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The Bipartisan Brain Feeling Limbic System Thinking Frontal Lobes Behaviors of the Systems Behaviors Freeze, Flight, Fight Behaviors Stop, Think, Solve Problems Triggering Events Limbic System Freeze, Flight, Fight Frontal Lobes Turned off by Limbic System The Social Brain Disengagement AVOID! Engagement Approach… Confabulation Limbic System Freeze, Flight, Fight Frontal Lobes Turned off by Limbic System Broca’s Region Language Production and Comprehension The Brain is… •The brain is an anticipation machine. It mostly anticipates what it has experienced. •It gathers information from the perceived (and “remembered”) social and external world as well as conscious and unconscious memory and process. •It then decides on, and prepares for, what it believes is coming next. Symptoms of the people we serve •Violence •Aggression •Manipulation •Emotional outbursts •Lack of motivation A more thoughtful look at “bad behavior” • Developmental Trauma • Van Der Kolk (2005) “Developmental Trauma Disorder: Towards a Rational Diagnosis for Chronically Traumatized Children A TYPICAL STRESS RESPONSE Stressful Event ALARM Necessary survival response Deactivation Dissociation Activation F/F/F Return to Baseline Traumatic reorganization What happens when a person experiences inescapable, repeated, life-threatening, overwhelming stress Stressful Event ALARM Necessary survival response Captured and stored in embodied CNS Changes in Brain organization and function Lasting changes in social, emotional, cognitive, perceptual organization Traumatic Re-enactment Similar facets to dangerous event (sight, sound, smell etc.) Event “over-reactive” Embodied CNS & neuroendocrine systems Time ALARM Unnecessary Survival response Treatment implications • A traumatized brain sees the world and everything in it as a potential threat • Luckily, neuroplasticity allows for “rewiring” • Basis for treatment is reestablishing fundamental attachments • The SSRT state/stage model allows for conceptualizing the path of treatment Stage 2 Stage 3 “Wrap The World Around Them” “Lay The Groundwork For Understanding Themselves & The World” “Wrap Them Around The World” Stop blowing up Learn skills Understanding The body The skills The mind Predominant State Anger Pain Treatments Parasympathetic tools The Map Traditional psychotherapy Outcomes Stops blowing up Can map events Understand what makes them tick Common Misperceptions We Are Reinforcing Bad Behavior We Are Being Manipulated We have Extinguished the Behavior The State Or Stage Model Goals Targets Stage 1 Hope