Off Duty — What Life Opens Up Once the Nervous System Stands Down

Life After Survival Mode: what changes when a nervous system is no longer organised around threat

Lisa Arrigo asks the question most trauma conversations never reach: what happens after the danger passes and nobody tells the body. A New York Licensed Clinical Social Worker with 26 years in private psychotherapy practice, certified in EMDR and trained in Sensorimotor Psychotherapy Levels I and II, she works with people who have done the insight work and still run every day on permanent watch. She sits with clients who can name every pattern in their history and still cannot get through a quiet evening without scanning for the next thing to manage. In her forthcoming teachable memoir Fall Risk, she traces how survival strategies that began before language keep setting the schedule long after the threat is gone, and what returns when attention is no longer spent on guarding. Listeners get the signs that vigilance is loosening, and a clear picture of what fills the space it leaves.

About Lisa Arrigo

Lisa Arrigo, podcast guest

Psychotherapist and Clinical Social Worker Specializing in Trauma, Attachment, and Addiction

25+ years Experience serving LGBTQ clients2 University degrees: BS & MSW4 Specialist certifications & training milestonesLicensed Clinical Social Worker New York

Lisa Arrigo has spent more than three decades helping people understand what trauma leaves behind long after the original danger has passed. A New York Licensed Clinical Social Worker and psychotherapist, her work sits at the intersection of trauma, attachment, addiction, neurobiology, shame, and the deeply human ways people learn to survive.

Her perspective is powerful because it comes from both sides of the therapeutic relationship. Lisa has devoted her career to helping others heal, while also confronting the impact of trauma, addiction, relapse, and recovery in her own life. After more than 17 years of sobriety, she experienced a cocaine relapse that nearly cost her life and left her waking in a Manhattan hospital unable to remember how she had arrived there. That experience challenged everything she thought she understood about healing and forced her to confront a difficult truth: we can have insight, language, and years of recovery behind us and still carry survival patterns that remain active beneath the surface.

That lived experience now sits alongside decades of clinical training. Lisa earned her BS from Trinity University and her MSW from Fordham University School of Social Work, followed by post-graduate study at the Westchester Institute for Psychoanalysis and Psychotherapy.

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The One Day At A Time Recovery Podcast· Listen to Lisa Arrigo on air