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I LOVE the ladder, I need to print that out for myself. One of the very first images that really helped me understand what living with Anxiety is was labeling those low points as “doom spiral” or “falling into the bottom of a pit”. Now many years of therapy and much more nuanced images and tools to help myself feel, label, and cope later, that ladder image is so exactly what I was picturing back then but with the physiological connections labeled as well. Dang. So good.

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Thank you! Yeah it's been such a helpful framework for me, and the engineer/skeptic in me has really found the physiological connections valuable. Generally, polyvagal theory has been something I wish I knew about years and years ago. Such a constantly good source for understanding "oooh right that's why I'm doing this thing right now" .

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