QC: Why Your Nervous System Knows When The Doctor Does Not Care

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SPEAKER_00
0:00

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moves
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should
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your
biggest
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Meet Pelvic Health Expert Carla

SPEAKER_00
0:39

Today
I'm
joined
by
Carla
Ellers,
a
pelvic
health
occupational
therapist
and
the
founder
of
Ocupelvic
Health
and
Wellness.
Carla's
work
goes
beyond
just
the
physical
side
of
pelvic
health.
She
focuses
deeply
on
the
connection
between
the
nervous
system
and
the
pelvic
floor
and
how
our
everyday
lives,
stress,
and
routines
shape
how
our
bodies
function
and
feel.
She's
helped
thousands
of
individuals
navigate
things
like
pelvic
pain,
dysfunction,
and
disconnection
from
their
bodies,
all
through
a
really
holistic,
compassionate
lens.
What
I
love
about
her
approach
is
that
it's
not
about
the
quick
fixes,
it's
about
meeting
people
where
they're
at
and
giving
them
tools
that
actually
support
real
lasting
changes.
Please
help
me
in
welcoming
Carla
Ellers
to
the
table.

When Uncertainty Dysregulates The Body

SPEAKER_00
1:27

I
feel
really
unsettled
when
I
don't
know
what's
going
to
happen.
I
think
that's
where
for
a
lot
of
us,
like
that's
where
that
dysregulation
comes
from
is
just
not
knowing,
right?
And
I
think
especially
if
you
have,
if
you're
neurodivergent,
if
you're
ADHD,
autism
spectrum,
there's
a
lot
of
times
that
the
unknown
is
frightening.
And
it's
it
creates
a
lack
of
trust
within
our
bodies
in
and
of
themselves.
So
knowing
that
there
is
a
baseline,
that
there's
something,
there's
that
home
base,
right?
Like
there's
that
predictable
place
that
you
can
lean
on,
I
think
has
got
to
be
helpful.
I
wish
I
had
that
in
my
excision
surgery.
I
was
literally
like
floundering
in
the
wind,
I
felt
like,
because
I
had
no
idea,
A,
what
I
was
doing.
But
B,
I
just
didn't
really
know
how
to
cope
with
my
new
reality
post-excision.
You
know,
for
me,
obviously
I
had
my
excision
surgery,
hysterectomy,
and
all
of
that.
So
hormones
were
off
on
top
of
that.
So
everything
was
just
chaotic
in
my
mind.
And
I
think
that
the
healing
process
was
much
harder
because
of
that.
And
so
I
wish
I
would
have
had
like
that
safe
space
going
back
to
my
journey.
If
someone
is
listening
and
realizing,
hmm,
this
might
be
me,
what's
the
first
place
that
they
can
start?

Mapping Fight Or Flight And Shutdown

SPEAKER_01
2:47

Well,
having
that
functional
awareness
for
themselves
and
first
just
noticing
when
you
are
becoming
dysregulated.
And
when
we
talk
about
the
nervous
system,
a
lot
of
people
know
fight
or
flight.
That's
that
sympathetic
nervous
system,
that's
that
upregulation,
you're
feeling
anxious,
stressed.
But
when
we
get
to
that
tipping
point,
we're
going
down
into
overwhelm
and
hopelessness.
And
that's
on
the
opposite
end
of
this
nervous
system
spectrum.
And
that
is
called
dorsovagal
state.
And
so
we
kind
of
need
to
understand
that
when
we're
up
here
and
we're
we're
fight
or
flight,
we're
going
on,
we
need
something
grounding
to
bring
us
down.
But
when
we're
in
hopelessness
and,
you
know,
that
part
of
depression,
we
need
something
to
mobilize
out
of
that,
right?
And
so
for
both
of
these,
um,
there's
a
third
piece
to
our
nervous
system.

Grounding Versus Mobilizing Out Of Lows

SPEAKER_01
3:43

It's
called
ventral
vagal
state.
And
that's
where
we
use
other
people's
nervous
systems,
that
socialization
piece.
And
that's
why
I
love
group
training
and
support
group.
But
for
me,
like
group
retraining,
like
truly
using
other
people's
nervous
systems
to
help
yourself.
And
so
when
we're
when
we're
all
the
way
up
here,
we
need
to
be
mindful
that,
okay,
what
are
some,
what
are
some
grounding
activities
to
help
bring
me
down?
And
when
we
are
down
here,
when
we're
feeling
helpless
and
in
that
depression,
what
are
some
safe
movements
to
bring
you
out
of
that?
And
how
can
you
incorporate
the
socialization?
Because

Co-Regulation, Neuroception, And Social Safety

SPEAKER_01
4:22

there's
another
term
it's
called
co-regulation,
and
that's
when
our
nervous
systems
are
speaking
with
each
other.
And
so
even
right
now,
between
us,
you
know,
through
eye
contact
and
through
having
nice
facial
expressions,
these
are
all
really
soothing
for
our
nervous
system.
Because
I
don't
know
if
if
you've
noticed,
if
you've
walked
into
a
doctor's
office
and
the
front
desk
lady
or
even
the
doctor
just
comes
in
and
you
know,
they
you
can
tell
they
don't
give
a
crap.
And
your
nervous
system
feels
that,
right?
That
is
co-regulation.
You
can
feel
that.
And
because
there's
another
term,
it's
called
neuroception.
Our
body
is
always
scanning,
always
scanning
for
safety.
Always.
And
so
when
we
do
have
that
that
soft
eye
contact,
that
those
nice
facial
gestures,
that
is
telling
our
nervous
system
that
this
is
safe.
And
so
this
is
really
important
to
understand
with
your
spouse,
your
partner,
family
members,
and
and
and
it's
frustrating
for
women
who
do
experience
chronic
pain
and
endometriosis.
A
lot
of
them
feel
like
their
families
don't
understand.
And,
you
know,
so
so
this
is
where
that
piece
of
co-regulation
is
really
important.
And
if
you
don't
have
that
within
your
family
or
your
relationship,
that's
why
my
group
is
important.
That's
why
other
groups
are
important,
right?
So
you
can
find
that
validation,
that
nervous
system
safety
with
other
people,
because
nervous
system
healing
cannot
happen
alone.
That's
one
of
the
foundational
pieces
of
foundate
of
nervous
system
healing,
is
it
cannot
happen
alone.
We
have
to
have
another
nervous
system
to
help
us
to
co-regulate.
And
that's
where
some
of
this,
when
chronic
pain
can
be
exacerbated
through
stress,
when
you
do
have
maybe
a
fight
with
your
spouse,
if
we
don't
understand
that
those
two
nervous
systems
are
communicating
together,
um,
then
that's
going
to
further
cause
that
dis
that
cycle,
that
dysregulation.

Closing Thoughts And Send Questions

SPEAKER_00
6:19

That's
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wrap
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