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Amy Apigian

Amy Apigian

Double board-certified physician in preventive and addiction medicine; founder of Trauma Healing Accelerated and author of "The Biology of Trauma"

Jul 28, 2026

8:44
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?
9:11
Let's start with seeing how they're similar.
9:14
They are both survival responses.
9:19
And stress can also be a non-survival response in terms of it's just an activation, an upregulation of energy.
9:27
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.
9:38
But going back to just a sense of danger or a sense of threat, then both are survival states.
9:47
And so it is a progression of the degree of danger that we perceive.

28 MINS LATER

37:35
It is a
8:12
What tools do I, or does it send you down a path to try to create something new?
8:19
Truly at first, it really was me just trying to get my health back.
8:23
And at first it was, how do I get back into my residency training program? I was in third year surgery training.
8:30
And how do I get back? Because that's my livelihood.
8:33
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.
8:43
Let me leave surgery and go into trauma in the body.
8:46
There was no such thought.

8 MINS LATER

17:03
Like, what can one do if suddenly you find yourself in that response?

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