THE 3A TOOLKIT MOVING TOWARDS REGULATION AND INTEGRATION Meg - PowerPoint PPT Presentation

THE 3A TOOLKIT MOVING TOWARDS REGULATION AND INTEGRATION Meg Kapil, MA, CCC

TERRITORY ACKNOWLEDGMENT We are here on the original lands of the Anishinaabeg, Cree, Oji-Cree, Dakota, and Dene peoples, and on the homeland of the Metis Nation. We respect the Treaties that were made on these territories, we acknowledge the harms and mistakes of the past, and we dedicate ourselves to move forward in partnership with Indigenous communities in a spirit of reconciliation and collaboration. (University of Manitoba)

THE 3A TOOLKIT SUPPORTING CLIENTS TO MOVE TOWARDS INTEGRATION AND REGULATION • What is it? • What kind of presenting issues has it helped with? • How can it be applied across various ages and developmental stages? • Examples

INTERPERSONAL NEUROBIOLOGY • Interpersonal neurobiology attempts to extract the wisdom from over a dozen different disciplines of science to weave a picture of human experience and the process of change across the lifespan. • The IPNB perspective includes the objective domains of science and the subjective domains of human knowing to help alleviate suffering and move towards well-being

WHAT IS THE MIND?

MIND Self-organizing emergent, embodied and relational process that regulates the flow of energy and information.” (Daniel Siegel) • From this definition, the mind is: • A process of energy and information • Includes not just the head but also the body • Exists in relationships

WHAT IS WELLNESS? • Integration • Regulation

THE 3A TOOLKIT APPROACH reness (collecting information) • Aw Aware • The Brain • The Body • Relationships ent (organizing information) • Assessm Assessment • Name it to Tame It • Ac Acti tion (what to do with the information) • Top Down • Bottom Up • Relationship

RELATIONSHIPS - PART • Presence – centered, grounded, available, open • Attunement – communicating empathy, naming feelings, focus on the internal experience of the other, tuning into the sensory experience of the other • Resonance - Resonance is how we change because of the other person, feeling felt • Trust – feeling of security, receptive and resilient state, helps us manage and bounce back • Adults – attend to your regulation first • The younger the child, the more important co-regulation will be

AWARENESS “COLLECTING INFORMATION”

THE BRAIN

THE NERVOUS SYSTEM

Threat Le Levels Zone Zo ne De Description Ho How t w to Go Go Gr Green Panic, heart beating fast, short and shallow Thinking (This will pass) breaths, sweating, can’t stay in the room, Body (move, jump, throw away the red) sometimes yell and appear angry Relationship: Kind words, compassion, supportive adult Worried but still thinking, fidgety, notice Thinking (I can turn this around, what can I do changes in heart rate and breathing but still in to feel more calm?) control, know in stomach Body (Figure 8 breathing, butterfly hug) Relationship: Kind words, compassion, supportive adult Relaxed, focused, calm, optimistic Thinking (green thoughts) Body (play, go outside) Relationship: Kind words, compassion Stuck, pessimistic, not hopeful, energy low Thinking (this will pass, what will help me feel better?) Body (play, go outside, exercise, long inhale) Relationship: Kind words, compassion, supportive adult

WINDOW OF TOLERANCE

HOW DO YOU KNOW WHAT PART OF THE WINDOW YOU ARE IN? Increased sensations, emotionally reactive, hypervigilant, Hyperarousal intrusive imagery/thoughts, disorganized thinking Chaos Emotions are tolerable, attentive and able to learn Optimal Arousal Integrated Regulated ‘Yes’ Brain (FACES) Relative absence of sensation, numbing of emotions, disabled Hypoarousal thinking, reduced physical movement Rigidity

RELATIONSHIP CONSIDERATIONS • Interpersonal • Attachment • Family of origin • Social relationships • Intrapersonal • Self-compassion • Ego state work • Considering how you relate to yourself

• Mi Mindfulness • Na Name It to Tame It • Diagnos osis ASSE ASSESSME SSMENT “ORGANIZING THE INFORMATION”

AC ACTION “RESPONDING TO THE Name It to Tame INFORMATION” It Top Down Relationships Bottom Up

BO BOTTOM U UP S STRATEGIES HO HOW TO REG REGUL ULATE E THE HE BODY Level of activation? Le 0 to 5 • Grounding • Orienting • Breathing • Progressive muscle relaxation • Butterfly hug 5 to 10 • Movement • Finger pushups • Moving feet • Shaking

TOP DOWN STRATEGIES THINKING BASICS Feeling Thinking o Negativity bias o Triangle of experience Behaviour o Noticing the negative o You grow what you focus on, Shifting to the positive, helpful thoughts o Capability o What can you influence o Present moment

APPLICATIONS • Individual Clients • Stress, Anxiety, and Depression Support Group • Stress Less Workshop for Postsecondary Students • Creating Calm Anxiety Group • Supporting teachers and schools to understand and support regulation and integration • 3A Story • 3A Comic

CREATING CALM FAMILY ANXIETY SUPPORT GROUP Beck Youth Anxiety Inventory 50 45 40 35 30 25 20 15 10 5 0 BSCI-Y BAI-Y BAN-Y BANI-Y BDBI_Y Pre Post

TH THE 3A TO TOOLKIT IT Awareness Assessment Action “Collecting information” “Organizing “Responding to the Information” Information”

TH THE 3A TO TOOLKI KIT Awareness Assessment Action “Collecting information” “Organizing Information” “Responding to the Information” Mindfulness Name It To Tame It Relationship/Co-Regulation • Brain and Nervous System Basics Diagnosis Top Down • Self Level of activation • Bottom Up • ’Threat’ Detection • SIFT S ensations I mages F eeling T hinking Others Stressors and ‘threats ’ • Contextual factors? • Relationships Relationship assessment •

AC ACTION STRATEGIES Re Relation onship/ p/Co-Re Regu gulation on Bottom Up Bo Up Top D Down (B (Body R Reg egul ulati tion) n) (Thi (Think nking ng) SE SELF Level of Activation Notice Red Thoughts and let them go Self-compassion 0 to 5 0 t 5 Focus on Green Thoughts • Breathing Capable • • How you relate to difficult Figure 8 Breathing Things you can influence • • • experiences Tummy clench and release Present moment • • Notice what is already Butterfly hug • • there Orienting • • “I can get through this” Turn towards it Grounding • • • “This feeling will pass” Turn towards yourself • “Thank you for trying to help me Mr. Worry but I • with an act of kindness 5 t 5 to 10 10 am safe” Exercise – slow & deliberate • OTHERS OT Movement Reflective questions • Relationships/co-regulation Finger pushups “What would help”? • • • What can you influence? Bilateral movement “How can I get back to green”? • • • Act As If Cultivate the positive Posture Gratitude • •

3 A TOOL KIT COMIC I know my ___________________________________ is acting up when: 1. 2. 3. Then I said, “That’s just my _____________________________________________________ I know I can shrink my ____________________________by: 1. 2. 3.

3A STORIES

THANK YOU! megkapil@uvic.ca