8/12/2016 TOOLS TO HEAL THE TRAUMA THAT LIE UNDER CHRONIC DISORGANIZATION AND HOARDING AGENDA IS THIS HOARDING
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1 TOOLS TO HEAL THE TRAUMA THAT LIE UNDER CHRONIC DISORGANIZATION AND HOARDING DR BARBARA JO DENNISON PHD, LISW-S MONDAY AUGUST 22, 2016 SPONSORED BY: AASC AGENDA * 10:30 11:00 DEFINITION OF CHRONIC DISORGANIZATION OR HOARDING * 11:00- NOON DEFINITION OF BIG TRAUMA S AND LITTLE TRAUMA S TRIUNE BRAIN THE BODY REMEMBERS AND THE BRAIN CODES TREATMENT TOOLS TOP DOWN TOOLS BOTTOM UP TOOLS ONE MONTH MOVEMENT BOOT CAMP IS THIS HOARDING 1
2 IS THIS CHRONIC DISORGANIZATION BIG TRAUMA S OR LITTLE TRAUMA S SUBJECTIVE BIG T S GENERAL PUBLIC AWARENESS: MASSIVE SHOOTING, EARTHQUAKE, FLOOD, TERRORISM, ABUSE LITTLE T S INDIVIDUAL ACTS OF PAIN: WITNESSING A CRIME, HOME INVASION, ACCUMULATED STRESS, FEELING IN DANGER OR AT RISK, MARITAL PROBLEMS, ADDICTIONS, LOSE OF HOME, JOB, HEALTH, LOVED ONE BRAIN 2
3 THE BODY REMEMBERS SYMPATHETIC PARA SYMPATHETIC FLIGHT, FIGHT, OR FREEZE LEARNED THROUGH PAIN/TRAUMA HEART RATE INCREASES MUSCLES TENSE LANGUAGE, SPEECH, MOTOR ACTIVITY AND COMPASSION LESSON VERY SENSITIVE AND OVERACTIVE TO CRITICISM INCREASED THREAT PERCEPTION DIMINISHED BRAIN FUNCTIONING INTENTIONAL INTIMACY TOLERANCE NO TRAUMA OR RESOLVED TRAUMA MUSCLE RELAXATION/ COMFORT PROBLEMS=CHALLENGES PEAK PERFORMANCE WE HAVE CREATED CHOICES SELF-REGULATION BODY/BRAIN THE BODY STIFF MUSCLES NO VOICE DIZZY/DISSOCIATION COLD/CLAMMY HANDS DIGESTION SLOWS AS AMYGDALA BREATH SPEEDS OR SLOWS BACK PAIN IMMOBILITY THE BRAIN OFF LINE/UNCONSCIOUS/BRAIN FOG POOR JUDGEMENT DIFFICULTY FINDING THE RIGHT WORDS STUTTERING INAPPROPRIATE MESSAGES SIGNALS SHUT DOWNS MISJUDGE FACIAL RECOGNITION THE BRAIN CODES TRAUMA 70% WILL EXPERIENCE A TRAUMATIC EVENT 20% WILL HAVE SYMPTOMS OF PTSD AROUSAL = RELIVING EVENT NUMBING = LACK OF INTEREST AVOIDANCE = ISOLATION SELF VIGILANCE = ON GUARD 3
4 WHY DO PEOPLE FEEL TRAUMATIC EXPERIENCES DIFFERENTLY PRE TRAUMA TIME OF TRAUMA POST TRAUMA PRE TRAUMA COGNITIVE ABILITIES COPING AND RESPONSE STYLES PERSONALITY FACTORS PSYCHOPATHOLOGY PSYCHOPHYSIOLOGICAL FACTORS SOCIAL ECOLOGICAL FACTORS (FAMILY OF ORIGIN, SOCIAL SUPPORT, POVERTY) FRAMILY 4
5 TIME OF TRAUMA DID THE PERSON THINK THEIR LIFE WAS AT RISK? HOW CLINICALLY SEVERE THE TRAUMA WAS TO THE BODY HOW SEVERE THE PERSON THINKS THE TRAUMA IS (PERCEPTION) AN INTENTIONAL ASSAULT OR NATURAL DISASTER, (MORE SUPPORT FOR A NATURAL DISASTER) LIFE AT RISK HELP ARRIVES WHEN TORNADO HITS 5
6 POST TRAUMA HOW DO THEY REMEMBER THE T E NEGATIVE POST TRAUMATIC COGNITIONS PERSISTENT DISSOCIATION SEVERITY OF EARLY ACUTE STRESS OR HYPERAROUSAL SOMATIC ANXIETY COMORBID DEPRESSION LACK OF WISHFUL THINKING COPING PAIN SEVERITY INTROVERSION HOW DO THEY REMEMBER THE TRAUMA POST TRAUMA CONTINUED DIFFICULTY EXPRESSING FEELINGS LACK OF SOCIAL SUPPORT SOCIAL CONSTRAINTS PSYCHOSOCIAL RESOURCE LOSS HIGH LEVELS OF WORK STRESS INSUFFICIENT RECOVERY TIME OFF WORK SOCIAL SERVICES NEEDS AND USE SUBSEQUENT TRAUMATIC EVENTS POST TRAUMA LIFE STRESS (ADOPTED FROM DR. E. CARLSON, NATIONAL CENTER FOR PTSD, SEPT. 2013) 6
7 TRIUNE BRAIN COGNITIVE TOP DOWN MOVEMENTS CONTAINMENT THOUGHT RECORD JOURNAL LIFE ORGANIZATION TALK THERAPY WITH HOMEWORK SET BOUNDARY AA, NA, EA, SUPPORT GROUPS BRAKING BOTTOM UP MOVEMENTS MONKEY TAP/BUTTERFLY HUG UJJAYI BREATH BREATH BACK TO BACK BOUNDARY SETTING TAP IN AWARENESS THIRD EYE VOO 7
8 BOTTOM UP CONTINUED PRESSURE POINT RELEASES/ 2-3 MINUTES INNER GATE (WRIST) SEA OF TRANQUILITY POINT (BREAST BONE GUARD HEART) LETTING GO POINT (BELOW COLLAR BONE) BOTTOM UP CONTINUED PROGRESSIVE MUSCLE RELAXATION ALTERNATIVE NOSTRIL BREATHING (BRINGS SINUS BACK TO BALANCE) LIGHT/ COLOR STREAM AWARENESS (SIZE,SHAPE,COLOR,SOUND,TEMP) HYPNOTHERAPY NUTRITION MINDFULNESS/MEDITATION BRAIN CHANGES IN CEREBELLUM, INSULA, HIPPOCAMPUS, 27% CORTISOL NONJUDGEMENT, PAYING ATTENTION ON PURPOSE, LEARN HOW TO FALL AWAKE WORK THE MUSCLES OF AWARENESS, ATTENDING, INTROSPECTION DHARMA BUDDHA FOR 26 HUNDRED YEARS PRACTICE LOOKS LIKE NOTHING BUT TURNS OUT TO BE EVERYTHING ROCK ARMS WITHOUT THOUGHT JUST BE AWARE HEALING IS RECOGNIZING WE ARE BIGGER THAN WE ARE HOLD THE SPACE OPEN HEARTED SPACE BODY SCAN AND SUDS SHIFT FROM DOING TO BEING NOW 8
9 HOLD THE SPACE TREATMENT RESULTS OF MINDFULNESS I FEEL MORE IN MY BODY I RECOGNIZE WHEN I GO INTO HYPERAROUSAL I HAVE TOOLS TO USE THIS FEELS LIKE IT MIGHT BE NURTURING CAN BEGIN TO FORM A COMMUNITY AWARENESS BECOMES DEFAULT MODE INSTEAD OF REACTIONARY THOUGHT TRANSFORMATION IS ABOUT GETTING BIGGER INCREASES META COGNITION (KNOWING THAT YOU KNOW) DANCING MINDFULNESS BREATHE WITHOUT JUDGMENT STRETCH MOVE YOUR BODY WITH BEGINNERS MIND TELL YOUR STORY ALLOW SPIRIT INTO YOUR STORY MAKE A SOUND OF LETTING GO FUSE YOUR MIND WITH THE PRESENT MOMENT 9
10 DANCING MINDFULNESS YOGA FELT EXPERIENCE YOGA NIDRA MEDITATION AND DEEP RELAXATION IREST (INTEGRATIVE RESTORATION) TENSE-RELAXED WARM-COOL ANXIOUS-CALM SAD-HAPPY COMFORT-DISCOMFORT UPSET-PEACEFUL GOAL TO: ALTERNATE UNTIL NO ATTACHMENT OR AVERSION TYPICAL RESILIENT DAY KEEP YOUR STRUCTURE STRETCH EAT/ HYDRATE AWARENESS = STAY IN THE NOW CHOOSE A BOTTOM UP MOVEMENT CHOOSE A TOP DOWN MOVEMENT NARRATIVE BODY SCAN CHECK IN S (REPEAT ABOVE IF NEEDED) CLOSING DOWN FOR THE DAY, QUIET, TEA, SHOWER, BATH, OILS, READ, 2 KIWI, 10
11 RESOURCES ONE MONTH TRAUMA MOVEMENT BOOT CAMP YOUR TRAUMA RECOVERY MATTERS 11
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