Arizona Trauma Institute Presents Kissing the Dragon
Arizona Trauma Institute Presents Family relationship enhancement strategies Your Speaker is Dr. Robert Rhoton PsyD; LPC; D.A.A.E.T.S [email protected] For resources that support this presentation please email Dr. Rhoton and you will be sent a link for further resources. We will focus on four Principles 1. Body before behavior 2. Reduce stress and increase integrated brain function 3. Skills practiced hierarchically 4. Supportive Responsive Relationships
Principle #1: Body before behavior The brain regions involved in the arousal response play a critical role in regulating emotion, thinking and behavior, irritability, movement, attention, the response to sleep, and stress. Arousal or activation causes an increased release of excitatory (neurotransmitters and Hormones) causing changes to the emotions, thinking and behavior. Trauma R Regulated Bruce Banner Brain D
Dysregulated Hulk brain RR Re-Regulated Bruce Banner Brain Being stuck in D Begins to generate Symptoms Arizona Trauma Institute 4
Trauma R Regulated Bruce Banner Brain D Dysregulated Hulk brain Arizona Trauma Institute RR Re-Regulated Bruce Banner Brain
5 Impact of 2 ingredients of the fiery cocktail! There are many more ingredients CORTISOL ADRENALIN a. Reduced Hippocampal activity b. Reduced executive functioning c. Reduce ability to create sequential memory d. Restricts access to and activity in the mPFC (impulse control center) e. Reduces the ability to create
distinctions in experience f. In high doses, acts as a neurotoxin and erodes nervous system proteins a. Increases encoding of emotional memory b. Increases encoding of sensory experience. c. Reduces ability to focus d. Interferes with sleep patterns e. Increases fear, anxiety and phobic behavior, thinking and emoting f. Interrupts problem solving and goal follow through.
Arizona Trauma Institute 6 When working together Arizona Trauma Institute 7 Amygdala Function
Project negative, distressing or danger from past experience into the present. Project negative, distressing or danger from past experience into the future Less or no time sequencing Increases emotional, cognitive, and behavioral reactivity to enhance survival response When Amygdala is dominate reduces cognitive flexibility Supports dissociation and hallucinations
Interferes with sensory motor processing interrupts multiple brain region connections Represses prefrontal cortex function Reduces ability to distinguish intention from effect Arizona Trauma Institute 8 Hippocampal function Creates discrete/distinct elements from experience Necessary for reality checking Modifies and governs Amygdala function Serialize and/or sequence time within a context Connect separate brain regions as part of active integration Enhance cognitive functioning and access to executive functioning
Enhances cognitive flexibility Increases ability to inhibit behavior Greater sequential memory Arizona Trauma Institute 9 When the brain is not integrating well What would been seen? Lack of emotional balance and emotional control Cant think clearly and check reality No planning of behavior No self-reflection or self-evaluation Difficult relating to others in effective and satisfying ways over prolonged time
Difficulty sitting quietly with themselves without dissociating Difficulty tuning into body sensation and awareness Not read social cues well Arizona Trauma Institute 11 The annoying, unpleasant, and sometimes illegal behaviors, out-of-control emotions, and strange thinking are absolutely correct when the body is in a state of sympathetic system dominance Do not expect logic and reason, learning, thinking, planning, follow through, living with
integrity, moral judgement, self reflection or evaluation for the Dragon! We must engage others while keeping our own dragons in check, we must help others calm their dragons, before we Arizona Trauma Institute 12
Principle #2: Reduce stress to increase integrated brain function Self-control is about inhibiting impulses Self-regulation is about identifying the causes and reducing the intensity of impulses and, when necessary, having the energy to resist the arousal Having strategies to keep the body relaxed What are the sources of stress? A. The regulation cycle B. What happens when the environment and
relationships move in to the D Space C. Best functioning only possible when the brain is working in an integrated way. D. Amygdala dominated behaviors Reduce family environme ntal stress! A. We are keeping the parts of our brain integrated
B. We regulate our own emotions C. We are intentional and deliberate (not reactive) D. We recognize that when we feel frustration, and irritation with others it has nothing to do with them and everything to do with our failure to regulate ourselves E. We are the message. . . In other words we are living the life we are inviting others to live into Recognize the feeling of excessive stress and determine
how to regain calmness? 1. New advances in neuroscience are unlocking the secrets of why we behave the way we do and, more to the point, why it is so hard at times to behave the way we want. 2. The limbic system plays an important role 3. This system contributes to how we respond to threats and worries, but it is largely out of our conscious control, including the control of children. 4. Children who are in a heightened state of emotional arousal can have very sensitive limbic systems, where their brains are primed to respond to threats even when
none exist What is stability? When the brain is well linked, with differential parts working together it creates stability. When individuals are able to stay calm and act with integrity, intentionality and deliberateness. When the adults in charge of children are able to keep themselves calm and a relaxed body regardless of what is going on. When the adults calm children before teaching, correcting and disciplining, and avoid strategies that drive a child into a dysregulated state. When one has full access to the hippocampus and the frontal regions of the brain. Arizona Trauma Institute 17
Principle #3: Skills practiced hierarchically Are the Are the message Example Now that you know, what can you do? Active in daily personal growth We work on our own self-regulation, self-awareness, courage, compassion toward others, and personal integrity in our own daily lives. What have you done today on purpose with a plan to improve your character, talents, skills, relationships
How do make sure you grow past your upsets, failures or disappointments What is your PLAN to grow tomorrow and then the next day, and so on Arizona Trauma Institute 19 Do you really want to help? Activate the inner resources in self and others Focus on helping other find their inherent competency and capacity, emphasizing wholeness and possibility over pathology or weakness. Use our daily interactions with others to lift them up and empower. What are you doing everyday to keep and enjoy relationships What things do you do to build your inner resources daily
Faith Learning Moving your body/exercising Actively practicing compassion and kindness, even in the most annoying circumstances Arizona Trauma Institute 20 Do you really want to help? Are you an Amygdala Whisperer? Arizona Trauma Institute
Do you invite Bruce Banner or the HULK into the environment with your behavior, 21 emoting and thinking? Now that you know, what can People histories of adversity have less processing capacity you with do? because they have many broken links. Get the brain and nervous system calm first, restoring the links!!!!
Think thru what to say before saying Make sure you are in Bruce Banner mode, before you open your mouth Make sure you can stay in Bruce Banner mode, no mater what others do or say Realize no one can solve problems well in HULK mode, stop trying to intervene with the Hulk and invite others to live Bruce Banner lives. Be brief and clear, give many vivid descriptive examples of success, that show real effort! Arizona Trauma Institute 22
Now that you know, what can Logic reason systems will likely be off-line unless the youanddo? brain and nervous system are calm. Stop trying to get logic, and reason out of the HULK brained folks Always go for regulation and stability first, so that you can be effective Focus on the environment and its qualities more than behavior and emotion. Pay attention to the environment, is it one that invites Bruce Banner or the HULK, not for you but for the other that you are dealing with Learn to calm environments and people
Do not activate negative memories if a person doesnt have the capacity to keep themselves regulated in body and calm. Arizona Trauma Institute 23 Now that you know, what can you do? Do not ask anyone to do something outside of being together that they havent clearly done competently while with you. Think about the underlying assumptions of what is being said does it empower, strengthen or add competence? No listsone item at a time. As the person with a history of
adversity develops the ability to self-regulate you may be able to give more at a time, but it may be a while. Arizona Trauma Institute 24 Principle #4 Supportive Responsive Relationships All too often we confuse our needs with the child's. We seek to make children more manageable, rather than selfmanaging. We must focus on building and sustaining secure relationships with a child. Which is a shift from managing kids to helping kids regulate so that they can manage themselves better
What comes first? Now that you know, what can you do? Genuinely like and care for without performance standards. (stop making their compliance or performance a criteria of liking). When giving information follow this format: 1. Overview/orient 2. Show how this activity/part fit in the overviewed material 3. Give examples of how people are successful achieving this activity/part 4. Summarize by embedding them in a their success story 5. Ask for their feedback, so as you move through this situation what do you expect you will experience?
Arizona Trauma Institute 27 Now that you know, what can you do? Be organized and planful Develop and maintain faith in others Be predictable and routine Be reliable and transparent Collaborate on decision making, and give many decisions Never expect mastery until mastery has been repeatedly demonstrated Always listen and act on requests, questions, suggestions, and any feedback
Arizona Trauma Institute 28 Key Points Design all that you do to get and keep a relaxed body Focus on the environment Understand that most problems are not because of serious thought out choice, but is predictable thinking, emoting and behaving that is congruent with the state body. If Emoting, thinking, behavior are manifestassume it is has to do with the links between the brain regions being broken or interrupted, before anything else move toward reconnecting them Arizona Trauma Institute
29 Key Points Children will not out regulate their parent Parents will seldom out-regulate the helper Children or parents will have difficulty being more regulated than the environment Everything you do is deliberate and intentional, no shooting from the hip Be mindful of the subtle meaning or assumptions made by your statements or questions. Prepare and orient others to be successful Arizona Trauma Institute
30 Now that you have this information What do you recognize that you will need to do? What do you need to do to keep yourself self-regulated so you have access to your genius? How will you learn to pay attention to what your body is doing? How will you give yourself space to not become reactive to behavior, emotions and thinking? Thank you for joining us today Arizona Trauma Institute 31
Arizona Trauma Institute Presents Five ways to improve child behavior Your Speaker is Dr. Robert Rhoton PsyD; LPC; D.A.A.E.T.S [email protected] For resources that support this presentation please email Dr. Rhoton and you will be sent a link for further resources.
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