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The Complex Trauma Podcast

Sarah Herstich
The Complex Trauma Podcast
Latest episode

140 episodes

  • The Complex Trauma Podcast

    Why You Don't Know Who You Are After Complex Trauma

    22/07/2026 | 35 mins.
    If you've ever caught yourself wondering who you actually are underneath the anxiety, the people pleasing, or the version of you that shows up to keep everyone else comfortable, this episode is for you.
    I break down what a sense of self actually is, why complex trauma gets in the way of building one, and what it looks like to start forming it now, as an adult. That means looking at three capacities trauma tends to disrupt: knowing yourself, expressing yourself, and experiencing yourself, and a few grounded, body-based ways to start reconnecting with each one.
    In this episode:
    What a sense of self actually is, and why it's built through experience, not something you're born with fully formed
    Why survival responses like fight, flight, freeze, or fawning aren't fixed personality traits, they're predictions your nervous system learned to keep you safe
    The three capacities complex trauma most often disrupts: knowing yourself, expressing yourself, and experiencing yourself
    Why healing this is often less about finding yourself and more about forming yourself
    Thanks for listening to The Complex Trauma Podcast!
    Be sure to follow, share and give us a review on your favorite podcast platform.
    Follow on Instagram: @sarahherstichlcsw 
    Follow on TikTok: @sarahherstichlcsw
    Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy
    This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment.
    Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER.
    The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
  • The Complex Trauma Podcast

    When Perfectionism Takes the Joy Out of the Things You Love

    15/07/2026 | 27 mins.
    Sometimes a hobby amplifies whatever relationship your nervous system has with uncertainty.
    If you've ever found yourself staring at a blank page, putting off a creative project, or feeling tense doing something that's supposed to be relaxing, this episode is for you.
    Today we're exploring why perfectionism can turn creativity into a performance, how complex trauma changes our relationship with uncertainty, and why your hobbies may feel more like a test than a source of joy.
    We'll talk about the connection between self-worth and perfectionism, predictive processing, why healing in relationships doesn't always translate to creative expression, and gentle somatic practices to help your nervous system reconnect with curiosity and play.
    Whether your "painting" is art, writing, dancing, cooking, starting a business, or trying something new, this episode will help you understand why perfectionism runs much deeper than wanting to get it right.
    It might just be your nervous system trying to make sure you still belong.
    Thanks for listening to The Complex Trauma Podcast!
    Be sure to follow, share and give us a review on your favorite podcast platform.
    Follow on Instagram: @sarahherstichlcsw 
    Follow on TikTok: @sarahherstichlcsw
    Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy
    This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment.
    Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER.
    The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
  • The Complex Trauma Podcast

    Somatic Therapy 101: The Nervous System Basics Behind Trauma Healing

    08/07/2026 | 33 mins.
    If you've ever wondered why insight alone hasn't been enough to heal your trauma, this episode is your answer. We're going all the way back to fundamentals with a real somatic therapy 101, covering what somatic therapy actually is, how the nervous system holds onto trauma, and why healing from CPTSD requires more than just understanding your story.
    In this episode, we cover:
    Why trauma is a biological response, not just a psychological one (and what that means for your healing)
    The actual definition of somatic therapy, and the myths the internet keeps getting wrong
    A quick look at nervous system states: ventral vagal, sympathetic, and dorsal vagal, and why they matter for complex trauma specifically
    What your window of tolerance is, and why it can narrow over time
    Titration and pendulation: how somatic therapists help your body approach painful material safely
    How parts work (Internal Family Systems) connects directly to your nervous system states
    Why EMDR is a somatic therapy, not just "the eye movement thing"
    A nuanced conversation about The Body Keeps the Score and where current research agrees and pushes back
    Whether you're a trauma survivor trying to understand your own healing, or a fellow therapist looking for a clear, clinically grounded refresher, this episode is built to meet you where you are.
    Mentioned in this episode:
    Fawning as a Trauma Response episode
    Inner Child Healing and Reparenting episode
    Thanks for listening to The Complex Trauma Podcast!
    Be sure to follow, share and give us a review on your favorite podcast platform.
    Follow on Instagram: @sarahherstichlcsw 
    Follow on TikTok: @sarahherstichlcsw
    Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy
    This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment.
    Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER.
    The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
  • The Complex Trauma Podcast

    Why Your Nervous System Craves Certainty (And Why It Looks Like Control)

    01/07/2026 | 18 mins.
    Ever been called controlling? Too rigid? Too much? On today's episode I breaks down why it was maybe never about control. Your nervous system has maybe been trying to answer one question this whole time: am I safe?
    This episode covers the real reason behind reassurance seeking, perfectionism, hypervigilance, overthinking, and food rules, and why none of it is a character flaw. Using research on predictive processing and a concept called precision weighting from EMDR therapist Thomas Zimmerman, Sarah explains why your brain keeps choosing the old danger prediction even when you're safe right now. And why understanding alone won't change it.
    In this episode:
     Why control was never the real issue
     What your body's been telling you
     Why reassurance works for five minutes and then stops
     What precision weighting is and why it matters
     What healing actually requires instead
    Listen to Thomas Zimmerman's episode on The Beauty and the Work of Complex Trauma here

    Thanks for listening to The Complex Trauma Podcast!
    Be sure to follow, share and give us a review on your favorite podcast platform.
    Follow on Instagram: @sarahherstichlcsw 
    Follow on TikTok: @sarahherstichlcsw
    Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy
    This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment.
    Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER.
    The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
  • The Complex Trauma Podcast

    Emotional Flashbacks in Complex Trauma Explained

    24/06/2026 | 36 mins.
    Emotional flashbacks are one of the most common and most misunderstood experiences in complex trauma. Unlike visual flashbacks, they don't come with images or a clear memory. They arrive as intense feelings, shame, fear, loneliness, helplessness, often with no story attached and no warning.
    In this episode, Sarah breaks down what emotional flashbacks actually are. You'll learn why insight alone doesn't change the nervous system's predictions, what's happening in your body when each survival part gets activated, and what healing actually requires at the level of the body.
    In this episode:
    What emotional flashbacks are and why they're so hard to catch
    How implicit memory keeps the past alive in the present
    The four Fs and how each survival part feels in the body
    Why understanding your trauma isn't the same as healing it
    What ideal caregiver work looks like in trauma therapy
    A simple practice for when the wave hits
    Resources mentioned:
    Emotionally Corrective Experiences episode 
    Understanding Dissociative Parts with Dr. Janina Fisher 
    Pete Walker, Complex PTSD: From Surviving to Thriving
    Thanks for listening to The Complex Trauma Podcast!
    Be sure to follow, share and give us a review on your favorite podcast platform.
    Follow on Instagram: @sarahherstichlcsw 
    Follow on TikTok: @sarahherstichlcsw
    Learn more about EMDR & trauma therapy in Pennsylvania with Reclaim Therapy
    This podcast is for educational and informational purposes only. It is not intended as a substitute for professional medical, psychological, or nutritional advice, diagnosis, or treatment.
    Remember, I'm a therapist, but I'm not your therapist. Nothing in this podcast is meant to replace actual therapy or treatment. If you're in crisis or things feel really unsafe right now, please reach out to someone. You can call 988 for the Suicide and Crisis Lifeline, text them, or head to your nearest ER.
    The views expressed by the host and guests are their own and do not represent the opinions of any organizations or institutions. Reliance on any information provided by this podcast is solely at your own risk.
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About The Complex Trauma Podcast
A podcast for anyone healing from complex PTSD, childhood emotional neglect, and the patterns you've been carrying without knowing what to call them.Hosted by EMDR and somatic trauma therapist Sarah Herstich, each episode gets into nervous system healing, trauma responses, and what it actually takes to stop living in survival mode.If you've spent years people-pleasing, apologizing for existing, or holding it together on the outside while unraveling on the inside, this is for you.We talk about the fawn response, toxic shame, hypervigilance, and why your body still doesn't feel safe even when nothing bad is happening. No bypassing, no Band-Aids, just honest conversation about healing from complex trauma and getting your life back.Whether you're just figuring out what CPTSD is or you've been in therapy for years, you'll find nervous system education, somatic practices, and someone who actually understands what you're going through.New episodes every Wednesday.
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