integrative wellness therapy tm for attention deficit ... · for attention deficit disorders, with...
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© 2017 Lorelei Woerner, OTR/L, C-IAYT, RYT500
Integrative Wellness Therapy TM for Attention Deficit Disorders, With Hyperactivity
Body – Breath – Brain
Approximately 11% of children 4 to 17 years of age (6.4 billion) and about 4% of
American adults are diagnosed with ADHD, according to 2011 CDC statistics. Symptoms
of inattention, impulsivity and hyperactivity interfere with daily functioning, flourishing
and sattva. The lifestyle creates a great allostatic load and stimulates stress and cortisol
release, the sequelae of which has wide-spread negative impact on the body. These
characteristics also inhibit efficient Executive Functioning.
Six clusters of EF that are associated with ADD/ADHD:
1. Activation: organizing tasks/materials, estimating time, getting started, planning
2. Focus: focusing, sustaining focus, shifting focus between tasks, vigilance
3. Effort: regulating alertness, sustaining effort and processing speed.
4. Emotion: managing frustration and modulating emotions.
5. Memory: using working memory and accessing recall.
6. Action: monitoring/regulating actions. Regulation of affect-motivation-arousal
7. Inhibition: behavioral analysis and synthesis
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Lorelei Woerner, OTR/L, C-IAYT, RYT500 -- Owner and Founder Integrative Wellness TherapyTM
Registered and Licensed Occupational Therapist Specializing in intensive, holistic treatment for neurological, pediatric, transition & mental health
Certified Yoga Ed Instructor Yoga training lineage: Krishnamacharya/Desikachar
Certified in Sensory Integration and Praxis Test Extensive training in Hippotherapy
Certified in Myofascial Release and Reiki Clinical Instructor for USC and Northern Arizona University
© 2017 Lorelei Woerner, OTR/L, C-IAYT, RYT500
Emotions and the Autonomic Nervous System
ANS distinguishes between positive and negative emotions (as well as between
different negative emotions)
Intense emotions (fear, frustration, anxiety, anger) result in heart rhythms that are
spiked and jagged. Neural connections between heart and brain, result in intense
emotions negatively affecting the ability to think clearly.
These internal networks affect the way you think and perceive reality.
Brake
Parasympathetic NS
Learning mode
Thrive
“Rest and digest”
Gas Pedal
Sympathetic NS
Protective mode
Survive
“Fight or flight”
Effects of Stress
On Mood
Anxiety
Restlessness
Lack of motivation or focus
Irritability or anger
Sadness or depression
On Behavior
Can’t think straight
Overeating or undereating
Angry outbursts
Substance abuse
Social withdrawal
45
Alert Relaxed
Mundane
Conservative
Shift attention
Protective
Emotions
Exploratory
Focused
Receptive
N
© 2017 Lorelei Woerner, OTR/L, C-IAYT, RYT500
The ADHD-Hormone Paradox
Dopamine--Plays a role in reward-motivated behaviors and memory
formation. Boosts focus and concentration. Increases with physical
movement and meditation.
Norepinephrine--Linked with arousal and attentiveness. Increases with stress.
Stimulants (drugs or movement)
increase dopamine and norepinephrine
• People with ADHD are hyperactive or take risks because dopamine helps
them to focus, to think clearly.
• Dopamine is implicated in impulsive behaviors, and research shows ADHD
associated with higher dopamine levels.
• We need to help stimulate first to allow for focus. Once the need to elevate
dopamine levels is removed, the person with ADHD can focus and
concentrate without having to engage in hyperactive, adventurous, or risk
taking behavior
• Western model is stimulant medications. Yoga therapy is to begin with
brmhana.
• Lack of stimulation is a key to causing hyperactivity and distraction
The paradox about people with ADHD is that
they need the dopamine to feel calm.
© 2017 Lorelei Woerner, OTR/L, C-IAYT, RYT500
OT PRINCIPLES TO CONSIDER Sensory Processing:
1. Tactile 2. Proprioceptive 3. Vestibular 4. Visual 5. Auditory 6. Olfactory 7. Gustatory
Consider rhythms when facilitating input
Intensity (high intensity is alerting, lower is more calming)
Frequency (more frequent the input, the more alerting and intensive)
Duration (greater duration is more alerting and intensive)
Complexity (Higher complexity and overlapping of sensory input is
more alerting. A singular input is more calming)
Rhythm (Arrythmical input is more alerting, rhythmical more calming)
Novelty (Novel input is more alerting, familiar tends to be more calming
– depending on the type and person’s sensitivity to the input)
Praxis: the neurological process by which cognition directs motor action. It
is a very complex activity involving many parts of the brain -- frontal lobe,
parietal lobe, thalamus and cerebellum. 3 Parts: Ideation, Motor Planning,
and to a lesser degree, Execution
Bilateral/Cross Midline Movements: The Corpus Callosum is involved in
communication between the hemispheres, eye movement and vision,
balancing arousal and attention, sensory registration, cognition and
processing speed.
© 2017 Lorelei Woerner, OTR/L, C-IAYT, RYT500
Yoga Therapy “Modalities”
Asana
Mudras
Pranayama
Sound Singing bowls, Sound baths
Chant/sing/mantra/Humming
Listen to a metronome
Svadhaya – Self Awareness, Mindfulness
Exteroceptors – stimuli from outside the body
Proprioceptors – stimuli from muscles, joints and fascia as to position
and movement of the body
Interoceptors – stimuli from within the body (viscera, blood vessels,
hormone responses, etc)
Reflective Thinking and thought shifting
Bhavana – Visualization
Students scored significantly higher on standardized tests over a 3
year period relative to control groups by using relaxation and
imagery exercises. As they visualized themselves as relaxed,
successful students, they learned more quickly and retained more
information.” (Maureen Murdock)
Dr Emoto’s water crystal work -- Beautiful crystals after giving
good words, playing good music, and showing, playing, or offering
pure prayer to water. Disfigured crystals with negative thoughts.
Our bodies are 72% water, at minimum
Growth Mindset – When students believe they can get smarter, they
understand that effort makes them stronger. They put in extra time
and effort, which leads to higher achievement. (Dr. Carol Dweck)
Meditation (Active)
Gardening
Petting an animal
Walking in nature
Doing a puzzle
Coloring
Music
Whatever you “link”
with is a meditation
Group energy may
help maintain focus
© 2017 Lorelei Woerner, OTR/L, C-IAYT, RYT500
Lifestyle Diet and importance of gut health --
More than 30 neurotransmitters (most identical to those found
in CNS) are found in the gut.
The gut releases about 50% of the body's dopamine (EF, motor
control, motivation, arousal, reinforcement, reward) and about
95% of the body’s serotonin (regulation of feelings of well-
being, mood stabilizer).
Gut microbiota communicate with the CNS through neural,
immune and endocrine pathways, and influence the brain’s
function and behavior.
Studies have shown that these microoranisms are involved in
regulation of anxiety, pain, cognition and mood
Researchers are beginning to note correlations between ADHD
and gut disorders
Circadian Rhythms and Sleep --
Research indicates sleep of individuals with ADHD is
disrupted in a variety of ways, such as: narcolepsy, sleep
apnea, as well as circadian rhythm disorders such as delayed
sleep phase syndrome.
Proper sleep helps with growth of tissues, cognitive function
and enhances longevity
(Ayurveda)
© 2017 Lorelei Woerner, OTR/L, C-IAYT, RYT500
YOGA THERAPY TREATMENT:
© 2017 Lorelei Woerner, OTR/L, C-IAYT, RYT500
© 2017 Lorelei Woerner, OTR/L, C-IAYT, RYT500
Research shows that relationship is
60% of effectiveness in therapeutic interventions
© 2017 Lorelei Woerner, OTR/L, C-IAYT, RYT500
SHAPING A THERAPEUTIC CLASS FOR ADHD (considering krama): (Always first consider individual needs, modifications, adaptations and principles for safe movement practices – such as proper sequencing and contraindications, etc. “No pain, No pain!”)
1. Releasing: Lion’s breath, Choo choo breath, breath of joy, washing
machine (gentle and active trunk rotation) Crossed arm squat (Master
Choa Kok Sui, a prayer to Ganesh to remove obstacles), mat
movement with self-expression,
2. Awakening: Back bends, W-arms, faster movements and vinyasa
sequences progressing to slower.
3. Grounding: Resist the wind in mountain pose, Walking meditation,
proprioceptive input to hips, seated verses standing
4. Centering: Eagle, Cross Crawl, Alligator, Frog, Flower, twists
5. Calming: forward bends, proprioceptive input, rhythmical vestibular
6. Focus: balance poses, feeling breath and progressing to complex
pranayama (such as: pratiloma pratihara)