Treated with Dr. Sara Szal25 Juni 2025

Surviving the United States of Dysregulation with Dr. Nicole LePera (The Holistic Psychologist)

Do you always feel a sense of urgency—like you’re on edge, reactive to everything around you? Or, on the other hand, shut down and withdrawn? Then you may be experiencing dysregulation. Dysregulation occurs when the body and mind fall out of balance and struggle to return to a neutral state. Today, clinical psychologist Dr. Nicole LePera (@theholisticpsychologist) joins Treated to explore how and why so many of us live in a constant state of dysregulation.

Dr. Sara and Dr. Nicole discuss how our early environments shape the way we respond to stress as adults, what a healthy stress response looks like versus a chronically dysregulated one, and why women are more susceptible to dysregulation. Then they dive into the importance of taking a “bottom-up” approach to healing and explore the role cortisol plays in keeping us stuck in survival mode.Throughout the episode, Dr. Nicole shares personal stories from her own healing journey—from the impact of her mother’s emotional withdrawal during childhood, to using substances to self-regulate in high school, and even how her mother’s stress during pregnancy contributed to her chronic anxiety. To close, Dr. Sara and Dr. Nicole offer practical tools for regulating the nervous system– from setting boundaries to improving sleep.

// LEARN MORE FROM DR. NICOLE LEPERA //

Visit his website theholisticpsychologist.com

Follow her on Instagram @theholisticpsychologist.

Purchase all of her books through her website, How To Be The Love You Seek, How To Meet Yourself, How To Do The Work.

// KEEP IN TOUCH WITH DR. SARA //

If you have a question, leave a voicemail at speakpipe.com/treated

Follow on IG: @saragottfriedmd @treatedwithdrsara

Watch Treated on YouTube

Produced by Dear Media.

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