Resilience Radio

Why are alcohol and caffeine treated as ordinary parts of daily life while other mind-altering substances remain heavily stigmatized?

In this follow-up conversation, Irvin Eisenberg and psychotherapist Robert Steffke explore how culture, legality, intention, and context shape our relationships with substances. They consider how social acceptance can be influenced by criminalization, and what changes when substances once used in cultural, ceremonial, or medicinal contexts become commercialized or routinely consumed.

Robert reflects on his own experience with addiction recovery and time spent in 12-step communities. He describes recognizing when substance use was helping him avoid pain and disconnect from life rather than engage with it—and the value he found in supportive community and in experiencing life without mind-altering substances.

The conversation then turns toward the relationship between pain and fear. Robert shares a personal experience of encountering physical pain without the usual fear surrounding it and considers how fear can intensify or shape painful experiences.

Irvin and Robert also discuss ketamine-assisted psychotherapy, trauma, and the possibility of observing a difficult experience without feeling completely overwhelmed or defined by it. They explore how distance, support, and self-compassion may allow someone to develop a different relationship with pain or an experience from the past.

This episode follows an earlier Resilience Radio conversation with Robert about ketamine and his psychotherapy practice. Listening to that episode first may provide useful context.

CHAPTERS

00:00 — Drugs, Culture, and Social Acceptance Why some mind-altering substances are treated as normal while others remain taboo.

01:33 — Intention Behind Substance Use Robert reframes the discussion around purpose, enhancement, and conscious choice.

02:01 — Criminalization and Cultural Stigma How policy, criminalization, and social judgment can influence cultural attitudes.

03:32 — Context, Moderation, and Sacred Plants Tobacco, corn, coffee, and what can happen when something is removed from its original context.

05:29 — Everyday Substances, Addiction, and Recovery Robert reflects on recognizing when substances were creating disconnection rather than helping him engage with life.

07:03 — Experiencing Pain Without Fear A personal story about separating the experience of pain from the fear surrounding it.

08:28 — Ketamine, Perspective, and Pain How gaining some distance from an experience may change a person's relationship with pain.

10:19 — Trauma as an Unintegrated Experience An analogy about childhood injury explores how support may affect the way a painful experience is carried forward.

12:23 — Meeting the Past with an Adult Self Robert describes approaching earlier experiences with care, perspective, and greater internal resources.

13:02 — Closing Thoughts A brief conclusion and invitation to hear the previous conversation.

RESOURCES

Resilience Occupational Therapy https://resiliencevermont.com/

Music: "Some Biological Process" by Aaron Marcus https://aaronmarcus.bandcamp.com/

DISCLAIMER

This conversation is provided for educational and informational purposes only and is not medical advice, diagnosis, or treatment. The opinions expressed by the guest are his own and do not necessarily reflect the views of Irvin Eisenberg or Resilience Occupational Therapy.

Episode Description

In this episode of Resilience Radio, Irvin Eisenberg and Rob Steffke explore ketamine-assisted therapy, trauma, non-ordinary states of consciousness, and the healing power of relationship and connection. This conversation looks at how ketamine may support therapeutic work, why "set and setting" matter, and why the medicine itself is only one part of the process.

Key topics include: ✅ What makes ketamine-assisted therapy different from recreational ketamine use ✅ Set and setting, intentionality, and the role of the therapeutic relationship ✅ Trauma, depression, the observer mindset, and non-ordinary states of consciousness ✅ Why integration before and after a session may be as important as the session itself ✅ The importance of not having to move through difficult experiences alone ✅ The limits of one-on-one therapy and the need for broader community support ✅ Practical considerations, including readiness, collaboration with an existing therapist, insurance, and cost

Rob Steffke, MA, LMFT is a psychotherapist whose work includes training therapists, ketamine-assisted therapy, body-oriented approaches, and an interest in how non-ordinary states of consciousness can support healing and personal change.

Rob Steffke: https://www.psychologytoday.com/us/therapists/rob-steffke-nevada-city-ca/269308

Listen on Libsyn: https://directory.libsyn.com/shows/view/id/resilience

Watch on YouTube: https://www.youtube.com/@ResilienceOTRadio

Book an Appointment with Irvin: https://scheduling.go.promptemr.com/onlineScheduling?w=356&s=DL

Music Credit: "Some Biological Process" by Aaron Marcus https://aaronmarcus.bandcamp.com/track/finlays-menopausal-fridge-some-biological-process

SHORT EPISODE SUMMARY Rob Steffke joins Irvin Eisenberg to discuss ketamine-assisted therapy, trauma, non-ordinary states of consciousness, and why healing often depends on relationship, preparation, integration, and the experience of not being alone.

In this episode of Resilience Radio, Irvin Eisenberg and Amy LePage explore parenting stress, co-regulation, and practical ways to calm yourself while helping soothe a baby. This conversation looks at how a caregiver's body mechanics, breath, voice, and nervous system state can shape the energy of an interaction, and how small shifts can sometimes help both parent and child settle.

Key topics include: ✅ Co-regulation and why soothing a baby often starts with the adult nervous system ✅ Practical body mechanics while holding or calming a baby, including widening the stance and shifting the bounce downward ✅ Using tone of voice, sound, and simple vowel sounds to support regulation ✅ Reducing shame and perfectionism for overwhelmed parents and caregivers ✅ What parents can learn from babies about attention, movement, and nervous system flexibility

Amy LePage is a movement teacher and bodyworker whose work includes pregnancy, birth preparation, postpartum support, and helping people find more ease and connection in their bodies.

Amy LePage: https://www.emergewithamylepage.com

Listen on Libsyn: https://directory.libsyn.com/shows/view/id/resilience

Watch on YouTube: https://www.youtube.com/@ResilienceOTRadio

Book an Appointment with Irvin: https://scheduling.go.promptemr.com/onlineScheduling?w=356&s=DL

Music Credit: "Some Biological Process" by Aaron Marcus https://aaronmarcus.bandcamp.com/track/finlays-menopausal-fridge-some-biological-process

SHORT EPISODE SUMMARY Amy LePage joins Irvin Eisenberg to discuss parenting stress, co-regulation, and practical ways to calm yourself while soothing a baby, including body mechanics, voice, movement, and gentle nervous-system support.

In this episode of Resilience Radio, Irvin Eisenberg and Amy LePage explore the role of rest, recovery, and nervous system awareness—especially in the context of busy lives and new parenthood.

They discuss how rest is often misunderstood, why tuning into your body matters more than rigid routines, and how small moments of intentional recovery can have a meaningful impact on health and resilience.

Key topics include: ✅ The difference between rest and sleep ✅ Listening to your body vs. following strict protocols ✅ Nervous system regulation in daily life ✅ Recovery strategies for parents and busy professionals ✅ Building sustainable habits without burnout

Amy shares practical insights from her work that help bridge structured programs with intuitive body awareness.

Learn more about Amy LePage: https://www.emergewithamylepage.com https://www.emergewithamylepage.com/courses

Book an Appointment with Irvin: https://scheduling.go.promptemr.com/onlineScheduling?w=356&s=DL

Music Credit: https://aaronmarcus.bandcamp.com/track/finlays-menopausal-fridge-some-biological-process

In this episode of Resilience Radio, Irvin Eisenberg sits down with somatic movement practitioner Amy LePage to explore the relationship between sleep, stress, and nervous system regulation.

Many people struggle with sleep even when they feel exhausted. Amy shares how nervous system patterns, stress responses, and body awareness can influence sleep quality, and why improving sleep often requires working with the body rather than simply trying to force relaxation.

Amy explains how somatic movement practices can help people reconnect with their bodies, recognize stress patterns, and support deeper rest and recovery.

Key topics include:

✅ Why stress and nervous system regulation influence sleep ✅ How the body's stress response can interfere with rest ✅ Why feeling tired doesn't always translate into quality sleep ✅ How somatic movement practices can support sleep and recovery ✅ Practical ways to reconnect with the body when sleep is disrupted

Amy's work blends movement education, nervous system awareness, and body-based exploration to support sleep, movement, and overall wellbeing.

Website https://www.emergewithamylepage.com

Somatic Movement & Courses https://www.emergewithamylepage.com/courses

Prenatal / Postnatal Movement https://www.emergewithamylepage.com/home/prenatal-postnatal-movement

Move & Breathe with Baby (On-Demand Classes) https://www.emergewithamylepage.com/move-and-breathe-with-baby-on-demand

Free Resources https://www.emergewithamylepage.com/free-resources?category=mid%20day%20reset

https://aaronmarcus.bandcamp.com/track/finlays-menopausal-fridge-some-biological-process

https://directory.libsyn.com/shows/view/id/resilience

https://scheduling.go.promptemr.com/onlineScheduling?w=356&s=DL

In this episode of Resilience Radio, Irvin Eisenberg and Syn Graham explore what scar work actually feels like after gender affirmation top surgery—and how a gentle, collaborative approach can create meaningful changes in both tissue and body awareness.

Key topics include: ✅ Why scar tissue isn't "bad" and how it supports healing ✅ Differences between forceful vs. gentle scar techniques ✅ How scar work impacts mobility, contour, and comfort ✅ The role of safety and communication in clinical care ✅ Why scar work can still help years after surgery

Syn shares their lived experience navigating recovery, working with scar tissue, and finding a sense of ease and integration in their body.

Music Credit: https://aaronmarcus.bandcamp.com/track/finlays-menopausal-fridge-some-biological-process

Listen on Libsyn: https://directory.libsyn.com/shows/view/id/resilience

Watch on YouTube: https://www.youtube.com/@ResilienceOTRadio

Book an Appointment with Irvin: https://scheduling.go.promptemr.com/onlineScheduling?w=356&s=DL

In this episode of Resilience Radio, Irvin Eisenberg and Keegan Albaugh continue their conversation, building on themes from Part 1 and exploring how fatherhood, identity, and social expectations show up in real-world experiences.

This discussion moves into the lived side of parenting—what it feels like to step into caregiving roles, how fathers are perceived in public, and the challenges many men face navigating expectations around vulnerability, responsibility, and identity.

Key topics include:

✅ How fathers are perceived in caregiving roles ✅ Why many men feel unprepared for parenthood ✅ The tension between vulnerability and social expectations ✅ Real-world experiences of parenting in public spaces ✅ The role of community in supporting identity and connection

Music Credit: https://aaronmarcus.bandcamp.com/track/finlays-menopausal-fridge-some-biological-process

Listen on Libsyn: https://directory.libsyn.com/shows/view/id/resilience

Watch on YouTube: https://www.youtube.com/@ResilienceOTRadio

Book an Appointment with Irvin: https://scheduling.go.promptemr.com/onlineScheduling?w=356&s=DL

Dad Guild: https://www.dadguild.org

In this episode of Resilience Radio, a representative of the Dad Guild discusses the tension surrounding conversations about lonely men, public anger, and social responsibility. Rather than choosing sides, the conversation explores how multiple truths can exist at once — acknowledging harm while still recognizing isolation and unmet needs.

Key topics include: ✅ Why discussions about lonely men provoke such strong backlash ✅ The difference between compassion and excusing harmful behavior ✅ How social narratives collapse nuance into blame or denial ✅ Why "both things can be true" is psychologically difficult ✅ The emotional and social costs of ignoring isolation

This episode focuses on understanding the problem space — cultural, emotional, and psychological — before moving into meaning-making and integration in a follow-up conversation.

Music Credit: Aaron Marcus – Finlay's Menopausal Fridge (Some Biological Process) https://aaronmarcus.bandcamp.com/track/finlays-menopausal-fridge-some-biological-process

Listen on Libsyn: https://directory.libsyn.com/shows/view/id/resilience

Watch on YouTube: https://www.youtube.com/playlist?list=PL1Cci8EtrTZLhSG4HfMNx_UF2qwTTP_ty

Book an Appointment with Irvin: https://scheduling.go.promptemr.com/onlineScheduling?w=356&s=DL

In this milestone episode of Resilience Radio, Jeremy Lesniak interviews Irvin Eisenberg to reflect on reaching 100 episodes of the podcast.

They discuss what it takes to sustain a long-form show over time, why most podcasts fade out early, and how consistency, pacing, and curiosity matter more than chasing trends. Irvin shares how the podcast has evolved, what themes have stayed central, and how future episodes may expand into panels, practitioner conversations, and movement-informed discussions.

This episode is less about celebration and more about reflection — taking stock before moving forward.

🎧 Listen on Libsyn: https://directory.libsyn.com/shows/view/id/resilience

📍 Book an Appointment with Irvin (Montpelier & Northfield, VT): https://patients.betterhealthcare.co/booking/facilities/9222/appointment-type

🎵 Music Credit: https://aaronmarcus.bandcamp.com/track/finlays-menopausal-fridge-some-biological-process

Episode 100 of Resilience Radio continues a core theme of the show: rethinking health, movement, and ergonomics beyond simplistic metrics.

In this conversation, Irvin Eisenberg sits down with Turner Osler, founder of QOR360, to explore why counting steps, standing more, or "fixing posture" often misses the deeper issue. They discuss movement as exploration, variability as nourishment for the nervous system, and why ergonomics should support curiosity rather than control.

Key topics include:

• Why "more steps" isn't the same as better movement

• The limits of standing desks and static posture fixes

• Movement as exploration, not correction

• Variability, nervous system safety, and adaptability

• How active sitting changes the relationship between work and movement

This episode is for clinicians, desk workers, athletes, and anyone interested in a more nuanced, humane approach to ergonomics and health.

🔗 QOR360 chairs (affiliate): https://tinyurl.com/QOR360 💸 Use code RESILIENCE for 5% off

🎧 Listen on Libsyn: https://directory.libsyn.com/shows/view/id/resilience 📺 Watch on YouTube: Resilience Radio - YouTube 📍 Book an appointment with Irvin: https://resiliencevermont.com

Music Credit: Finlay's Menopausal Fridge (Some Biological Process) — Aaron Marcus https://aaronmarcus.bandcamp.com/track/finlays-menopausal-fridge-some-biological-process