Somatic & Energy Therapies

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Kelley Turner
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1 Somatic & Energy Therapies Leslie Korn, PhD, MPH LMHC, ACS, RPP, NTP, NCBTMB Copyright Dr. Leslie Korn, 2018 Ethics, Collaboration & Referrals Body Oriented Psychotherapy Trained & certified in dual methods Touch or non touch somatics Massage & Somatics methods Licensure by state National Certification Board Referrals, working together simultaneously or distance Identifying ethical providers, boundaries, trauma trained Word of mouth Experiential the methods 2

2 Somatic & Bodywork Therapies Referring for bodywork is similar to counseling referrals Pain, relaxation, awareness, psychosomatic integration Light touch through deep touch, movement only (no touch) Layers: energetic, muscular, joint, fascia Specialized methods: structure/posture, lymph, nervous system, visceral, etc. Korn NIH-funded research see handout Body-Oriented Psychotherapy State Dependent Memory Learning & Behavior What is learned/remembered in one state of consciousness must be accessed & resolved in that state (Rossi, Erickson) Body is the focus of process Integrates talk & touch or talk & the Body w/o touch Somatics USABP United States Association for Body Psychotherapy

3 How Does Touch Heal? Arouses, desensitizes, & transduces state-dependent memory Facilitates consciousness states associated with alpha, beta, theta, & delta brain waves Can induce trance & simultaneously provide the grounding rod to gain control over dissociative processes Anxiolytic, soporific, & stimulates circulatory, lymphatic, & immune response, & regulates the primary respiratory mechanism, (the cranial-sacral rhythm) Touch Activates neurohormonal responses, release of beta-endorphins, oxytocin, serotonin, cortisol levels & stimulates the endocannabinoid system Nonverbal form of biofeedback Simultaneous retrieval of somatosensory memory, body sensations articulation of associative feelings, & cognitive reframing Reduces autonomic hyperactivity

4 Touch Touch (Massage) reduces lactic acid, reducing the chemistry feedback loop of anxiety Touch facilitates somatic empathy psychobiological attunement attachment & bonding Bodywork/Massage Deep relaxation-parasympathetic Josie- Spasm in anal sphincter Reduce inflammation, pain David- chronic back pain, opiate addiction Access & de-conditions traumatic memory; Restoration of capacity for pleasure John- Incest by mother Susan- suicidality Amy- surgery addiction/liposuction Changes body image, improves body concept Jana- late stage trauma recovery Exploration of kinesthetic & proprioceptive boundaries

5 The Cradle Parasympathetic dominance induction Induce parasympathetic dominance Neck pain

Bliss chemicals which fill cerebrospinal fluid Contribute to the

6 North Pole Stretch Theorized that the stretch & flush Fotriggers a release of endocannabinoids (ecbs) Serum anandamide, the ananda Bliss chemicals which fill cerebrospinal fluid Contribute to the relaxed high of the treatment Auricular contact Vitality point Vagal contact

Trapezius release Elana- Shoulder pain, respiration, gall bladder Rocking Shattuck Hospital Rocking is a universal behavior Synchronizes the brain & accelerates and improves the quality of sleep

7 Trapezius release Elana- Shoulder pain, respiration, gall bladder Rocking Shattuck Hospital Rocking is a universal behavior Synchronizes the brain & accelerates and improves the quality of sleep (Bayer et al., 2011) Increases sleep spindles, which are associated with being able to sleep through environmental noise (Bayer et al., 2011) Rocking engages the template of touch & inner infant Life cycle needs Bayer, Laurence et al. Rocking synchronizes brain waves during a short nap Current Biology, Volume 21, Issue 12, R461 - R462

13 The Air Element The back & kidneys

Anxiety & Respiration Releasing the scapula for back pain, improved respiration, postural tension Visceral Manipulation Anxiety/Bulimia/Purging Binge eating engorges the stomach Pressure upon the

14 Anxiety & Respiration Releasing the scapula for back pain, improved respiration, postural tension Visceral Manipulation Anxiety/Bulimia/Purging Binge eating engorges the stomach Pressure upon the diaphragm, giving a full feeling Contraction & heaving motion of the diaphragm stimulates the vagus nerve releases the chronic muscular contraction of the diaphragm Purging is anxiolytic in effect Phren is the Greek word meaning both diaphragm & mind, Gentle manipulation of the diaphragm Stimulates vagal activity & parasympathetic response, providing relief & relaxation

21 Resting Butterfly Pelvic tension, menstrual cramps, back pain Adrenal Reflex/ Iliotibial Band

22 Acupuncture or Bodywork? Differentiating Referrals for bodywork/touch/acupuncture Ayurvedic Principles of Polarities Hyper vs. Hypoactive Clinical vignette Needles/piercing/alternative to cutting Dissociation, Self medication Auricular Acupressure/Puncture NADA Protocol If you want to empower patients, just put more patients than providers in the room. Michael O. Smith, M.D Founder of NADA

23 CES Uses The CES is FDA-approved Anxiety Depression Insomnia

24 Cranial Electrical Stimulation/CES Microcurrent stimulation High frequency,low- level pulsed current Class IIa, Type BF medical device Stimulates the release of neurotransmitters Catalyst for conversion of glutamine into GABA & tryptophan into serotonin CES- Beneficial Effects of CES Anxiety Depression Insomnia Withdrawal symptoms Fibromyalgia pain! Enhanced cognition! Improved brain waves! Enhanced neurotransmitter functions! Relapse prevention! Prevention of substance abuse in high-risk individuals

25 Research is Varied & Inconclusive Evidence is insufficient that CES has clinically important effects on fibromyalgia, headache, neuromusculoskeletal pain, degenerative joint pain, depression, or insomnia+ Low-strength evidence suggests modest benefit in patients with anxiety & depression.+ Recent findings from functional magnetic resonance imaging (fmri) after 4 weeks of CES use increased activation of the cingulate cortex * +Ann Intern Med. 2018;168(6): DOI: /M *Family & community health. 2008;31(3): doi: /01.fch Journal of Nervous and Mental Disease. 1973;157(2): Cranial Electrical Stim Alpha Stim Cranial Electrical Stimulation (CES) Ph: (800) Fax: (940) alpha-stim@epii.com Website: 50

26 Acupuncture, Biofeedback National Acupuncture Detoxification Association (NADA) Ph: (888) 765-NADA (6232), OR: (573) (Local); Fax: (573) ; Website: The Institute of HeartMath Ph: (800) (Toll-free), OR: (831) (International); Website: Summary Spectrum Somatic & Bodywork therapies Different Stages of treatment will benefit Personalities respond differently: touch/bodywork/acupuncture Everything is psycho-somatic/sdmlb Access pre-verbal memory & stored memory Somatic methods range from light to deep touch Applied differently various stages of recovery Differentiating Somatics & touch from acupuncture or other energy methods Cranial Electrical Stimulation & it s application Collaboration & Referrals 52

27 Thank you! drlesliekorn.com

Bodywork and Somatic Education (BASE ) For Trauma Practitioners 4, 4-day modules. 24 CE hours each module. 96 CE hours total, for all 4 modules.

Bodywork and Somatic Education (BASE ) For Trauma Practitioners 4, 4-day modules. 24 CE hours each module. 96 CE hours total, for all 4 modules. BASE 1: 24 ce hours total for BASE module 1 Topics: *Therapeutic