Presentation on theme: "(c) Alaine Duncan, 2014 Restoration & Balance TM Alaine D. Duncan Licensed Acupuncturist Somatic Experiencing Practitioner Chinese Medicine’s Gift to Survivors."— Presentation transcript:
(c) Alaine Duncan, 2014 Restoration & Balance TM Alaine D. Duncan Licensed Acupuncturist Somatic Experiencing Practitioner Chinese Medicine’s Gift to Survivors of Trauma
(c) Alaine Duncan, 2014 Restoration & Balance TM Assessing Acupuncturist, Acupuncture and PTSD Study, WRAMC in Acupuncturist, War Related Illness and Injury Study Center since Clinical Director, Restore & Renew Wellness Clinic, WRAMC Designed clinical intervention for a VA Merit Grant Research on PTSD-Related Insomnia, DC WRIISC, Lead Acupuncturist, Designed Intervention for TBI & Chronic Headaches Research Study, WRAMC, WRNMMC, FBCH.
(c) Alaine Duncan, 2014 Central Nervous System Neocortex/Forebrain Rational - Consciousness, memory, presence, complex thought Brainstem/Reptilian Brain Instinctual – breathing, circulation, digestion, sexual arousal, fight/flight/freeze. Understands sensation-based language Limbic Area/Midbrain Relational – Feelings/ emotions, governs social engagement, attachment dynamics
Words and Concepts Thinking, language, higher brain functions, consciousness The Upper Jiao (c) Alaine Duncan, 2014 Neocortex/Frontal
Emotions (c) Alaine Duncan, 2014 Gutsy, juicy, emotional, rapport, social brain The Middle Jiao Limbic or Mid-Brain
Sensations Instinctual center - fight/flight/ freeze; breathing, circulation, digestion, reproduction - things below conscious control. The Lower Jiao (c) Alaine Duncan, 2014 Reptilian/Brain Stem
(c) Alaine Duncan, 2014 Vibrational Medicine for Vibrational Illness Acupuncture’s greatest contribution to the world of healing is its understanding of qi – life force, or vital energy. Understanding Qi and its regulation can be a major resource for understanding the dysregulation caused by traumatic stress.
Rest and digest Daytime, summer Nighttime, winter Awake and alert YANG/Sympathetic Arousal YIN/Parasympathetic Restoration Inhale Exhale Balance is a constantly changing state. It exists in a dynamic and fluid interplay between our more substantial, dense yin aspect and our more insubstantial, active yang aspect. (c) Alaine Duncan, 2014 Restoration & Balance TM
Daytime, summer Awake and alert inhale exhale Sympathetic Activation - Stuck “On” Parasympathetic Collapse - Stuck “Off” Nighttime, winter Rest and digest (c) Alaine Duncan, 2014 Vibrational Medicine For Vibrational Illness Disrupted, depleted, stuck, disorganized Qi
(c) Alaine Duncan, 2014 Low tone or high tone in tissues and mental processes Difficulty in processing or interpreting physical sensations Phobias and hyper- or hypo-arousal with touch, sensations, smells Manifestations Of Disorganized Qi Compromised capacity for relationship Engages in re-enactment behaviors Gets triggered by remotely similar circumstances Wrecks havoc with sleep, immune, metabolic, cardiac, and endocrine systems.
Animals in the wild instinctively discharge very high levels of traumatic activation. Why don’t humans? (c) Alaine Duncan, 2014 The Threat Response
(c) Alaine Duncan, 2014 Restoration & Balance TM The Five Phases of Chinese Medicine interface seamlessly with the five steps of the Self Protective Response. The correspondences of the Five Phases can deepen and bring nuance to your service to trauma survivors.
(c) Alaine Duncan, 2014 Lung – sensate function, the “animal soul”. Skin as boundary organ wakes up with “goose bumps” Hair on back of neck stands on end. “Something is amiss” in Colon. Message sent to Liver to look, orient to possible threat. Sympathetic activation. Increased focus and alertness. Afferent firing in the enteric brain – “something is amiss”. Stop, Notice The Threat Response
(c) Alaine Duncan, 2014 May Happen Simultaneously With Arrest Response Startle – Signaling Threat Kidney – fear/ terror signals threat response Control cycle alerts pericardium. Relationship attempted. Pericardium alerts heart. Whole body goes into full alarm. High level of sympathetic arousal. Amygdala alerted – wakes up HPA axis. Adrenal secretion of cortisol. Mobilization of all systems to respond.
(c) Alaine Duncan, 2014 Kidney yang/kidney essence give rise to mobilization in Liver. Liver alerts joints, tendons and ligaments to prepare for fight or flight. Very high level of sympathetic arousal. Rapid conversion of glycogen stored in the liver into glucose in the blood stream. Threat Determined to be High Mobilization Response Initiates
(c) Alaine Duncan, 2014 Increased Tone In Sympathetic Nervous SystemMeridian Accelerates heartbeatHeart/Lung Dilates pupilsLiver Dilates bronchiiLung Inhibits peristalsis and secretion of bileSpleen/Stomach Liver Accelerates conversion of glycogen to glucoseSpleen/ Stomach Secretes adrenalin and noradrenalinKidney Inhibits bladder contractionBladder The Whole Body Is Engaged
The Autonomic Nervous System
c) Alaine Duncan, 2011 Sympathetic Nervous SystemElement InvolvedParasympathetic Nervous System Accelerates heartbeatFire Metal Slows heartbeat Dilates pupilsWoodRelaxes pupils Dilates bronchiiMetalConstricts bronchi Inhibits peristalsis and secretion of bile Earth Wood Stimulates peristalsis and secretion of bile Accelerates conversion of glycogen to glucose EarthAccumulates damp and phlegm Secretes adrenalin and noradrenalin WaterInhibits secretion of adrenalin, slows metabolism Inhibits bladder contractionWaterContracts bladder Every Element Is Involved In The Stress Response
(c) Alaine Duncan, 2014 Threat Does Not Materialize Completion 1 Heart returns to resting state. Peace in the kingdom of the body. Balance restored between yin and yang. PNS Tone Increases Heartbeat slows Bronchii soften Pupils relax Bile secretion, peristalsis return Adrenalin secretion slows Metabolism slows Bladder constricts
(c) Alaine Duncan, 2014 Mobilization response completes Liver cools, restores yin. Benevolence returns. Freeze response melts, restores kidney yang. Balance in kidney/heart axis restored. Heart returns to peaceful state Increased Tone In Parasympathetic NS Heartbeat slows Bronchii soften, relax Pupils relax Bile secretion, peristalsis returns Adrenalin secretion slows Metabolism slows Bladder constricts Successful Defense Completion 2
Yin and Yang flow in dynamic and co- regulating tension. Spleen/Stomach digest, harvest and embody lessons of the experience. Lung/Colon let go of what needs to be let go of. Take in inspiration and holds big scope. SNS and PNS flow in dynamic and co- regulating tension. Metabolic, immune, cardiac and all body systems return to normal. Open, curiosity, relaxed alertness. Sense organs awake and available; not “activated”. Exploratory Orienting Returns (c) Alaine Duncan, 2014
Every aspect of our body, mind, and spirit is affected: Our organs, tissues and cells. Our thinking, cognition and focus. Our fundamental experience of God. (c) Alaine Duncan, 2014 Too Much Too Fast
The flight/fight response mobilized but didn’t complete. They remain “stuck” in what was a successful survival approach – but now the danger has passed. Their instinctive survival responses are unreliable. There is a cascade of physical and psychological symptoms. (c) Alaine Duncan, 2014 The Incomplete Threat Response
(c) Alaine Duncan, 2014 Freeze – collapse of Kidney yin. Sends message to heart that death is imminent. Consumes Kidney essence resulting in a shorter life expectancy. High tone in PNS Pain minimized. Metabolism slowed. Highly charged brace response remains under an appearance of collapse. Life threatening impact on metabolic, immune, endocrine, cardiac function. Incomplete Threat Response
When the nervous system is not restored to balance, symptoms can develop weeks, months, years later. Our traumatic disorganization, dormant for years, can reappear with aging, illness, vulnerability or a triggering memory. (c) Alaine Duncan, 2014 Onset of symptoms is usually 6-18 months after the event and can be years later. The Threat Response
Insomnia/Hypersomnia Irritable Bowel Syndrome Memory lapses Cognition problems Migraine headaches Stomachaches Anxiety Depression Terror Rage Pain Patterns Metabolic disturbance Auto-immune disturbance Endocrine disturbance Cardiac symptoms Weight gain in the middle (c) Alaine Duncan, 2014 The Threat Response
Our response to trauma is not about our values, courage, or choice. It is an instinctive, highly adaptive and successful negotiation for survival. Fight Flight Freeze (c) Alaine Duncan, 2014 It’s Not Wrong
(c) Alaine Duncan, Types of Traumatic Stress Water/Kidney Type Fear or the lack of fear predominates. Eyes can’t sit still; scan constantly in anxious and fearful attention. Can’t sink deeply and often won’t sleep out of fear of what may come in the night. Manifests as hyper-vigilant alertness or collapsed and frozen, agoraphobic at extreme.
(c) Alaine Duncan, Types of Traumatic Stress Anger or a collapsed lack of capacity for assertion predominates The Liver/Gall Bladder type Will look for obstacles rather than see openings -- or will be frozen, imploded, suppressed, and hopeless. There is a mountain of rage whether visible or invisible.
(c) Alaine Duncan, Types of Traumatic Stress Sadness predominates: flat eyes, flat emotions; slow memory and cognition, socially inhibited, anxious. The Heart type Heightened sexual expression, without intimacy, connection, engagement.
(c) Alaine Duncan, Types of Traumatic Stress Digestion shutdown; can’t receive or hold onto anything, can’t digest, integrate experiences. May manifest with irritable bowel syndrome or GERD. Undigested, their trauma story goes around and around; “victim” identity. The Spleen/Stomach Type
(c) Alaine Duncan, Types of Traumatic Stress Grief is predominate emotion. It is hard to inhale, to receive life — or to exhale and let go. The Lung/Colon type “How can a loving God allow bad things happen to good people? Shallow breathing, deeply soulful survival guilt.