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How to navigate sensory overload and trauma as a highly sensitive person
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How to navigate sensory overload and trauma as a highly sensitive person

Perspectives of trauma recovery physician Aimie Apigian, psychiatrist Judith Orloff, and others.
Aimie Apigian, Judith Orloff, AI image of woman holding hands over ears, woman's eyes and face behind cloth, Meryl Streep in The Devil Wears Prada

Empaths and highly sensitive people "aren't just open to trauma. They're open to everything, and it can feel traumatic when you're young and don't have any guidance." - Dr. Judith Orloff

"Our nervous system is picking up more information, receiving information that others don't, feeling things that others don't, which means sometimes having an uncontrollable body response to imperceptible changes in the environment." - Dr Aimie Apigian

In this excerpt from her biology of trauma podcast (episode #102 Strategies for Empaths: How to Navigate Sensory Overload, Shame & Trauma), trauma recovery physician Aimie Apigian talks with empathic psychiatrist Judith Orloff about some of the many aspects of being exceptionally responsive to emotions and sensory information for those of us who have a highly sensitive nervous system.

Dr. Aimie Apigian, MD, MS, MPH, is an author, speaker and founder of Trauma Healing Accelerated.

» Dr Apigian talks about "5 Steps of Your Body's Instinctual Trauma Response" at the Trauma Super Conference 2025 January & February ('50 internationally recognized trauma experts.')

» Trauma recovery program by Dr Apigian: TheFoundational Journey for addressing stored trauma in the body.

More of her resources:

📖 The Essential Sequence - How to Release Stored Trauma - free guide.

📖 Attachment Pain Guide for Healing - free ebook.

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Dr Judith Orloff says "I love being an empath. Yes, it has its challenges but so what? Everything has its different challenges."

Judith Orloff

She adds that being highly sensitive, "You get to feel everything. I get to feel the flowers, feel nature, I get to feel deep love and connection with people.

“I get to be in touch with the mystery and you know the the gorgeousness of Life on such a deep level."

Escaping an angry, bullying, bossy person

In the podcast excerpt above, Dr Orloff recalls she was "in a situation recently with a group and this woman was trying to make a point and she got very authoritarian and loud and bullying and bossy.

"It was on a zoom call and I was supposed to be part of this meeting and I'm feeling, This isn't acceptable to me, and so I just told everyone have to leave."

[The image at lower right is a reference to a movie character like this: Miranda (Meryl Streep) in The Devil Wears Prada (2006).]

Self care and setting boundaries

Dr Orloff refers to self-care and emotional safety strategies, including setting boundaries.

"You want to find the triggers for your trauma and gently and sensitively deal with them, so you can take care of yourself. Self-care is so essential."

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Dr. Orloff notes: "As a psychiatrist, I've worked with many empaths and sensitive people over the years.

“What I've seen is that they are especially vulnerable to becoming burned out from toxic relationships."

She adds, "These relationships can make you feel anxious, depressed, tired, and ill.”

⏩ Free webinar Being an Empath Today - Surviving and thriving with the gifts of sensitivity.

⏩ podcast: Judith Orloff, MD on Transforming Strong Emotions.

» free program Keys to Being a Healthy Empath.

The Empath’s Survival Guide Online Course

Psychiatrist and empath Judith Orloff, MD "shares an overview of the total experience of being an empath, both the blessings and the struggles.

"She then offers solutions to address the most common challenges so that empaths can become empowered in an often-hostile world."

- From the site for her program The Empath’s Survival Guide Online Course: Life Strategies for Sensitive People.

Dr Orloff also refers to a spectrum of abuse and childhood experiences impacting empaths and highly sensitive people.

One of my posts on adverse childhood experiences:

As Dr Orloff relates, being an adult and having to deal with a bully can be emotionally challenging.

Here is a related post:

Actor Millie Bobby Brown of Stranger Things:

Writer Emily Zemler comments: “Over the years, Millie has struggled to understand why being herself generates so much vitriol.

“It’s really hard to be hated on when you don’t know who you are yet,” she says.

Psychotherapist Mihaela Ivan Holtz helps creative people in TV/Film, performing and fine arts. She notes in an article of hers: “Many highly creative people have been bullied as kids... Perhaps you loved singing, writing poems, dancing, making fashion, or being innovative in other ways as a child.

"Though these aspirations brought you joy, they also made you the target of bullies who made fun of, mocked, or ridiculed you."

See more in the post, including comments by Robert Pattinson, Jameela Jamil, Donna Jackson Nakazawa.

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Setting boundaries

The image at lower left (woman behind cloth) is from my post (on the Highly Sensitive site) How Can We Set Healthy Boundaries as a Highly Sensitive Person? It includes podcast episode by Sensitivity expert Julie Bjelland, LMFT.

Also see her related class “How to Set Healthy Boundaries and Why it’s Essential for Wellness as an HSP" in list of Free Classes for Highly Sensitive People.

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The image at upper right (young woman feeling stressed from noise - AI image - DALL*E/Bing) is from my Substack post/podcast:

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Thanks for reading/listening. As with most of my posts here, the topics are of deep personal interest, and I will probably, over time, add more content.

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