
Amy Apigian
Double board-certified physician in preventive and addiction medicine; founder of Trauma Healing Accelerated and author of "The Biology of Trauma"
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Jul 28, 2026
Trauma Physiology: Clinical Wisdom to Deepen (vs. Derail) Practitioners' Clinical Impact | E44
8:44
9:19
9:27
9:38

Tracy HarrisonHOST
And I would love for you to just share more about at what point does stress become trauma in the body? And is it truly a continuum, even if it's a phase shift step up in intensity? Or do you see them as being dramatically different? And if they are different or if it is a dramatic phase shift, what are some of the most important biological signatures of that?

Amy ApigianGUEST
And stress can also be a non-survival response in terms of it's just an activation, an upregulation of energy.

Amy ApigianGUEST
When we have an obstacle, when we have a challenge, when we have a project that we want to get done, that is our stress response showing up to give us the energy to get it done.

Amy ApigianGUEST
But going back to just a sense of danger or a sense of threat, then both are survival states.
28 MINS LATER
Aimie Apigian
8:12
8:23
8:33

Peter StapletonHOST
What tools do I, or does it send you down a path to try to create something new?

Amy ApigianGUEST
And at first it was, how do I get back into my residency training program? I was in third year surgery training.

Amy ApigianGUEST
If I can't work, what do I have? There never was any intention at that time for, well, let me learn this to help other people as well.
8 MINS LATER