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Deb Ruth is a Senior clinician and Social Worker specialising in child protection, trauma,

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mental health and nervous system regulation. Deb has a keen interest in the neuroscience

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of mental health, especially the effects of the nervous system and is married to her soulmate

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Fletcher of 20 years, two adult sons and has lived in WA for four years after relocating

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from New Zealand. At the moment Deb is contracted senior therapist for South West wellbeing

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and in the midst of writing corporate trainings around mental health and the nervous system.

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Thank you so much for joining me today.

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Thank you for having me.

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It's a pleasure. So today we're talking all about habits in the brain. So how did you

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get started? Like was it something that you were always passionate about or was it something

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that you fell into?

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It kind of was something I fell into. I was always really interested in how people decided

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things, how they got to the point they were in their lives once they were adults. So I

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was kind of a mature student when I started social work in my early thirties and the first

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placement I got as a social worker was under a manager who'd actually written a lot of

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government programmes around trauma and children specifically. So that's really where I got

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into the neuroscience of children from, especially from the ages of zero to three and the impacts

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of experiences around those ages that have on them as adults.

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How fascinating. And I think it's so important at that age that we are able to look at it

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and then learn from it as well so that when we are adults we can kind of see the different

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perspectives and what they can offer us.

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That's right. Yeah. Yeah, Carol.

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Oh, sorry. I was just going to say, so how do habits form in the brain or what part of

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the brain is it that form habits?

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That's probably the biggest complex question because there's so many parts.

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I like to start.

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There's so many parts that, yeah, and I want it really from my perspective, what it comes

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down to is as babies and young children, our brain develops from the bottom up. So when

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we're first in neutral, our base brain or the limbic system is very alive, which is

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your, everything to do with your heartbeat and your temperature and that's where fight,

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flight and freeze come from. But as you grow in those first three years, all the levels

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of the brain are depending on the experiences that you have with your caregivers. That's

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how they all link together. So the health of all the neurotransmitters, neural pathways,

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your sort of dopamine uptake is all sort of categorized around those experiences, probably

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mostly first three years, but then the bigger picture for seven years.

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So that's why adults-

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Oh, sorry. It sounds like a lot of our habits then are based on external factors.

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A huge amount as well, like there's external and then there's of course biology. There

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is the inherited types of conditions like neuro conditions that can happen. There's

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lots and lots of studies around the mental health conditions such as schizophrenia and

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bipolar and ADHD because they're all involved in the workings of habit forming parts of

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the brain. I think that's why it's so complex because our brains are not cookie cutters.

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Like sort of can be studied as a cookie cutter, but they really aren't, especially when you

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have adverse childhood experiences versus whatever healthy, normal experiences that

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you get. For instance, the amount of eye contact and facial contact you get with your parents

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in your first three years actually awakens lots of neurotransmitters and pathways. So

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if you have neglect in that way, then those neurotransmitters don't actually come online.

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So then that would play a really big role with that next generation that a lot of them

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are in childcare because we've got two parent families working.

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Yes, huge. There was a study done by one of our New Zealand neuroscientists and neuro

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clinicians. He was a neuroscientist and there was a longitudinal study around the eldest

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girl in the family. Around about 60 something percent of the eldest girls ended up having

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a higher qualification tertiary and earning more because the eldest child got a lot more

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of the attention because a lot more one on one attention, lots more neurotransmitters,

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lots more neural pathways, lots more healthy sort of reactions in that way. So that was

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pretty incredible to read actually.

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And so can you explain the concept of neural pathways and how they relate to habit forming?

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So that's a really easy way that I love to talk to clients about is that it's like a

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lot of us at WA are familiar with four wheel driving and it's very similar to a four wheel

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drive track. So a lot of those habit forming things we learn as children, biologically

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and as humans is around sort of the dopamine effects of different things. So for instance,

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if you are learning as a child that you're not going to be touching something hot, there's

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going to be a negative effect. So that kind of forces our choosing to be something that's

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not negative if you get what I mean. So that's forming a habit of kind of a negative kind

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of result from touching something you're not supposed to. But as we grow up, the neural

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pathways through life, people that we see, watch, people that we hang around, the culture

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that we're in, form the neural pathways like four wheel drive tracks. So you're going along

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a four wheel drive track and it's kind of an easy-ish, but if you try and go off it,

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it's very hard.

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Oh, that's such a great example.

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Yeah. So that's around the same thing with habits. Our brain is very clever at conserving

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energy. So things like habit formings that we do when we're young, like which foot do

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you put first in your pair of pants? That's a habit. And we don't actually realize that

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our brain doesn't even think about it.

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That's just hard wise.

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Because it's conserving, yeah, it's conserving energy. So the more you try and put towards

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forming a new habit, the more energy it's going to take for our brain. Our brain doesn't

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like that. It'll always try and go back, hence the four wheel drive track. So when I'm sort

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of talking to clients around new habits to do with their, a lot of the clients that I

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see are very, very activated nervous systems. And a lot of our nervous systems are actually

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habitually in high alert. And it's the new habits of trialing little, little things that

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create a peaceful or a dopamine effect.

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So when we're in that, oh sorry to interrupt, when we're in that high state that you mentioned,

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is it possible to form new habits or do we need to alter those levels first so that we're

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able to then be at a more neutral level before we can form new habits?

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I believe that you do. Usually like if you think of addictions and I work in a support

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some people in rehab at the moment. So I go in once a week to talk with them. And the

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only reason that they are changing their habits because they hit rock bottom and they hit

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a place where there was almost a dorsal vagal kind of response, which means it's very low

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energy, very low. They have no activation. It's very like hypo activated.

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So how, what are some things that you can do? And I'm sort of going a little bit off topic

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here, but what are some things that you can do to improve that so that then you're able

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to then work on those new habits?

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Really it comes down to connection with people who are safe. It's really comes down to if

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the nervous system feels safe enough to actually choose something. So if you're not feeling

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safe enough, like deep down, your nervous system won't choose it. It'll run, it will

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go from it.

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I think that can be really hard when you've been in that trauma situation to kind of work

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out in your own mind who is that safe person that you can trust to then get that connection.

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Exactly. When I do work with the ones at the rehab and it is a little bit different than

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working with my private clients because a lot of my private clients, their nervous systems

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are very activated. So they're coming in very highly emotional. And then when I'm working

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with the ones in the rehab who have already decided to stop and to abstain, it's a lot

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easier for them to actually try some of the things, some of the strategies we talk about.

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Some of them are very simple, like lying on grass and going out under a tree, connecting

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with the soil and really slowing down their mornings. It's been a big key. Then the ones

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I have privately who are unable to stop because they're still trying to function in life.

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So yeah, complex.

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It is. And I guess on that note, so then how do our brains work out the difference between

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the good habits and the bad habits? When you're talking about like drug addiction or alcohol

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or other addictions.

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Yeah. Addictions are really, again, very complex. There is a lot of material evidence out there

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around adverse experiences in childhood, correlating to addictions and childhood trauma and all

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that sort of thing. But to notice the difference between bad or good habits when you're in

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that space is something the brain is all it's doing is searching very hard for safety. In

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any way, shape or form, that's what it's wanting to do. So the choosing is based on what is

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going to feel safe right at this moment. So a habit of meth use or cocaine or heroin or

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any of those higher end drugs, there's a very quick fix to what they perceive as safety.

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Very quick one. And then the calm down is like, oh.

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Yeah. But even if you know that there are potential overdoses, I guess if you are so

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used to being in that pattern, then it is safe for you. Yeah, that's a really tricky

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one. And so how does the brain then adapt to changes in routine?

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That's a big, that's again the comes back to the four wheel drive analogy. It's really

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tough to adapt to change. It's actual using, your brain uses a lot of energy in that space

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because it's forward thinking. It is using a lot of that prefrontal cortex executive

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function. And if that has been not so much damage, but if it's been the development of

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that had been marred by anything, biological or external, it can be very, very hard to

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change your habits. And that's where a lot of, I suppose, relapse comes in or even just

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like normal overeating or under eating or being addicted to exercise. Yeah. It all comes

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in there. Does that make sense? Yeah, yeah, yeah.

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You mentioned dopamine before. So what impact does that have? Like a neurotransmitter have

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on habit forming? Pretty big, actually. It's, dopamine is involved

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in, I think, pretty much everywhere in the brain. But if there's a place that it's inhibited

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or it's unable to transmute, that's where you get lots of, so for instance, if it's

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unable to transmute properly, you do get, that's what they find in ADHD and schizophrenia

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and other kinds of quite severe mental health. But I suppose the dopamine part of it is,

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they say it's a pleasure, it's a pleasure hormone or a pleasure neurotransmitter, but

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it's more around like, just trying to think what I was thinking about before. It's more

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around the motivation. Is it a positive motivation or a negative motivation? So for instance,

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very, I don't know if you have heard of the cold plungers that people are getting into

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now? Yeah. So that's a lot of mental energy to get to that point, but the cold plungers

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almost resets dopamine and serotonin. And so people get addicted to it because of the

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rush of dopamine that comes in afterwards. So it's almost like, and that's where the

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drugs come in as a whole. If you have a huge amount of rush of dopamine, which is unnatural,

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that's where you get the addiction type behaviors. But if you have that, one way they're doing

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through the Wim Hof sort of strategies that they teach is that it's a dopamine rush that's

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natural, it's naturally created by your own body. And that's where they're saying the

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health benefits and mental clarity and motivation and get a better feelings of, I don't know,

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health and vitality. So there's a bit of science going on there. I think a lot of research

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happening around that now. So is it then that you need to do to get the dopamine level to

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get the motivation to continue doing? Is that the way I'm understanding it?

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It again goes back to the complexity of safety of feelings of. So the feelings that you get

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from safety come from your autonomic nervous system, which is directly resulted from the

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health of your neurotransmitters, the health of your dopamine and serotonin uptake. And

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it can be diet, it can be environment, it can be external stresses. So it's really one

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of those complex questions, I think.

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And so if you're, say, homeless or you have addictions where you probably have a harder

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time then getting those nutrients and getting the food that you need, then I imagine then

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it would be even harder to get yourself on the right path to change those habits because

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your body's not getting the nutrients to feed your brain.

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Yeah, that's pretty much a very big part of it. I used to run a community hub in my hometown

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in New Zealand. And one of our main, our real main ethos was around connecting with our

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chronic homeless community because it was so big over there. It's been big over there

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for about 10 years.

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Really?

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Yeah, it's huge. It's like when I moved over here, there was nothing compared to home.

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But we used to really provide a safe, well, this is what we try to do, provide a safe

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place that they could come without judgment. So we had showers and we had clothes and we

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would sit there and have cuppers with them and just really make an effort for them to

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be supported in the space. And it took about, I was there for three years, and I'd say

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a good majority of them really felt safe. And they would ask their mental health nurses

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because a lot of them had injections for different mental health conditions. They would come

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into our space because that's where they felt safe. But some of the different decisions

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they would make around their money started changing because we started supporting them

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with food and it wasn't so much giving them a handout, it was a hand up. So we would charge

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them $10 for a week for a whole like a parcel of food that they wanted to choose. And they

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would start prioritizing $10 a week, whereas before it would go to alcohol.

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Yeah.

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So it all came about through connection.

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Yeah. And it sounds like it took quite a period of time though to get those results.

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Yes, a very long time because they are in themselves, they are a family.

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Yes.

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And so we had chronic homeless and situational homeless over there around what we're seeing

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here now, the rental crisis. But our chronic homeless, we would get them to a point where

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we would secure some housing or some kind of option, but it would only last a very small

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amount of time because they were alone and lonely and they crave the connection, habit

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connection of their own friends and the people they felt comfortable with. So the choosing

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of being in a home rather than being with people they trusted was a bigger motivation.

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And I'm going off on a slightly different track here, but I know that when I used to

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work with homeless kids with mental illness and drug and alcohol issues, and we had mandalas

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and we'd have coloring in pencils there and it was not to minimize in a childlike way

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their age or anything along those lines, but it's because that repetitive action of coloring

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in can help to alleviate stress in the brain.

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So it sure does.

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I'm really interested, you've mentioned connection, but also about mindfulness and meditation

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and what ways that can affect the neural circuits related to habits.

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From my own, I suppose, view or just watching some of my clients for the last few years

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is that that type of meditation and it's really a slowing down and relaxing of the nervous

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system. And that allows a lot more positive chemicals to flow. Because if you think about

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rushing, think about being in a kind of high alert arena that a lot of our homeless community

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are in most of the time. There's no real space in that nervous system for peace and calm.

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So there's a rush going on in the brain and the cortisol that comes in to keep you on

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high alert prevents some of the other chemicals coming in that can help with almost, I'm trying

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to say, choosing things that are better for you really, mindful choosing I suppose, mindful

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actions. So if you're able to create a bit of slow down or a bit of safety and peace,

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especially with the repetitive stuff, that can really calm down the nervous system. That's

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all this big cycle, determining whether we feel safe or not. Not even like, we don't

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even have to say, oh, I feel safe, our actual nervous system, feeling safe or not. Does

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that make sense?

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Absolutely. I think it's quite a big area as far as trying to get that nervous system

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to slow down and go back to that neutral zone.

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Hugely. I've got lots of very, not high end clients, but clients that are in high pressure

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work environments. Not so much corporate, but just like a lot of mining clients here.

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I've got clients who are supervising in the mining industry and the amount of pressure

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that comes on that type of role, safety wise, and you're looking after a lot of people's

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lives or you've got a lot of people relying on your skill. That in itself activates the

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nervous system in a way that's productive. But if you have that all the time for years,

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I've got several of them like that now, they're finding they can't find joy in anything because

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they're so fried and their nervous system is so used to running very, very quickly.

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We're seeing a lot of that.

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What would be maybe the top five things that you would, connection included, give to your

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clients as sort of little homework, I guess, to help change those habits and to start forming

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new habits?

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The top five things, one of them would be the ones that aren't at the point of breaking

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down. I sort of talk to them about what their interests are, what things that really float

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their, what they really find joy out of. A lot of them are different. One of them is

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a keen mountain biker. And I'll tell you, okay, we, and he hadn't done it for so long.

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So we chatted about, okay, this is one of your missions for the week is to get out twice,

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put on music in your head and your ears, be on the mountain, why you just have to have

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one on and then come back and I want you to tell me exactly what you noticed in your body

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afterwards. And I was actually, instead of doing it mindlessly, you're doing it mindfully.

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So it's real mindful slowing down. You're actually noticing what your body's doing.

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Are you breathing slower? Are you finding your thoughts are more calmer? That sort of

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thing.

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The other thing I do is a nervous system protocol, which is for my ones that are really so strung

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out and they can't even think. And it's usually in conjunction with support from family members.

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It is most definitely time off their work. This is for my heart like real acute. And

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it's an actual new, it's an actual reset. So it's allowing the nervous system enough

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time to come down enough so we can work on maintaining a little bit more calm.

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And then you're getting that connection with family as well. So it's a bonus. Yep.

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I usually bring family in. A lot of mine have actually been older teenagers and that's very

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common because of the structure of the brain that's happening in those years. And having

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that buy in from a family, it causes a bit of relax for the teen to be able to actually

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do what they need to do to bring their nervous system back down again.

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Yes, it's quite a, and it comes again, comes back to what is their motivation to actually,

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I usually ask them, what are your goals here? Because if your goal is for me to fix this

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arena, then I'm not going to be able to do that until your nervous system is supported

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and you actually do the work. So I do get to that point with them. I can send them away

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with strategies, but if they are unable to choose them, and that usually comes back again

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to what we're talking about, and what's their motivation. And a lot of them are so strung

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out they do trial of few things. I don't give them too many things.

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No, but there needs to be an accountability in there as well.

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Yeah. Yeah. Absolutely.

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Because they just come for an hour a week or an hour every two weeks. But I'm really

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impressed with the strength of some people and what they've come through.

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Oh, absolutely. Yeah.

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I had one young girl who had a lot of stuff going on for her, lots, and some biological

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and some not, but she trialed one thing. And it was basically just, so we had a nervous

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system protocol for her and for her family to support. And it was, she's a type of nervous

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system that just needs peace and space from people. Because she's very, very sensitive

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to everyone else's. And it was basically just swimming in her pool with no one interrupting

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as long as she needed. And she came back and said how much her brain slowed down because

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she wasn't worried about people interrupting or asking her things or she just could just

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be. And that was really important for her. So I was really proud of her doing that because

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it's huge.

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Oh, and that's incredible. And I think some people are people persons and some people

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aren't.

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Yeah, some people aren't. That's right.

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That's important. We are coming to the end. It comes around really quickly. Is there anything

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else that you would like to add in relation to habit forming?

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I think habit forming is probably the, it's one of the top things that everybody struggles

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with. It's habit forming and it's breaking them. So I think having an understanding and

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actually bringing yourself to a point where what do I want? What do I want with my life

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actually being honest about that? And even seeking support on how to get there. Because

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it can really help with just getting a few little tweaks. It does go a long way.

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Okay, well, how can people reach out to you if they'd like to find out more?

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So I am contracting through Southwest Wellbeing Center in Bunbury. That is the perfect place

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to get hold of me. I'm just going to grab up the actual contact. I'm sorry, I should

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have got that.

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That's okay. Is there a Facebook page for the?

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Yeah. Yes, there is a Facebook page for Southwest Wellbeing Center at the moment as well as

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a website. But we're on 0897919955. And a lot of us there have lots of experience in

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that arena.

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Well fantastic. Thank you, Deb Nicholls.

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No worries.

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And I look forward to having you again sometime.

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Thank you so much.

