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!
Sounds True | Amazon | Barnes & Noble | Bookshop

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How to Mental Stack Your Way to a New Chapter in Life

Most people feel trapped in a thousand ways. But more often than not, this sense of entrapment us into putting our heads down and getting the things we are expected to get done, done. We can’t often see the entrapment, especially if it looks like the result of our own choices in life. But were they truly our own choices? What if some of the choices we made in life have never really been ours to begin with? 

I want to take us back a little. Back to when we were younger. When we had to rely on the wisdom of our elders, and those who have been in this life much longer than us. In my upcoming book Invisible Loss, I write about that time in our lives when we were at our most rebellious:

Disobedience—as a child, as a teen, as an adult in the world of work and home—is an act that creates invisible suffering. We learn to survive that repeated pattern of being commanded by our elders to be “good.” In order to be good and obey, we may create a life closer to that command but further away from our Original Self. We may work hard trying to be good, trying to please and fit into the mold created for us, but that only helps to build our Waiting Room life.

But time in the Waiting Room doesn’t need to last forever. And you don’t have to die inside it. There are parts within you that can bring forth a life worthy of your human existence. Places within yourself that have no shame.

As long as we have been alive, creating a life that aligns closest to the wishes of our caregivers and protectors blinds us to the life that we could choose for ourselves. That life is completely hidden even if we think we know our wishes. Often, only when we go through tragic or invisible losses, do we start to question those choices. Dare I say, these moments are opportunities to exit the loop of being “good.”

It is time to interrupt our regular transmission. It is time to be clear when it comes to what it is we are trying to communicate to the people in our lives. It starts from no longer trying so hard to fit into the mold that was created for us.  No matter how old we are, we can always break outside this mold and align our choices with our true values and desires.

This is not an easy task. I understand that. At the core of my book, Invisible Loss, I’ve created tjos easy practice to help set you on the right path to your Original Self. I call it Mental Stacking:

What Is Mental Stacking?

Mental Stacking is the ability to intentionally layer your thoughts to replace unconscious, Survivor-based

thinking with Wisdom-based thinking. In doing so, these Wisdom-based thoughts can more easily be converted into real-life action. This Stacking practice allows you to access your true and authentic self (your Original Self) and entrust it with the controls of your life. Here is what a basic Stack looks like:

  • The Cleanse: Transcribing the automatic, routine-based, unconscious thoughts. Write them down. Don’t stop writing until you feel you are done. 
  • The Pattern: Subtracting from that first layer the thoughts of fear and doubt. Once you write everything you are feeling and thinking down, read it back to yourself and find a sentence or two that comes from a place of fear or doubt. For example, somewhere in your long cleanse you may find yourself saying: “I feel trapped in my marriage and I don’t dare tell anyone about it because he is the nicest guy. All of my friends always tell me how lucky I am to be married to someone who takes such good care of me.”
  • The Reframe: Writing the consciously reframed thought layer in the Stack. Take that sentence and reframe it. For example: “I feel trapped in my marriage and feel ashamed for feeling this way because my partner is such a good guy,” to, “even though I may feel shame about how I feel, I need to share these feelings with my partner even though it may not be expected or understood. This is my life, after all.” 
  • The Plug-In: Translating the reframed thought into action. Once you have that reframed thought, think of a low-risk action you can take that can stem from that newly scripted thought. For example, you can suggest to your partner to go for dinner at a brand new place where you can bring up what is on your mind in a new environment. You can act on your right to express yourself regardless of what the response might be or how others view your situation. 

Your Mental Stack leads you to a specific next step that may not always be easy to see without the power of each previous layer in the Stack. 

Here’s to a great new chapter ahead,

Christina Ramussen

Invisible Loss


Invisible Loss
Amazon | Barnes & Noble | Bookshop | Sounds True

Christina Rasmussen is an acclaimed grief educator and the author of Second Firsts and Where Did You Go? She is the founder of the Life Reentry Institute and has helped countless people break out of what she coined the “waiting room” of grief to rebuild their lives through her Life Reentry® Model, a new paradigm of grief, based on the science of neuroplasticity. She lives in Austin, Texas. For more, visit christinarasmussen.com.

Author photo © Marc Olivier Le Blanc

Ep 9: Live the Questions Now

When it comes to building the Great Turning, it’s natural to have questions: What is my individual role in it all? How do we win? Who do we fight? While Jess wrestles with her desire for a “prescription” of what to do, Joanna invites us to “live the questions” instead. In this episode, we learn about the three dimensions of the Great Turning and the way forward: community, relationship, and solidarity. 

In this episode:

  • There are no perfect road maps, but if we come together in courage and community, the way will emerge
  • The climate crisis is not just an environmental issue but a spiritual crisis of disconnection
  • Bonus Exercise: The Bodhisattva Check-In

We recommend starting a podcast club with friends or family to do these practices together. Links and assets to help prompt reflection and build community can be found with every episode on WeAreTheGreatTurning.com.

Ep 8: Eros and Thanatos

This episode explores the powerful role of Eros (sensual love) and Thanatos (death) in fueling our connection to the world as we contribute to the Great Turning. Joanna and Jess discuss how we might learn to see our world as our lover (and as our self), the gifts of cultivating a sensual connection with the world, and how facing mortality can make the gift of being alive feel even more precious. They also reflect on the closeness of Joanna’s own death, which Joanna sees as “going home” to rejoin the cycle of life.

In this episode:

  • Using our love and awareness of impermanence as fuel for activism
  • Discovering ways to truly feel interconnected with all life through sensual presence
  • Reflections on mortality and our place in the cycle of life

We recommend starting a podcast club with friends or family to do these practices together. Links and assets to help prompt reflection and build community can be found with every episode on WeAreTheGreatTurning.com.

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