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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

Some perspectives of trauma recovery physician Aimie Apigian and empathic psychiatrist Judith Orloff
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.

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

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, 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."

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:

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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? 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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