
Whole-System
Healing
Shoshannah works holistically with mind, body, nervous system, and relationships - addressing root causes, not just symptoms.
Expertise in Complex
& Chronic Patterns
Specialises in anxiety, trauma, chronic health issues, nervous system sensitivity, and family/relationship dynamics - especially when standard methods haven’t worked.
Integrated,
Lasting Change
Combines therapy, mindscaping, genetics, and natural medicine to create lasting transformation, focusing on prevention, resilience, and deep understanding - not quick fixes.
Shoshannah works on-line nationally and internationally,
and in person in St Albans, Hertfordshire, UK
Slow processing is one of those phrases that quietly shapes identity. It is usually first spoken in a school setting. A teacher notices that a child takes longer to answer. A psychologist measures processing speed against a standardised norm. A parent is told their child is bright but slow. Something subtle happens at that moment. Tempo becomes character. Pace becomes problem. And yet when I sit with these individuals in clinic, what I see is rarely deficit. I see a nervous system that is doing more beneath the surface.
Processing speed is simply the rate at which the brain can take in information, integrate it across networks and produce a response. That integration requires white matter connectivity, synaptic efficiency, dopamine regulation, mitochondrial energy production and a relatively calm stress response. When any of these systems are under strain, outward speed reduces. But reduced outward speed does not mean reduced complexity. Often it means increased internal activity.
From an evolutionary perspective, it would have been disastrous if every human brain were built purely for rapid reaction. Groups survive through diversity. Some individuals needed to respond immediately to threat. Others needed to sit, observe patterns, track seasonal changes, anticipate long-term consequences and notice subtle social shifts. A slower processor may have been the one who sensed that the group’s food supply was changing, or that tension was building between tribes, or that a decision required careful weighing of outcomes. That capacity for reflection and long-horizon thinking does not disappear simply because modern schooling rewards quick answers.
When we bring genetics into this picture, variation makes even more sense. Dopamine regulation is central to cognitive tempo. COMT influences how quickly dopamine is broken down in the prefrontal cortex. Slower dopamine clearance can support sustained focus and depth of thought, yet under stress it can reduce cognitive flexibility and increase the time required to shift attention. MAOA influences monoamine metabolism and interacts with early environment, particularly trauma exposure, shaping emotional reactivity and impulse control. DRD2 and DRD4 influence dopamine receptor sensitivity and reward processing, affecting motivation and response initiation. BDNF influences synaptic plasticity and learning efficiency. None of these genes operate in isolation. They form part of an interdependent network that shapes how a brain processes and responds.
Methylation pathways add another layer. Variants such as MTHFR alter folate metabolism and influence neurotransmitter synthesis, detoxification capacity and cellular energy production. If methylation efficiency is reduced, the brain may need to work harder to maintain neurotransmitter balance. Mental stamina can drop more quickly in cognitively demanding environments. Add sleep disruption, micronutrient depletion, chronic stress or substance exposure, and cognitive tempo can slow further. This is not laziness. It is biology under load.
Inflammation and oxidative stress are equally relevant. Neuroinflammation impairs executive functioning and reduces signal efficiency between brain regions. Genes such as SOD, along with broader antioxidant pathways, influence resilience to oxidative stress. If the brain is operating in an inflammatory state, processing becomes effortful. The individual may appear hesitant, but internally the system is compensating for physiological drag.
Temperament and trauma history further shape tempo. A nervous system that has learned to scan for threat will take longer to respond because it is assessing safety. Hypervigilance requires energy. It also increases the cognitive steps required before action. The brain checks context, tone, facial expression and potential consequence before speaking. That protective scanning slows outward response but increases survival accuracy. In a classroom this may be misread as delay. In evolutionary terms it is caution.
There are consistent strengths that accompany slower processing when the system is supported. Many of these individuals show strong long-term retention because they encode information deeply. They demonstrate careful moral reasoning because they are internally simulating consequence. They are less likely to act impulsively because they have evaluated multiple options before moving. They often become the adults who are thoughtful decision makers, reflective clinicians, careful researchers or steady leaders. Their tempo allows them to integrate emotional nuance with cognitive data.
Of course, vulnerability can coexist with strength. Under chronic stress, the same depth can tip into rumination. When dopamine becomes dysregulated, mental flexibility may reduce. When inflammation rises, mental fatigue appears earlier. In adolescents, where the prefrontal cortex is still maturing, variability in processing speed is entirely expected. Add trauma, sleep deprivation or nutritional imbalance, and differences become more pronounced. The label then risks becoming internalised as identity, and identity shapes behaviour.
In my own work, I am not interested in accelerating a nervous system beyond its design. I am interested in understanding terrain. I look at nervous system genetics, methylation efficiency, inflammatory load and stress physiology. I consider developmental history and trauma exposure. I stabilise sleep and reduce inflammatory burden. I support methylation appropriately rather than indiscriminately stimulating it. I work psychotherapeutically with the narratives that have formed around being called slow. When physiology settles and shame reduces, processing often becomes smoother. Not necessarily faster in a dramatic sense, but freer. Less effortful. Less burdened.
We live in a culture that equates speed with competence. Rapid answers are rewarded. Immediate productivity is praised. Yet some brains are structured to integrate more layers before responding. They were never designed for haste. They were designed for depth. When we understand that tempo is adaptive variation rather than flaw, we begin to see that what is labelled slow may in fact be a nervous system that is thorough, conscientious and quietly intelligent, waiting for the right conditions in which to unfold.
Let me help you understand your very individual brain, and how it serves you…
