Healing Medicine: Mindfulness, Mindset & Physician Well-Being

296. When the World Feels Unsteady, Choose Intention Not Panic


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We are not here to pretend this is fine. We are here to help you get steady enough to choose how we respond.

When fear narrows your thinking, you can come back to the body first.

Regulate first. Respond second.

In this conversation, Ni-Cheng and I name the collective fear, grief, exhaustion, moral distress, minority stress, and racial trauma.

These are real, lived experiences that shape safety in our bodies.

When we are activated, our wise brain is harder to access. That is when we send the text, make the decision, or take the action from urgency instead of intention.

This episode offers practical micro-tools that work in real life.

The breath, a longer exhale, box breathing, 4-7-8, orienting to safety by feeling the ground under our feet, and hand to heart are ways to physiologically downshift. Yoga is too.

Read more about this topic in Jessie Mahoney's blog: What would love do when the world feels usnsteady.

https://www.jessiemahoneymd.com/jessies-blog/what-would-love-do-when-the-world-feels-unsteady

PEARLS OF WISDOM • A dysregulated nervous system makes urgency feel like truth. Regulation gives us back clarity, choice, and values-based action. • Fight, flight, freeze, and fawn are adaptive responses. We can name our defaults without judging, then choose the next step. • Moral distress, grief, anger, numbness, and exhaustion are normal human responses to instability. Nothing is wrong with you. • Trauma and minority stress live in the body. When safety feels threatened, hypervigilance and shutdown make sense. • We do not have to do everything. We choose a lane of helping that matches our capacity and sustains us over time.

Reflection Questions: When you feel activated, what is your default—urgency, over-functioning, numbness, shutdown, or fawn? What helps you return to the green zone —long exhale, feet on the ground, hand to heart, movement, nature? Which lane of helping feels like desire and alignment, and which lane feels like guilt or over-responsibility? If your future self looks back five years from now, what do you hope you feel proud of in how you showed up?

If we want to practice these tools in community, especially in nature, explore our offerings here:

www.jessiemahoneymd.com/retreats www.jessiemahoneymd.com/coaching www.jessiemahoneymd.com/speaking

The Healing Medicine Podcast was formerly known as the Mindful Healers Podcast Nothing shared in the Healing Medicine Podcast is medical advice.

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Healing Medicine: Mindfulness, Mindset & Physician Well-BeingBy Dr. Jessie Mahoney and Dr. Ni-Cheng Liang

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