Outsmart Burnout, Dr. Zarya Rubin interviews the incredible Dr. Rashmi Schramm, a board-certified family physician and holistic wellness coach. They discuss Dr. Schramm's journey from conventional medicine to holistic health practices, including meditation and yoga nidra. The conversation explores the mind-body connection, the importance of self-care, and the science behind meditation's benefits for stress reduction and overall wellness. You are in for a special treat - Dr. Schramm also leads a...
What Your Energy Type Reveals About You with Dr. Stacy Cisneros
Keywords
burnout, medicine, loss, resilience, personal growth, career change, mental health, human design, infinity healing, money mindset, affirmations
Summary
In this conversation, Dr. Stacy Cisneros shares her journey through burnout as a surgical resident, detailing the physical and emotional toll it took on her. She reflects on the loss of her father and the subsequent changes in her career path, emphasizing the importance of taking time to mourn and reassess her values. The discussion highlights the challenges of navigating personal loss while pursuing a demanding career in medicine...
How to Be An Empathic Leader with Dr. Melissa Robinson-Winemiller
Keywords
empathy, leadership, emotional intelligence, burnout, self-empathy, compassion, workplace culture, productivity, connection
Takeaways
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How to Stop Yelling at Your Kids - Exploring the CALM Framework with Dr. Juhi Raizada
Keywords
parenting, burnout, calm parenting, connection, self-care, parenting coach, emotional intelligence, generational patterns, teen communication, parental support
Summary
In this episode of the Outsmart Burnout podcast, Dr. Juhi Raizada shares her journey from being a pediatrician to a parenting coach, emphasizing the importance of calm, confident, and connected parenting. She discusses the challenges of modern parenting, including the prevalence of yelling and other signs of parental burnout. Dr. Juhi offers practical strategies for building connections with children, especially teens, and highlights the significance of self-care through 'micro vacations'. The conversation also touches...
Why Breathwork Might be the Key to Calming Your Nervous System - with Holly Denton
Summary
In this episode of the Outsmart Burnout Podcast, Dr. Zarya Rubin speaks with Holly Denton, a trauma-informed breathwork facilitator, about the transformative power of breath for healing and personal growth. Holly shares her journey from social work to breathwork, highlighting the importance of addressing personal challenges and deep, unhealed emotions. The conversation delves into the connection between breath, the nervous system, and emotional wellness, offering practical breathing techniques for listeners to incorporate into their daily lives. Holly emphasizes the significance of self-awareness and the role of breathwork in overcoming burnout and reconnecting with one's true...
"How Burnout Almost Killed Me" - How to Break The Addiction to Overachievement with Carmen Paredes
Summary
In this episode of Outsmart Burnout, Carmen Paredes shares her profound insights on leadership, resilience, and her own harrowing journey through burnout. She discusses how burnout landed her in emergency surgery, the science behind achievement addiction, and the importance of self-awareness and emotional intelligence in leadership. Carmen introduces her CARES framework, emphasizing Compassion, Authenticity, Resources, Empowerment, and Support as essential elements for leaders to help their teams avoid burnout. The conversation highlights the unique challenges faced by high-achieving women and...
Unpacking The Perfect Mother Myth - Burnout in Motherhood with Emma Morris
Summary
In this episode of Outsmart Burnout, Zarya Rubin, MD, speaks with Emma Morris, a clinical nutritionist and expert in modern motherhood. They explore the challenges of motherhood, the phenomenon of burnout, and the importance of holistic health approaches. Emma shares her journey into motherhood and nutrition, discusses the signs and symptoms of burnout, and emphasizes the need for self-care and support. The conversation also delves into cultural pressures, the perfect mother myth, and the intensive mothering ideology, highlighting the importance of understanding these societal expectations to combat burnout and promote maternal well-being.
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Burnout Isn't a Personal Failure — It's by Design: Tamu Thomas on Toxic Productivity
Summary
In this powerful episode of Outsmart Burnout, Dr. Zarya Rubin speaks with Tamu Thomas, a transformational coach, speaker and author ("Women Who Work Too Much: Break Free from Toxic Productivity and Find Your Joy"), about the pervasive issues of burnout and overachieving, particularly among women. Tamu shares her personal journey from social work to coaching, highlighting the systemic nature of burnout and the cultural pressures that tie women's worth to productivity. They discuss the importance of joy, connection, and community in combating burnout, as well as the need for systemic change to address the underlying issues...
The Hidden Causes of Fatigue and How to Overcome Them with Dr. Sarah Vadeboncoeur
Summary
In this episode of Outsmart Burnout, Dr. Zarya Rubin welcomes Dr. Sarah Vadeboncoeur, a naturopathic physician and creator of the Fatigue Blueprint. They discuss the real drivers of fatigue, including nutritional deficiencies, hormonal fluctuations, and chronic stress, and provide a personalized roadmap to reclaim energy and vitality. The conversation also delves into perimenopause, its effects on energy levels, and the importance of understanding burnout beyond just physical exhaustion.
Takeaways
Fatigue often stems from nutritional deficiencies and hormonal imbalances.Chronic stress and burnout are major contributors to fatigue.A holistic a...The True Definition of "Success": Finding Your Career Alignment with Carolyn Lai Moore
Summary
In this episode, Zarya Rubin, MD, speaks with Carolyn Lai Moore, a career coach specializing in helping women professionals navigate burnout and career alignment. They discuss the misconceptions surrounding career choices, the impact of technology and social media on work-life balance, and the cultural narratives that shape women's perceptions of success. Carolyn shares her personal journey of burnout and the importance of recognizing red flags in career satisfaction. The conversation emphasizes the need for self-reflection and the development of a personalized definition of success that aligns with one's values and aspirations.
Takeaways
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Motherhood Reimagined - How to Reclaim Your Days without Losing Yourself with Sally Bisbee
Summary
Have you ever felt like motherhood has just swallowed you whole? Like you're living in Groundhog Day of neverending laundry and tasks that don't fuel your soul? In this episode, I chat with Sally Bisbee, a certified life coach and entrepreneur, who shares her journey of simplifying motherhood and reclaiming her time and energy. Sally discusses her personal experiences with overwhelm as a mom and how she developed the "Simplify Method" to help other mothers prioritize self-care and create sustainable routines. The conversation emphasizes the importance of recognizing the mental load that mothers carry and offers...
From Flair Bartender to Brand Strategist - Why Authenticity is the Secret to Success with Ati Grinspun
If you like RAW realness (with a hefty dose of F-bombs!!!), then this is the episode for you!
I sit down with the powerhouse Ati Grinspun, a personal brand strategist, who shares her transformative journey from immigrating from Argentina, being a flair bartender to becoming a sought-after branding expert, author and successful entrepreneur. Ati discusses the challenges of burnout, the importance of authenticity in branding, and how to navigate the complexities of imposter syndrome. She emphasizes the need for women entrepreneurs to create content that energizes rather than drains them, and highlights the significance of community and...
Body-First Healing: How Somatic Therapy Can Help Heal Trauma with Brittany Piper
This is an episode you don't want to miss - trust me...
In this episode of the Outsmart Burnout Podcast, Dr. Zarya Rubin and trauma healer Brittany Piper delve into the complexities of trauma, its impact on the nervous system, and the journey towards healing. They discuss the definitions and misconceptions surrounding trauma, the effects of childhood experiences, and the importance of recognizing triggers and glimmers in our daily lives. The conversation highlights the significance of understanding the nervous system's role in emotional regulation and the signs of dysregulation. They explore the connection between trauma and burnout...