THE SCIENCE OF RECOVERY: INTRODUCTION TO BRAIN DEVELOPMENT & NEUROPLASTICITY

Transcription

1 THE SCIENCE OF RECOVERY: INTRODUCTION TO BRAIN DEVELOPMENT & NEUROPLASTICITY Presented by Joseph Christensen, M.A. Licensed Marriage & Family Therapist Master Addiction Counselor June 22, 2016

2 Thomas Durham, PhD Director of Training NAADAC, the Association for Addiction Professionals

3 PRODUCED BY NAADAC, the Association for Addiction Professionals

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6 Cost to Watch: Free CE Hours Available: 1.5 CEs CE Certificate for NAADAC Members: Free CE Certificate for Non-members: $20 CE Certificate To obtain a CE Certificate for the time you spent watching this webinar: 1. Watch and listen to this entire webinar. 2. Pass the online CE quiz, which is posted at 3. If applicable, submit payment for CE certificate or join NAADAC. 4. A CE certificate will be ed to you within 21 days of submitting the quiz.

7 USING GOTOWEBINAR (LIVE PARTICIPANTS ONLY) Control Panel Asking Questions Audio (phone preferred) Polling Questions

8 WEBINAR PRESENTER Joseph Christensen, M.A. Licensed Marriage and Family Therapist Master Addiction Counselor MindMap, LLC All slides copyright J. Christensen (2016)

9 Webinar Learning Objectives LO #1 Increase Knowledge & Understanding of the latest science involving the brain and mind. LO #2 Comprehend a medical definition of healthy brain functioning including the basic neurological systems involved. LO #3 Learn The 10 Principles of Neuroplasticity that supports active engagement and positive client gains in counseling.

10 PRESENTER BACKGROUND 26 years experience in mental health counseling, previously licensed in 3 states (California (2000), Oregon (2007) and Washington (2011). Currently practicing in California. 21 years brain development inquiry. (A History of the Brain-2,000 original slides in PowerPoint in 14, progressive, modular ½ day trainings). 17 years chemical dependency background and Master Addiction Counseling experience. (Primary Author of Oregon Health Authority 40-hour approved Brain Based Recovery Mentoring- Medicaid Eligible.)

11 FIRST OVERARCHING CONCEPT

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15 BRAIN BASED RECOVERY MENTORING: TOWARDS A UNIFIED MODEL OF CHANGE

16 WHAT SHOULD BE MANDATORY Mental Health Spectrum Development (Brain/Body/Mind) Chemical Use Spectrum Environmental Factors

17 THE MINIMUM YOU NEED TO KNOW Client Presentation Brain Development Environmental Factors Chemical Dependency Mental Illness

18 BRIEF HISTORY OF PARADIGMS

19 Behavioral Genetics Evolutionary Psychology Brain Development Developmental Biology Cognitive- Affective Neuroscience Pediatric Neuropsychology

20 HOW DOES THE BRAIN MAKE THE MIND?

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24 Associated Genes Implications In Daily Life Panic Disorder 7,464 We sort new information through a threat assessment filter. Major Depressive Disorder 10,151 Mood filters reality. Alcohol Use 2,326 Alcohol and civilization co-occurred; Genetic loads for alcoholism. Alcohol Resistance 249 Alcohol use is not a simple disorder; many factors are involved in the disease process. Accessed

25 3 MAJOR ITERATIONS OF THE ADULT MIND Birth

26 1ST MAJOR ITERATION OF THE ADULT MIND Puberty Birth Threshold Reproductive Threshold

27 2 MAJOR ITERATION OF THE ADULT MIND Puberty 25 Years Birth Threshold Reproductive Threshold Emotional Regulation

28 3RD MAJOR ITERATION OF THE ADULT MIND Puberty 25 Years Years Birth Threshold Reproductive Threshold Emotional Regulation Thinking WIth Multiple Abstractions

29 COGNITIVE DEVELOPMENT Reflexes Actions Representations Abstractions Single Reflexes Mapping Systems Single Actions Mapping Systems Single Represent. Mapping Systems Single Abstractions Mappings Systems 3-4 Weeks 7-8 Weeks Weeks 3-4 Months 7-8 Months Months 2 Years Years 6-7 Years Years Years Years Kurt Fischer and Samuel Rose, 2000

30 COGNITIVE DEVELOPMENT Mapping Abstract Complex Relationships Age Representational Systems Single Abstractions Age Abstract Mapping Abstract systems Age 15 Age or never Systems of Abstract Systems Age or never Kurt Fischer and Samuel Rose, 2000

31 PRACTICAL IMPLICATIONS Blind Alleys Mystery? Magical Thinking

32 ADULT DEVELOPMENT SUMMARIZED First Iteration of the Mind Second Iteration Body-Mind Survival Oriented Reproductive Oriented Mental Filters (Sadness and Anger) Very Limited (No) Cognitive Awareness Major Increase In Brake Power Access To Spectrums Of Mood Increasing Awareness Third Iteration Thinking & Applying Multiple Abstractions To Daily Living

33 POLLING QUESTION #1 DO YOU BELIEVE THERE IS SUCH A THING AS AN ADDICTIVE PERSONALITY? YES OR NO

34 Treatment May Not Reverse Genetic Expression of Harmful Genes Changes In Structure & Function Previous Structural Damage From Early Use Connectomic Wiring; Developmental Lags & Challenges to Stress Response. (Altered Thresholds) What Parts of the Brain s Wiring Was Changed? Behavior Patters & Personality Learned Ways of Thinking, Feeling and Acting.

35 GAS, BRAKES & ZONE OF EFFICACY

36 Stimulants Uppers Zone of Intact Functioning Depressants Downers

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38 CLOSED HEAD INJURY

39 Eye Opening None To pain To speech Spontaneous Motor Response No response Extension Abnormal Flexion Withdrawal Localizes Pain Obeys commands Verbal Response No response Incomprehensible Inappropriate Confused Oriented Score Description Not attributable to ocular swelling. Pain stimulus is applied to chest or limbs. Nonspecific response to speech or shout; Eyes are open, but does not imply awareness. Flaccid Decerebrate posturing: Intern. shoulder rotation Decorticate posturing: Abnormal flexion Normal flexor response Pain stimulus applied causes limb to remove it. Follows simple commands No vocalization Vocalizes, but no recognizable words Intelligible speech Responds to questions/conversational/disoriented Normal orientation to time, person, and place. Keith Owen Yeates, p. 93

40 PATHOLOGY OF CLOSED HEAD INJURY Type of Insult Primary Secondary Neurochemical Delayed Pathology Skull Fracture Intracranial contusions and hemorrhage Shear-strain injury Brain Swelling Cerebral edema Elevated intracranial pressure Hypoxia-ischemia Mass lesions (hematoma) Excessive Production of free radicals Excessive release of excitatory neurotransmitters. Disruption of cellular calcium homeostasis. White matter degeneration and cerebral atrophy Posttraumatic hydrocephalus Posttraumatic seizures

41 STRUCTURAL EFFECTS

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43 STRUCTURAL EFFECTS

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47 IMPLICATIONS FOR ONSET & RECOVERY Threshold #1 Threshold #2 Threshold #3

48 DEALING WITH COMPLEXITY (LIKE ADDICTIONS & MENTAL ILLNESSES)

49 Clinical Impairment Subclinical Impairment Impairment Threshold Intact Function

50 Impairment Threshold Impairment Threshold

51 Impairment Threshold Intact Function

52 Clinical Impairment Subclinical Impairment Impairment Threshold Low Challenge Task High Challenge Task High Biological Risk Development Buffer Zone Intact Function Time Low Biological Risk Development Reserve Time Reserve

53 LACK OF A GOLD STANDARD IN BRAIN FUNCTIONING

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55 Clip Source Wikipedia: Thalamus.pgn

56 FAST & SLOW FEAR PATHWAYS Slow Circuit Cerebral Cortex Hippocampus Thalamus Amygdala Fast Circuit Adapted from Joseph LeDoux, 1994 Hearing Emotional, Behavioral and Autonomic Responses

57 OBTAINING A BASELINE

58 1 ST MEASURE : HPA & SNS

59 2 ND MEASURE: VAGAL DOMINANCE

60 3 RD : SYS REACTION WITHOUT VAGAL WITHDRAWAL

61 4 TH : STRENGTH : INHIBITION OF HPA

62 5 TH MEASURE : IMMUNE SYSTEM RESPONSE

63 6 TH MEASURE : POSITIVE INCREASES

64 7 TH : ADRENAL CORTEX/ BRAIN HORMONE LEVELS

65 HOW DOES THE BRAIN WORK?

66 HOW DOES THE BRAIN GROW?

67 WHY DOES THE BRAIN S STRUCTURE MATTER?

68 HOW DO RELATIONSHIPS CHANGE THE BRAIN?

69 HOW CAN WE BUILD HEALTHY BRAINS?

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71 Behavioral Genetics Evolutionary Psychology Brain Development Developmental Biology Cognitive- Affective Neuroscience Pediatric Neuropsychology

72 1 ST SCIENCE: BEHAVIORAL GENETICS

73 INHERITED TRAITS

74 BEHAVIORAL GENETICS Phenotype Gene Activation / Suppression Genotype : Loads Structure of DNA

75 CODING ERRORS Mutations: deletion, duplication and inversion. Single_chromosome_mutations.png. Richard Wheeler, 2007.

76 GENETIC LOADING = EXPRESSED TRAITS Proximal Causes Ultimate Causes

77 SWITCHING GENES ON OR OFF Genes On/Off Intensity Genes Expression Suppression- Repression Up Regulation Promotion Down Regulation

78 GENETIC EXPRESSION Phenotype The Expressed Genetic Content Genotype The Entire Genetic Content

79 2 ND SCIENCE: DEVELOPMENTAL BIOLOGY

80 FROM 1 CELL TO 10 TRILLION

81 DAY ONE

82 LESSONS FROM DEVELOPMENTAL BIOLOGY Timetables/Development Ontogeny & Phylogeny Fate Maps Cell Differentiation

83 Environmental Variables Genetic Contributions Active Learning In Social Networks

84 PEDIATRIC NEUROPSYCHOLOGY

85 Clinical Impairment Subclinical Impairment Impairment Threshold Low Challenge Task High Challenge Task High Biological Risk Development Buffer Zone Intact Function Time Low Biological Risk Development Reserve Time Reserve

86 COGNITIVE AFFECTIVE NEUROSCIENCE

87 MOOD SETS MIND Memory Sorting Storage & Retrival Brain Filters On Reality

88 WHAT S A TRIGGER

89 ALL MIND S DISTORT INFORMATION

90 BIOLOGICAL PSYCHOLOGY

91 Callous Indifference You

92 MAJOR MILESTONES AGES 3-40 Age 40 Age 16 Age 10 Age 3

93 THE WESTERN SCIENTIFIC DEFINITION OF CHANGE

94 WHY CAN OUR SPECIES CHANGE? Meta-Cognition Thinking Feeling Conscious Thoughts Mood Behaving Habits Choices

95 THE GOOD NEWS!!

96 LACK OF A GOLD STANDARD IN BRAIN FUNCTIONING

97 Relapse Pre- Contemplation Maintenance Contemplation Action Preparation

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99 Interference Use It or Lose It Use Improves Function Transference Age Neuroplasticity & Development Experience Specific Repetition Salience Intensity Time

100 Neuroplasticity & Development Use It or Lose It

101 Use It or Lose It Neuroplasticity & Development Use Improves Function

102 Use It or Lose It Experience Specific Neuroplasticity & Development Use Improves Function

103 Use It or Lose It Repetition Neuroplasticity & Development Use Improves Function Experience Specific

104 Use It or Lose It Intensity Neuroplasticity & Development Use Improves Function Repetition Experience Specific

105 Use It or Lose It Time Intensity Neuroplasticity & Development Use Improves Function Experience Specific Repetition

106 Use It or Lose It Salience Time Neuroplasticity & Development Use Improves Function Experience Specific Intensity Repetition

107 Age Use It or Lose It Use Improves Function Salience Neuroplasticity & Development Experience Specific Time Repetition Intensity

108 Transference Use It or Lose It Use Improves Function Age Salience Neuroplasticity & Development Experience Specific Repetition Time Intensity

109 Interference Use It or Lose It Use Improves Function Transference Age Neuroplasticity & Development Experience Specific Repetition Salience Intensity Time

110 Change Purposeful

111 Purposeful Change Focused

112 Purposeful Change Persistent Focused

113 Purposeful Effort Change Focused Persistent

114 POLLING QUESTION #2 AS IT PERTAINS TO PEOPLE, THE SAYING YOU CAN T TEACH A OLD DOG NEW TRICKS HAS BEEN SHOWN TO BE: A. A FACT B. PARTLY TRUE C. LARGELY A MYTH

115 THANK YOU! Joseph Christensen, M.A. Licensed Marriage and Family Therapist Master Addiction Counselor MindMap, LLC

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117 Cost to Watch: Free CE Hours Available: 1.5 CEs CE Certificate for NAADAC Members: Free CE Certificate for Non-members: $20 CE Certificate To obtain a CE Certificate for the time you spent watching this webinar: 1. Watch and listen to this entire webinar. 2. Pass the online CE quiz, which is posted at 3. If applicable, submit payment for CE certificate or join NAADAC. 4. A CE certificate will be ed to you within 21 days of submitting the quiz.

118 Upcoming Webinars July 13, 2016 August 10, 2016 Dual Diagnosis in Women: Diagnosis, Self- Harm, and Treatment By Amanda Graham Acceptance and Commitment Therapy and Resource Tapping (EMDR) in Treatment of Chronic Pain By Michael Bricker July 27, 2016 Compassion Fatigue, Burnout and the Strength-Based Workplace By Bob Phillips August 24, 2016 Blood-Borne Pathogens By Mita Johnson

119 Free CEs for Members Levels: Professional Associate Student

120 WEBINAR SERIES Over 75 CEs of free educational webinars are available. Education credits are FREE for NAADAC members. MAGAZINE ARTICLES In each issue of Advances in Addiction & Recovery, NAADAC's magazine, one article is eligible for CEs. FACE-TO-FACE SEMINARS NAADAC offers face-to-face seminars of varying lengths in the U.S. and abroad. INDEPENDENT STUDY COURSES Earn CEs at home and at your own pace (includes study guide and online examination). CONFERENCES NAADAC s 2016 Annual Conference Minneapolis, MN October 7-11 CERTIFICATE PROGRAMS Demonstrate advanced education in diverse topics with the NAADAC Certificate Programs.

121 2016 ANNUAL CONFERENCE Join us from October 7-11, 2016 in Minneapolis, Minnesota for the NAADAC Annual Conference, Embracing Today, Empowering Tomorrow. Visit for more information and to register!

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