and what you can do about it Kim Long MC CCC R Psych Alberta Director Dochas Psychological Services Inc Spruce Grove Alberta Agenda Disclaimer Goals Science stuff Research ID: 919993
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Slide1
How Your Brain Is Taking You Hostage…(and what you can do about it)!
Kim Long, MC, CCC, R. Psych (Alberta)
Director,
Dochas
Psychological Services, Inc.
Spruce Grove, Alberta
Slide2AgendaDisclaimer
Goals
Science stuff
Research
–
stress, resilience, how our brains work
Strategies
Lists of
Practice: Calm Place/Grounding
Wrap up
Slide3DisclaimerVideo recordingImplied consent
No affiliation with Young Living/No profit from sales of their
product
Participation:
Your choice
Triggers
Slide4Disclaimer Continued…
YOU are the expert of YOU
Advice = grain of
salt
These
are my opinions based in:
Research
Experiences
2013 Masters of
Counselling
; 2015 R. Psych
Teacher
–
10 years
–
Elementary and Junior High levels
Base Brat (aka military kid)
Confidentiality
–
focus will be on my experiences
No identifying information given
Slide5What About You?Take a moment to think about who YOU are. How do you want to live your life’s purpose?
Are the choices you make on a daily basis serving that life’s purpose?
Airplane analogy: Who do you put the oxygen mask on first and why?
Are you doing that?
Slide6Goals:Education about:
The brain and how it works (or doesn’t work)
W
ellness
from a mental health
perspective
Science research
Experience
Tools that can be used
immediately
Slide7How to Tell if I Need Therapy…
Oil change (
my bias)
Winter
blues (
Kwong
, 2015
)
35% of Canadians
10-15% seasonal depression
2-5% SAD
How do you tell the difference between “blues”, “nerves”, and something clinical, like Seasonal Affective Disorder (SAD), Anxiety, or Depression?
Interferes with daily life
function (work, relationships, self-care)
Others notice
Genetic predisposition?
Slide8StressWhat is stress
?
A physical, chemical, or emotional factor that causes bodily or mental tension and may be a factor in disease causation or
A state resulting from stress; especially: one of bodily or mental tension resulting from factors that tend to alter an existent
equilibrium (
Merriam-
Webster.com
, 2017)
Equilibrium/homeostasis
Don’t like change
Slide9ContainersAnalogy: suitcase, pop bottle,
tupperware
container, etc.
Shove emotions/sensations/thoughts away
Think: What is your container?
Not really paying attention to how much putting away
Splits open/Leaks
Worst time
Under stress/overwhelmed or trying to relax/sleep
Having a great day
How to make space?
i.e. friend who’s father died
Slide10Types of StressEnvironmental:
Light (Lambert, Reid, Kaye, Jennings, &
Esler
, 2002
)
Serotonin (
n.a
.
(c), 2017)
Edmonton Public Library; BTU 10 000 (
Johnson, D., 2014)
Pollution (
Heeken
&
Polivka
, 2015
)
i.e. China or even smog warnings in Toronto
Overcrowding
(Burton, 1990)
Increased crime and health issues
Financial/Situational (
Heeken
&
Polivka
, 2015
)
Lower SES/change in SES
Recession/layoffs
Slide11Types of Stress Continued…
Physical:
Illness
(
n.a
., 2013)
i.e. Brain tumor
Pain
(
n.a
., 2013; Wilcox,
Veggeberg
,
Lemme
,
Hodkinson
,
Scrivani
, Burstein,
Beccerra
, &
Borsook
, 2016)
i.e. Migraines
Emotional:
Family/Relationships (
Heeken
&
Polivka
, 2015
)
Graduating/leaving home
Grief and loss
Divorce/death/significant changes = loss
Chronic
Stress
(
n.a
., 2013
)
–
Impact
?
Incl. ineffective coping strategies that used to work
After mom’s diagnosis = stuffing
Slide12Resilience Factors“caring, supportive relationships” (American Psychological Association (APA), 2017)
Family/friends (
n.a
. (b), 2017)
= safe place to come back to after exploring world
“able to plan and carry out plan” (APA, 2017)
“positive view of self and confidence in strengths and abilities” (APA, 2017)
Self-efficacy (
n.a
. (b), 2017)
“skills in communication and problem solving” (APA, 2017)
Dual awareness: frontal lobe and emotional center (limbic system)
“capacity to manage strong feelings and impulses”
i.e. The Hulk
Slide13Science Stuff OR: Why Mind, Body, and Emotion?
The
Three Brains/Triune Brain
https://
www.youtube.com
/
watch?v
=f-
m2YcdMdFw
Three
brain
model (Siegel, 2017)
Wrist = spinal cord
Palm = brain stem (Reptilian brain; Fisher, 2016)
Thumb = limbic system/emotional center (Mammalian brain
;
Fisher, 2016)
5 senses
Palm and thumb = regulate arousal, emotions, and 3
Fs
Sensory cortices = store info specific to emotional meaning of senses (
Rettner
, 2010)
Slide14The Brain
Fingers = Frontal lobe/cortex
Perceive outside world, think, and reason
Behind eyes = Prefrontal cortex
Regulates subcortical regions (limbic system/brain stem)
Limbic system tries to react to perceived threat; prefrontal cortex tries to shut the reaction off
Slide15Slide16“Flipping Your Lid”
Prefrontal cortex and Cortex offline
https
://
www.youtube.com
/
watch?v
=G0T_2NNoC68 Flipping Your
Lid
Thumb and palm triggered again and again
Like static electricity
i.e. Sister and truck drive home - staring
“Amygdala Hijack” (
Ahuja
,
Myat
, Cervantes, & Zahn,
n.d.
)
Straw that broke the camel’s back
i.e. Vacuum and furnace
Slide17MemoriesHippocampus, prefrontal and frontal cortices, and amygdala
Directly linked in memory formation and retrieval (Jin &
Maren
, 2015;
n.a
. (a), 2017)
Offline = major problem in forming clear memories
Triggers are reactions to current events
“Trigger” our body/emotional memories of something not so great
Can’t id triggers or don’t know why we’re reacting the way we are
–
no language/story for
trigger,
just sensation
No explanation to label it/reduce charge
Slide18Window of Tolerance
Steffensen
, T., 2010)
Slide19Window of ToleranceStress (esp. chronic) + coping mechanisms that no longer work = vice on either
end
i.e. Master’s degree and laundry
Relief the trigger
Chronic stress without proper care after =
Continuum of illness and symptoms (Arber, 2014)
F
atigue/illness
Pain
Hypervigilance
(looking over shoulder, waiting for shoe to drop)
Rumination (stewing about events/trying to predict future)
Harder to deal with uncertainty
Hopelessness
Poor memory formation and recall
Note: symptoms of anxiety, depression, and PTSD
…
What Are Strategies You Used To Use That Aren’t Working So Great Now?
Distraction/Numbness
Addictions
Stuffing/Ignoring
Body issues = IBS
Outbursts and Deal with Fallout
Relationship casualty
Staying Silent/Retreating/Hiding
Lack of connection to others/self
Note what’s missing here
…
Body and emotion strategies, yet effects on body and emotion.
Slide21So What?Think about the information in the realms of:Decision making
Conversations and relationships
Living a full life?
Managing stress?
What do you think?
Slide22Discussion Time5 minutes
Slide23Discussion Time4 minutes
Slide24Discussion Time3 minutes
Slide25Discussion Time2 minutes
Slide26Discussion Time1 minute
Slide27So What?What do you think?
If
you can stay in all three brains, you will have the ability to fully process trauma/stress; integrate the
events
Western culture
–
usually only neck up
Cortex d
oesn’t function well when triggered
Roller coaster of 3 F’s and sometimes feeling ok
Increased anxiety/tension from being overwhelmed
Increased numbness from checking out
Technology anyone?
Slide28To Consider:Key points:
Not about making it go away
–
“No Mud, No Lotus”
–
Thich
Nhat
Hanh
; “Inside Out” movie (
Chamary
, 2015).
Harmony
Practice
when calm
–
easier to access when activated
Practice every day
–
reflexive
Your choice
…
Slide29Mind:Distraction
Mindful change of pattern (reframe): Joe
DiSpenza
https://
www.youtube.com
/
watch?v
=8l2nvTv9_Xw&t=
8s
Grass path: gives hope
Pay
attention to body instead and notice moment by moment
changes
Hexaflexercise
activity (ACT; Harris, 2017)
Misophonia
: know reaction doesn’t make sense = NCs
Hexaflex
helps
empower and refocus attention
Do something you haven’t done in a while to use a different part of the brain:
Phone a friend, sudoku, crosswords etc. (i.e. Virtual
Hopebox
application)
PTSD, anxiety, depression
Slide30Body:Breath: Usually first resource (intake for client and self)
4 count breath
Sighing breath
Left/Right
breath
Light Stream
Imagination and visualization
Specific body location i.e. ball in throat
4 Elements
activity
General chronic discomfort
Specific trauma protocol but can use parts of it (or all) once used to it
Progressive Muscle Relaxation (PMR/
Jacobsonian
Relaxation)
Beware injury!
Yoga
Note: You cannot maintain a trauma response in a relaxed muscle body! (Gentry &
Rhoton
, 2017)
Slide31Emotion:Use the 5 senses:
Hearing
Music
–
especially with teens
Rain, Rain app
Touch
–
i.e. Garnet/Max
Smell
“It reminds me of
…
”
Memories, strong reactions
What emotion goes with that memory?
What happens in your body when you smell the scent?
Note: Scents can help us feel something different i.e. lilacs = happy childhood
More pure the
better (
Rago
, 2017)
Taste
Why do you think there’s such a thing as a food addiction? Because it accesses emotions.
Sight
Colors (i.e. Dawn/Aspire and grey)
Familiar
settings (i.e. driving to Cold Lake)
Calm Place activity
Slide32To Ponder…Notice overlap
Explore what works best for you
Pick and choose what suits situation
Body reaction = body strategy
Emotion reaction = 5 senses
Mind reaction = distraction/use mind in a completely different way
Slide33In Practice: Scents
Whatever tool depending on client needs
NOTE: I have no training in aromatherapy, choices come from client feedback and my own reactions
Self
-regulation with clients (emotion
strategy, Sacred Mountain, Lemon, etc.)
Grounding, Calm Place, Muscle tightness
“YES!” reaction
Self-regulation for me (Bergamot, Release, etc.
)
Space “feels” off (i.e. Jack’s and
Wilhauk’s
)
My own mood/body sensations
Samples +
Chalkboard (Thanks, Yvonne!)
Slide34Activities: Calm Place and GroundingTake a moment to notice
where you are on a scale from 0-10
0 = meh (no activation)
10 = pulling out your hair, rocking and sobbing in a corner
AND body sensations (i.e. where your breath gets stuck)
Take a moment after to notice
Scale from 0-10
Body sensations
A shift of 1 is considered awesome!
NOTE: If you are already at a 0-1, think of something that was mildly annoying to you today or yesterday
Brings you to a 2-4 on scale
Questions?
Slide35Calm Place
Place in adult life
Comfortable, calm, secure
Nature, home, or imagination
What do you:
See
Hear
Smell
Feel (touch)
Sense in body?
Slide36Calm Place Con’t…
Tap/Butterfly Hug
Word/Phrase/Symbol
Practice
every day when calm
Building reflex
Slide37Grounding
Pick an object
Hold in
hand
Can use scent as well if you prefer!
Two adjectives
–
to notice moment by moment experience
These can change with each pass
Word/phrase
Goes to heart/emotional center
Breath
Usually use sighing, but up to you
Use as needed
Slide38Whew… You Made It!
Checklist of goals:
Toolbox of strategies you can
use
Understand
to use strategies that fit the symptom
Understand
brains are amazing, but sometimes they need help
too
Recognize
ways to tell if you
or someone you love needs
clinical help
Slide39Questions?
Recordings and presentation
available
for ONE WEEK
at
www.dochaspsych.com
Contact Info:
Kim Long
Dochas
Psychological Services, Inc.
301, 131 First Avenue, Spruce Grove
www.dochaspsych.com
klong@dochaspsych.com
780-446-8634
To provide
feedback
, p
lease
go to https://
www.surveymonkey.com
/r/
T87TCN2 (the link is also on my website and Facebook page)
or please complete the forms on your tables
Slide40References
Ahuja
, N.,
Myat
, W., Cervantes, A., Zahn, N. (
n.d.
)
Amygdala Hijack
. Retrieved from http://
neurosciencefundamentals.unsw.wikispaces.net
/
The+limbic+
System
American Psychological Association. (2017). The road to resilience.
APA Psychology Help Center.
Retrieved from http://
www.apa.org
/
helpcenter
/road-
resilience.aspx
Arber
, C., (2014). Post-traumatic stress and the brain.
Worthit2Be Me.
Retrieved from https://worthit2bme.com/post-traumatic-stress-the-brain
/
Burton
, I. (1990, March). Factors in urban stress.
Journal of Sociology & Social
Welfare. 17
(1), Article 5
.
Retrieved from http://
scholarworks.wmich.edu
/
cgi
/
viewcontent.cgi?article
=1928&context=
jssw
Chamary
, J.V. (2015, August 30). How
“inside out” explains the science of memory.
Retrieved from https://
www.forbes.com
/sites/
jvchamary
/2015/08/30/inside-out-science/#4c5123355184
DiSpenza
, J
. [
GlobalSchoolNet
].
(2012, August 21).
Three brains
–
Thinking to doing to
being
[Video file]
.
Retrieved from https://
www.youtube.com
/
watch?v
=8l2nvTv9_Xw&t=
8s
Fisher
, J. (2003).
Triune
Brain
[
PowerPoiint
Slide].
Retrieved from https://
i.pinimg.com
/736x/5c/4f/f0/5c4ff0143a1340eea15b0d2316b2bcec--
ptsd-
trauma.jpg
Fisher, J. (2016).
Working with the neurobiological legacy of trauma
[Video recording, course pack]. Jack Hirose and Associates.
Slide41References
Gentry, E., &
Rhoton
, R. (2017, May 1). Certified clinical trauma professional (CCTP) intensive training course.
PESI.com
.
Retrieved from https://
www.pesi.com
/store/
onlinecourse
.
Harris
, R. (2017). The
Hexaflexercise
. [Audio recording]
Retrieved from http://
thehappinesstrap.com
/free-resources/
Heeken
, K., &
Polivka
, L. (2015, November).
Environmental and economic factors associated with mental illness.
Retrieved from: http://
coss.fsu.edu
/subdomains/
claudepeppercenter.fsu.edu_wp
/
wp
-content/uploads/2016/02/Environmental-and-Economic-Factors-Associated-with-Mental-Illness-
Manuscript.pdf
Jin
, J.,
Maren
, S. (2015). Prefrontal-hippocampal interactions in memory and emotion.
Frontiers in Systems Neuroscience
, 9(170). Retrieved from https://
www.ncbi.nlm.nih.gov
/
pmc
/articles/PMC4678200
/
Johnson, D. (2014, February 2). Edmonton public library’s Stanley A. Milner branch now sports three mood lights to combat Seasonal Affective Disorder.
EdmontonExaminer.com
.
Retrieved from http://
www.edmontonexaminer.com
/2014/01/29/edmonton-public-librarys-stanley-a-milner-branch-now-sports-three-mood-lights-to-combat-seasonal-affective-disorder
Slide42References
Kwong
, M. 2015, March 5. Why winter brings us down but won’t for long.
Canadian Broadcasting Corporation
. Retrieved from http://
www.cbc.ca
/news/health/sad-science-why-winter-brings-us-down-but-won-t-for-long-
1.2981920
Lambert
, GW., Reid, C. Kaye, GM., Jennings, GL, &
Esler
, MD. (2002). Effect of sunlight and season on serotonin turnover in the brain.
The Lancet.
Retrieved from: http://
www.thelancet.com
/journals/lancet/article/PIIS0140-6736(02)11737-5/
fulltext
n.a
. (2013). Stress.
University of Maryland Medical Center.
Retrieved from http://
www.umm.edu
/health/medical/reports/articles/
stress
n.a
.(a). (2017). Emotions and memory.
Psychologists World.
Retrieved from https://
www.psychologistworld.com
/emotion/
emotion-memory-psychology#references
n.a
. (b)
(2017). Resilience.
Center on the Developing Child: Harvard University.
Retrieved from https://
developingchild.harvard.edu
/science/key-concepts/resilience
/
n.a
.
(c)
(
2017). Serotonin: What you need to know.
Healthline
.
Retrieved from https://
www.healthline.com
/health/mental-health/serotonin#overview1
Slide43References
Rago
, R. (2017, December 7). Emotion on the
brain [Web log post].
Tufts University.
Retrieved from http://
sites.tufts.edu
/
emotiononthebrain
/author/rrago01
/
Rettner
, R. (2010, August 5). Brain’s link between sounds, smells, and memory revealed.
Live Science
Retrieved from https://
www.livescience.com
/8426-brain-link-sounds-smells-memory-
revealed.html
Siegel, D
. [Dr. Dan Siegel]
(2017, August 9).
Dr. Dan Siegel’s hand model of the
brain
[Video File]. Retrieved
from https://
www.youtube.com
/
watch?v
=f-
m2YcdMdFw
Steffensen
, T., (2010, September 30-October 3).
Trauma and the challenge of sexual addiction.
PowerPoint presentation at Society for the Advancement of Sexual Health, Boston, MA.
Stress. (2017).
In
Merriam-Webster’s online dictionary (11
th
ed.).
Retrieved from https://
www.merriam-webster.com
/dictionary/stress
.
Nhat
Hanh
Thich
. (2014).
No mud, no lotus: The art of transforming suffering.
Berkeley, California: Parallax Pr.
Wilcox, S. L.,
Veggeberg
, R.,
Lemme
, J.,
Hodkinson
, D. J.,
Scrivani
, S.,
Brustein
, R., Becerra, L., &
Borsook
, D. (2016, July 26). Increased functional activation of limbic brain regions during negative emotional processing in migraine.
Frontiers in Human Neuroscience.
doi
: https://
doilorg
/10.3389/fnhum.2016.00366