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B.R.A.I.N. Treatment Techniques Breathing, Relaxation, Autogenics, Imagery, & grouNding Chest (Thoracic) Breathing Diaphragmatic Breathing Diaphragmatic Breathing Exercise • Chest (thoracic) breathing vs. abdominal (diaphragmatic) breathing • Hand on stomach should rise more than hand on chest • “breathe in relaxation…breathe out tension” Muscle Relaxation • “Fight-or-Flight” response causes muscle tension • Learn to sense the difference between tense muscles and relaxed ones Muscle Relaxation (Hands) Muscle Group Relaxation • Head, face, throat & shoulders • Chest, stomach & lower back • Thighs, buttocks, calves & feet • Hands, forearms, & biceps • Tense for 5 sec. Release for 20 sec. Muscle Relaxation (Cont’d) Autogenics • Central Nervous System = Brain & Spinal Cord • Peripheral Nervous System = SNS + ANS – Somatic Nervous System = Voluntary Muscles – Autonomic Nervous System = Involuntary Muscles • • Sympathetic Division Fight-or-Flight Response Parasympathetic Division Relaxation Response Autogenics (CNS vs ANS) Sympathetic vs Parasympathetic Autogenics (with Respiratory Synchronization) My breathing is deep and slow My heartbeat is slow and regular My hands and arms are so warm and so heavy My feet and legs are so warm and so heavy My forehead is cool and dry Inhale Exhale Inhale Imagery • Positive Multisensory Mental Imagery • Create a Protection Around the Safe Place • Core Person/Safe Place Exercise – Pair Autogenics with Multisensory Imagery Imagery (Cont’d) • Brain doesn’t know difference between real thing (e.g., favourite food) and mental image of that thing. • The same response is generated (saliva, etc) Imagery (Cont’d) CORE PERSON / SAFE PLACE EXERCISE (“Visualize the most calm, safe place you have experienced or can imagine”) AutogenicsMultisensory Imagery 1. My hands & arms are warm & heavy 1. What do you see? (movement, colour) 2. My breathing is deep & slow 2. What do you hear? (waves, nature) 3. My heartbeat is slow & regular 3. What do you feel? (wind, sun, water) 4. My feet & legs are warm & heavy 4. What do you smell? (fragrance) 5. My forehead is cool & dry 5. What do you taste? (drink, food) Imagery (Cont’d) Grounding • Reconnect to the World in the moment • Sensate Focus • Cook’s Hook-Ups & Cross-Crawl – Restores Hemispheric Balance in Brain – Lowers Distress Grounding – Sensate Focus What do you hear? What do you see? What do you feel (touch)? What do you smell? What do you taste? Grounding – Cook’s Hook-ups • Cross left leg over right with right leg perpendicular to the floor. • Take right hand and grasp shin between knee and ankle. • Cross left hand and arm over right hand and arm, and grasp shin closer to ankle (or place left palm on bottom of left foot if you don’t have shoes on). Grounding (Cross-Crawl 1) Grounding (Cross-Crawl 2)