healing from historical and generational trauma through movement, mindfulness… · 2018-09-13 ·...
TRANSCRIPT
HEALING FROM HISTORICAL AND GENERATIONAL
TRAUMA THROUGH MOVEMENT, MINDFULNESS,
AND SPIRITUALITY
THE DIVINE DANCE
Workshop Description
From the first tenet of Osteopathic Medicine: the body is a self-regulating unit, composed of mind, body, and spirit. Very often in
persons who are living with or who have inherited historical and
generational trauma we hide in our bodies our hurt, humiliation, fear,
and shame.
OBJECTIVES
Utilizing a variety of techniques combining wisdom traditions and
modern day science, at the end of the session participants will have
practical Monday morning Take Always to use immediately for their
own self care and to share with their patients, clients, and/or students
and even family members.
Participants will have the opportunity to free
their Spirits with:
Embodied Joy, an expressive meditation involving shaking and
dancing;
Chaotic Breathing, a core strengthening breath technique designed to energize, uplift, relieve tension and enhance mental
clarity;
Dialogue with a Symptom, beginning with a Guided Meditation, this exercise concludes with a letter to oneself addressing an
emotional or physical challenge and then exploring what one can
learn from the symptom or problem;
Forgiveness Meditation, this journey incorporates both a
mindfulness approach to meditation as well as concentration
meditation to evoke a deep state of inner listening. this
transcendent form of meditation simultaneously heals the
individual as well as the greater community.
Participants will be introduced to the UN 17 Sustainable Goals as potential blueprint for how one can begin or expand Unity
Consciousness from self healing to Community and Global Healing
OPENING MEDITATION
MY STORY: From Dancer to Doula to Doctor
The Limbic-Hypothalamus-Pituitary Axis
(LHPA)
Fight/Flight/Freeze
Trauma activates stress responses and shifts metabolism to fight, flight or freezing
ht/flight/freeze
PREFRONTAL CORTEX – Executive Function
Executive function is necessary for everyday adaptive behaviors:
The need to pay attention and concentrate
Plan a course of action
Adapt to unforeseen events
Control impulsive behaviors
These processes include:
Working memory
Attention
Flexibility
Typically acquired during development and decline with age
Acute Stress and Executive Function
Acute stress activates the LHPA
Enhances sensory gain, environmental scanning and performance
Negatively impacts working memory, problem solving and cognitive
flexibility
A short term adaptive strategy to improve reaction to stimuli at the
expense of higher order cognitive function
Catecholamines levels lower in about an hour for most stressors
Glucocorticoids remain elevated longer
Toxic Stress and Brain Development
Glucocorticoids are important for normal brain development
Glucocorticoid receptors act as transcription factors and regulate gene expression for metabolism and immune function as well as for cognition and brain development
Both suppressed and elevated level stress hormones may lead to
adverse brain development through apoptosis, delays in myelination,
inhibition of neurogenesis and decreased brain growth factors
Toxic Stress and Brain Development - 2
In animals, severe stress in early life, can disrupt the LHPA process
Reduced cognitive function
Reduced number of CA3 hippocampal neurons
Decreased branching in hippocampal pyramidal neurons later in life
Elevated CRF persists into adulthood
Initially high ACTH and cortisol attenuate with chronic exposure
High CRF downregulates neural CRF receptors after trauma
Toxic Stress and Brain Development - 3
However, increased CRF can be found in the CSF even into adulthood in childhood trauma victims and those with PTSD
Chronically elevated CRF caused generalized arousal, anxiety, aggression, hypervigilance and stimulation of the sympathetic nervous system
“Priming”-Early exposure to catecholamines
Primed system will hyper-respond with higher ACTH and cortisol during stress (or any occurrence of reminders of trauma)
Increased ACTH has been found in depressed abused teens and women who experience chronic adversity
Toxic Stress and Brain Development - 4
With intense or prolonged exposure there is:
Perceived difficulty with concentration
Difficulty with working memory and decision making
Poor performance on tests of set shifting and working
memory
Shift toward automated response patterns during
decision making
Toxic Stress and Prefrontal Cortex
Executive dysfunction and dysregulation can reduce ones quality of life
Acute stress events and chronic stress are strong risk factors for mental illness
Mood disorders
Generalized anxiety disorder
Obsessive compulsive disorder
Attention deficit hyperactivity disorder
Post traumatic stress disorder
Addictive behaviors
Toxic Stress and Brain Development
Prefrontal Cortex:
Reduction in apical dendrites
Debranching of pyramidal neurons
Dendritic spine loss in the mPFC
Hippocampus:
Thinning of apical dendrite spines in the CA1region
Shortening of dendrites in CA3
Toxic Stress and Premature Aging
Shortened telomeres in institutionalized children
Increased telomere erosion if 2 or more types of violence
Increased pituitary volumes at a younger age than typical
Memory deficits in adulthood
Increased risk of heart attack, cancer and other diseases
Increased risk of early death
In Summary
Summary of Impact on Prefrontal Cortex
Stress: A Little is Good – A Lot is Bad
Toxic Stress is a Public Health Crisis
If your ACE Score is ≥ 4 there is an increased risk of :
− Diabetes (1.5 x)− Stroke (2.5 x)
− Hepatitis (2.5x− Depression (4.5 x) − Suicide (12 x)
If your ACE Score is ≥ 7 there is an increased risk of :
− Lung Cancer 3x− Heart Disease 3.5 x
Mind Body Medicine
Mind Body Medicine simultaneously unites and looks
across the continuum of modalities that bring about a
state of relaxed awareness. We combine modern science,
wisdom traditions across cultures, and human connection
to create a powerful new medicine centered on a simple
concept: Self-Care.
Mind Body Medicine (continued)
Mind Body Medicine practitioners teach skills including
breath work, meditation, guided imagery, biofeedback
and small group support to health professionals,
educators, and other community leaders. Research
validates mind-body medicine's powerful effect in
relieving trauma, reducing stress, and restoring hope.
Exercise#1: SHAKING and DANCING
EMBODIED JOY
An expressive Meditation
involving shaking and
dancing
Exercise#2: CHAOTIC BREATHING
A core strengthening breath technique designed to energize, uplift, relieve tension and enhance mental clarity.
PHOTO
Exercise#3: DIALOGUE with a SYMPTOM
Beginning with a guided meditation.
PHOTO
Exercise#4: FOREGIVENESS MEDITATION
This journey incorporates Doula mindfulness…
PHOTO
UN 17 Sustainable Goals
Graphic representation of goals…..coming!
Start with yourself, understanding that the ability
to understand the roots of trauma in a child or in
an adult begins by understanding your own
experiences of trauma and including yourself as
part of the equation.
Trauma is often the root cause of many somatic
based and organ-based pathologies, remember
that in your diagnostic and treatment approach.
In your recommendations to your patients
consider offering any of the mind body medicine
tools discussed or referenced here today, they
are proven, quick and effective, easy to learn
and easy to teach in a small group setting or one
on one in an office-based setting.
When considering the high incidence of trauma
in our patient population consider that it is likely
that there is an element of trauma in every
patient that you see.
Your Charge
Becoming a better clinician, a deeper
listener, and a more effective agent for
change.
Today’s Action Items
Explore one of the websites listed in the
references for more information
Focus on understanding your own trauma(s) &
begin to normalize & therefore broaden your
working definition of trauma
Go Take a CME on Trauma to expand your
toolkit
Practical Tip -1
Billing and Coding
In the office when I am working with Meditation for example, I bill at the appropriate codes for what-ever co-morbidities the patient has and integrate the meditation into the session with the patient along with the physical exam, ordering labs if needed. I save some time by having my Certified Medical Assistant and or Nurse handle medication renewals, prior authorizations and insurance questions.
Practical Tip - 2
In Office Tips
We begin every morning with a 5-10 minute huddle that
will include practical things related to office management
and flow but always includes a brief meditation and some
gentle movement to help the entire clinical team and
staff create the best possible mindset for that day.
Practical Tip - 3
In the Community
Look for Community partners that will attract your audience,
clients, and/or patients. For example, I am currently working
with a Pilates studio that has ample floor space and is centrally
located in my community. I am holding a 7 week Mind Body
Medicine Course : Becoming Weightless in Mind, Body, and
Spirit. This has accomplished many things:
It has attracted new patients for both Medimorphosis and
Ocean Health Initiatives
It has attracted new clients for the Pilates Studio
Practical Tip – 3a
In the Community 2
Since a big part of my focus now is on helping individuals free themselves of embedded trauma, when they come into the space they can’t escape the fact that this is a place where one comes to move. the suggestion is there in a subtle way without me having to talk about it all the time. The space was purposefully chosen because it speaks a lot about who I am as both a person and a healer.
Practical Tip – 3b
In the Community 3
In a great community partnership, other events and
gatherings will organically develop, for example in July I
will be holding my community meditation series at this
same studio and the studio owner is offering a mat based
Pilates series to introduce beginning students to the
principles and practice of Pilates.
Bibliography I
A., Van Der Kolk Bessel. The body keeps the score: Brain, Mind, and Body in the Healing of
Trauma. New York (New York): Penguin Books, 2015.
Eddy, Martha. Mindful Movement: The Evolution of the Somatic Arts and Conscious
Action. Bristol, UK: Intellect, 2017.
Gintis, Bonnie. Engaging the Movement of Life: Exploring Health and Embodiment through
Osteopathy and Continuum. Berkeley, CA: North Atlantic Books, 2007.
Huang, Al Chung-liang. Embrace Tiger, Return to Mountain: the Essence of Tai Ji.
London: Singing Dragon, 2011.
Rankin, Lissa, M.D. Mind Over Medicine: Scientific Proof That You Can Heal Yourself.
Brighton-Le-Sands, NSW: Hay House Australia Pty Ltd., 2015.
Bibliography II
Huang, Al Chung-liang., and Si Chi. Ko. Essential Tai Ji. London: Singing Dragon, 2011.
Huang, Al Chung-liang. Tai Ji Dancing for Kids: Five Moving Elements. London: Singing Dragon, 2017.
Ortner, Jessica. The Tapping Solution for Weight Loss and Body Confidence.Australia: Hay House, 2014.
Rankin, Lissa, M.D. What's Up Down There? Questions You'd Only Ask Your Gynecologist If She Was Your Best Friend. New York City, NY: St. Martin's Press, 2010.
Rankin, Lissa, M.D. Anatomy of a Calling. Place of publication not identified: Rodale, 2015.
Bibliography III
Michael D. DeBellis, MD. MPH and Abigail Zisk A.B. The Biological Effects of Childhood Trauma Child Adolesc Psychiatr Clin N Am. 2014 April; 23 (2); 185-222. doi; 10.1016/j.chc.2014.01.002
Milena Girotti. Samantha M. Adler. Sarah E. Bulin, Elizabeth A. Fucich, Denisse Paredes, David A. Morilak. Prefrontal Cortex Executive Processes Affected by Stress in Health and Disease. Progress in Neuropsychopharmacology & Biological Psychiatry (2017). http://dx.doi.org/10.1016/j.pnpbp.2017.07.004
Michael J. Watt, Matthew A. Weber, Shaydel, R. Davies, Gina L. Forster. Impact of Juvenile Chronic Stress on Adult Cortico-Accumbal Function: Implications for Cognition and Addiction. Progress in Neuropsychopharmacology & Biological Psychiatry. http://dx.dol.org/10.1016/j.pnpbp.2017.06.015
M. J. Caruso, D. E. Reiss, J. I. Caufield, J.. L. Thomas, A. N. Baker, S. A. Cavigelli, H. M. Kamens. Adolescent Chronic Variable Social Stress Influences Exploratory Behavior and Nicotine Responses in Male, but not Female, BALB/cJ Mice. http://dx.doi.org/10.1016/j.brainresbull.2017.08.001
Leah K. Gilbert, MD, MSPH, Matthew J. Breiding, PhD, Melissa T. Merrick, PhD, William W. Thompson, PhD, Derek C. Ford, PhD Satvinder D Dhingra, MPH, Sharyn E. Parks, PhD. Childhood Adversity and Adult Chronic Disease: An Update from Ten States and the District of Columbia, 2010. http://dx.doi.org/10.1016./j.ampere.2014.09.006
Bibliography IV
Vincent J. Felitti, MD, FACP, Robert F. Anda, MD, MS, Dale Nordenberg, MD, David F. Williamson, MS, PhD, Alison M. Spit, MS, MPH, Valerie Edwards, BA, Mary P. Koss, PhD, James S. Marks, MD, MPH. Relation of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults. The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine. 1998;14:245-258
7. Jennifer A. Campbell, BS, Rebekah J. Walker, PhD, Leonard E. Egede, MD, MS. Associations Between Adverse Childhood Experiences, High-Risk Behaviors, and Morbidity in Adulthood. American Journal of Preventive Medicine 2016; 50 (3):344-352
8. Matthias Mejer, Urs M, Nater, Jin-Mann S. Lin, Lucile Capuron, ad William c. Reeves. Association of Childhood Trauma with Cognitive Function in Healthy Adults: a Pilot Study. BioMedCentral Neurology 2010 10:61
9. Capt. Sandra K. Swedean, USAF MC; MAJ Monica V. Gonzales, MC USA; Betty A. Zickefoos, RN; Anneke C. Bush, ScD, MHS; Maj Jessica M. Davis, USAF MC; Diane C. Elrod, RN; Maj David T. Hsieh, USAF MC. Recurrent Headache in Military-Dependent Children and the Impact of Parent Deployment. Military Medicine, 178, 3:274, 0213.
10. Synne Øien Stensland, MD, PhD, John-Anker Zwart, MD, PhD, Tore Wentzel-Larsen, MSc and Grete Dyb, MD, PhD The Headache of Terror-A Matched Cohort Study of Adolescents from the Utøya and the HUNT Study. Neurology 2018;90:59, doi:10.1212/WNL.0000000000004805
References and Acknowledgements
Rankin, Lissa, M.D. Fear Cure: Cultivating Courage as Medicine for the Body, Mind, and
Soul. Place of publication not identified: Hay House Inc., 2016.
Rouzorondu, Eraka. Answers: A Philosophical Foundation for an Empowered Life. Ph,B.,
Inc., 2014.
Wolynn, Mark. It Didn’t Start with You: How Inherited Family Trauma Shapes Who We Are
and How to End the Cycle. NY, NY: Penguin Books, 2017.
National Institute of Mental Health nigh.nih.gov
The Center for Mind Body Medicine cmbm.org
NY Times Sunday Magazine, April 15, 2018 Why are Black mothers and babies in the
United States dying at more than double the rate of white mothers and babies? The
answer has everything to do with the lived experience of being a black woman in
America. Linda Villarosa
Research Articles
Dance for health: improving fitness in African American Adults and adolescents • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1382101/
The effect of Tai Chi on health-related quality of life in people with elevated blood glucose or diabetes: a randomized controlled trial • https://www.ncbi.nlm.nih.gov/pubmed/23143590
Tai Chi and Rheumatic Diseases • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3058626/
Tai Chi and Qi Gong for Health and Well Being • https://nccih.nih.gov/video/taichiDVD
Acknowledgements
Special thanks to The Restorative Medicine Conference; Dr. James S. Gordon,
Founder and Executive Director, Center for Mind Body Medicine; Colleagues
and patients at Ocean Health Initiatives; Medimorphosis Medical Weight Loss;
and Diem Jones, Chief Executive Officer, All One Consulting Group, LLC.
Heart felt gratitude always to my family; my parents Arthur and Alma Penn,
my first teachers, my husband Diem and our boys, Keita and Dima. The songs
of my heart that have danced the tears of my trauma(s) into the shadows.
“The past is never dead. It’s not even
past.”
William Faulkner
(It Didn’t Start with You, Mark Wolynn)
Acknowledgements
I wish to acknowledge the Jen Palmer, ND and the staff of the Association
of Restorative Medicine
I especially offer my gratitude to the Omnipresence in my life, One Love
and to my husband and business partner Mr. Diem Jones, Founder of All
One Consulting, LLC and Co-Founder and Executive Director of VONA. I
extend gratitude to my parents, grandparents, and the ancestors, our sons
Keita Erskine and Dima Jones, our glorious blended family and my fabulous
patients and clients whose love, courage, and strength lifts me beyond the
depths of my own despair and carries me to unchartered heights in the
boundless field of all possibilities.