Somatic Approaches Treating biopsychosocial Impacts of Trauma
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SOMATIC APPROACHES TO TRAUMA TREATMENT - SECTION B Somatic Approaches to Treating Biopsychosocial Impacts of Trauma
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Transcript of Somatic Approaches Treating biopsychosocial Impacts of Trauma
SOMATIC APPROACHES TO TRAUMA TREATMENT - SECTION B
Somatic Approaches to Treating Biopsychosocial Impacts of Trauma
PACE Attitude – Quality of Contact Playfulness – A willingness to laugh, joke and play even in difficult
situations. Pulls an individual out of fight flight into frontal lobe and limbic connection.
Acceptance – Acceptance builds a context of safety and connection. Accepting is not agreeing or supporting but just recognizing reality when it is present.
Curiosity – Curiosity is the hallmark of social engagement. This pulls an individual out of fear or anger states and into the state where new possibilities can arise. It begins to support decreased stress reaction and increase parasympathetic tone.
Empathy – The experience of being understood develops the ability to care for one’s self. Creates a context of safety and understanding. This allows for an individuals guard to go down and the shift into more curiosity and possibility.
The Hidden Epidemic – ACEs
The Hidden Epidemic – ACEs
Finding Our Cultural Location
The Hidden Epidemic – ACEs
It is not all in your head…
Picard, M. et al. (2014) Mitochondrial allostatic load puts the ‘gluc’ back in glucocorticoidsNat. Rev. Endocrinol. doi:10.1038/nrendo.2014.22
Clinical Review – The Human Impact
Trauma exposer increases the incident of paradoxical and complex reactions to medications.
DM-II: Hypothalmic-pituitary-adrenal activity is enhanced in patients DM-II related complications and the degree of cortisol relates to presence and number of diabetes complications. Journal Diabetes Care - Cortisol Secretion in Patients With Type 2 Diabetes - doi: 10.2337/dc06-1267
Clinical Case – Discussion
HPA Axis is Triggered
in Extreme Stress• It is a hormone
triggered system and is not triggered by direct nerve stimulation.
• This sets a global activation state for the whole body.
• It is meant to be time limited. To turn off and to turn on.
Polyvagal TheoryThe way it works… V.V.C. Brake
Disengages
Sympathetic Nervous system
Engages V.V.C Brake Engaged at rest and Socially Engaged.
DMNX EngagesShutting Down Consciousness
Deer Orienting… https://www.youtube.com/watch?v=fUnX65RmPko
Coherence in Birdshttps://www.youtube.com/watch?v=DmO4Ellgmd0
Polar Bear Freeze State https://www.youtube.com/watch?v=eT4060GeodI
Opossum Freeze Statehttps://www.youtube.com/watch?v=sNNCBCqdHQs&index=3&list=PLKt47oQNSAs5AQSZtMt5Pv5oPXTkEJIl7
Gazelle Saved by Baboons: Comes out of Freezehttps://www.youtube.com/watch?v=xmF52x3EJso&index=6&list=PLKt47oQNSAs5AQSZtMt5Pv5oPXTkEJIl7
Pathways of Care - 3 Core Impacts +1
PTSD Treatment Addressing Impact of PTSD and Acute Stress Reactions
Trauma Informed Care Addressing sub-syndromal impacts of high stress and adverse events
Trauma Informed Disease ManagementImpact of Stress and Dysregulation on Health Conditions
+1 - Providers are People First Impact of Patient Trauma on Treatment Providers
Sensory Motor Therapy Notices the three levels (or four if using
Perry’s system) of functioning how these are effecting function.
Adapts the intervention to the area of function most likely to produce integration.
Speaks the language of the brain system most likely to lead to integration.
Somatic Experiencing Trauma is a Feedback Loop
High Arousal
Unsuccessful Escape
Experiencing
Fear and Hopelessn
essImmobiliza
tion
Trauma Based
Meaning/Cog
Somatic Experiencing Supporting the Innate Drive to Health
Payne, P., Levine, P. A., & Crane-Godreau, M. A. (2015). Somatic experiencing: using interoception and proprioception as core elements of trauma therapy. Frontiers in psychology, 6, 93. http://dx.doi.org/10.3389/fpsyg.2015.00093
Clinical Tools – Treatment Relationships
Bruce Perry’s “4 Steps” Regulate Self – When we are stressed we have
non-verbal cues that indicate to those we are around we are stressed. Individuals exposed to trauma have a heightened sensitivity to these cues (Facial Expression of Emotion Studies).
Regulate Other – Actively help your patient regulate. Use a stress reduction tool, distraction technique or simply become more interesting then their stress.
Attune – Engage the ‘Serve and Return’ style. When people feel seen, heard and understood they shift from stress to rest.
Reason – Once some one is regulated they are more available to reason. Signs of regulation are good eye contact, taking a deep breath, borboygmi, expression of curiosity (indicates frontal lobe is working again).
Exercise Tracking State Changes
Watch the video of Peter working with Ray. Observe the non-verbal conversation. Watch for changes in states or what Dr. Crane calls ‘Preparatory Set.’
1. Each member of the class take one state sign: Fight, Flight or Freeze.
2. Every time there is a change in state hold up the sign for the state change.
Payne, P., & Crane-Godreau, M. A. (2015). The preparatory set: a novel approach to understanding stress, trauma, and the bodymind therapies.Frontiers in human neuroscience, 9, 178.http://journal.frontiersin.org/article/10.3389/fnhum.2015.00178/full
