Lise Van Susteren

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LISE VAN SUSTEREN, MD, previously served as a clinical professor of psychiatry at Georgetown University. She is a go-to commentator about anxiety and trauma for television (including CNN, Good Morning America, NBC, VOA, and Fox News), radio (NPR, Minnesota Public Radio, and others), print media (including the Washington Post, the Wall Street Journal, Newsweek, the Huffington Post, and CQ Magazine), and online outlets (such as Live Science, U.S. News & World Report, Global Health NOW, and many others).

As a thought leader and activist, Dr. Van Susteren addresses issues related to trauma and emotional inflammation through her roles at the Earth Day Network and Physicians for Social Responsibility. She is considered an expert in the psychological effects of climate change.

Listen to Tami Simon's in-depth audio podcast interview with Dr. Lise Van Susteren:
Emotional Inflammation: A Condition of Our Time >>

Stacey Colino

STACEY COLINO is an award-winning writer specializing in health and psychology. Her work appears in U.S. News & World Report, Prevention, Family Circle, Parade, and Parents. She lives in Chevy Chase, MD.

Photo © Judy Licht

Also By Author

The Power of Mapping Your Emotions

It’s in everyone’s best interest to learn to remove the emotional blinders and identify emotions accurately, both the uncomfortable and the upbeat ones. After all, unpleasant emotions are normal and natural, a fundamental part of being human. Emotions fluctuate on a daily basis, often several times in a given day. If you didn’t experience negative feelings now and then, the positive ones wouldn’t be as noteworthy or joyful; your emotional life would likely be unnaturally narrow. You would also be deprived of the opportunity to glean important insights into yourself. Feelings, both the good and the bad, are silent messages, alerting you to pay attention to something in your personal or professional life, in your behavior, or in the world around you.

Instead of separating emotions into categories such as good or bad, positive or negative, happy or sad, it’s better to view all your emotions as useful information, as “evolutionarily evolved responses that are uniquely appropriate to specific situations,” says Karla McLaren, MEd, author of The Language of Emotions. “When you stop valencing, you’ll learn to empathically respond to what’s actually going on—and you’ll learn how to observe emotions without demonizing them or glorifying them.”

Being able to recognize and express what you’re feeling helps you better understand yourself (leading to greater self-knowledge); validate your emotions and tend to your own emotional needs; and take steps to address those feelings directly by communicating and responding to them effectively. Having emotional self-awareness can motivate you to make healthy changes in your life, take action to improve the world around you, and become more psychologically resilient—that is, better able to cope with crises and rebound from setbacks.

Learning to Unpack Your Emotions

For some people, engaging in free association can clear the cobwebs from their minds, almost like opening the cellar door to a musty basement and letting in light and fresh air. To do this, you might take a break and consider how you’re feeling about what you’re doing, reading, seeing, or thinking every few hours throughout the day. If a general word comes to mind—such as stressed, anxious, or angry—dig deeper and ask yourself what other emotions you might be feeling (maybe fear or annoyance) along with it. If you do this out loud in unedited, private moments, you might find yourself blurting out what you’re really thinking or feeling, revealing the emotions that are taking a lot of energy to keep inside. This is really about unpacking your suitcase of feelings, or untangling the knot of emotions that is taking up space inside you.

When you think about this in the abstract, it can be hard to pinpoint how you’re feeling. You may just see a swirling mass of a feeling quality such as “dread” or “foreboding” rather than recognizing the specific emotions you feel. To get to the root of your feelings, spend five minutes looking at the word cloud below—no more than five so that you don’t have time to filter your responses—and choose the emotions that resonate with your mood-state lately.

If reviewing these words evokes other feelings for you or if words or phrases that apply to you were not on this word cloud, jot these down in the blank word cloud that follows. Give yourself another five minutes to think about your recent state of mind and jot down phrases, images, or words that occur to you. This is your opportunity to personalize it without any limits or restrictions. If you feel stymied or draw a blank initially, think about your recent responses to current events or situations in your personal life or on the world stage. Try to be as honest as you can by focusing on how you’re really feeling when no one is watching—free-associate without judging, censoring, or revising what you write down.

Once you’ve finished your list, look at the order of the words you wrote down: Did they progress from all negative to increasingly hopeful? Do they portray an internal tension or friction in going back and forth between various feelings? If all the words are positive, consider the possibility that you may be in some degree of denial, focusing only on the window dressing rather than the emotions that lie beneath the surface. Also, consider this: Is there a pattern of shallow, visceral reactions that came out initially, followed by more complex thoughts and feelings? If so, think about whether you’re giving yourself enough time in your life to reflect. If you came out with highly intellectualized words or phrases first, it might suggest that you put on a bit of a facade when engaging with the world, and you might benefit from striving for a deeper engagement or familiarity with your emotions.

This is an excerpt from Emotional Inflammation: Discover Your Triggers and Reclaim Your Equilibrium During Anxious Times by Lise Van Susteren, MD, and Stacey Colino.

Buy your copy of Emotional Inflammation at your favorite bookseller!
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What Triggers Your Emotional Inflammation?

It’s time to start unraveling the mystery of you by exploring your current state of mind. Think of this as an adventure, a path toward greater self-understanding and self-compassion—and an expanded appreciation of the complexity of you. To get a sense of the modern-world issues that tend to rile or upset you, put on your imaginary miner’s hat and head into the depths of your mind to see what lies below your conscious awareness. (You may want to do this with a trusted friend or partner.) 

Consider your true feelings about the following subjects, without letting preconceived ideas about the right or politically correct way to think or feel about these subjects guide you; simply let your real feelings flow out of you in a free-association style. 

Have a journal and a piece of paper ready. As you read the following words and phrases, jot down the first three to five words or phrases that come to your mind in response (don’t edit or change what occurs to you instinctively):

  • • Climate crises 
  • • Me Too scandals 
  • • Human rights abuses (on a grand scale) 
  • • Political corruption 
  • • Racial, religious, gender, or political discrimination 
  • • Environmental threats (toxins in our midst) 
  • • Volatile financial circumstances 
  • • Natural disasters (wildfires, floods, storms) 
  • • International threats 
  • • Social divisiveness in this country
  • • Hate crimes 
  • • Nuclear weapons threats 
  • • Gun violence 

If other current events are triggering emotional inflammation for you, write them down in your journal or on a piece of paper.

Don’t worry if you feel put on the spot, thought-tied, and unable to come up with the right words to describe how you feel in response to the prompts listed above. Take a deep breath, exhale, and peruse this sample response. Rather than letting this person’s examples sway or influence you, try to use them as inspiration to unlock the floodgates on your true feelings. 

Now it’s your turn!

After you’ve completed your list, assign a value to each of these concerns in terms of their potency for you on a scale of 0 to 3 (with 0 being neutral and 3 being intense). Do this quickly so you don’t have too much time to think about it or second-guess your instinctive responses. Once you’ve finished this, place these triggers into a hierarchical list from a potency of 3 to 0, based on how they affect or resonate with you. This will give you a sense of what is likely to get you riled up these days.

If you want to dig a bit deeper, think about the way you responded to the descriptions of certain triggers—that you felt disgusted, violated, sad, and threatened when you thought about Me Too scandals, for example—then consider whether any situations from your past have evoked similar feelings for you. As you may see, emotional injuries or reverberations from the past can make you vulnerable to similar insults and assaults in the present. It’s almost as if you have an emotional ember lying beneath your consciousness, and it’s predisposed to flaring up from time to time. If you hear a single piece of distressing news and find yourself reacting surprisingly strongly to it, think about what else may be crashing around you or whether the news has somehow opened Pandora’s box and exposed you to a deep abyss of other fears and worries. Or it may be that a more superficial emotional injury is on the way to healing but then the scab gets ripped off and the wound bleeds again when another upsetting event occurs. 

As it happens, we often experience emotions in our bodies, and sometimes our bodies register those feelings before our minds do. So if you have trouble pinpointing how you’re feeling with words, you may want to scan your body for clues. When researchers in Finland performed a series of cross-cultural studies with 701 people from West European and East Asian cultures, they had the participants view various words, stories, movies, or facial expressions, then color specific regions on silhouettes of bodies where they felt activity increasing or decreasing while they viewed each stimulus. This exercise in mapping bodily sensations in response to emotions revealed that basic emotions—including anger, fear, disgust, happiness, sadness, and surprise—were associated with sensations of elevated activity in the upper chest, which likely reflects changes in breathing and heart rate. Increased sensations in the arms and torso were associated with anger. Decreased sensations in the arms and legs corresponded to sadness. And increased sensations in the gut (the digestive system) and throat were found primarily with disgust. The most fascinating revelation was that these effects rang true among people cross-culturally. 

So if you have a mental block that makes it difficult to recognize your emotional triggers (which some people do, in a subconscious effort to protect themselves from emotional discomfort), paying attention to your bodily sensations can give you clues about what you’re experiencing. Even if you are highly attuned to your emotional reactions, sometimes they can sneak up on you, and you might experience a particular bodily sensation before you are aware of the actual trigger or your response to it. That’s because we all have blind spots to reflexive emotional states we’re susceptible to experiencing. 

This is an excerpt from Emotional Inflammation: Discover Your Triggers and Reclaim Your Equilibrium During Anxious Times by Lise Van Susteren, MD, and Stacey Colino.

Buy your copy of Emotional Inflammation at your favorite bookseller!
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Take Your Inner Child on Playdates

Have you ever been ice-skating before? It sounds like a fun winter activity (especially if you enjoy the cold, like I do), but it can be frustrating and even downright scary if you’re new to it.

Picture this: I took my nephew ice-skating for the first time, full of excitement to see him experience some joy. At twelve years of age, he was already taller than me and had size thirteen feet thanks to his six-foot-eight-inch-tall dad (my brother). The biggest rental skates they had came with worn-out laces rather than the secure plastic bindings all of the other skates had. I could see that they were a little loose around the ankle, but we tied them as best we could and hit the ice.

If you’ve ever seen a newborn deer figuring out how to walk for the first time, you can picture my nephew’s first time on ice skates. His ankles kept knocking in, and he was reaching to hold onto anything for dear life as he wobbled around the perimeter of the rink. It was difficult to watch, not because it was embarrassing, but because I know how hard he is on himself when he’s not immediately good at new things. I wanted to see him having fun, and instead I saw him frustrated and discouraged as all he could do was attempt to remain vertical.

I figured it couldn’t get worse, so I suggested that we trade in his skates for a smaller pair with the more secure plastic buckles to see if that made any difference. He went along with it, probably just to humor me, and we stuffed his feet into some size twelves and made sure his ankle support was good as could be. When I tell you it was a night and day difference, I’m not exaggerating. Suddenly he was speeding around the ice like a pro, lapping past me and his sisters with the biggest smile on his face. He circled the rink over and over again; as his confidence grew, so did his joy, and he even began to try tricks and spins. All he had needed was one little adjustment to his foundation, and he suddenly felt safe enough to have fun.

Here’s the thing: most of us go around in our lives on rickety old skates with worn-out laces. When your only focus is doing your best to remain upright, there’s not much room for joy or play. The big shame in that is that play often is the medicine we most need.

In my experience, the crux of inner child work is reconnecting to the part of you who knows how to play. Sometimes you may first need to make some adjustments that allow you to feel safe enough to play, like practicing nervous system regulation and self-soothing. Once you’ve done that, though, your goal is to invite in as much play as possible. And not adult versions of play that are really just a facade for dissociative behaviors, but real, childlike wonder.

Invite in curiosity and awe and silliness and uninhibited joy. Start by returning to the things you loved to do when you were a kid. Maybe that means setting aside time each weekend for arts and crafts. Maybe it means participating in physical activities that feel like play, such as dancing, swimming, sports, or jumping on a trampoline. Maybe it just means giving yourself permission to skip while you walk or sing while you drive.

The point is, when you bring those younger versions of you into your present-day life, you not only have more fun, but you also experience more healing. We were never meant to lose touch with our inner child. Yes, it’s important to learn how to be self-sufficient and responsible, and aging is inevitable. But it’s equally important not to take yourself too seriously along the way.

Try This

Your homework is to set regular playdates with your inner child. Do things that sound like fun, even if they don’t make logical sense. Allow yourself to be as carefree and openhearted as possible, without judging the things that bring you joy. The sillier it feels, the more on point you likely are. Here are some examples to consider:

  • Take an afternoon off of work and go to an amusement park.
  • Schedule an evening of watching your favorite childhood movies.
  • Spend the weekend out in nature, frolicking with your imagination.
  • Try something brand new, like rock climbing or ice-skating, to tap into that feeling of beginner’s mind.

Play is an important part of our overall well-being. Consistently making time to get into that creative flow state will help you deepen your relationship with your inner child . . . and your adult self. I suggest checking in at least once per month, if not weekly, to see where you can fit more play into your life.

Excerpted from Choose Your Self: How to Embrace Being Single, Heal Core Wounds, and Build a Life You Love.

Megan Sherer


Megan Sherer is a certified somatic therapist and licensed hypnotherapist whose mission is to help others build healthy and fulfilling relationships, starting with self. She hosts the Well, Then podcast and founded the women’s therapy app The Self Care Space. For more, visit megansherer.com.

Choose Your Self

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Helping Kids Feel Confident in the Spotlight

Dear Sounds True friends,

Have you ever been in the spotlight?
The excitement, the lights, and…
…ALL EYES ON YOU (Gulp!)

While some athletes, speakers, and performers bask in the glow, it can be scary for most others. I happen to be one of these “others,” complete with sweaty palms, a racing heart, and a blank mind!

These big feelings inspired me to write All Eyes on You, a story that helps kids overcome performance anxiety when they find themselves the center of attention, such as on stage, in a classroom, or on the baseball field.

I share tried-and-true tips for dealing with these moments (such as breathing exercises and counting to slow down your racing heart) while also having fun (like picturing the audience in their underwear) to help boost confidence and be present in the moment.

It also makes an excellent tool for helping others calm the butterfly stampede in their stomachs and feel a sense of camaraderie that they are not alone in their stage fright.

So when the stage calls (or the front of the classroom or home plate), take a deep breath and give these tips a try. You just might surprise yourself—and those around you!

Break a leg,

Susi Schaefer
Author & Illustrator

P.S. I invite you to download free coloring sheets from the book to also enjoy with the little ones in your life!

Susi Schaefer

Susi Schaefer trained as a classical glass painter in Austria before moving to the United States and studying graphic design. She is the illustrator of Zoo Zen and Good Morning, I Love You, Violet! as well as the author-illustrator of other picture books for children. For more, visit susischaefer.com.

Yuria Celidwen, PhD: “Flourishing Is a Gradual U...

Dr. Yuria Celidwen is at the forefront of a historic expansion in the field of contemplative science—or the study of inner practices like meditation, prayer, and mindfulness. Until recently, researchers have primarily focused on major religious traditions such as Buddhism or Christianity. Today, Dr. Celidwen is bringing the long-overdue perspective of Indigenous cultures into the discussion. In this podcast, Sounds True founder Tami Simon speaks with Dr. Celidwen about her new book, Flourishing Kin: Indigenous Wisdom for Collective Well-Being

Tune in for this invigorating conversation exploring: Yuria’s definition of flourishing as a gradual unfolding of aesthetic arrest; cultivating an embodied sense of your interconnection with all of creation; why Indigenous perspectives are vital for solving the climate crisis; honoring spirit, the animating principle of life; a deeper understanding of health; the direct experience of “moments of truth”; sunshine as a seed of awareness; the core right of self-determination; relating to Indigeneity respectfully; the possibility of collective flourishing; and more.

Note: This episode originally aired on Sounds True One, where these special episodes of Insights at the Edge are available to watch live on video and with exclusive access to Q&As with our guests. Learn more at join.soundstrue.com.

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