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23rd September, 2025

How to Stop Toxic People Pushing All Your Buttons

With Dr Claire Plumbly

Photo of Dr Claire Plumbly

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On this episode

We all meet difficult people who trigger us and push our buttons from time to time. Whether it’s a hostile patient, a passive-aggressive colleague, or someone dominating a conversation without listening, these interactions can leave us feeling dysregulated and unable to think clearly.

When faced with challenging people, our nervous system automatically responds to perceived threats. This threat response can hijack our frontal lobes, making it difficult to make good decisions or respond professionally. The solution lies in understanding our nervous system and learning techniques to regulate ourselves in these situations.

Physical signs of nervous system dysregulation include increased heart rate, difficulty thinking clearly, or feeling overwhelmed. Grounding techniques like slow, regular breathing and mentally repeating supportive affirmations can help reduce those feelings.

When we reflect or take on the other person’s agitated or angry state, we can make poor decisions and escalate conflicts. We might over-diagnose patients out of anxiety, react with inappropriate anger, or internalise criticism that isn’t warranted. These patterns damage our relationships, undermine our professional confidence, and compromise patient care.

In this episode, Dr Claire Plumbly shares simple practices that can create the space needed for your nervous system to regulate and your thinking brain to come back online.

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About the guests

Dr Claire Plumbly photo

Reasons to listen

  • For practical techniques to regulate your nervous system when faced with difficult people
  • To discover how to identify when your threat response is triggered and communicate this effectively to de-escalate tense situations
  • To understand why certain people trigger you more than others and how to use this self-awareness to maintain professional boundaries

Episode highlights

00:02:36

A primer on polyvagal theory

00:14:23

Co-regulation vs co-escalation

00:21:42

How to deal with someone’s angry response

00:25:31

Embodied affirmations

00:29:50

When fear presents as anger

00:33:03

Imbalances in anger across genders

00:34:34

More strategies for co-regulation

00:35:36

How to deal with difficult people

00:37:22

EMDR template

00:39:39

Claire’s top tips for co-regulation with tricky people

00:40:58

Where to find Claire online

Episode transcript

[00:00:00] Rachel: When we’re up against a challenging person, a difficult colleague, or an angry patient, our amygdala gets activated and our nervous system goes into fight, flight, freeze, or foreign mode. in our Shapes Toolkit training we describe this as being backed into the corner. We can find it especially hard to deal with other people’s anger, particularly if it triggers something from our past experiences and our reaction is often to appease the angry person rather than saying, hang on a minute, I don’t think I should be spoken to like that. [00:00:31] Rachel: This week, Dr. Claire…

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