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  1. Classification of Allostatic Circuits Laurel Mellin, PhD Associate Clinical Professor of Family and Community Medicine, UCSF
  2. State-specific Memory Memories stored in dominant brain area. 1 2 3 4 5
  3. State-specific Memory Allostatic Circuits stored at Brain States 4 & 5 1 2 3 4 5
  4. Brain Area Encoded? • All allostatic circuits are encoded at Brain State 4 or 5. • Identify by Brain State when circuit activated (Cycle Tool). • Activation of a 4 Circuit observed as Brain State 4 in patient. • Activation of a 5 Circuit observed as Brain State 5 in patient.
  5. 4 Circuit: “Stress Circuit”
  6. 5 Circuit: “Survival Circuit”
  7. 1 Circuit: “Resilience Circuit”
  8. 4 Circuit: “Stress Circuit”
  9. 5 Circuit: “Survival Circuit”
  10. Generalization or Association? • False generalizations Example: “I am bad.” Expectations about self, others or life. • False associations Example: “I get my safety from smoking.” Expectations about corrective action to decrease stress and increase reward. • Identify by activating circuit, and facilitating the patient’s introspective awareness of the expectation (Cycle Tool).
  11. Chronology: Primary or Secondary? • The primary circuit was encoded prior to the secondary circuit. • The primary circuit was encoded in more primitive regions of the brain (higher stress arousal when encoded). • The primary circuit is often a false generalization, the original trauma or attachment disruption. • The secondary circuit is the false association, the corrective response to decrease stress and increase reward insufficiency caused by the primary circuit.