OBJECTIVES. Enhancing Hope for Change Krista K. Krebs, PhD September 2017
|
|
- Melanie Phelps
- 5 years ago
- Views:
Transcription
1 Enhancing Hope for Change Krista K. Krebs, PhD September 2017 OBJECTIVES To augment confidence/understanding of the neurobiology of PTSD To augment willingness to talk about PTSD with both Veterans and families in cognitive, behavioral, emotional, spiritual and biological terms in a clear and accessible way Through the first 2 objectives, we can develop Veterans motivation to engage in the treatments that are most effective 1
2 NUMBERS Of 22 million Veterans living today, 16.5 million, or 75%, served in Wartime (7 million Vietnam Era) floor estimates of PTSD by era: 13-20% of Operation Iraqi Freedom (OIF) and Enduring Freedom (OEF) Veterans given year 12% of first Gulf War Veterans given year 30% of Vietnam Era Veterans have had PTSD in their lifetime. (National Center for PTSD: PTSD Monthly Update, Nov 2015) Why do we need to know? We have good treatments for PTSD, but getting Veterans to agree and motivating them to complete them is often difficult: Stigma both within and outside military circles Fear of emotional response of course! Avoidance is the natural urge when something hurts, and can become a way of life Talking about this disorder from a biological perspective creates another opportunity to break down barriers to and increase motivation for treatment. 2
3 Veterans Need to Know Every behavior and experience is related to the Central Nervous System Talking about neurological reasons for behavioral problems: Reduces stigma Induces HOPE NOTE: There is a National PTSD Brain Bank Nash, W. P., Silva, C., & Litz, B. T. (2009). Brave New Brain Science for MH? Will we one day be able to individually tailor our treatments to the recipient s unique genes/brain? Will medication and psychotherapeutic techniques be melded effectively, so medications may be developed to augment psychotherapy Example: D- cycloserine (NMDA agonist) studies with phobia and PTSD recovery Concepts related to neuroplasticity are key the idea that what we do can change our brain and that we can structure interventions accordingly 3
4 NeuroplasFcity and Neurogenesis the ability of the brain to reorganize itself, both physically and functionally, throughout life due to one s environment, behavior, thinking, etc. The brain is much more plastic during the early years and capacity declines with age, plasticity happens throughout your life. Example: new brain connectivity and neurons are formed in the hippocampus daily, most of them do not survive if not used Neuroimaging Techniques and Data Neuroimaging techniques map structures or functions by: blood flow, electrical output, O2 or glucose uptake PET and SPECT scans MRI and fmri NIRS and fnirs (near- infrared spectroscopy) Use of innovative contrast agents for real time mapping 4
5 Neurobiologically speaking PTSD (and many other disorders) are clearly associated with specific neural functional and structural changes Theory chronic exposure to stress hormones and other mechanisms result in neural atrophy that plays a part in failure to recover A flat heart rate variability profile with fear vs. safety stimuli Over- activity of the HPA axis (hypothalamic- pituitary- adrenal) Specific Neural Effects of PTSD Hyperactivity: amygdala (threat detection) Hypoactivity: PreFrontal Cortex Hypoactivity: Anterior Cingulate Cortex(r?) Hypoactivity & volume: Hippocampi (r?) Chronic high levels of cortisol may also result in death of neurons in the hippocampi, which compounds the problem as those neurons usually inhibit adrenal production of cortisol Severe stress can reduce the expression of helpful genes or increase the expression of unhelpful genes (epigentic changes) 5
6 Unique?: kids, adults who dissociate emotional under- modulation = PFC failing to quiet the limbic system the dissociative subtype of PTSD may be a form of emotion dysregulation that involves emotional over- modulation These findings [indicate] the need to assess patients with PTSD for dissociative symptoms and to incorporate the treatment of dissociative symptoms into stage- oriented trauma treatment. Lanius, et al (2010) Chicken and the Egg A reciprocal process genetic predispositions interact with damage due to the disorder itself Many recent studies demonstrated changes in brain structure and function after TF- CBT or EMDR Some studies indicate that favorable gene expression occurs after treatment The best examples are RCTs with control groups that are also trauma- exposed but did not develop PTSD 6
7 Recent Texts and Reviews Indicate reversibility of damage Arden, J. B. (2015) Brain2Brain: Enacting client change through the persuasive power of neuroscience. Bremner, J.D. (2016). Posttraumatic Stress Disorder: From Neurobiology to Treatment. Liberzon, I. & Ressler, K. (Eds). (2016). Neurobiology of PTSD: From Brain to Mind. Barsaglini, et al (2014) review of therapy effects Lack of support for benzodiazepine: impairs recovery from EBPs Potential for abuse Impairs neuroplasticity Rothbaum et al, (2014) FuncFonal Change post- tx Examples Goossens L, Sunaert S, Peeters R, Griez EJ, Schruers KR. (2007): amygdala over- activity normalizes after exposure therapy for specific phobias Dickie EW, Brunet A, Akerib V, Armony JL (2011): increased activation in the hippocampi and the anterior cingulate cortex, and increased activity in the PreFrontal Cortex with reduced activity in amygdala. Thomaes et al (2014) 7
8 Structural Change post- Tx Levy- Gigi, Szabo, Kelemen, Keri (2013). significantly increased FKBP5 expression and increased hippocampal volume in patients with PTSD. At follow- up, patients did not differ from control subjects [trauma- exposed] in hippocampal volume. See also Helpman et al (2016) racc changes post- therapy SO, severe experiences can result in Increased amygdala activation (over- reactive threat detector) Chronic flat HRV (danger and safety feel the same) Hippocampal volume loss and decreased function (no context for then versus now) Reduced volume and activity in the PFC (runaway threat detector train has no engineer) Due (at least) to chronic exposure to glucocorticoids and imbalance in specific neurotransmitters (cortisol and adrenaline and the like) 8
9 Talking with Veterans and families PTSD affects the brain directly it s not your fault Painful new set points (example, adrenaline response) Treatments help to re- calibrate the set point Treatments lead to recovery or reversal of brain structure damage or functional impairment Engaging in EBPs is analogous to physical therapy for a physical injury Avoidance is really avoidance of specific internal experiences All healing hurts Teach healing the brain Respond to memories based on new learning build your hippocampus give homework that requires PFC use (e. g. alternative explanations homework) increase motivation and hope for change through discussion of how psychotherapy changes the brain reduce dropout Increase safety learning develop a strong vagal tone (opposite of a flat HRV) yoga, mindfulness practice, loving/kindness meditation, exercise 9
9/6/17. Enhancing Hope for Change Krista K. Krebs, PhD September (National Center for PTSD: PTSD Monthly Update, Nov 2015)
Enhancing Hope for Change Krista K. Krebs, PhD September 2017 OBJECTIVES To augment confidence/understanding of the neurobiology of PTSD To augment willingness to talk about PTSD with both Veterans and
More informationOur Agenda. Review the brain structures involved in trauma response. Review neurochemicals involved in brain response
Our Agenda Review the brain structures involved in trauma response Review neurochemicals involved in brain response Discuss impact of trauma on the child s brain Structural Response to Stress
More informationTRAUMA AND TOXIC STRESS IN THE PEDIATRIC PATIENT:
TRAUMA AND TOXIC STRESS IN THE PEDIATRIC PATIENT: How to Appreciate, Assess and Address Heather C. Forkey, M.D. Foster Children Evaluation Service (FaCES) UMass Children s Medical Center Worcester MA Disclosure
More informationNeurology and Trauma: Impact and Treatment Implications Damien Dowd, M.A. & Jocelyn Proulx, Ph.D.
Neurology and Trauma: Impact and Treatment Implications Damien Dowd, M.A. & Jocelyn Proulx, Ph.D. Neurological Response to a Stressor Information from the senses goes to the thalamus which sends the information
More informationInception, Total Recall, & The Brain: An Introduction to Neuroscience Part 2. Neal G. Simon, Ph.D. Professor Dept. of Biological Sciences
Inception, Total Recall, & The Brain: An Introduction to Neuroscience Part 2 Neal G. Simon, Ph.D. Professor Dept. of Biological Sciences http://www.youtube.com/watch?v=wfmlgeh dije Summary from September
More informationTrauma and the Brain A Neuroscience Approach
Trauma and the Brain A Neuroscience Approach Grampians Mental Health Conference 25 March 2015 Dr. Pieter J Rossouw Developing Brain Overview Trauma Key Theories Memory Neurobiological indicators Implications
More informationMEDICAL ASPECTS OF TRAUMA
MEDICAL ASPECTS OF TRAUMA Toxic Stress and Health Heather C. Forkey, M.D. Foster Children Evaluation Service (FaCES) UMass Children s Medical Center Worcester MA Disclosure slide I have no actual or potential
More informationWHOLE HEALTH: CHANGE THE CONVERSATION. Neuroplasticity and Sleep Clinical Tool
Advancing Skills in the Delivery of Personalized, Proactive, Patient-Driven Care Neuroplasticity and Sleep Clinical Tool This document has been written for clinicians. The content was developed by the
More informationPTSD and the brain: What clinicians need to know
PTSD and the brain: What clinicians need to know Namik Kirlić, MA Elana Newman, PhD Underexplored Territories in Trauma Education: Charting Frontiers for Clinicians and Researchers The University of Tulsa
More informationNeuroanatomy of Emotion, Fear, and Anxiety
Neuroanatomy of Emotion, Fear, and Anxiety Outline Neuroanatomy of emotion Fear and anxiety Brain imaging research on anxiety Brain functional activation fmri Brain functional connectivity fmri Brain structural
More informationeloreta Neurofeedback Impact on EMDR Therapy A SINGLE CASE STUDY
eloreta Neurofeedback Impact on EMDR Therapy A SINGLE CASE STUDY Purpose of the Case Study To determine the impact of eloreta neurofeedback on those engaging in EMDR Therapy Regulating factors of neurofeedback
More informationAPNA 25th Annual Conference October 19, Session 1022
When Words Are Not Enough The Use of Sensory Modulation Techniques to Replace Self- Injurious Behaviors in Patients with Borderline Personality Disorder General Organization of the Brain Lita Sabonis,
More informationReview Understanding the Neuroscience of PTSD: Clinically Useful Applications
Review Understanding the Neuroscience of PTSD: Clinically Useful Applications presented by Amy Banks, MD Reviewed by Ricia Fleming, Ph.D. We were fortunate to have Amy Banks, MD, return to share with us
More informationStress and the aging brain
Stress and the aging brain Stress and the aging brain: What are the issues? Aging makes us less able to adjust to change Reactions of elderly to change generate stress Stress response involves acute reactions
More informationPosttraumatic Stress Disorder. Casey Taft, Ph.D. National Center for PTSD, VA Boston Healthcare System Boston University School of Medicine
Posttraumatic Stress Disorder Casey Taft, Ph.D. National Center for PTSD, VA Boston Healthcare System Boston University School of Medicine Overview PTSD Overview Neurobiology of PTSD PTSD and Relationship
More informationMindfulness at HFCS Information in this presentation was adapted from Dr. Bobbi Bennet & Jennifer Cohen Harper
Mindfulness at HFCS 2015-2016 1 WHY Many children today are experiencing an increase in social and academic stress resulting in an over arousal of the sympathetic nervous system and a buildup of stress
More informationReview of Research on Post-Traumatic Stress and Current Treatments. published in The San Francisco Psychologist, June 2005 issue, pp 6-7
Review of Research on Post-Traumatic Stress and Current Treatments published in The San Francisco Psychologist, June 2005 issue, pp 6-7 By Shelley F. Diamond, Ph.D. On May 6 th, 2005, approximately 20
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Age as factor in selective mutism, 623 as factor in social phobia, 623 Agoraphobia, 593 600 described, 594 596 DSM-V changes related to,
More informationClinical Relevance of Biological Alterations in PTSD. Rachel Yehuda, PhD Mount Sinai School of Medicine New York, NY
Clinical Relevance of Biological Alterations in PTSD Rachel Yehuda, PhD Mount Sinai School of Medicine New York, NY New developments in PTSD Conceptual shift New findings of prevalence, longitudinal course,
More informationReducing Risk and Preventing Violence, Trauma, and the Use of Seclusion and Restraint Neurobiological & Psychological Effects of Trauma
Reducing Risk and Preventing Violence, Trauma, and the Use of Seclusion and Restraint Neurobiological & Psychological Effects of Trauma Module created by Glenn Saxe, MD: 2002 revised 2009, 2011, 2013,
More informationThe Neurobiology of Extreme Stress Broken Down Barney- Style
The Neurobiology of Extreme Stress Broken Down Barney- Style ARIZONA COALITION FOR MILITARY FAMILIES 6 th Annual Symposium April 23, 2015 William P. Nash, M.D. CAPT, MC, USN (Re.red) william.nash@opstress.net
More informationSheila A.M. Rauch, Ph.D., ABPP
Sheila A.M. Rauch, Ph.D., ABPP Atlanta VAMC Emory University School of Medicine Disclaimer: The views expressed in this presentation are solely those of the authors and do not reflect an endorsement by
More informationReactions to Trauma and Clinical Treatment for PTSD
Reactions to Trauma and Clinical Treatment for PTSD Cultural specific concerns and recommendations. Dr. K. Loan Mai AHSSC. October 19, 2012 Post-Traumatic Stress Disorder (PTSD) is an anxiety disorder
More informationLecture 17 (Nov 28 th ): STRESS RESPONSE AND HEALTH Lecture Outline
Lecture 17 (Nov 28 th ): STRESS RESPONSE AND HEALTH Lecture Outline 1) Three Types of Responses to Stress 1) Direct Behavioral 2) Sympathetic System (Branch of Autonomic System) 3) Hormonal ** there is
More informationNeurobehavioral Mechanisms of Fear Generalization in PTSD. Lei Zhang. Duke University, Durham Veteran Affairs Medical Center
Running head: NEUROBEHAVIORAL MECHANISMS OF FEAR GENERALIZATION 1 Neurobehavioral Mechanisms of Fear Generalization in PTSD Lei Zhang Duke University, Durham Veteran Affairs Medical Center Running head:
More informationTrauma Informed Practice
Trauma Informed Practice 10 th Shared Learning in Clinical Practice Symposium Dr Kath Moores Senior Clinical Psychologist Outer South Community Mental Health Service Karyn O Keefe Lived Experience Educator
More informationTAKING ON TRAUMA: Developmental and Educational Implications of Toxic Stress
TAKING ON TRAUMA: Developmental and Educational Implications of Toxic Stress Heather C Forkey, M.D. RTSC Making a Difference Conference November 10, 2015 Disclosure slide I have no actual or potential
More informationGoal: To identify the extent to which different aspects of brain structure and brain processes might offer explanations for different forms of
Goal: To identify the extent to which different aspects of brain structure and brain processes might offer explanations for different forms of psychopathology The human brain If genetics play a role, it
More informationThe Neurobiology of Trauma From a Trans and Queer Lens. Presented by Oliver Licking
The Neurobiology of Trauma From a Trans and Queer Lens Presented by Oliver Licking Introductions and Housekeeping Objectives As a result of this presentation, participants will be able to: Define trauma
More informationNeuroanatomy of Emotion, Fear, and Anxiety
Neuroanatomy of Emotion, Fear, and Anxiety Outline Neuroanatomy of emotion Critical conceptual, experimental design, and interpretation issues in neuroimaging research Fear and anxiety Neuroimaging research
More informationBrain Health Coaching Certification Course Agenda
Our mission is to help professionals learn how the Amen Clinics Method leads to better client/patient outcomes. Table of Contents Introduction...1 Session 1 The Brain Health Coaching Course.1 Session 2
More informationTreating PTSD with MDMA-Assisted Psychotherapy
Treating PTSD with MDMA-Assisted Psychotherapy One out of three people suffering from posttraumatic stress disorder (PTSD) do not respond adequately to treatment. Can MDMA-assisted psychotherapy help?
More informationThis is Your Brain on Trauma: Bessel Van Der Kolk s Version
This is Your Brain on Trauma: Bessel Van Der Kolk s Version Lois A. Ehrmann PhD, LPC, NCC Certified EMDR Consultant; Certified IFS Clinician Certified Attachment Focused Family Therapist Certified in Clinical
More informationGoal: To identify the extent to which different aspects of brain structure and brain processes might offer explanations for different forms of
Key Dates TH Apr 6 Unit 21 TU Apr 11 Unit 22; Biological Perspective Assignment TH Apr 13 Begin Psychological Perspectives, Unit IIIB and 23; Term Paper Step 3 (only if Step 2 approved) TU Apr 18 Unit
More informationLiterature Review: Posttraumatic Stress Disorder as a Physical Injury Dao 1. Literature Review: Posttraumatic Stress Disorder as a Physical Injury
Literature Review: Posttraumatic Stress Disorder as a Physical Injury Dao 1 Literature Review: Posttraumatic Stress Disorder as a Physical Injury Amanda Dao University of California, Davis Literature Review:
More informationDiseases of the Nervous System. Neal G. Simon, Ph.D. Professor, Dept of Biological Sciences Lehigh University
Diseases of the Nervous System Neal G. Simon, Ph.D. Professor, Dept of Biological Sciences Lehigh University Outline A. Psychiatric Disorders: Stress-related 1. Emotional Circuitry: Key Components 2. The
More informationWhat can we do to improve the outcomes for all adolescents? Changes to the brain and adolescence-- Structural and functional changes in the brain
The Adolescent Brain-- Implications for the SLP Melissa McGrath, M.A., CCC-SLP Ball State University Indiana Speech Language and Hearing Association- Spring Convention April 15, 2016 State of adolescents
More information10/3/2018 FIRE IN THE BASEMENT: Raised by a Combat Veteran. Disclosures. None TRAUMA AND TREATMENT STRATEGIES. Aaron Wilson, MD
FIRE IN THE BASEMENT: TRAUMA AND TREATMENT STRATEGIES Aaron Wilson, MD Raised by a Combat Veteran Disclosures None 1 Objectives Formulate a practical, working understanding of trauma neurobiology Identify
More informationMIND MATTERS: The Neuroscience of Child Anxiety. Dr. Catherine McCarthy Child and Adolescent Psychiatry McLean, VA
1 MIND MATTERS: The Neuroscience of Child Anxiety Dr. Catherine McCarthy Child and Adolescent Psychiatry McLean, VA I Everything you hear later today is grounded in neuroscience My Favorite Things Neuroplasticity
More information1. Two Ways to Repair Neural Integration After Trauma
The Neurobiology of Trauma What s Going On In the Brain When Someone Experiences Trauma? QuickStart #1 - pg. 1 QuickStart Guide #1: The Neurobiology of Trauma What s Going On In the Brain When Someone
More informationMyers Psychology for AP*
Myers Psychology for AP* David G. Myers PowerPoint Presentation Slides by Kent Korek Germantown High School Worth Publishers, 2010 *AP is a trademark registered and/or owned by the College Board, which
More informationEmotion I: General concepts, fear and anxiety
C82NAB Neuroscience and Behaviour Emotion I: General concepts, fear and anxiety Tobias Bast, School of Psychology, University of Nottingham 1 Outline Emotion I (first part) Studying brain substrates of
More informationBridging Research and Practice: Our Clients Who Are Adopted and their Families. Norman E. Thibault, PhD, LMFT
Bridging Research and Practice: Our Clients Who Are Adopted and their Families Norman E. Thibault, PhD, LMFT Thank You in Advance: Baylin, J. (2013). Behavioural epigenetics and attachment. The Neuropsychotherapist,
More informationUnderstanding and Treating Anxiety in Youth and Adults. Presented by Kathryn Faver, MSW, LICSW North Homes Children and Family Services Inc.
Understanding and Treating Anxiety in Youth and Adults Presented by Kathryn Faver, MSW, LICSW North Homes Children and Family Services Inc. What is Anxiety and How Does it Affect the Brain and Body? Anxiety
More informationEye Movement Desensitization and Reprocessing (EMDR)
Eye Movement Desensitization and Reprocessing (EMDR) EMDR with families A case study Karl Speirs (LMFT) David Eliscu (LCSW) March 1, 2012 Clifford W. Beers Guidance Clinic, Inc. Outline History of this
More informationBeneath the Surface of the PTSD Iceberg: Evolutionary, Neurobiological and Physiological Perspectives on PTSD
Beneath the Surface of the PTSD Iceberg: Evolutionary, Neurobiological and Physiological Perspectives on PTSD David Diamond Departments of Psychology, Molecular Pharmacology and Physiology, Center for
More informationThe Science of Attachment:
The Science of Attachment: Using Practical Interpersonal Neurobiology and Evidence-Based Treatment to Reshape the Nervous System and Repair the Hearts of Children (And Adults!!) with Attachment Difficulties
More informationfmri (functional MRI)
Lesion fmri (functional MRI) Electroencephalogram (EEG) Brainstem CT (computed tomography) Scan Medulla PET (positron emission tomography) Scan Reticular Formation MRI (magnetic resonance imaging) Thalamus
More informationNeurobiology of Addiction JeanAnne Johnson Talbert, DHA, APRN BC, FNP, CARN AP
Neurobiology of Addiction JeanAnne Johnson Talbert, DHA, APRN BC, FNP, CARN AP Disclosures This speaker has no conflicts of interest to disclose Objectives Define drug abuse and addiction Identify the
More informationHuman Nervous System
Human Nervous System A network of interconnected parts that controls behavior & connects us to the world Central Nervous System consists of the brain and spinal cord Peripheral Nervous System consists
More informationDBT for Complex Eating Disorders: The First Sessions. Our goals. Mindfulness
DBT for Complex Eating Disorders: The First Sessions Charlotte Thomas, LCSW CREDN Annual Conference February 25, 2017 5200 SW Macadam Ave, Suite 580 Portland OR 97239 (503) 231-7854 2016 Portland DBT without
More informationDBT for Complex Eating Disorders: The First Sessions
DBT for Complex Eating Disorders: The First Sessions Charlotte Thomas, LCSW CREDN Annual Conference February 25, 2017 5200 SW Macadam Ave, Suite 580 Portland OR 97239 (503) 231-7854 2016 Portland DBT Institute.
More informationWhat Can the Brain Teach Us About Treating PTSD? Thomas C. Neylan, MD Norbert Schuff, PhD Charles R. Marmar, MD Michael W.
What Can the Brain Teach Us About Treating PTSD? Thomas C. Neylan, MD Norbert Schuff, PhD Charles R. Marmar, MD Michael W. Weiner, MD Stress and Biological Sciences Abram Kardiner (1891-1981) Described
More informationProlonged Exposure Therapy for PTSD. Kirsten DeLambo, Ph.D.
Prolonged Exposure Therapy for PTSD Kirsten DeLambo, Ph.D. To comply with professional boards/associations standards, I declare that I do not have any financial relationship in any amount, occurring in
More informationWhat Do You Know About PTSD?
What Do You Know About PTSD? selfhacked.com/blog/ptsd-causes-treatments/ If your chronic health issues all started/worsened after a major traumatic event in your life, you may have some brain chemistry
More informationΝευροφυσιολογία και Αισθήσεις
Biomedical Imaging & Applied Optics University of Cyprus Νευροφυσιολογία και Αισθήσεις Διάλεξη 19 Ψυχασθένειες (Mental Illness) Introduction Neurology Branch of medicine concerned with the diagnosis and
More informationClinical Reasoning for Western Acupuncture
Clinical Reasoning for Western Acupuncture Lynley Bradnam Movement Neuroscience Laboratory The Layering Model for Clinical Reasoning History & Development Target different level s of nervous system Target
More informationHealth of mind captured: a brain trained to body talk
Health of mind captured: a brain trained to body talk Szabolcs Kéri Budapest University of Technology and Economics, Department of Cognitive Science National Institute of Psychiatry and Addictions, Budapest,
More informationBRAIN: CONTROL CENTER
BRAIN: CONTROL CENTER ORCHESTRA Scientists now believe the brain functions much like an orchestra, where different instruments each play a different part. Scans show that the brain divides different aspects
More informationPTS(D): The Invisible Wound
PTS(D): The Invisible Wound Julie Rake, MS, PA C Fellow, Integrative Medicine The intelligent combination of conventional and evidence based alternative medicine. It aims to restore the focus of medicine
More informationAgenda: Neuroscience
Agenda: Neuroscience Announcements Gender & trauma Neuroanatomy and functionality Hippocampus, stress, and memory Brain function studies amygdala, Broca's area, frontal lobes Findings in children Ethical
More informationIntroduction to Systems Neuroscience. Nov. 28, The limbic system. Daniel C. Kiper
Introduction to Systems Neuroscience Nov. 28, 2017 The limbic system Daniel C. Kiper kiper@ini.phys.ethz.ch http: www.ini.unizh.ch/~kiper/system_neurosci.html LIMBIC SYSTEM The term limbic system mean
More informationTRAUMA: AN INTRODUCTION. Deborah A. Orr, RN, Ph.D. Director of Nursing The Refuge - A Healing Place
TRAUMA: AN INTRODUCTION Deborah A. Orr, RN, Ph.D. Director of Nursing The Refuge - A Healing Place WHAT CAN YOU EXPECT THIS MORNING? 1. You will understand how trauma is defined. 2.You will understand
More informationEric Garland, PhD, LCSW Associate Professor, College of Social Work Associate Director of Integrative Medicine Supportive Oncology & Survivorship
Eric Garland, PhD, LCSW Associate Professor, College of Social Work Associate Director of Integrative Medicine Supportive Oncology & Survivorship Program Huntsman Cancer Institute University of Utah I
More informationBrain Health Coaching Certification Course Agenda
Our mission is to help professionals learn how the Amen Clinics Method leads to better client/patient outcomes. Table of Contents Introduction... 1 Session 1 The Brain Health Coaching Course... 1 Session
More informationPRACTICAL APPLICATIONS OF CANNABIS IN TREATING POST- TRAUMATIC STRESS DISORDER (PTSD) Bryan Krumm, CNP
PRACTICAL APPLICATIONS OF CANNABIS IN TREATING POST- TRAUMATIC STRESS DISORDER (PTSD) Bryan Krumm, CNP What is Post-Traumatic Stress Disorder? The person experiences, witnesses, or is confronted with an
More informationPost-Traumatic Stress Disorder (PTSD) Among People Living with HIV
Post-Traumatic Stress Disorder (PTSD) Among People Living with HIV Milton L. Wainberg, M.D. Associate Clinical Professor of Psychiatry College of Physicians and Surgeons Columbia University mlw35@columbia.edu
More informationAttachment: The Antidote to Trauma
Liberty University DigitalCommons@Liberty University Faculty Publications and Presentations Center for Counseling and Family Studies 9-24-2009 Attachment: The Antidote to Trauma Joshua Straub Liberty University,
More informationPromoting Engagement in EMDR for Trauma. James Thomas CBT / EMDR Therapist
Promoting Engagement in EMDR for Trauma James Thomas CBT / EMDR Therapist Introduction My history What informs my approach to trauma therapy? Session Aims Discuss 2 clients with complex trauma. Present
More informationUnderstanding the Biopsychosocial Impact of Trauma
Understanding the Biopsychosocial Impact of Trauma Brian R. Sims, M.D., Senior Medical Advisor National Association of State Mental Health Program Directors Module created by Saxe, 2002 2 1 PTSD-RI Score
More informationMindful Stress Reduction
Amy Carlson, LCSW TURNING POINT COUNSELING SERVICES Mindful Stress Reduction TODAY S PRESENTATION How to recognize symptoms of stress in the body and stress in the brain. The long-term effects of stress
More informationAmy Garrett, Ph.D., Victor Carrion, M.D., and Allan Reiss, M.D. Stanford University School of Medicine Department of Psychiatry
Amy Garrett, Ph.D., Victor Carrion, M.D., and Allan Reiss, M.D. Stanford University School of Medicine Department of Psychiatry Center for Interdisciplinary Brain Sciences Research and Stanford Early Life
More informationEagala s Military Services Designation raises the bar for equine assisted psychotherapy for active military, reserves, veterans and their families.
Serving those who serve with the global standard in equine assisted psychotherapy Eagala s Military Services Designation raises the bar for equine assisted psychotherapy for active military, reserves,
More informationEmotional Symptoms in Athletes With PCS. David Westerdahl, MD FAAFP Cleveland Clinic Florida 6/24/2012
Emotional Symptoms in Athletes With PCS David Westerdahl, MD FAAFP Cleveland Clinic Florida 6/24/2012 Objectives Discuss Post-Concussion symptoms and functional problems Identify pre-injury factors that
More informationWorkshop ACEs. Adverse Childhood Experiences and how knowing about them can inform our (clinical) practice
Workshop ACEs Adverse Childhood Experiences and how knowing about them can inform our (clinical) practice! Dr Sara Ketteley Consultant Psychiatrist at Great Chapel Street Adverse Childhood Experiences
More informationBINGES, BLUNTS AND BRAIN DEVELOPMENT
BINGES, BLUNTS AND BRAIN DEVELOPMENT Why delaying the onset of alcohol and other drug use during adolescence is so important Aaron White, PhD Division of Epidemiology and Prevention Research National Institute
More informationIntroduction. Brain Basics will introduce you to some of this science, such as:
Introduction Welcome. Brain Basics provides information on how the brain works, how mental illnesses are disorders of the brain, and ongoing research that helps us better understand and treat disorders.
More informationAnxiety-based disorders
Anxiety-based disorders the mountain lion anxiety Words/experiences used to describe Definition: Anxiety is the psychological experience of fear: apprehension, tension, fear itself, sense of danger, hypervigilance,
More informationbiological psychology, p. 40 The study of the nervous system, especially the brain. neuroscience, p. 40
biological psychology, p. 40 The specialized branch of psychology that studies the relationship between behavior and bodily processes and system; also called biopsychology or psychobiology. neuroscience,
More informationBrain Based Change Management
Brain Based Change Management PMI Mile Hi Chapter December 2, 2017 Vanita Bellen Executive Coach and Leadership Consultant True North Coaching and Facilitation Vanita Bellen, MHSc, PHR, SHRM-CP, PCC True
More informationBrain-Based Recovery. Brain Architecture 10/22/17. Introduction. Addiction Dr. Gabor Mate Quote. Addiction ASAM Definition. Overview of Workshop
Introduction Brain-Based Recovery HOW THE REMODELING OF NEURAL NETWORKS CAN HELP YOU ACHIEVE AND SUSTAIN RECOVERY About Me About You About this Presentation Big Picture Overview Little Bit Experiential
More informationCouncil on Chemical Abuse Annual Conference November 2, The Science of Addiction: Rewiring the Brain
Council on Chemical Abuse Annual Conference November 2, 2017 The Science of Addiction: Rewiring the Brain David Reyher, MSW, CAADC Behavioral Health Program Director Alvernia University Defining Addiction
More informationMethods to examine brain activity associated with emotional states and traits
Methods to examine brain activity associated with emotional states and traits Brain electrical activity methods description and explanation of method state effects trait effects Positron emission tomography
More informationNeuroscience Foundations of ncbt
Neuroscience Foundations of ncbt So much to know! Informed by several neuroscience findings related to: Brain terminology, location, and function Brain development Memory formulation and reconsolidation
More informationTraumatic stress: Effects on the brain
Traumatic stress: Effects on the brain James Bremner, Emory University Journal Title: Dialogues in Clinical Neuroscience Volume: Volume 8, Number 4 Publisher: Les Laboratories Servier 2006-12-01, Pages
More informationThe Neurobiology of Mood Disorders
The Neurobiology of Mood Disorders J. John Mann, MD Professor of Psychiatry and Radiology Columbia University Chief, Department of Neuroscience, New York State Psychiatric Institute Mood Disorders are
More informationDiagnosis and Assessment of PTSD: A Report to the Institute of Medicine
Diagnosis and Assessment of PTSD: A Report to the Institute of Medicine Matthew J. Friedman, MD, PhD Executive Director, VA NCPTSD Definition of Mental Disorder A clinically significant behavioral or psychological
More informationGuest Blog. What Does Mindfulness Meditation Do to Your Brain?
Guest Blog What Does Mindfulness Meditation Do to Your Brain? As you read this, wiggle your toes. Feel the way they push against your shoes, and the weight of your feet on the floor. Really think about
More informationAddressing the Opioid Epidemic by Maximizing Behavioral Treatment in Chronic Non-Cancer Pain
Addressing the Opioid Epidemic by Maximizing Behavioral Treatment in Chronic Non-Cancer Pain Aleksandra Zgierska, MD PhD University of Wisconsin-Madison Robert Edwards, PhD Brigham and Women s Hospital
More informationTornadoes, Hurricanes, Volcanoes, and Earthquakes: The Impact of Emotional Dysregulation in ASD
Tuesday, 3:00 4:30, C2 Tornadoes, Hurricanes, Volcanoes, and Earthquakes: The Impact of Emotional Dysregulation in ASD Eric Dykstra 616 667 9551 edykstra@debh.org Objectives: Identify advances in clinical
More informationTrauma and Stress: Neurobiology and the Impact on Development
Trauma and Stress: Neurobiology and the Impact on Development https://www.cbsnews.com/news/oprah winfrey treatingchildhood trauma ELIZABETH REEVE MD HEALTHPARTNERS MEDICAL GROUP Why is This Topic Important?
More informationTrauma Informed Care for Educators
Trauma Informed Care for Educators A look at the impact of trauma on students and strategies to address the behaviors and students impacted by trauma. Why Childhood Trauma Matters? https://www.ted.com/talks/nadine_burke_harris_
More informationName: Period: Chapter 2 Reading Guide The Biology of Mind
Name: Period: Chapter 2 Reading Guide The Biology of Mind The Nervous System (pp. 55-58) 1. What are nerves? 2. Complete the diagram below with definitions of each part of the nervous system. Nervous System
More informationPsychology 320: Topics in Physiological Psychology Lecture Exam 2: March 19th, 2003
Psychology 320: Topics in Physiological Psychology Lecture Exam 2: March 19th, 2003 Name: Student #: BEFORE YOU BEGIN!!! 1) Count the number of pages in your exam. The exam is 8 pages long; if you do not
More informationBrain Development and Trauma: The Basics
Brain Development and Trauma: The Basics Dr. Katti J. Sneed PhD, LCSW, MSW, LCAC Director of Social Work Indiana Wesleyan University katti.sneed@indwes.edu Trauma and the Brain Trauma shapes not only how
More informationNEUROFEEDBACK FOR AFFECT DYSREGULATION AND IMPAIRMENT IN EXECUTIVE FUNCTIONING Hilary Hodgdon, Ph.D. & Ainat Rogel, Ph.D.
NEUROFEEDBACK FOR AFFECT DYSREGULATION AND IMPAIRMENT IN EXECUTIVE FUNCTIONING Hilary Hodgdon, Ph.D. & Ainat Rogel, Ph.D. OUR WORKSHOP What it is: - Discuss affect regulation and executive function - Discuss
More informationBrain and Trauma/ Adversity
Brain and Trauma/ Adversity Notes on Adversity/ Trauma Childhood Disrupted How Your Biography Becomes Your Biology and How You Can Heal Donna Jackson Nakazawa Connection and Regulation Early chronic unpredictable
More informationUsing Yoga and Mindfulness in Classroom / Counseling
Using Yoga and Mindfulness in Classroom / Counseling Zsuzsa Kiraly, PhD, RYT Hagin School Consultation Centers Fordham University, Graduate School of Education New York / NY / zkiraly@fordham.edu Overview
More informationRewiring our Brain, from Survival to Resiliency!
LIONS AND TIGERS AND FLOWERS, OH MY! Rewiring our Brain, from Survival to Resiliency! Danielle Taylor, MA, PPO II Washington County Community Corrections DOWNLOADING NOW CONTENT OVERVIEW Neurology of Stress
More informationAgenda. Types of Therapy 10/11/2018. Using Eye Movement Desensitization and Reprocessing (EMDR) in the Treatment of Addiction: Talk therapy
Using Eye Movement Desensitization and Reprocessing (EMDR) in the Treatment of Addiction: An Introduction to EMDR Therapy Applications and Effectiveness in Addictions Recovery Presented by: Sandra Derks,
More information