How Children Process Trauma

Published: June 17, 2022, 1 p.m.

The trauma of children is something that I feel very passionate about. But to be good at helping kids process their trauma, you first have to understand how they process information. 

https://childmind.org/guide/helping-children-cope-after-a-traumatic-event/

 

Transcript:

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you're listening to psych with mike for more episodes or to connect with the show with comments ideas or to be a
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guest go to www.cyclicmike.com follow the show on twitter at psych with
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mike or like the facebook page at psych with mike now here's psych with mike
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welcome into the psych with mike library this is dr michael mahon and i am here today with mr brett newcomb and with
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intern michael good morning good morning young man how are you doing i'm all right so this is the friday
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after the horrible shooting in texas in uvalde texas and uh
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i'm i feel um i feel uh i feel a certain weight on my
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chest do you guys feel that do you feel a different weight because children involved and then you felt in
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buffalo 10 days ago absolutely yeah yeah interesting um so i read every
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word that stephen king wrote until i read pet cemetery
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and pet cemetery is obviously includes a child in it
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and that was something that profoundly impacted me and i and and included a
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child in a way that made the child kind of evil and that was something that was really
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hard for me to process and i didn't read any stephen king after that i have the same thing with anne rice and
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the way that she uses claudia and interview with a vampire um the the
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when you there's just something different for me there's something different about kids than
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adults and you would not want to read orson scott card's book lost boys
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uh no i'd like watson scott card but i probably would not read that one will make you cry your eyes out yeah tragic
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tale yeah even even some of the ender's game series gets a little dicey in that
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regard yeah absolutely i mean when you're when you're recruiting the children specifically for
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that purpose yeah i mean and and you know that you're doing it i mean it's intentional i mean that's and we're
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getting very esoteric now but but yes i feel definitely that there is a difference
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between children and adults is that is that unique am i
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do you guys feel that way i don't know that i've thought it
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through i would just have emotional reactions i'm not sure how useful that is yeah
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yeah but uh the and and so
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maybe a part of why this is prescient for me is because
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after 9 11 you and i were working in a group
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practice at that time yes yeah okay you remember that of course and
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the day that that happened the day that 9 11 happened i was sitting on the
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parking lot of a computer store retail computer store because the
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person who ran that office had given me permission the day before that to
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actually network the office for the first time in the history of our office and so i
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was there buying cable and routers and things like that to be able to create an internet network at our
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office for the first time that we had ever had and i don't even remember if you remember this but i had ran cables down the walls and stuff like that
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vaguely and tiger woods was in town for
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a pga the pga was at belle reeve in st louis here that day uh that week for the
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pga championship tiger wood was supposed to be putting on an expose he was at the height of his popularity and i was
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sitting on the parking lot listening to the coverage of golf and i heard about the planes flying into
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the twin trade towers and i was mortified and i came to work that day came to the office and i had clients
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scheduled and i said to you i don't know if i can do this
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and you said well if you can't do it that's fine but i would promote the idea to you that if
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you're having a hard time then your clients are having a hard time and so i
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stayed and i and i did therapy that day and i was glad that i did but
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in the aftermath of that because we worked with a lot of school districts i was tasked with
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putting together some kind of presentation about what the impact of this was on kids because if you remember
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that day everybody wheeled vcrs and whatever i mean i don't even remember what the technology was but
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wheeled uh televisions into the classrooms and they were showing this stuff and the
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the the news coverage was putting this on a loop and one of the things that came out of
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the research after that day was kids can't understand the difference between
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this happened once 35 minutes ago and it's the same plane over and over again they were
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re-traumatized every time they saw the new events and so this started a whole
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investigation into how's the difference between the way that kids process
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information and the way that parents process information and as adults and
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especially when we ourselves are having an emotional reaction i don't think we always understand or appreciate the
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differences between the way that the children process that information
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and so one of the things that i'm that's why for me it's different when we talk
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about kids than adults because i did a lot of that research at that time and
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understand that that's different and i just feel for any child right now my son's a teacher
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in and middle school and so not as young as these kids but i was talking to him
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yesterday and i said you know this has just got to be devastating he said i i don't even know he said i don't know what to do we're just we're just
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doing emotional first aid well you still don't know what to do in the state of missouri missouri is the fourth highest
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number of gun deaths per hundred thousand state in the union it's higher than texas
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uh 48 of people in missouri own guns but the state legislature has been
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pushing all this year that teachers are pedophiles that we can't allow them to choose textbooks or curriculum that
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they're all going to teach crt and we need to watch them like hawks now they're saying let's give them guns i
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was just going to say but now they're done what's wrong with them it's you know unbelievable i hate
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it yeah and they all chase their own particular will of the west solution right um
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the argument i don't know there is an argument the question uh about clinicians that comes to my
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mind when you say what you've just said is in a crisis if you're not calm can you do therapy
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should you do therapy if you can become is it helpful to your client for you to do therapy
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and i think you have to ask yourself those questions and because you you can't do the counter transplant stuff of
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working out your own i was just going to say right in the room with the client right and and that's why we always
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recommend that clinicians have supervision and they have other people working that they can go to in a moment
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of crisis i remember working with lynelle sutherland when she found out that one of her clients had
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been killed she interrupted a session of mine and pulled me out in the hall and she said i need a hug and she needed to cry
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and then she needed to stabilize herself before she could go in with a client
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and you have to do that you can't bring your stuff to the table it's a real challenge
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but then as a human being as a parent you have to also
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try to absorb the sense of loss and ask the questions
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how how do we deal with children with questions right we deal with parents with questions well how do we move forward what do we
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do right and and we then even broaden that beyond
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just if you're a clinician every teacher in every classroom in america right now
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is having to do that for themselves and their class well teachers and kids at
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all level brackets are exposed to movies video games
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news media whatever there's a story out this morning about 11 year old girl that survived the
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shooting she laid on top of one of her friend's bodies and scooped up his blood and rubbed it all over and pretended to be
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dead now at 11 she had that much self-awareness and other
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awareness to try to figure out how to survive yeah but then today when she's telling the story about it she can't be
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interviewed by a man so she started hyperventilating she could talk to a woman
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how do kids process how do we help them process and just
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your ordinary classroom teacher i mean i'm just a boy from podunk arkansas sitting in a
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classroom trying to teach social studies what do i know about surviving trauma what do i know about murderers what do i
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know about machine gun assaults in the room and
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how am i going to help those kids right how do i do that well so the first thing is how do kids process information and
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and one of the things that i think is predominantly important is that people
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understand kids process information differently than adults
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and while hopefully most of us as adults we have some ability to use the ducks
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there i love the duck we have the ability to use some form of abstraction
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right so we can understand that these events that happened happened
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in texas and that's thousands of miles away kids process information black and white
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they are just concrete hence the name concrete development right concrete operations and so
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a kid sees something happen in a school that looks just like their school
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they don't know that that school's two thousand miles away from them that could be next door that could be in the
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classroom next door to them so that trauma is much more real for them
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because the way that they're interpreting reality is different than the way that adults interpret reality
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and one of the things that as i said before that they did in 911 was bring the the tvs into the classrooms and
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people were watching it because the the adults wanted to know they were afraid
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they were trying to get answers but they were leaving these things on a loop in front of the kids and every time that
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plane hit a building the kids thought it was another plane hitting another building and so for them instead of two
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planes or three planes hitting buildings they saw a thousand planes hit a building
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you know we were pretty lucky um i i was in the first grade in 911 well there you go and uh
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we they came across the intercom system and told teachers to turn off their
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televisions that's a good administrator i was really very fortunate but you need that kind of leadership that knows what
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to do and steps in and does it and then you need teachers that will follow the directions yes and they did they were
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really really uh well done for the situation that it was so i didn't see any footage until
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well after the day it happened we kept uh so we we had migration of kids from
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classroom to classroom for different classes so you would go to one classroom for really first one for math yeah yeah
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we i went to a fichen school or i'm sorry not a an edison school it's a
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system of like magnet schools that does similar things um like montessori but
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magnet and it's free um so uh they said everybody remains in the
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classroom that they're in right now nobody leaves their current classroom teachers can swell teachers will swap
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classrooms instead of students swapping classrooms um and my mom was a teacher in the in the
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building at the time she was a teacher's assistant for a kindergarten class and she said no i'm smiling because teachers
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really resist that they nest in those classrooms and they want to send the kids out and i got my stuff here my
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coffee cup my picture of my kid yeah so they really they church yeah it was a challenge but
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i think they did a good job with it and and what i remember from that day is
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um my dad was military so he was on base their defcon won right they're on
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lockdown phone calls aren't coming in or going out no no information whatsoever um my teacher asked
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if i would like to call my mom because she was downstairs um and so we had a brief conversation and
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mom said are you okay and i said yes that's all that that was it that was the whole conversation um
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so i heard nothing more about what happened what was going on until uh the next day um dad didn't come
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home that night right so he was stuck on base for well i think it was 48 hours um
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and so i i do think that you know my generation was the last bastion of having tornado and
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fire drills we never had school shooter drills um we were given information
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about what to do in the event of an active shooter this was obviously post
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columbine post columbine post colorado um post kent kent state university
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um however we never had to do the drills and now kids do the drills and i wonder
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about what that is like because 911 is uh is
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is something that's very far away in an office building um and you are inherently removed from
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it whereas an education space to me you're talking about children are sacred to me education spaces are sacred um and
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that that really strikes me every time every time that happens
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so let's go to our break and when we come back we'll talk about specifically what do kids need to hear
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from us as adults to make them feel better
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hey brett if you were going to tell somebody to check out something on the internet to
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help them with their mental health what would you tell them i tell them listen to psych with mike why would you tell them that
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because it's probably one of the most easily listenable experiences you can have that
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will give you information that's useful for a whole spectrum of concerns that
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people have i agree and i have actually been told that
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by at least a dozen people several of whom were not married to me
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and some of them didn't even know me that's amazing that is amazing
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it's when when we get that kind of feedback from people it is so incredibly
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humbling and overwhelming for me it is for both of us so we really appreciate it and as always
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if it's friday it's cycling [Music]
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okay we're back and you know the the research all shows that
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what we need to do as adults and caregivers to help children in a
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situation like this is to make sure that the children know they are safe and that
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the people that are taking care of them are safe so mom and dad are safe the teachers are safe and so that's the
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thing that we need to be able to help them to feel comfortable with so
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you don't have to be able to explain why there are bad people in the world you don't have to be able to go through why
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there are good or bad gun laws all you have to be able to do is to provide a
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structural foundation for that child that lets them know that you're safe
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that they're safe and that you're going to do everything to make sure that they are able to continue to be safe
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you look like you're in i don't know how you do that and depending on the age of the child
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first grade versus a fifth grader versus a ninth grader they're going to have different levels of awareness
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and information sources most of these kids now have cell phones right
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that at least offer the opportunity for news flashes and notifications to come up and how do you tell them you're going to
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be safe we don't know that you know i don't know that you're going to be safe what i can tell you is we're going to do everything possible to keep
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you safe but life is full of unknowns right and so there are things that
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we can try to do to train and prepare you know like we try to teach you drown proofing in case you fall in the pool
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how you can help yourself until somebody can get to you we we have active shooter drills we have
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fire drills we have all kinds of drills hurricane drills what do you do in the circumstances to make yourself as safe
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as you can we try to have leaders in place who have exposure to these drills
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and trainings who themselves can't stay calm because it's not helping my classroom in 30 second graders if i'm
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having a panic attack because i'm frozen and don't know what to do and what i do or what i know to do may
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not be helpful may not be the solution so but i have to go through it
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and help them so let me ask you a question because we are old you and i are old yeah and certainly we are older than
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intern michael so intern michael's never done a nuclear bomb drill uh
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but you and i have yeah and so which at the time i knew better than i knew that
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if i got under my desk and hugged my knees but it wasn't going to make any nuclear bomb going on that desk is not a
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little formica half inch of material not going to help me at all and i also knew that i was 20 miles from
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my home and the school bus wasn't going to run if the nuclear bomb went off so how am i going at home how's somebody going to
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get to me so my question is did you find that to be
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ludicrous you found it to be ludicrous as a child okay okay even as a child you did not it did not give you any sense of
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security didn't make me feel any better about the adults they don't know what the hell they're talking about um because my experience was exactly the
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opposite my experience you're more over sucker than i am more of a sucker than you are uh and i didn't understand the
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dynamics of what a nuclear bomb was or what mother was a little better informed than
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the average person of my age let's just face it you're smarter than the average bear i am but
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i found that to be comforting like i thought okay these these people have my back they know what they're doing and so
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we're going to get under these tables and so if something happens i feel and i am going to offend you but i would say
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that a lot of people who hang on to religion use it for the same reason for the same reason
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and that they don't have any better information than than i have or any better predictability of the
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outcomes so when republican politicians send thoughts and prayers it doesn't solve the gun problems shooting up
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schools well clearly that's true i mean yes thoughts and prayers we got to get beyond that
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well i mean where do we go well i'll kind of push back um i think those are different i think those are different
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situations one is one where you do not have control right if we're talking about nuclear bombs nuclear
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proliferation there is some degree of control at a high policy level but as an individual as a child getting
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under a desk if that brings you comfort what is the sucking your thumb yeah what
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is the problem in the comfort um outside well i don't know if there's a
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problem right long-term resistance to policy change right if people are comforted
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they won't take action right if they're not comfortable if they are uncomfortable they might take action so
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to me the definition there there has to do with the immediacy of the moment if i can comfort myself enough to quiet my
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anxieties then i can brace myself for the next wave whatever that is right so i don't know that it
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impacts the longer term solution to the outcome and i do agree with you if
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there's an immediate way to calm down someone in hysterics and help them stabilize then you can
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help look for a path forward even if you don't see one you can at least be calm enough to look and if you're in the
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middle of a hyperventilating panic attack you can't do that either and as an adult
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i have that responsibility i take that responsibility i embrace that responsibility even if i don't know what
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to do with it but when i go in that classroom just like uh police officer training has changed since columbine and
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they used to say gather and wait and negotiate uh
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call for resources now they say you got to go in you got to go in so now the cops don't go in they didn't go in in
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texas yesterday and the police officer in charge said they could have gotten shot they could have gotten killed
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that's why they didn't go in kids could have been shot kids were shot and killed my response is if i take that job and i
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take the training for that job and i swear the oath what i am saying is given that situation i'll go towards the sound
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of the guns and i expect them to do it they took the job they take the pay they get the retirement they take the risk
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and i love them for it and god bless them and we need them but if you own up and put on the uniform get your ass in
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there so going back though to my analogy of the
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bomb drills that didn't help you it helped me and so when i'm saying that that we need to
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find ways of being oh you got me in trouble because i wouldn't take it seriously make the children feel safe right yeah that was beneficial for me so
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that was that worked for me what would happen that was just how smart i wasn't because i smarted off and got in trouble
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yeah i could have figured that was going to be happening well but but is there anything in that situation that you look
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back on now that you think would have been beneficial for you
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um i don't know yeah because because you you rightly point out kids are different
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every kid is gonna need something different to make them feel okay the bomb drills actually helped me they made
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me feel more safe and so that was a good intervention for me it wasn't a good
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intervention for you so you teach your children at santa claus was a lie
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i don't know what you're talking about because i still think santa claus is an actual man who lives at the north pole
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okay but no i did not teach them that yeah not until they came up with it on
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their own yeah it's it's a question parents have to answer yeah do you buy
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into this myth because it's comforting and it's pretty and it makes a nice holiday picture
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or do you indulge your children's fantasies because it makes their childhood happier
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yeah everybody has to have their own answer now i have my answer but as a clinician i don't impose my answer on my client
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right i listen to the client and seek ways to help them define their own answer right
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but you don't you you don't know of anything that would have spoken to that child that you were no so if if i had
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come to you as an adult if i had come to you and and said hey little brett uh
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this is about i didn't trust adults i lived in a high perspective so maybe that's the day
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yeah but maybe that's the issue is that you didn't trust adults no and so you didn't see adults as an
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arbiter of things that would create safety for you no and so maybe that was really the issue
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if there would have been some other way not through the avenue of an adult but then
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how many kids in our country don't trust adults great question probably a large and so
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if the adults are the ones who are saying oh here let's make these children feel safer maybe maybe those that isn't
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going to work for those children because they don't trust adults and maybe they shouldn't trust but again the conversation is partly
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difficult because you're talking about a huge conclusion you have to break it down into brackets kids from one to six
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from six to ten you know their exposure their life their realities are all different right their capacities are all different but
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so what i would say to that is you use language that is appropriate for the age group so i would speak differently to a
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six-year-old than i would speak to a 12 year old i hope so but the goal would be to make them feel safe and secure
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that would be the goal if you can find a way to do it yeah but also
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how do you do it yeah i i think a lot of the research that i had read in
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like developmental psych classes dealt with building resilience and finding different ways to build
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resilience right kenneth ginsburg is dr kenneth ginsberg is the kind of the author
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in pop psych or i guess also a clinical psych that comes to mind and he talks about these seven c's of resilience
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competence confidence connection character contribution coping and control and he says if you can build those
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things that if you want to if you want to look at the long-term success of a child either economically or emotionally
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resilience is that key and so i wonder if it's less about convincing children that they're safe
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right because i agree right as well as hierarchy of needs you have to understand that you are safe it's less about convincing children they
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will always be safe and more about giving them the tools to be competent
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enough to find their way to safety at all times right to always know that they can rely on themselves
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you can't take education away from somebody yeah so i i would then respond to that i mean because i
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absolutely agree with what you're saying makes perfect sense however my opinion is that over the last 15
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years we've done a major disservice to our kids by teaching that every child always wins so we don't discriminate a b
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c d you know we all get a's we all get ribbons everybody wins nobody comes in second place reality is reality we have
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to teach our kids about reality and we have to give them confidence to navigate the real world
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so in the real world there may be a shooter if there is one here are the things that we can try to do to be safe these are
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the things we'll try to do with and for you to make you safe yeah well so
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but going along that line so i think that you're that what you say michael is 100 correct that that trying to increase
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resilience in those kids is the answer when i say make them feel safe
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i think that that's an issue that's incompetency which is the purpose of the drills right the shooter reels or the
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fire drills you are competent to lead your desk row out of the building you know which way to turn when you go out
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the door you know where to go absolutely yeah all those overlap there they're all
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woven together in fabric that helps the child grow and survive so that comes from ultimately the relationships that
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the child has with the adults and the other children around them it's that connection that it is very relational
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and that is how you build that that safety net that is how you help the psychology of a child and the
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mental health of a child to work through these really really big issues yeah so if there had been
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a designated child to lead the classroom and the school had gone together and said oh
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bret little brett seems like that he's uh pretty good at that he's got some you know stuff going on and so you had been
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designated as the the the group leader for your row or
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whatever to get under the desk and model that would that have been beneficial for you
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would that have have helped you to feel more confident and confident
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i can't speculate i have no idea yeah i wonder if that would have been because now that you're saying that i mean i
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that now that actually goes back to the whole floss about to as a classroom teacher take the bully and draft them
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into authority yeah and give them responsibilities so that they're not bullying but they're taken care of yeah so it's a strategy would that work for
29:16
me i mean it's equivalent of being a bullet i'm standing in the corner snarking and going you guys are suckers um maybe well but i don't know but would
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you have taken it more seriously like if you had that authority i don't know it didn't happen but yeah would it i don't
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know but it's the contribution piece right exactly and and and so you know i'll
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include that an article about that uh with the the show notes but i think that
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that really is probably what we need to try and focus on is exactly that that
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resilience piece and when i say you know make them feel safe that's exactly
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what i would think of however yeah as a grown-up teacher who spent 20 plus years in classrooms of 100
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other teachers i'm also aware of
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imbalances in capacity among the teachers yeah uh
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so what if they can't do it well which is the question comes up when i mean i think i saw in the paper this
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morning 32 school districts in missouri have authorized teachers to carry guns yeah i don't want a second grade teacher
30:23
taking a gun what what do she do with her gun when when little billy throws up and she has to clean it up once you do
30:29
with the gun when two kids get into a fist fight she has to go break them up right what did she do with a gun when
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she squats down to teach somebody reading and somebody pats her butt or some kid sitting there goes oh i want to see your gun
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and is she trying to shoot it does she know what to shoot at and how and when right i mean because if she's going to
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be carrying the gun she's going to be carrying it on her it's going to be unsecured today you don't leave it in your desk drawer right if it's locked
30:53
and you're looking good right yeah i mean that's what they're going to say but those questions haven't been answered the solution is we'll arm the
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teachers yeah harden the schools this school in new valley and fifty thousand dollars hardening the
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school somebody left the back door on right right which always happens always happens well i think that comes back to
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a very juvenile solution to the real question of neglect here right we're saying we're saying that we are
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neglecting our children systematically and instead of changing the system we're going to go with the
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solution of of theoretical and overlap yes yeah and so the real solution there is to you
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said there are different there are differences in the capacity of teachers right there are differences in
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the aptitudes of students and so what we do is we don't build better teachers we build better systems for those teachers
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to exist in that would be ideally so hopefully that is helpful it
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at least was helpful for us to kind of work through this ourselves um we are just human beings living in the world
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the same as everybody else and we have feelings about when things like this
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happen it's traumatic for us the same as it is for we don't have answers either no i mean we're just trying to do the
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best that we can and that's all anybody can do uh the music that appears inside with
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mike is written and performed by mr benjamin the clue we definitely invite everybody to go to apple podcast find
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psych with mike and leave us a rating and a comment you can go on youtube search
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site with mike find us there and definitely subscribe to the show that would be the one biggest best thing that
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people could do to really help us out and as always if it's friday it's psych with
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[Music]
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you