The Neurobiologyof Regulation and ResiliencyPresented by:Sophia Deborah Erez, MS, LPC, MFTShared Hope InternationalNovembe...
The Triune Brain                                      •   Neo cortex                                          Thinking - C...
The “unthinking” responseSlide by Sophia Deborah Erez © 2008   520.302.5859
Stages of the Arousal CycleStage 1: Prepare for Defensive Action                Muscles tense, orient to source of threat...
Autonomic Nervous System           Sympathetic                 Parasympathetic      Prepares for ACTION               Prep...
Autonomic Nervous SystemSympathetic - prepares for action                                      Release   charge           ...
Nervous System Dysregulation                        Hyperactivity                        Hypervigilance       Stuck on “Hi...
Functional Priorities                                        We do not have                                      access to...
Trauma and Affect RegulationSlide by Sophia Deborah Erez © 2008          520.302.5859
Nervous System Dysregulation                        Hyperactivity                        Hypervigilance       Stuck on “Hi...
Window of Tolerance                                           Hyper arousal - too much arousal to integrate      A      R ...
Therapeutic GoalsHelp client develop the ability to stay within   their “Window of Tolerance”.           Self regulationHe...
Learning to shift to a resourced state helps clients experience a sense ofcontrol over their body and traumatic           ...
Resilient Affect Regulation                                        “Resilient affect                                      ...
Trauma and memorySlide by Sophia Deborah Erez © 2008         520.302.5859
Slide by Sophia Deborah Erez © 2008   520.302.5859
Slide by Sophia Deborah Erez © 2008   520.302.5859
Slide by Sophia Deborah Erez © 2008   520.302.5859
Aspects of Memory•Sensations•Images•Meaning•Affect•BeliefSlide by Sophia Deborah Erez © 2008   520.302.5859
Nihil est in intellectu quod non fuit                      prius in sensu:           Nothing is in the understanding,     ...
A Fear NetworkDissociation following traumatic stress: Etiology and treatment.By Schauer, Maggie; Elbert, ThomasZeitschrif...
Triggers and Flashbacks•Over coupling of different aspects of memory.•When triggered, a person’s ANS responds “as if somet...
Dissociation                                      •Is an under coupling of                                      different ...
Change is Possible!  “What we are now learning about the brain isthat it is plastic throughout the lifespan. We do have th...
Slide by Sophia Deborah Erez © 2008   520.302.5859
Slide by Sophia Deborah Erez © 2008   520.302.5859
Resilient Memory    “Resilient memory is theability to recall an event in the   context of time and place  while remaining...
Trauma and PerspectiveSlide by Sophia Deborah Erez © 2008           520.302.5859
Slide by Sophia Deborah Erez © 2008   520.302.5859
Slide by Sophia Deborah Erez © 2008   520.302.5859
Slide by Sophia Deborah Erez © 2008   520.302.5859
Resilient Perspective                                      “Resilient perspective                                      is ...
Circle of Compassion    A human being is a part of a whole, called by us     universe, a part limited in time and space. H...
Slide by Sophia Deborah Erez © 2008   520.302.5859
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Sde.regulationandresiliency

  1. 1. The Neurobiologyof Regulation and ResiliencyPresented by:Sophia Deborah Erez, MS, LPC, MFTShared Hope InternationalNovember 30, 2011 Slide by Sophia Deborah Erez © 2008 520.302.5859
  2. 2. The Triune Brain • Neo cortex Thinking - Cognition, language, thought, speech • Limbic Area Emotional - Expression and mediation of emotions and feelings, including emotions linked to attachment • Reptilian Brain Survival/Instinctual - Digestion, reproduction, circulation, breathing, and the execution of the "fight or flight"Slide by Sophia Deborah Erez © 2008 520.302.5859
  3. 3. The “unthinking” responseSlide by Sophia Deborah Erez © 2008 520.302.5859
  4. 4. Stages of the Arousal CycleStage 1: Prepare for Defensive Action  Muscles tense, orient to source of threatStage 2: Mobilization  Production of Adrenalin and Cortisol in order to provide energy needed to defendStage 3: Release of Energy through Fight or Flight  Running, Defensive Responses, VocalizationsStage 4: Return to Central Nervous System Equilibrium  Parasympathetic responses-Homeostasis Slide by Sophia Deborah Erez © 2008 520.302.5859
  5. 5. Autonomic Nervous System Sympathetic Parasympathetic Prepares for ACTION Prepares for REST The SNS controls organs during The PSNS controls the body times of stress during rest Breathing rate Breathing rate Heart rate Heart rate Pupils Dilate Pupils Constrict Blood Pressure Blood Pressure Sweating Sweating Stress Hormones Stress Hormones Digestion Digestion Saliva SalivaSlide by Sophia Deborah Erez © 2008 520.302.5859
  6. 6. Autonomic Nervous SystemSympathetic - prepares for action Release charge charge Parasympathetic - prepares for rest THE NERVOUS SYSTEM Miller-Karas. *adapted from a slide by Elaine AND TRAUMA Trauma Resiliency ModelSlide by Sophia Deborah Erez © 2008 520.302.5859
  7. 7. Nervous System Dysregulation Hyperactivity Hypervigilance Stuck on “High” Normal Range Elation/Mania Hyper arousal Window of Anxiety/Panic ToleranceSTRESS Rage Depression Stuck on “Low” Disconnection Deadness Hypo arousal Exhaustion Numbness *adapted from a slide by Elaine Miller-Karas.Slide by Sophia Deborah Erez © 2008 520.302.5859
  8. 8. Functional Priorities We do not have access to our higher cortical functions if our more primitive needs are not secure.Slide by Sophia Deborah Erez © 2008 520.302.5859
  9. 9. Trauma and Affect RegulationSlide by Sophia Deborah Erez © 2008 520.302.5859
  10. 10. Nervous System Dysregulation Hyperactivity Hypervigilance Stuck on “High” Normal Range Elation/Mania Hyper arousal Window of Anxiety/Panic ToleranceSTRESS Rage Depression Stuck on “Low” Disconnection Deadness Hypo arousal Exhaustion Numbness *adapted from a slide by Elaine Miller-Karas.Slide by Sophia Deborah Erez © 2008 520.302.5859
  11. 11. Window of Tolerance Hyper arousal - too much arousal to integrate A R O U Perceived Safety S A L Hypo arousal - not enough arousal to integrateAdapted from Empowering the body in the treatment of trauma: The role of Sensorimotor Processing in trauma, by P. Ogden, 2006. Paper presented at the conference: The Embodied M ind: Integration of the Body, Brain, and M ind in Clinical Practice, Los Angeles, CA. Slide by Sophia Deborah Erez © 2008 520.302.5859
  12. 12. Therapeutic GoalsHelp client develop the ability to stay within their “Window of Tolerance”. Self regulationHelp client expand their “Window of Tolerance”. Positive and negative affect tolerance Build a bigger containerSlide by Sophia Deborah Erez © 2008 520.302.5859
  13. 13. Learning to shift to a resourced state helps clients experience a sense ofcontrol over their body and traumatic memories.Slide by Sophia Deborah Erez © 2008 520.302.5859
  14. 14. Resilient Affect Regulation “Resilient affect regulation can tolerate disruption and return to equilibrium in a timely and efficient manner” Sophia Deborah ErezSlide by Sophia Deborah Erez © 2008 520.302.5859
  15. 15. Trauma and memorySlide by Sophia Deborah Erez © 2008 520.302.5859
  16. 16. Slide by Sophia Deborah Erez © 2008 520.302.5859
  17. 17. Slide by Sophia Deborah Erez © 2008 520.302.5859
  18. 18. Slide by Sophia Deborah Erez © 2008 520.302.5859
  19. 19. Aspects of Memory•Sensations•Images•Meaning•Affect•BeliefSlide by Sophia Deborah Erez © 2008 520.302.5859
  20. 20. Nihil est in intellectu quod non fuit prius in sensu: Nothing is in the understanding, which was not first perceived by some of the senses. John LockeSlide by Sophia Deborah Erez © 2008 520.302.5859
  21. 21. A Fear NetworkDissociation following traumatic stress: Etiology and treatment.By Schauer, Maggie; Elbert, ThomasZeitschrift für Psychologie/Journal of Psychology, Vol 218(2), 2010, 109-127. Slide by Sophia Deborah Erez © 2008 520.302.5859
  22. 22. Triggers and Flashbacks•Over coupling of different aspects of memory.•When triggered, a person’s ANS responds “as if something ishappening right now.”•Can be defused through trauma therapy.•Bridges to the past. Can be reframed as an opportunity forhealing.•The ability to recognize a trigger and respond differently than inthe past can be installed as a resource. Slide by Sophia Deborah Erez © 2008 520.302.5859
  23. 23. Dissociation •Is an under coupling of different aspects of memory. •Disruption in sense of self in time and place or between ego states. •Is on a continuum. •Can be reframed as a tool that may no longer be useful.Slide by Sophia Deborah Erez © 2008 520.302.5859
  24. 24. Change is Possible! “What we are now learning about the brain isthat it is plastic throughout the lifespan. We do have the ability to nurture alternative neuronal pathways that will allow us to “pause” before reacting and access higher cognitive functions than our preprogrammed fear response’s. This gives us access to alternate, hopefully more appropriate reactions.” Sophia Deborah ErezSlide by Sophia Deborah Erez © 2008 520.302.5859
  25. 25. Slide by Sophia Deborah Erez © 2008 520.302.5859
  26. 26. Slide by Sophia Deborah Erez © 2008 520.302.5859
  27. 27. Resilient Memory “Resilient memory is theability to recall an event in the context of time and place while remaining wholly andfully grounded in the present.” Sophia Deborah ErezSlide by Sophia Deborah Erez © 2008 520.302.5859
  28. 28. Trauma and PerspectiveSlide by Sophia Deborah Erez © 2008 520.302.5859
  29. 29. Slide by Sophia Deborah Erez © 2008 520.302.5859
  30. 30. Slide by Sophia Deborah Erez © 2008 520.302.5859
  31. 31. Slide by Sophia Deborah Erez © 2008 520.302.5859
  32. 32. Resilient Perspective “Resilient perspective is similar to empathy. It is the ability to take responsibility for your experience while acknowledging that other equally valid points of view may exist.” Sophia Deborah ErezSlide by Sophia Deborah Erez © 2008 520.302.5859
  33. 33. Circle of Compassion A human being is a part of a whole, called by us universe, a part limited in time and space. He experiences himself, his thoughts and feelings as something separated from the rest... a kind of opticaldelusion of his consciousness. This delusion is a kind of prison for us, restricting us to our personal desires and to affection for a few persons nearest to us. Our task must be to free ourselves from this prison bywidening our circle of compassion to embrace all living creatures and the whole of nature in its beauty. Albert EinsteinSlide by Sophia Deborah Erez © 2008 520.302.5859
  34. 34. Slide by Sophia Deborah Erez © 2008 520.302.5859

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