Teeth, Clenching, & CNS Tension: What You’re Missing
In this episode of the Unreal Results podcast, I unpack how something as small as a single tooth can ripple through the entire nervous system and impact everything from movement quality to emotional regulation.
You’ll hear my traumatic dental experience that helped me understand how clenching patterns are tied to much more than the jaw. Clenching isn’t just a bad habit, it’s a signal from the brainstem, often tied to unresolved stress, nervous system dysregulation, and patterns we’re not trained to look for.
I discuss how stress, fear, and past procedures can affect cranial nerve input, especially through the trigeminal nerve, as well as the role of the reticular activating system and the tentorium play in influencing full-body tone. I also talk about why I’m cautious with dental work during an athlete’s season, what to look for in clients who might be clenching, and how you can support the system with simple tools or even just listening better to what the body is trying to say.
If you’ve never considered how a tooth, or the nervous system's response to it, might be impacting your client outcomes, this episode is for you.
Resources Mentioned In This Episode
Episode 28: The Power Of The Trigeminal Nerve
Episode 38: Accessing The Parasympathetic Nervous System Without Focusing On Breath!
Episode 41: 3 Powerful Nerves
Episode 70: How The Trigeminal Nerve Could Supercharge Your Practice
Episode 86: Decoding The Nervous System For Health Pros
Treatment Video: Root of Tongue Self-Massage
Learn the LTAP™ In-Person in one of my upcoming courses
Considering the viscera as a source of musculoskeletal pain and dysfunction is a great way to ensure a more true whole body approach to care, however it can be a bit overwhelming on where to start, which is exactly why I created the Visceral Referral Cheat Sheet. This FREE download will help you to learn the most common visceral referral patterns affecting the musculoskeletal system. Download it at www.unrealresultspod.com
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Anna Hartman: Hey there and welcome. I'm Anna Hartman and this is Unreal Results, a podcast where I help you get better outcomes and gain the confidence that you can help anyone, even the most complex cases. Join me as I teach about the influence of the visceral organs in the nervous system on movement, pain and injuries, all while shifting the paradigm of what whole body assessment and treatment really looks like.
I'm glad you're here. Let's dive in.
Hello. Hello. Welcome back to another episode of the Unreal Results Podcast. I wasn't a hundred percent sure what I wanted to talk about this week, but um, as it's been on my mind and also a question that came up in the private Facebook group for the LTAP Level one alumni and mentorship alumni, I was like, you know what?
Let's talk about this. So if you've been following long, either on the podcast, 'cause I think I mentioned it last week in the intro or on my, um, Instagram social media, you might have seen that last, the, over the last couple weeks I've been dealing with some dental stuff. Um, I, uh, I think I shared last week in the last podcast that I have like major dental anxiety.
I think, um, I definitely did on Instagram. Um, but I never actually told the story of like why I have the dental anxiety. Um, I actually grew up loving the dentist. Like going to the dentist as a kid was one of my favorite things. Shout out Dr. Hunter in Arcata, California. Um, but um, and then I was like also fine for a while, like ironically enough, and this is gonna tie back into my dental story from this last week, but um, when I was in grad school at um, eight, well, what is now AT Still University, when I was there, it was not university status. It was, um, still a college. It was Arizona School of Health Sciences, which was a branch of Kirksville College of Osteopathic Medicine.
Um, they got university status renamed to AT Still University or ATSU. And while I was there, they were explaining their programs and opening up a dental school, the Arizona School of Dentistry and Oral Health. And it was a really cool, um, school. Um, but anyways, I worked as a, I worked in like the anatomy lab at ATSU and, um, when they started creating the dental program, the dean of the dental school, shout out Jack Dillenberg, who is probably one of the coolest human beings ever.
Um. Somehow he got connected with me, I think through Sue Hillman, um, one of my mentors at school, um, and my like boss for the anatomy lab. Anyways, um, they connected me and I became the student ambassador for the Arizona School of Dentistry and Oral Health and um, which I think is funny. Basically what that meant is when prospective students were coming to tour and learn about the new school, I was like the tour guide, and I would tell them all about the ATSU and I would tell them all about the other programs and I would give them a tour of all the labs and tell them a little rundown of.
The dental program and how the dental program was organized, and this is early in my career, before I knew anything about osteopathy and osteopathic medicine and like visceral manipulation and neural manipulation and Jean Pierre Barral was like not even on my radar at that point, but I remember thinking like, wow, they're setting up this dental program really in a cool way, the way they were, had the learning, it was like by system and um, kind of like these silos of how they would learn. And it was really like patient centered and whole organism centered. And I just remember learning about it and being like, wow, this is really interesting. And um, I love the dentist.
I remember thinking like, I love the dentist, so this is perfect. So, and actually it was Jack who referred me to my dentist in Arizona. Who I loved. Um, and she has since retired. Um, but she was great. And when I was in grad school, I saw her and my wisdom teeth had come in. I had plenty of room. They came, came in fine, but then I got cavities in them.
And unfortunately when you have cavities that far back in your mouth, they're too difficult to pull. Pull, sorry, fill. So they end up just pulling your wisdom teeth. And she was like, Anna, um. Three of your teeth will be easy to pull, but the fourth one's gonna be difficult because your roots are curved around the bone.
We're gonna have to go to a surgeon for it. Can't do it in the office. And she gave, referred me to a surgeon and I was like, okay. And then I was like, learned how much it would cost and I was like, oh, can't do this right now. Too expensive. I graduated from grad school, moved to San Diego for a fellowship with the Olympic Training Center, and I was like, shoot, I should deal with this.
Go to the dentist. And I think I just went to the dentist for a cleaning, but then mentioned to her like, oh yeah, I know I have cavities in my wisdom teeth and need them pulled, but I just don't have the money to go to the surgeon and the dentist in that office. I don't even remember her name because this is where the trauma started.
She said, oh. Let me look at the x-ray. She looked at the x-ray. She's like, no. We'll be able to take those out in the office. It'll save you thousands of dollars. We can do it. It'll take less than an hour in the office. Pop 'em right out. Really straightforward for you because like they're, they're already in, they're not impacted or anything.
And I was like, okay, great. And thinking like, whoa. Yeah. Maybe Dr. Mansell was wrong, like I should just do this. And so I agreed to go back to that dentist's office and get my wisdom teeth out and first one came out, no problem. Second one, I believe it was my lower right one. Honestly, I don't remember a hundred percent.
Could have been, could have been anywhere. But anyways, she's, you know, the first one literally did pop right out and, um. The second one was not popping right out. And I remember being like, oh, it's super painful. I'd always up in that point, had a really hard time getting numb at the dentist, even when I was younger.
Had a hard time getting numb at the dentist. I remember usually require like more, um, Novocaine shots and so, um, she was like, okay, maybe you just need more numbing. So, seven Novocaine shots later in the one area. She's like, I can't give you any more Novocaine. I'm sorry. We're just gonna have to do this like old fashioned way.
And like you're just, you'll be fine. Like it'll just hurt for a second. And then so she's like pulling, pulling, pull, pulling. And she ends up literally, and I am not, this is not an exaggeration, she lifts me out of the dental chair by my wisdom tooth, literally. Pulling my wisdom tooth trying to pull it out and lifts me out of the chair.
It is clearly not just coming out and instead of using her critical thinking of like, why is this tooth not coming out easy? Because the answer Dr. Mansel had told me previously in the year, the roots of that tooth were curved around my jawbone, which is why I needed to go to a surgeon. But that dentist didn't think that. And so she's like, okay, maybe slow is not the answer. Maybe we just go real fast like a band, like rip a bandaid off. And I was like, at this point I am like crossing over from a sympathetic state of fight or flight into a dorsal ventral. No dorsal ventral, no. A dorsal sympathetic, dorsal vagal response of shut down freeze dissociation mode because I'm like in so much pain, this feels like torture. And um, I'm crying. It's like taking way longer than she told me. And I also know that I have still three teeth in my mouth need to be removed. And so she's like, we're just do it fast like a bandaid. And so I'm like, okay.
And so she goes in there and goes fast. My tooth breaks, tooth breaks. Part of it comes out, she sees the curved roots and she's like, oh, that's why it didn't come out early. Your root are easy. Your roots were curved. And she's like, now that it broke, it'll be easy to get the rest of the pieces. Let me just go down and like get it with the, you know, tweezers.
And she goes down to get the, the broken piece that was still in my mouth and she touches the nerve root and I about. Jumped through the ceiling. It was one of the most painful, like it was already the one of the most painful things when she was lifting me out of the freaking chair around my tooth. But then when she touched the root and it was like fucking white hot pain, she was like, and then she goes, oh, no wonder it was so painful.
Your root wasn't numb and your nerve root wasn't numb. And I was like, what the fuck? Like you put seven. Seven Novocaine shots in my mouth and you couldn't get the root. And I was like, like not the root, but like the nerve root, like you didn't hit the nerve. So then this gave me, that even gave me some like anxiety around not just the dentist, but then like the Novocaine injections. So then she's like, okay, now that, that, that was the most difficult one. The other two will be easy. And I was like, the only reason I let her even try to take the other two out is because I was in such a dissociative frozen state that I was like almost nonverbal. At this point, I'm just crying and just like, uh, and I also was young.
I was like 24 maybe. And so I was like. I wasn't very good at like speaking up for myself and realizing that my consent mattered. And at any point during a procedure like that, I could say no and stop. And, because I kind of just thought, well, I'm here so I gotta like just go through it and go through the rest of it.
And, um, I, like, I didn't, I didn't know I had the permission to have autonomy on over my own body and be like, get the fucking, get your hands outta my mouth. And so I let her take the other two out and sure enough, they just popped right out like the first two. And so after that experience, I literally never wanted to go back to the dentist.
I was like, immediately, no. I moved back to Arizona and um, eventually went back to the dentist, to Dr. Manzel, and she was like, why? She could tell right outta the gate, she's like. Are you okay? Like you normally don't have so much anxiety. And then I instantly just started crying and I told her what happened and she was like, oh my gosh.
She's like, that's why I told you to go to the surgeon. Like I am so sorry that happened to you. And I had avoided the dentist for so long. By that time I had like seven cavities I needed to fill and like the thought of the injections and like, ugh, I, we did it one month at a time, one cavity at a time. So it's like seven months of dental work.
And it was just like a whole ordeal the whole time. And then finally at the end of it, and what, finally at the end of it, that's also like. When the whole like thing came out of me clenching my teeth and like needing a night guard and I had broke a molar, I don't doubt that part of what even may have created clenching in my life teeth, clenching in my life was actually that trauma from the dentist.
'Cause I'd never in my life been told by a dentist that I had signs of clenching until then. And so I don't think like, I think that that was like the beginning of a lot of problems. But anyways, uh, we got to a point that I literally couldn't get any dental work done without having like, um, anti-anxiety medicine first.
Adding the anti-anxiety medicine first was nice because then it even decreased the amount of Novocaine shots I needed because part of the reason why I wasn't getting numb is because I had so much tension around my jaw from the anxiety and the clenching and the stress that it was hard to get the needle into the location where the nerves were, were to actually numb the branches of the trigeminal nerve to numb the teeth.
Numb the teeth. So that's what we did for a while. And so then, um, in 2021, I went to the dentist for, for a checkup, and they found that I had four cracked teeth. And, um, they had, some of them had cavities and I, or no, they didn't have cavities yet, but I had four crack teeth. One of them, um, may need a root canal.
And so I was just like, I, I take, I don't have the mental bandwidth to do this, and if I'm not in pain, I'm not doing any dental care. So I hadn't gotten to the dentist since 2021 and, um, two weeks ago, three weeks ago, my tooth, I was starting to get some significant tooth pain and like deep, like very specific, like trigeminal nerve, like deep nerve, deep tooth pain, not just tooth sensitivity because there is a difference.
And I was like, uhoh, like it's time to find a dentist. So anyways. This long story, full circle moment. I'm looking for a dentist in San Diego. I get a couple of recommendations from people. Nobody's just like, nobody is outright like I love my dentist. Um, but I get his recommendation, um, to go to Mission Hills Dental Group.
And I'm like, okay, well, they're close. They've got pretty good reviews online. And a lot of the reviews online are people being like, I have dental anxiety. And they're really helpful. And then of course you have the reviews of like they're just out to get your money. I feel like every dentist's office is kind of like that.
But um, anyways, um, as I'm booking, I look at the bios of the doctors. 'cause then you gotta pick which doctor you want. And one of the doctors, she went to ATSU and I was like, oh my gosh, I'm gonna pick her because that makes me feel good. I know their dental program, I know their dental program's really good.
I know, you know, and she got like some award and. This was the full circle moment. She was this student ambassador for the dental program at ATSU, just like I was. And then also in the reviews that I was reading from people, her name was mentioned a lot as one of the dentists that people with anxiety had that really loved.
And so I was like, okay, I feel confident with her. So anyways, I went to the dentist last week, um, and she was like, I think we can do this without anti-anxiety. She's like, I promise, like this is gonna go well, I numb. I'm really good at numbing people, blah, blah, blah. You know what? At first I was like, Hmm, are you just one of those many doctors that tells us you're good at something because that's your ego and like you're not?
No, she's fucking legit. Literally the best numbing job I've done. She was very good at like actually doing what I do when people have some anxiety about like pain levels and like being touched. She used very firm touch. She assured me I was safe. She assured me I had autonomy over the whole situation.
And then, um, she got in there and then she did oscillating motions, kinda like a grade one or two joint mobilization on my. Jaw muscles to keep me relaxed as she stuck the needle in and she first needle, first injection, she got, oh, I felt it. She got one of the, um. Palatine nerves that, and she, it, it went numb immediately from where she had the, um, needle in the back of my jaw all the way to the front of my mandible.
And I was like, oh yeah, you got that mandibular branch 100%. And I was like, instantly deep numb. She ended up doing a second injection because she knew I had a hard time getting numb. And then, um, I just needed like a little tiny, like third, more like superficial one, like right at that tooth. But her ability to like numb me and calm me down through that first step was like huge, huge.
And, um. Yeah, anyways, this was 16 minutes of this whole dental trauma story, but I feel like I needed to share it, so you're welcome. I hope you enjoyed it. But, um, good news is now I've been twice, um, I, the crown that needed to be replaced, I had a cavity under it that was giving me the pain. Uh, she thought maybe my pain was indicating I needed a root canal.
Um, it's been a week. I had like, since she, um, fixed that and I don't have the pain anymore. And so we're really, um, we believe that my pain was one from the cavity that was underneath the crown, and then two, because of my clenching again. And I did, I even told her, I was like, yeah, actually I do. I've noticed my clenching more.
So clenching iss a funny thing because you don't always. You don't always know that you're actually clenching at night, um, 'cause you're sleeping. Um, and so, but I was actually pretty aware of it. Um, and I think because I started to have pain and I knew I'd end up going to the dentist and that was giving me anxiety, that actually created more clenching.
So I've been probably clenching more the last, like, probably month than I have in a while because I actually feel like I haven't worn my night guard in a long time because, um. Taylor Le Juan's dog ate it, which is funny. I was at his house, uh, years ago working on him, and I was sleeping in the man cave because of, I think it was like during COVID times, like I was being like, quarantined the puppy ran in, fucking ate my night guard, and they're like 700 bucks.
So I never replaced it. And I never replaced it because I was like, oh, maybe I don't need it anymore. And, um. Then a, maybe like a year later or so, um, I did Dr. Perry's Tongue Mojo workshop and I did a bunch of tongue mobility, um, work and actually really I felt decreased, my clenching. Um, so I do feel like the clenching came back in the last month, um, because of the increased pain and then the anxiety I was having about going to the dentist, which is ironic. But in general, you, the ways that you would know that if you're clenching, um, is, um, one, the dentist might tell you based on what they see in your mouth, the things they could see in your mouth, cracked molars, um worn down molars. 'Cause if you're grinding, while you're clenching, some molars molars, if you're, um, grinding while you're clenching, um, also bone spurs along your jaw.
So I do have some bone spurs along the inside of my jaw from the increased pressure. So like wolf's law, right? The mechanical pressure from the clenching all night, the bone, the body starts laying down more bone in response for that. Um, and then you could have TMJ pain. You could just have like real sensitive, tight masseters.
Um, but in general, one of the biggest indications that you are likely clenching at night is actually waking up with pain anywhere in your body. Waking up with pain anywhere in your body usually is associated with also clenching. And now 20 minutes in, this is like, what I actually want to talk about on the podcast is, um, clenching and then like the relationship of dental stuff to central nervous system tension.
And so, um, one of the main drivers of clenching is high stress and pain, or vice versa. Pain is one of those things too that is associated with high stress or hypersympathetic state. And, um, you know, I, I'll have Joe link the podcast episodes about the nervous system, um, the accessing the parasympathetic nervous system and then the one just generally decoding the nervous system because, um you're gonna wanna understand the differences between the autonomic nervous system and the central nervous system, but knowing that they are integrated. But, um, this autonomic dys re-regulation in this stress stimulates an area of the brainstem called the reticular activating system. The reticular activating system is the area of your brain stem that is responsible for your arousal.
Or de-arousal, right? Your sleep wake, um, cycles, it is responsible for setting muscle tone, right? So a lot of your brainstem is set for this, and then the area of your brainstem, um, basically the reticular activating system is within the reticular formation, the reticular formation, the area of your brainstem that houses a lot of the nuclei of your cranial nerves.
And, um. This area of the brainstem communicates with different areas of your brain as well, including the limbic system and the areas that are regulated by the HP axis or that hypothalmic pituitary axis. So this means this area of the brainstem, that reticular activating system that is regulating your sleep, your attention focus, your arousal, your muscle tone, all of this area is affected by your emotions, hence the limbic system, your general state of safety or fear, survival, right? This that is associated with the limbic system as well as the autonomic nervous system. In our neuroception. And then it's also related to the HPA axis and area, and this is going to be related to a lot of the, um, neurotransmitters and hormones in our body that are regulated by our gut, our endocrine organs, our, um, again, our autonomic nervous system in the general state of our stress, right?
When we have high cortisol levels from chronic states of stress. This is going to send some messages from the hypothalamus, the pituitary, to this reticular activating system that were under high levels of stress and the, and then the reticular activating system communicates with these different functions in your brain to be like, oh, we're high stress, change the respiratory rate, change the um, heart rate to create this change.
Information into the cranial nerves to regulate our body language and our, our, our awareness of what's going on, right? And so this, this connection between the reticular activating system and the clenching is via the trigeminal nerve. So the trigeminal nerve, one of the nucleuses is in this area and because because of the regulation of the tone and the arousal. The one muscle that is, that is regulated by the trigeminal nerve is the masseter, and the masseter is the main muscle that creates this clenching. And so this is why any increased stress tends to create this clenching is because of this relationship of where the communication is coming from in the brainstem and the relationship to the nuclei of the trigeminal nerve.
Now, not only is it giving that message then to the motor function and muscle tone of the masseter muscle. But it is affecting the sensory parts of the trigeminal nerve too. And what we know, and what I spoke a little bit about last week in the spine le Lecture, the spine podcast was the role of the trigeminal nerve on the tentorium and the general tension of the central nervous system. And so what happens too is you get this increased tension of the meninges, the tentorium, the fascial container that houses our central nervous system. We have increased tension and decreased sort of like movement in that area, which adds to increasing intracranial pressure, which then may add to a reflexive like cycle of continuing to drive the messages of stress, and I don't know if the right words disinformation, but at the reticular activating system to then continue to create this clenching. And so you have kind of a twofold effect because when our tentorium has this tension in it, it's also being reflected in the rest of the trigeminal nerves, the rest of the trigeminal nerves, right?
We can start getting like tension in the back of our head, our sub occipitals. We can, which is gonna affect our eyes, and this is gonna change our attention and our, our like focus via our visual system. And it sort of can just go into this feedback loop, loop of like continued hypers sympathetic response.
So it's really interesting when you look at it from this way of what happens and, and one of the things that was asked in the mentorship group, um, Facebook group last week was, um. The role of Invisalign or braces or retainers on actually creating central nervous system tension. So, um, and oftentimes people who have Invisalign or braces too, like sometimes they end up getting clenching along with it too.
And it, it is like, again, like all of these relationships work together because, and, and this even goes back to just general dental work. I actually don't like my athletes getting dental work during the season unless it's emergency dental work for like infections, abscesses like lost a tooth or like tr like trauma because if they're just getting dental work for aesthetics, then because of the relationship from those nerves, the palatine nerves which are branches of the mandibular and the maxillary nerve, which are branches of the trigeminal nerve, they're going to reflexively create central nervous system tension and potentially a whole body wide, central nervous system tension pattern.
This central nervous system tension pattern can increase tone in our muscles, uh, via just that tension around the area of the brainstem that's creating like the teeth clenching and or because it kind of puts a kink in the hose of the whole nervous system. And when our nerves are not free to move and glide within the fas fascial containers of the central nervous system itself. Or then the peripheral nerves are not able to flow move easily from the central nervous system or within the fascial containers of the peripheral nervous system. Our muscles increase tone to protect the nerves. And so, so often I see people get dental work and then like all of a sudden they're like, oh, my hamstring hurts. Oh. Or they pull their hamstring, or they just start losing hip mobility and then their back starts hurting.
And so it's like it can be such a cascade, and so it can be bidirectional as most things are right? And so, um, whether it's that you're getting dental work and that's creating CNS tension and sort of putting us at a imbalance of then even to our autonomic nervous system, which then can reflexively create the clenching or the clenching is the problem
that is creating, right? You see how it all works together. It's like what can we do to support this? Obviously, anything we can do to support our parasympathetic nervous system because we know our parasympathetic nervous system is what is the regulator of the resilience and balance of our autonomic nervous system, right?
It's not that we actually have too much stress, it's that we're not getting enough messages of rest and safety. And then also, um, the other things that you can do for it is get a night guard from your dentist if you are a clencher. Um, because we can't have conscious control over it while we're sleeping.
A night guard is great to do, to protect your teeth from going down this path of like having even more problems and to kind of break the cycle. Break this stress response like a mechanical break to the stress response, which can, like I experienced when I first got my first night guard, is make for a much more relaxed night's sleep because it does sort of like put a mechanical break on this hypersympathetic state in a, in a way so it can be supported then by all the things. Trigeminal nerve stimulation, glossopharyngeal nerve stimulation, hypoglossal stimulation. What does that mean? Humming, gargling. Tongue mobility. Jaw mobility. Um. Face stimulation, hair pulling, ear massage, all the things, listening to nice music before you go to bed. And then it can also be affected by other stuff, like what is driving this like high cortisol in the first place that might be throwing off the reticular activating system.
Could be gut health things, could be other stuff going on in your life. Could just be a general tightness, reflexive tightness from oth, like from the dental work, right? And it's like if you've, I've gotten dental work anytime in your life, and then you've never even like done any manual therapy to like the muscles and the floor of your mouth.
The muscles of your face probably have some tension there that is adding to this misinformation or this imbalance. So. So many things, stuff to think about. Um, it doesn't mean everyone that has Invisalign or everyone who has braces is gonna have issues. Doesn't mean that everybody who clinches teeth gonna have issues.
It never is that straightforward, but understanding the role that the brainstem plays in the teeth clenching and understanding that the teeth clenching is sometimes a symptom or a product of a lot of other things going on in the body can be clue you in to some of this autonomic dysregulation. And so, um hmm.
Right. Like. Uh, the cool thing is too, like if you've, if you've been in the LTAP level one courses and you've understand the concept of inhibition tasks, you can actually inhibit each tooth to see, is it coming from a tooth? How crazy is that? And then you can even kind of help identify maybe even with the dentist, like where are the problems coming from?
This, I knew for sure I was having some, well, as I started to have pain, I also started to show a central nervous system tension pattern in my body and like. When I inhibited that tooth, it got better. So it's like I was pretty sure that it's like not, yes, I might have other things I need to deal with at the dentist, but like the primary thing that's causing a lot of my issues right now is this one tooth.
So let's start there. Let's fix that one tooth and then see how I feel. And then when I feel ready to fix other things, yeah, let's fix other things because I don't want them to get worse. So anyways, I know that this episode was one long story and then also some, a brush over on some like kind of deep neurophysiological topics.
But I'm not an expert by any means on neurophysiology. I am not an expert on bruxism, which is the term for teeth clenching. I'm not an expert on dentistry stuff at all. Um, but. It's a question that comes up for a lot of our patients because as you can imagine, because so many people walk around in a hypersympathetic state or a dissociated state, right?
So like a fatigued sympathetic state that teeth clenching in dental stuff is probably more prevalent. Then we think, and so when we're dealing with someone that has central nervous system tension pattern, we have to like keep that in mind that that might be a thing, and this is when we need to pull other professionals in perhaps for some more specific treatment.
More specific treatment might be specific neural manipulation of, of things related to the nerves in the cranium. Or the central nervous system, or it could be pulling in a dentist to fix things or to create a night guard and support ourselves in that way too. So hopefully this was a helpful episode for you and uh, thanks for listening to my dental trauma story.
Have a good week.