Trauma Therapy Uncovered: Evidence-Based Approaches for Healing

Trauma therapy offers effective pathways to process traumatic experiences and restore mental health. When painful traumatic events remain unprocessed, they can manifest as anxiety, perfectionism, self-criticism, and relationship difficulties. Fortunately, specialized trauma focused treatment approaches can help individuals process these experiences and create lasting positive change in their feelings and overall wellbeing.

Audrey Schoen, LMFT, offers innovative and effective trauma therapy approaches in Roseville, CA, and online throughout California and Texas. As a solo practitioner specializing in trauma resolution, Audrey provides personalized trauma informed care tailored to each individual's unique needs and traumatic experiences.

Understanding Trauma and Its Impact on Mental Health

Trauma doesn't always stem from catastrophic traumatic events like natural disasters or serious injury. Many individuals experience trauma through painful childhood experiences, relationship dynamics, or accumulated stress over time. These traumatic experiences can create lasting patterns in the nervous system and brain, leading to various mental health conditions and symptoms:

  • Persistent anxiety and hypervigilance

  • Self-criticism and imposter syndrome

  • Perfectionism and people-pleasing behaviors

  • Difficulty in relationships and communication

  • Money anxiety and financial avoidance

  • Unpredictable emotions and emotional reactivity

  • Post traumatic stress disorder (PTSD) symptoms

What makes these challenges particularly difficult is that they often feel disconnected from their original source. You might experience anxiety, perfectionism, or relationship difficulties without recognizing their connection to earlier traumatic experiences. Trauma reminders can trigger intense fear and emotional responses that seem out of proportion to current circumstances.

Effective trauma therapy addresses both the symptoms and their underlying causes, creating lasting positive change rather than temporary relief. Treatment approaches focus on helping individuals gain control over their feelings related to traumatic memories.

Specialized Trauma Resolution Approaches

Audrey Schoen, LMFT offers several cutting-edge approaches to treating trauma, each designed to address trauma efficiently and effectively:

Accelerated Resolution Therapy (ART)

As a Certified Master ART Practitioner, Audrey specializes in this innovative approach to trauma resolution. Accelerated Resolution Therapy combines elements of several effective therapeutic techniques into a cohesive, streamlined process that typically works much faster than traditional talk therapy alone.

ART uses specific eye movement techniques and a structured protocol to help the brain process traumatic memories differently. During an ART session, you can:

  • Process painful memories without having to talk about them in detail

  • Experience relief from emotional triggers connected to past traumatic experiences

  • Replace distressing images with positive ones

  • Address memories and negative thoughts without becoming overwhelmed

  • Retain the wisdom and insights from experiences while releasing the emotional charge

Many clients report significant relief from mental health symptoms after just a few sessions, making ART an efficient option for those seeking timely resolution of traumatic experiences.

Brainspotting

Brainspotting is a powerful therapeutic approach based on the connection between where we look and how we feel. This technique helps identify and process specific points in the visual field that correlate with stored trauma in the brain.

By focusing on these "brainspots" while processing emotional experiences, clients who have experienced trauma can:

  • Access deeper brain regions where trauma is stored

  • Process emotions that talk therapy alone may not reach

  • Transform cognitive patterns and negative beliefs associated with traumatic events

  • Experience healing at a neurobiological level

  • Resolve issues that have been resistant to other treatment methods

Brainspotting harnesses the brain's natural capacity for healing, allowing for profound transformation with less verbal processing than traditional approaches require. This method is particularly effective for complex trauma and developmental trauma where other methods may fall short.

Intensive Therapy Sessions

For those seeking deeper, more concentrated work, Audrey offers intensive therapy sessions. Unlike the standard 50-minute weekly therapy model, intensives provide extended time to work through complex issues without interruption.

Benefits of intensive therapy sessions include:

  • Deeper processing of traumatic memories in a condensed timeframe

  • Momentum that builds throughout the extended session

  • Opportunities to work through multiple layers of traumatic experience

  • Less time spent recapping between sessions

  • Potential for breakthrough experiences in treating trauma

Intensives can range from half-day sessions to multi-day retreats, depending on individual needs and goals. These concentrated healing experiences can be particularly beneficial for those dealing with complex PTSD or those who prefer to work through issues in a more immersive way.

Couples Retreats

Trauma doesn't just affect individuals—it impacts relationships as well. Couples retreats offer a concentrated opportunity for partners to understand how past traumatic experiences influence their current relationship dynamics and develop healthier patterns together.

During a couples retreat with Audrey, partners can:

  • Identify how individual trauma histories affect the relationship

  • Develop compassion for each other's emotional responses to trauma reminders

  • Learn effective communication strategies that account for trauma triggers

  • Create new, more supportive relationship patterns

  • Deepen connection and intimacy while addressing trauma informed approaches

These retreats provide a focused environment for transformation, allowing couples to make significant progress in trauma focused treatment in a condensed timeframe.

Financial Therapy

Money concerns often trigger deep emotional responses rooted in earlier traumatic experiences. Financial therapy addresses the psychological aspects of money management, helping clients understand and transform their relationship with finances.

Through financial therapy, clients can:

  • Explore the emotional roots of money avoidance or anxiety

  • Understand how childhood experiences shape current financial behaviors

  • Develop healthier money management approaches

  • Address perfectionism and self-criticism related to finances

  • Create practical strategies aligned with personal values and improved mental health

This specialized approach recognizes that financial wellness involves both practical skills and emotional healing, particularly for entrepreneurs and individuals experiencing money-related stress.

The Neuroscience Behind Trauma Resolution

Understanding how trauma affects the brain helps explain why specialized approaches like ART and Brainspotting can be so effective. When traumatic events occur, they can become stored in the brain differently than ordinary memories.

How Trauma Affects the Brain and Mental Health

Traumatic experiences can impact the brain in several key ways:

  1. Amygdala Activation: The brain's alarm system becomes highly sensitive, leading to heightened stress responses even in safe situations where there is no immediate danger.

  2. Disrupted Memory Processing: Traumatic memories often remain fragmented and unprocessed, stored as sensory impressions rather than coherent narratives.

  3. Nervous System Dysregulation: The body's stress response systems may remain in states of hyperarousal (anxiety, hypervigilance) or hypoarousal (disconnection, numbness).

  4. Altered Self-Perception: Trauma can affect how we view ourselves, often leading to negative beliefs about self-worth, safety, or capability.

These neurobiological effects help explain the widespread impact of trauma on mental health conditions and physical wellbeing.

How Specialized Therapies Facilitate Healing

Approaches like ART and Brainspotting work directly with the brain's natural healing mechanisms:

  1. Bilateral Stimulation: Eye movements used in ART help activate both hemispheres of the brain, similar to how EMDR therapy involves eye movement desensitization and reprocessing, facilitating information processing and integration.

  2. Subcortical Processing: These approaches access deeper brain regions where trauma is stored, bypassing the limitations of purely cognitive therapy approaches.

  3. Nervous System Regulation: Specialized trauma focused treatment helps restore balance to the nervous system, reducing both hyperarousal and hypoarousal states.

  4. Memory Reconsolidation: The brain can actually revise how traumatic memories are stored, reducing their emotional charge while preserving important information.

This neurobiological approach to healing explains why many clients experience rapid relief with these specialized trauma therapy methods, even after years of struggling with symptoms of trauma.

Beyond Traditional Exposure Therapy: Superior Alternatives for Trauma Treatment

While exposure therapy has long been considered the standard approach for treating trauma, it comes with significant limitations and risks. Traditional exposure methods require clients to repeatedly confront trauma reminders, which can be painful, long-lasting, and may lead to re-traumatization. Many clients find exposure therapy overwhelming, resulting in high dropout rates and only moderate effectiveness.

The Limitations of Traditional Exposure Therapy

Traditional exposure therapy faces several critical challenges:

  • Prolonged and painful process of repeatedly confronting traumatic material

  • High risk of re-traumatization when clients become flooded with emotions

  • Significant dropout rates due to the intense nature of exposure work

  • Limited effectiveness for many clients despite the emotional cost

  • Unnecessarily lengthy treatment timelines

ART and Brainspotting: The Modern Solution

Accelerated Resolution Therapy (ART) and Brainspotting offer revolutionary alternatives that address the limitations of traditional exposure therapy. These cutting-edge approaches provide:

Minimal Exposure to Painful Content Unlike traditional exposure therapy that requires detailed revisiting of traumatic events, ART and Brainspotting enable healing with minimal exposure to painful material. Clients can process trauma without becoming overwhelmed or flooded with emotions.

Rapid Results While exposure therapy can take months or years with only moderate success, ART and Brainspotting often deliver significant relief in just a few sessions. These approaches work with the brain's natural processing mechanisms for faster, more efficient healing.

Protection Against Re-traumatization Both ART and Brainspotting are designed to prevent re-traumatization through careful management of emotional activation. Clients remain in control throughout the process, significantly reducing the risk of emotional flooding.

Higher Success Rates The gentler nature of these approaches leads to better client retention and more consistent positive outcomes. Clients are more likely to complete treatment and achieve their therapeutic goals.

These modern trauma therapy approaches represent a significant advancement in the field, offering hope and healing to those who may have been discouraged by the limitations of traditional exposure therapy.

Specific Issues Addressed Through Trauma Therapy

Audrey Schoen, LMFT specializes in addressing several specific issues through her trauma informed therapy approach:

Trauma & Painful Experiences

Unresolved trauma can manifest in numerous ways, from obvious symptoms like flashbacks to subtle patterns like people-pleasing or perfectionism. Audrey's approach to trauma resolution focuses on processing these traumatic experiences at their source, creating relief that extends to all related mental health symptoms.

Through specialized trauma therapy, clients can:

  • Process painful memories without becoming overwhelmed

  • Reduce emotional triggers connected to past traumatic experiences

  • Integrate fragmented aspects of experiences

  • Develop a coherent narrative that makes sense of their experiences

  • Move forward with new insights and perspectives

Perfectionism and Negative Thoughts

Perfectionism often develops as a response to criticism or unpredictability in early life. While it may begin as an adaptive strategy, it frequently becomes limiting and exhausting over time.

Trauma informed therapy for perfectionism helps clients:

  • Identify the origins of perfectionist tendencies

  • Recognize perfectionism as a protective response to traumatic events

  • Develop self-compassion and more flexible standards

  • Create healthier ways to feel safe and worthy

  • Maintain high-quality work without the emotional toll

Anxiety and Other Mental Health Symptoms

Anxiety commonly stems from unprocessed trauma or chronic stress. Rather than just managing symptoms, Audrey's approach addresses the root causes of anxiety for more comprehensive relief.

Through specialized therapy for anxiety, clients can:

  • Understand the connection between past traumatic experiences and current anxiety

  • Process the underlying experiences triggering anxiety responses

  • Develop a more regulated nervous system

  • Learn effective coping strategies for managing anxiety in daily life

  • Build confidence in their ability to handle challenging situations

Self-Criticism & Self-Doubt

Harsh inner dialogue and persistent self-doubt often have roots in earlier experiences where criticism was prevalent or where perfectionism became necessary for approval or safety.

Trauma informed therapy for self-criticism helps clients:

  • Identify the origins of their critical inner voice

  • Process traumatic experiences that reinforced negative self-perception

  • Develop self-compassion and more balanced self-assessment

  • Create new internal messages based on current reality rather than past experiences

  • Build a stronger, more positive sense of spiritual well-being and self-worth

People-Pleasing

People-pleasing behaviors typically develop when a person learns that their needs, preferences, or authentic expression are unwelcome or unsafe. Addressing the underlying experiences that created these patterns can lead to more authentic living.

Through trauma informed therapy for people-pleasing, clients can:

  • Understand the protective function these behaviors have served

  • Process experiences where boundaries were unsafe or invalidated

  • Develop comfort with expressing authentic needs and preferences

  • Learn healthy boundary-setting skills as coping strategies

  • Build relationships based on mutuality rather than accommodation

Unhelpful Relationship Patterns

Many relationship difficulties stem from early attachment experiences or relationship traumas that created problematic templates for connection.

Trauma therapy for relationship patterns helps clients:

  • Identify recurring relationship dynamics and their origins in traumatic experiences

  • Process attachment-related experiences that created these patterns

  • Develop awareness of trauma triggers and reactions in relationships

  • Learn new ways of relating that foster connection and security

  • Create healthier relationships based on current needs rather than past patterns

Reactivity and Unpredictable Emotions

Emotional reactivity—responding to situations with intensity that exceeds the current circumstance—often signals unprocessed trauma or chronic stress.

Through trauma informed therapy for reactivity, clients can:

  • Identify triggers that provoke reactive responses to trauma reminders

  • Process the underlying traumatic experiences connected to these triggers

  • Develop greater nervous system regulation

  • Create space between trigger and response

  • Respond to current situations based on present reality rather than past conditioning

Money Anxiety & Avoidance

Financial concerns often trigger deep emotional responses rooted in earlier experiences of scarcity, unpredictability, or shame.

Financial therapy helps clients:

  • Understand the emotional components of their relationship with money

  • Process experiences that created financial anxiety or avoidance

  • Develop a healthier relationship with earning, spending, and saving

  • Create practical strategies aligned with personal values

  • Build confidence in financial decision-making

Imposter Syndrome

Feelings of fraudulence despite objective success commonly relate to early experiences where recognition came with conditions or where authenticity was unsafe.

Trauma informed therapy for imposter syndrome helps clients:

  • Identify the origins of fraudulent feelings in traumatic experiences

  • Process experiences that created disconnection from authentic accomplishment

  • Develop internal validation systems less dependent on external approval

  • Recognize and internalize legitimate successes and abilities

  • Build a more coherent sense of professional identity and competence

Who Can Benefit from Trauma Informed Therapy

Audrey Schoen, LMFT works with diverse clients seeking resolution for various challenges related to traumatic experiences:

Individual Therapy

Individual therapy provides a personalized approach to addressing trauma and its effects on mental health. Whether dealing with specific traumatic events or the accumulated impact of difficult experiences, individual clients benefit from tailored approaches that honor their unique circumstances and goals.

Individual therapy is particularly beneficial for:

  • Processing personal experiences at your own pace

  • Addressing individual patterns and symptoms of trauma

  • Developing personalized coping skills

  • Exploring topics that might be difficult to discuss in other contexts

  • Building insight and self-awareness in the therapy process

Couples Therapy

Trauma impacts relationships in profound ways, often creating patterns of disconnection, conflict, or distance. Couples therapy with a trauma informed approach helps partners understand how past experiences influence current dynamics and develop healthier ways of relating.

Couples particularly benefit from trauma informed therapy when:

  • Recurring conflicts stem from triggered responses to trauma reminders

  • Communication patterns feel stuck or unproductive

  • Partners struggle to understand each other's emotional responses to trauma

  • Trust has been damaged through relationship injuries

  • One or both partners have experienced trauma affecting the relationship

Entrepreneurs with Trauma History

Entrepreneurs face unique challenges that can trigger or exacerbate trauma responses, including financial uncertainty, performance pressure, and isolation. Trauma informed therapy can help entrepreneurs navigate these challenges while addressing underlying patterns.

Entrepreneurial clients benefit from specialized support with:

  • Managing the uncertainty inherent in business ownership

  • Addressing perfectionism and imposter syndrome in professional contexts

  • Developing healthier relationships with money and success

  • Creating sustainable work patterns that prevent burnout

  • Building resilience for navigating business challenges while processing traumatic memories

Law Enforcement Officer (LEO) Spouses

Partners of law enforcement officers face distinct stressors, including concern for safety, unpredictable schedules, and the impact of secondary trauma. Trauma informed therapy provides specialized support for these unique circumstances.

LEO spouses particularly benefit from support with:

  • Managing anxiety related to safety concerns and traumatic events

  • Developing coping strategies for unpredictable schedules and stress

  • Processing secondary trauma exposure

  • Maintaining personal identity and mental health

  • Creating relationship strategies that account for the unique demands of law enforcement careers

The Therapeutic Process with Audrey Schoen, LMFT

Working with Audrey involves a personalized approach designed around your specific needs and goals. While each client's experience is unique, the process typically includes these elements:

Initial Consultation

The therapeutic journey begins with an initial consultation to determine if Audrey's approach aligns with your needs. During this conversation, you'll have the opportunity to:

  • Share your current challenges and goals related to mental health

  • Learn about Audrey's therapeutic approach to trauma focused treatment

  • Ask questions about the therapy process

  • Determine if specialized trauma approaches might be beneficial

  • Discuss practical matters like scheduling and session formats

This consultation helps ensure that the therapeutic relationship will be a good fit before proceeding with formal sessions.

Personalized Treatment Plan

After the initial consultation, Audrey works with each client to develop a personalized treatment plan. Rather than applying a one-size-fits-all approach, this plan considers:

  • Your specific goals and priorities for trauma healing

  • The nature of your challenges and traumatic experiences

  • Your preferences for therapeutic approaches

  • Practical considerations like timeline and intensity

  • The integration of various trauma focused treatment modalities as needed

This collaborative planning process ensures that therapy addresses your unique needs rather than following a standardized protocol for all clients who have experienced trauma.

Flexible Session Formats

Recognizing that different challenges require different approaches, Audrey offers several session formats:

Standard Sessions

  • 50-minute appointments

  • Typically scheduled weekly or bi-weekly

  • Suitable for ongoing work and regular support in treating trauma

Extended Sessions

  • 90-minute appointments

  • Allow for deeper processing of traumatic memories in a single session

  • Beneficial when working with complex trauma issues

Intensive Sessions

  • Half-day or full-day sessions

  • Provide concentrated work without interruption

  • Offer momentum for significant breakthrough experiences

Retreats

  • Multi-day immersive experiences

  • Allow for comprehensive work on complex trauma issues

  • Particularly beneficial for couples or those with significant traumatic experiences

Convenient Access Options

Audrey offers both in-person and online therapy options:

In-Person Therapy in Roseville, CA

  • Traditional face-to-face sessions

  • Located in a comfortable, private office setting

  • Particularly beneficial for those who prefer in-person connection

Online Therapy throughout California and Texas

  • Secure video sessions

  • Convenient access from your location

  • Equal effectiveness to in-person sessions for most trauma issues

  • Particularly beneficial for those with busy schedules or transportation limitations

Evidence-Based Trauma Therapy Approaches

Research studies consistently support the effectiveness of specialized trauma therapy approaches. Evidence-based methods like those used by Audrey have been shown to significantly reduce symptoms of PTSD and other trauma-related mental health conditions.

While traditional talk therapy can be helpful for many issues, trauma often requires specialized approaches that address how traumatic experiences are stored in the brain and body. Methods like ART, which shares some similarities with how EMDR therapy consists of eight phases of treatment, offer unique benefits for processing traumatic memories:

  • More rapid symptom relief than many traditional approaches

  • Ability to process traumatic experiences without extensive verbal recounting

  • Direct access to how trauma is stored in the body and nervous system

  • Integration of disturbing thoughts and feelings related to the traumatic event

  • Reduced likelihood of re-traumatization during the treatment process

Trauma informed care principles guide all aspects of treatment, ensuring that therapy actively resists re-traumatization while promoting healing and resilience.

Integrating Healing into Daily Life and Real-Life Situations

Effective trauma therapy extends beyond the therapy room into sustainable changes in daily life. Audrey helps clients integrate their healing experiences through:

Practical Application of Coping Skills

Healing experiences in therapy become most valuable when applied to everyday situations. Audrey works with clients to develop practical coping strategies for:

  • Recognizing trauma triggers in daily contexts

  • Applying new insights to recurring situations

  • Implementing nervous system regulation techniques

  • Practicing new communication approaches

  • Building upon therapeutic experiences in real-world settings

Sustainable Growth Planning

Rather than creating dependency, effective therapy builds capacity for independent functioning. Audrey helps clients develop sustainability plans that include:

  • Identifying ongoing support resources for mental health

  • Recognizing early warning signs of old patterns

  • Developing maintenance practices for continued growth

  • Planning for potential future challenges

  • Building confidence in self-directed healing after experiencing trauma

Frequently Asked Questions about Trauma Therapy

What exactly is trauma therapy?

Trauma therapy is a specialized approach designed to help individuals process and heal from difficult or overwhelming traumatic experiences. Unlike general talk therapy, trauma focused approaches like ART and Brainspotting work directly with how traumatic memories are stored in the brain and nervous system.

These approaches help the brain process experiences that remain "stuck" in an unprocessed state, reducing their emotional charge and impact on current functioning. Trauma therapy addresses both the symptoms and their underlying causes, creating comprehensive and lasting change in mental health.

How do I know if I need trauma therapy?

Many people associate trauma only with catastrophic events like sexual violence or natural disasters, but trauma can result from many types of experiences, including:

  • Childhood difficulties or adverse experiences

  • Relationship patterns that created emotional harm

  • Persistent stress or smaller adverse experiences that accumulated over time

  • Witnessed events or secondary exposure to others' trauma

Signs that trauma therapy might be beneficial include:

  • Persistent anxiety, perfectionism, or self-criticism

  • Relationship patterns that feel beyond your control

  • Emotional responses that seem disproportionate to current situations

  • Avoidance of certain situations, feelings, or traumatic memories

  • A sense that past experiences continue to affect current functioning and mental health

During an initial consultation, Audrey can help determine whether trauma focused approaches might be beneficial for your specific situation.

How long does trauma therapy take?

The duration of trauma therapy varies widely depending on individual factors, including:

  • The nature and complexity of the traumatic experiences being addressed

  • The length of time these patterns have been in place

  • The client's current circumstances and resources

  • The specific therapeutic approaches used

  • The frequency and format of therapy sessions

While some clients experience significant relief within a few weeks using approaches like ART or how EMDR therapy involves rapid processing, others benefit from longer-term work to address complex trauma or developmental trauma. Audrey works with each client to develop a timeline that aligns with their specific needs and goals for treating trauma.

Is trauma therapy only for PTSD or severe trauma?

No. While trauma therapy is certainly beneficial for post traumatic stress disorder (PTSD) and complex PTSD, it can help with many challenges that don't meet the clinical criteria for these diagnoses, including:

  • Anxiety disorders and stress-related issues

  • Perfectionism and people-pleasing behaviors

  • Relationship difficulties

  • Self-criticism and imposter syndrome

  • Emotional reactivity and unpredictable emotions

  • Money-related concerns

Many of these challenges have roots in earlier experiences that created lasting patterns in the nervous system and brain. Trauma focused approaches can address these patterns even when they don't stem from what might typically be considered "severe trauma" or traumatic events.

What's the difference between trauma therapy and regular therapy?

While traditional talk therapy focuses primarily on developing insight through discussion, trauma focused approaches like ART and Brainspotting work directly with how experiences are processed and stored in the brain and nervous system.

Key differences include:

  • Trauma therapy directly addresses the neurobiological aspects of traumatic experiences

  • Specialized approaches can process experiences without requiring detailed verbal discussion

  • Trauma therapy often works more quickly for certain mental health conditions

  • These approaches can reach experiences stored subcortically (in deeper brain regions)

  • Trauma therapy specifically aims to resolve how past experiences affect current functioning

Many clients find that trauma focused approaches help them make progress in areas where traditional talk therapy alone was insufficient.

Is trauma therapy emotionally overwhelming?

A common concern about trauma therapy is that it might require re-experiencing painful emotions intensely. However, effective trauma informed therapy should not be overwhelming or retraumatizing.

Approaches like ART and Brainspotting are designed to process traumatic material while maintaining emotional safety through:

  • Titration (working with manageable amounts of material)

  • Dual awareness (maintaining connection to present safety)

  • Resource development (building capacity before processing difficult material)

  • Specific techniques that reduce emotional overwhelm

  • Careful pacing based on individual needs

Audrey emphasizes creating emotional safety throughout the therapeutic process, ensuring that healing occurs without unnecessary distress.

How do I get started with trauma therapy?

If you're considering trauma therapy with Audrey Schoen, LMFT, the first step is to schedule an initial consultation. During this conversation, you can:

  • Discuss your current challenges and goals related to trauma healing

  • Learn more about Audrey's approach to trauma focused treatment

  • Determine if her specialized services align with your needs

  • Address any questions or concerns about the therapy process

  • Discuss practical matters like scheduling and session formats

This consultation helps ensure that Audrey's approach is the right fit for your specific needs before proceeding with formal therapy sessions.

Begin Your Healing Journey

Trauma and its effects don't have to define your life or limit your potential. With specialized trauma therapy approaches and personalized trauma informed care, lasting positive change is possible for those who have experienced trauma.

Audrey Schoen, LMFT offers innovative trauma resolution approaches in Roseville, CA and online throughout California and Texas. Whether you're seeking individual healing, relationship transformation, or support with specific challenges like perfectionism or anxiety, these specialized trauma focused approaches can help you create the change you're seeking.

To learn more about how these trauma therapy approaches might benefit your specific situation or to schedule an initial consultation, reach out to Audrey Schoen, LMFT. Taking this first step opens the possibility for profound healing and transformation in both your mental health and overall wellbeing.

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