【コロナ後遺症、ワクチン接種後症候群】トラウマケアについて
Today, we have a collaboration video for the first time in a while First, I would like to introduce myself; my name is Yuko Okubo I have been working as a counselor for 20 years as a clinical psychologist and a licensed psychologist That’s amazing, isn’t it? Actually, we haven’t done counseling here yet, but I do think there are a lot of people who are really seeking it I think it’s important to go to a psychiatrist or a psychosomatic medicine specialist Such discussions inevitably come up, but I can’t say for sure whether they fully understand the aftereffects or not Moreover, the conversation often revolves around using medication, but it’s also a characteristic of aftereffects that many people may not respond well to the medication, so if it works for them, that’s great It can be really good when it works, but not everyone is a match, and there are quite a few people who tend to be a bit sensitive and react excessively to medication There are many people who find it difficult to use medication So I try to manage without relying too much on psychiatric medication and instead focus on more natural approaches I try to treat in a way that is gentle on the body I’m also conscious of doing what I can to heal myself as much as possible I feel that a mental or psychological approach is really necessary I haven’t been able to talk much about what specifically should be done So there are discussions about things like Mangarira, but still, it’s true that amateurs… I think that while it’s relatively easy to get to a certain point by working hard with just a little advice and a manga in hand, it might be difficult to progress further from there I believe that’s true In that sense, I’ve always thought that it would be great to have someone with specialized knowledge involved In that regard, you yourself are also in that position, right? That’s right. I developed post-COVID syndrome two years ago I’m finally at about PS1 level now How high did it go at its heaviest? It reached around 6 at its heaviest I was once forced to quit my job It’s a common story, though If you can’t work for more than six months, in a regular company… I think there are definitely things that you just can’t help but feel that way about The scenery from when I was sleeping back then still unfolds in my mind It’s like I’m just staring at the same ceiling all the time The way the curtains swayed on that sunny day back then, you know? It still comes to mind In a way, it’s a kind of trauma, if you think about it. I believe that’s true I see…
So, even if someone hasn’t experienced it themselves, it’s really those who understand these things that I would like to be involved the most I haven’t experienced it myself either Therefore, even if someone hasn’t experienced it, it’s better for those who understand that such things can happen to make psychological interventions I think that’s true About the aftereffects, you know I think there are many aspects, like how much physical strength declines and the various hardships, that you really can’t understand unless you experience it yourself So, I believe it’s important to connect with those who understand this I really want to connect, but there’s the issue of not knowing where they are, and there are places I can’t commute to because they’re too far That said, I’m not sure if the teachers I can reach truly understand After all, depending on the psychiatrist, there are some who say things like, ‘There are no aftereffects, it’s all depression.’ or there are doctors who explain it as panic disorder or something similar Conversely, there are patterns where trauma can develop in that situation That’s something I’m quite concerned about Now, I’ve mentioned ‘trauma’ and ‘trauma’ in various contexts, but generally, when we talk about trauma in a medical sense, it brings to mind images of being a victim of a crime or suffering a major injury However, I think we should consider other experiences as trauma as well That’s right In the trauma therapy I practice, I perceive trauma more as a bodily response rather than something caused by events Interestingly, trauma responses can occur from surprisingly close-to-home situations For example, something like this can become a trauma Speaking of which, I slipped on the stairs at Meguro Station and fell, resulting in a fracture before I had any aftereffects Honestly, slipping and falling and breaking a bone has become quite a trauma for me It has definitely affected my work and so on. Yes, it happens I really slipped at that time and couldn’t get up, so I was taken away by ambulance After that, of course, I actually got up with crutches and went home, but… It’s like I couldn’t get up mentally, you know? I was just sliding along What I mean is that I was also doing counseling work while being wrapped up in bandages Even while listening to the conversation, I found that I couldn’t smoothly join in or had to stop partway through In short, it was the fact that I couldn’t get back up emotionally that happened because of a single fracture After that, I also received therapy myself Come to think of it, I hadn’t gotten back up after that I really just stood up consciously like that At that moment, tears just started flowing down I thought, ‘I wanted to do this.’ The feeling of ‘not being able to stand’ had been lingering for a long time. That’s right Unknowingly. The fact that I couldn’t stand at Meguro Station is a trauma for me It means that I wasn’t really able to stand properly Yes. Emotionally, I couldn’t physically get up there I see, I was somehow moving, but that’s what it means I guess we need someone to consciously step in and help us stand up like that If we don’t do that kind of work, It’s that one trauma that couldn’t be unraveled. Well, that’s true It’s definitely not about someone in particular, but that was the trigger I feel a sense of relief knowing that there are nerves that start working when people get involved, and it feels like I’ve cleared a step Even when we talk about trauma care, I believe there are various traumas that we encounter in life If you were a patient with aftereffects, you would definitely want to attend important events, like your child’s activities But you might crash during the preparations right before and end up not being able to go Such experiences can also become traumatic That’s right So I think it’s probably not just the patients with aftereffects Especially because of unintentionally getting infected or due to vaccination, the things that can be done suddenly decrease At that point, it was already a trauma, and I wanted to do various things Wanting to do that is also a trauma, and being told various things has become a trauma as well, so yes, I think countless traumas have probably formed Is it about gradually removing each one of those traumas? That’s right, really looking at each small detail from various angles in another episode As we have sessions multiple times, we really peel back each layer, you know Peeling back the layers. Otherwise… For example, I often say that even though I haven’t done much due to post-COVID symptoms, there are times when it suddenly feels really heavy, and I think that’s related to the autonomic nervous system To be more specific, I don’t get tired of doing what I love If you can make sure to do little things that relieve stress multiple times throughout the day, the weight of small things starts to disappear, doesn’t it? For people with a lot of trauma, it’s probably important to address each trauma one by one I think there are times when a sudden flashback can come and make things feel heavier In terms of improving those situations, if someone feels like they’re getting better but then it gets heavier and they keep repeating that cycle, it’s essential to properly address that There are times when it might not be possible to break through the wall, right? That’s right. There is a theory called the window of tolerance for trauma, which explains how that nerve can go up and down For each person, there is a safe line, isn’t there? It’s fine as long as we’re going up and down this safe line, But if we go too far up this line, we end up going too far down, you know? That’s why, I ended up bedridden the next day just from raising my voice for a moment during a fight I tend to get too high and then too low. I was doing my pacing with this image in mind Anyway, it’s all about this line When it comes to pacing, I really think about how to endure in such situations That’s why people with strong trauma tend to fluctuate too high and too low repeatedly I think this is a process of bringing things like respiratory rehabilitation and breathing rehabilitation as close to this as possible When this has come down to a certain extent, just meeting people can lead to going too far It might be better to lower that a bit before using it in counseling or something similar When we fight, it gets really bad I often say that fighting is the worst When we fight, what keeps escalating is the sympathetic nervous system. I see. If the sympathetic nervous system gets too excited… After that, you become unable to move There’s a new theory of the autonomic nervous system called polyvagal theory, which includes the dorsal vagal complex, known as the freezing response, but it tends to go too far in that direction If it goes too high. I see After the sympathetic nervous system spikes, the dorsal vagus nerve becomes more active You can’t move unless the sympathetic nervous system is somewhat active, but if it can’t do that, the sympathetic nervous system gets exhausted It seems like I was just going back and forth without moving at all I can’t stay within this window of tolerance forever In the end, I end up repeating these painful symptoms, don’t I? To prevent it from hitting hard, it seems that having many traumas can suddenly trigger it, right? Just a little something can remind you of it And that’s how it can hit you hard So I get tired It’s like, ‘Haa-‘ and I can’t move, and I wonder if I can get stuck on such small things, which makes me feel bad again and could lead to another trauma That’s how it is That is a bit scary, isn’t it? Well, it’s like the symptoms of trauma and the trauma response, you know? Are there any symptoms that you would say are like that? Yes, like suddenly feeling unusually sleepy or losing consciousness Does your consciousness fade away? Like, it just drifts away It’s like when you’re talking to someone and your consciousness drifts, and you’re like, what was I saying? Is that what you mean? Does that also happen due to trauma? Yes, it does Is it possible to feel sleepy? Yes, it is Some people feel unusually sleepy. Many people say they fall asleep a lot, but some of them might be falling asleep due to trauma I think that’s true It’s like a freezing response caused by the trauma, where the dorsal vagal system is overactive. That’s right It’s like a freezing response. Sometimes I even fall asleep The freezing reaction is too strong If my sympathetic nervous system gets a little too excited, it leads to nightmares again I have a lot of nightmares, don’t I? It’s important to figure out how to switch to a mode of safety and security I think there are various things to consider, There are often connections between aftereffects and trauma that cannot be avoided Among those who take a long time to heal, there are some who experience not just trauma from aftereffects For example, the relationship with your parents or events at work, there are various things, and well, that’s true, right? In schools and various places, the trauma can linger a bit, and that can be quite challenging, right? That’s right That’s right You need to take care of that properly too The aftereffects don’t heal easily. Yes, they tend to be interconnected Past patterns remain in the body’s reactions, so this can link to the events or reactions we are experiencing now, making it easier to recall the past, and the body may remind us of it again Also, I think many people are staying at home, and even healthy individuals during the COVID-19 pandemic experienced this; when we stay indoors too much, it can trigger feelings of anxiety due to a lack of stimulation, and the brain seems to create its own stimuli The brain tends to create stimuli that make you easily remember unpleasant things That’s right, it’s quite troublesome, isn’t it? Certainly, when there is no interaction with society, feelings of anxiety can easily arise, and when you are interacting, you tend to forget about the trauma because you are distanced from it However, when you can no longer go to places where you used to be able to, you might find yourself facing the trauma head-on, as if you’re staring at it directly There are times when something you could avoid seeing suddenly becomes visible Also, irritability can be a trauma response Sometimes you might find yourself oddly scolding or yelling at others, and then when someone else says, ‘What are you doing?’ it can hurt you all over again You shouldn’t say it like that, right? I kind of understand that myself It’s like I feel I’m a worthless person That’s true. However, when it comes to treatment, the difference from regular trauma therapy is that there are certain resistances or limits on how much intervention is appropriate For example, for someone who finds it impossible to speak, In a situation where there are people who can’t see light or hear sounds, suggesting that everyone should have a 50-minute session is quite different I think that’s absolutely impossible, and it might even get worse In that case, it’s better to properly understand the aftereffects and say that it’s still too early for you to proceed I believe it’s better for someone who understands those aspects to handle it. Even when you receive it, it should be after reaching this level I think there might still be some risks involved For example, when it comes to counseling, I think it’s usually around 50 minutes to an hour What can be done is After all, I think it’s quite tough unless your mind is really sharp, so when I consider that, even a session of just 30 minutes might be difficult I think that’s probably realistic, but I believe there are still many people who find it quite challenging Well, that’s probably true For example, talking with a friend for about 30 minutes without getting tired, It won’t be until you reach that level, Counseling can be tough, right? I think that’s about the safest option That’s right So, before you take that counseling, it depends on how long it is, but if it’s 30 minutes, then 30 minutes; if it’s 50 minutes, then 50 minutes It was okay to have a proper and fun conversation with my friends It feels like it’s okay for someone who says they didn’t get tired to receive counseling for the first time It’s really scary when someone who doesn’t understand that area is in charge I truly believe that. Since it’s not visible, you know The symptoms are… that’s right You can’t tell from the outside, can you? I don’t understand either Even if you see 8,500 people, it’s based on appearance You can’t really understand how this person feels or what they’re thinking, right? You can somewhat tell if this person is okay by their walking style, but you can only tell a little I only understand a little about that, like the state of my head and body After all, my body and mind are completely out of sync For example, in PS8, I can barely walk 10 meters inside the house There are people who can talk for three hours with friends, while others can casually jog on the PS2 but find it hard to talk for even ten minutes You really have to understand that it’s a different matter I think that’s true. When it’s tough to talk, I try to think of various things to do, like what we advocate, but it’s related to trauma care For example, I always say in manga rehearsal that we should repeat things that we love and that don’t tire us out, which is basically the same idea The method might be slightly different, and if you’re feeling a bit more energetic, you can use that kind of counseling technique It’s about making a little jump up, or rather than just waiting for things to naturally loosen up, actively working on each individual aspect to release them That’s something you can do proactively. Yes That’s right, trauma treatment is really about the body’s reactions It’s not just about talking, but rather taking the time to observe my body and using my own strength to relax it If the break fog is too severe, it might be difficult to feel your body and understand what’s going on, which could be quite challenging. It’s impossible, right? I think it will be important to properly understand that aspect when utilizing it To be honest, it’s actually quite easy to talk with someone who understands this a little bit Generally speaking, this might not only apply to patients but also to therapists, those who are engaged in counseling Because there may be teachers watching this What I want to convey is for the teachers to first study the condition of the body and the state of mind, as well as what kinds of aftereffects are likely to occur On that basis, if you could intervene a little, the worst thing would be to not study at all For instance, denying what a patient says, thinking that such a thing couldn’t possibly happen People who do this kind of counseling I want to believe that there aren’t many people who do that, But it’s a disease that’s quite different from the usual understanding, so my true feelings just come out There are also patterns that could happen, right? It’s possible, and I can imagine there are people who might say something like, ‘I can get tired too,’ thinking they’re being helpful It seems likely, doesn’t it? Saying you lack knowledge is very dangerous, isn’t it? That’s a scary part The teachers who provide counseling I think there are many people who might be interested but don’t know how to get involved I hope you’ll study those aspects a bit before watching today’s video I believe it will be very educational I want you to keep in mind that you should be aware of such things and listen to what the patient says without denying it It’s like thinking this person is lying, right? Thinking they’re lying is really bad, isn’t it? It’s really bad, isn’t it? No one comes here just to kill time That’s right Yes, there are people who invest their time and energy into that counseling, hoping for something in return Really. It might not suddenly resolve my trauma there, but just having a teacher who understands is amazing I believe this can be a source of salvation The nervous system is changing, you know After all, just the fact that the calming nervous system is working brings about a change It’s the vagus nerve on the abdominal side When it activates, the body enters healing mode In the end, when you say to run away, hide, or fight, your body doesn’t switch to healing mode That’s right, it’s a combat-ready state It’s a situation where there’s no time to be fixing things If you can feel a little relieved by that, just that alone puts your body into healing mode, that’s right, it makes it easier to heal I can definitely say this will get better, although whether it will get better in one go is another matter With such interventions in the autonomic nervous system, I can say for sure that this will definitely improve, just like how ‘dazzling’ it is and how intense the light is The light is intense, and the sound is intense as well I feel like this is quite easy to heal now That might be true These two, you know I truly believe that if it’s 100% pure and related to the autonomic nervous system, it will definitely improve, and then there’s the palpitations Palpitations can really feel like the heart is racing Also, there’s gastroesophageal reflux disease, where stomach acid rises and can cause a feeling of palpitations, which is quite common In the end, when the autonomic nervous system is in a state of safety and security, the heartbeat from the heart decreases, and the digestive system works properly, right? When in a state of safety and security, the digestive system functions well, so stomach acid doesn’t rise Whether it’s the heart or the esophagus, the feeling of palpitations can improve with the intervention of the autonomic nervous system This area definitely works, and even though I haven’t done much else, it has gotten worse It seems like the feeling of having taken a step back has disappeared It’s definitely true that it becomes easier to recover smoothly and in a one-way manner, so I think that’s quite good Well, for those who don’t find it too tough, I believe that for those whose mental state allows them to talk, receiving counseling is a really good method, and for those who aren’t quite there yet, we often talk about Manga Rehabilitation I think it would be good if you could do some breathing rehabilitation or body scan meditation and things like that Regarding breathing rehabilitation and body scan meditation, I was thinking of putting some information in the description By utilizing those things a bit, I’ve started to feel somewhat better and my mind has become clearer I think it’s okay to use medication as well, but I’ve been improving through various treatments and can speak now I feel that it would probably be good to use it when you can’t quite overcome certain barriers I hope you can make good use of it Well, it’s true that there aren’t many people who have zero trauma while living When we receive training on trauma, we are taught what trauma responses look like Everyone ends up feeling unwell Participants know that reaction. It’s inevitable. A person who has lived a decent life without any trauma must be someone who has hurt others quite a bit, right? That might be true. Only those who are completely indifferent to it might be in a situation where they have no trauma, but in life, there are always moments of carelessness There are definitely situations where you didn’t want to hurt someone but ended up doing so At some point, it’s inevitable that you’ll get hurt, and I think it’s quite rare for someone to not have any trauma This is somewhat of an obstacle in real life Alternatively, if the aftereffects don’t heal easily and are connected, for those who are struggling, manga rehabilitation might be an option, but for those who can manage to some extent, counseling could be a good method as well. It’s something that can’t be achieved with medication That’s right. Medication won’t erase trauma, will it? That’s impossible I might be able to distract myself so it doesn’t bother me, but that doesn’t solve the underlying issue Especially for those with aftereffects, many have restrictions on the medications they can use, so that’s one approach, isn’t it? Mr. Okubo, who collaborated with us this time, will be providing counseling at our clinic, both online and in-person, only on Wednesdays This is actually our first time starting counseling I mean, it’s a bit uncertain how much we can do and what kind of reactions we can get, so it’s just for one month (October 2025) That’s right Just as a trial. It’s a trial, after all So, in other words, it’s just four cases from 4 PM to 7 PM in one day So if it’s 4 weeks, that would be 16 people. That’s right That’s 16 people. Since it’s limited, I’m thinking of making it possible to reserve online, so if you’re interested, please apply early And for those online, if you could indicate that you want to participate online, we will arrange it accordingly Well, I’m half excited and half scared about it, you know But I think there are probably many people who need it So I hope you can check it out Today’s guest was Yuko Okubo Thank you very much Thank you very much
コロナ後遺症、LongVax（ワクチン接種後症候群、長期副反応、後遺症）の患者さん向けの情報を、約8000人の新型コロナ後遺症、約500人のワクチン接種後症候群を診察してきた医師が解説。
今回のゲストは、大久保ゆうこさん。
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https://www.longcovid.jp/respiratory_rehab.html
【音声のみ】ボディスキャン瞑想
新型コロナ後遺症、ワクチン接種後症候群（ワクチン後遺症）についてのサイトもご参照ください。
https://www.longcovid.jp/
ヒラハタクリニック
https://www.hirahata-clinic.or.jp/
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