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By Matthew Carter, MFT

Seeing The Whole Elephant: Integrating Biologically Informed/Body Oriented Interventions into Standard Practices. By Matthew Carter, MFT. Thoughts. Feelings. Behavior. Environment. Attachment. Genes. The Body as “Container” . All human experience has a biological correlate.

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By Matthew Carter, MFT

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  1. Seeing The Whole Elephant:Integrating Biologically Informed/Body Oriented Interventions into Standard Practices By Matthew Carter, MFT

  2. Thoughts Feelings Behavior Environment Attachment Genes

  3. The Body as “Container” • All human experience has a biological correlate. • Experiences (activation) repeated over time will become biological patterns. • These patterns will organize around survival, our body’s prime directive, • and ultimately drive thoughts, feelings, and behavior.

  4. Community • Family

  5. Therefore, changing maladaptive thinking, feeling, or behavioral patterns requires changing the underlying biological patterns, which means changing experiences over time.

  6. How Stress Alters Biology

  7. Arousal Definition: The body’s level of reactivity to stimuli. Calm

  8. Visual Thalamus Visual Cortex Amygdala Scientific American The Hidden Mind, 2002, Volume 12, Number 1

  9. Vigilance Calm

  10. Fight or Flight Threat Vigilance Calm

  11. . Threat Oppositional Vigilance Calm

  12. Overwhelm . Threat Oppositional Vigilance Calm

  13. . Overwhelm . Avoidant Threat Oppositional Vigilance Calm

  14. . . Overwhelm . Aggressive Avoidant Threat Oppositional Vigilance Calm

  15. Maladaptive Patterns

  16. Trauma and Neglect

  17. “The traumatized brain has a distinctly different physiology from a non-traumatized brain.” - Peter Levine

  18. . . Overwhelm . Aggressive Avoidant Threat Oppositional Vigilance Calm

  19. Dissociation . . . Overwhelm . Aggressive Avoidant Threat Oppositional Vigilance Calm Dissociation

  20. Calm . Compliance

  21. Calm . . Compliance Dissociation

  22. Calm . . . Compliance Dissociation Fainting

  23. Post Traumatic Stress Disorder • Trauma is encoded as an abnormal form of memory, as images and sensations… • …in subcortical areas of the brain. • Thus treating PTSD requires activating and reprocessing these memories… • …which means more direct work with the trauma narrative.

  24. Other Long Term Effects of Trauma and Neglect

  25. Visual Thalamus Visual Cortex Amygdala Scientific American The Hidden Mind, 2002, Volume 12, Number 1

  26. Overwhelm Threat Vigilance Calm

  27. Lowered Tolerance Overwhelm Threat Vigilance Calm

  28. Hypervigalence Overwhelm Threat Vigilance . Calm

  29. Physiological Symptoms

  30. Cardio. Disease

  31. Depression Cardio. Disease

  32. Obesity Depression Cardio. Disease

  33. ADHD Obesity Depression Cardio. Disease

  34. Asthma ADHD Obesity Depression Cardio. Disease

  35. Asthma ADHD Obesity Depression Cardio. Disease

  36. Changing Biological Patterns • Promoting mindfulness • Practicing coping skills • Building capacity (raising threshold for overwhelm) • Lowering baseline arousal • Changing maladaptive behavioral patterns

  37. Promoting Mindfulness Overwhelm . Threat Vigilance . Calm

  38. Orienting To the Body • Psychoeducation • Developing a vocabulary of sensation. • Process vs content vs activation • Working with moment-to-moment activation.

  39. Markers of physiological changes • Wetness in the eyes • Shaking foot/leg • Swallowing • Gasps/sighs • Eyebrows

  40. Practicing Coping Skills Overwhelm . Threat Vigilance . Calm

  41. Coping Skills • Conscious breathing (focusing on outbreath) • Observation (mindfulness) • Distraction (thinking about something else, counting) • Sublimation (walking away, stretching, squeezing something)

  42. Building Capacity Overwhelm Threat Vigilance . Calm

  43. Overwhelm Threat Vigilance . Calm

  44. Overwhelm Threat

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