Posts Tagged ‘Sensorimotor Psychotherapy’

Getting Back to Basics: Approaches to Treatment and Prevention of SAD

Monday, November 21st, 2011

I felt so validated reading an excerpt from Andrew Weil, M.D.’s new book, Spontaneous Happiness.  To paraphrase his take on why there is a seeming epidemic of Seasonal Affective Disorder, Depression, widespread vitamin D deficiencies and out of whack serotonin and melatonin levels; our bodies have not evolved as quickly as our technologically advanced world has required of them. The adjustment is beyond just “culture shock”; it’s our very biology struggling to adjust.  

His understanding jives with my experience of things, not only as someone for whom the onset of winter brings the challenge of Seasonal Affective Disorder (SAD), but also as a trainer of clinicians and a promoter of best practices in treatment approaches for it. It is the frame of our seeing SAD as a ‘normal reaction to an abnormal situation, a natural reaction to an unnatural environment’.

The bottom line is that the mammalian part of us humans are not really built for the current lifestyle we Westerners enjoy; one in which we are cut off from the natural environment and cycles of nature, in what we eat, how much we sleep, what we touch, our limited body movements and amount of sunlight exposure. So many of us are much too sedentary, in temperature controlled, windowless or tinted or even sealed window spaces, staring at computer and other media screens for too many hours. We spend much of our daily life in constantly lighted environments regardless of the time of day or night. Our demands ask for us to keep the same daily and sleep schedule year round, as if our bodies were oblivious to the shifts of daylight hours and seasons through the year. Additionally, our brains are being shouted at more and more from attention seeking sensory stimulating electronic sources than by the more passive and subtle features of the natural environment they were first wired for. These factors, along with the 24/7 media barrage of news and traumatic events and images from the four corners of the globe–as if these events were going down in our front yard–keeps our brains bathed in adrenaline and cortisol, the stimulants that readies the nervous system for dangers, real or imagined, in freeze, flight or fight mode.

The positive side of this holistic perspective is that it informs us, in constructive ways, as to what is needed to maintain our well-being. And for those of us who treat these conditions, it helps us develop an affirming, helpful, multi-dimensional framework for the treatment of our clients coming to us for help with these issues.

Howard Reznick, LCSW-C is currently one of the producer-editors of ifIknew.org, a youth oriented prevention education video and blog site addressing contemporary health issues. A therapist and trainer the past 30 some years, Howard will be leading an upcoming workshop titled; “Ain’t No Cure for the Wintertime Blues?



Trauma and the Body

Thursday, August 11th, 2011

I hope you are continuing to get the most out of summer.  I wanted to share with you a wonderful experience I had at the Cape Cod Institute, training with Pat Ogden, the brilliant creator of Sensorimotor Psychotherapy.  The power of this work cannot be under-estimated and I think it is an absolute necessity to incorporate “the body” in our understanding of how trauma is stored, and subsequently retrieved, de-coded, and processed in therapy.

Pat shared many fascinating videos with us illustrating, first-hand, how quickly clients can re-connect with thoughts, feelings, and memories through an awareness of body movement and sensation.  Inviting clients to “go to” body sensation by asking, “what’s happening right now on your body?” not only yields meaningful information, it enhances a state of mindful awareness, which can help clients return to the “present moment” and reduces dissociation.  

Tracking, labeling, and articulating sensations of tightness, constriction, collapse, tingling, etc. also helps our clients to stay in their pre-frontal cortex, rather than their limbic system- where flight/fight and freeze responses get activated.  Helping our clients heighten their awareness of body posture, movements, and sensations, can be used for centering, re-grounding, containment, and the delineation of healthier boundaries.  In turn, these interventions reduce feelings of victimization and strengthen a sense of empowerment.

I was further inspired by Pat’s discussion of how attachment dynamics (secure, insecure, avoidant, ambivalent, and disorganized) all yield messages and affective responses that get imprinted on our bodies and profoundly affect our posture and body movements.  We adopt body patterns that keep us safe in the world.  Children who feel loved, secure, and accepted have body language and posture that exudes confidence, openness, connectedness, etc.  Traumatized, abused, and neglected children have posture that is closed, defeated, collapsed, defensive, protective, etc.   In Pat’s words, “the body tells the story of our history.”  Exploring body postures and gestures can re-connect clients to long forgotten pain narratives.  And when we help clients re-align their bodies, we create the opportunity for new experiences and a letting go of well-entrenched symptoms that often sustain feelings of hopelessness, helplessness, repeated victimization, dissociation, and a sense of being disconnected from others and self.  Simple interventions including: elongating the spine, bringing weight onto the balls of the feet, taking a deep breath, expanding the chest, standing up, pushing away with the arms, or putting both feet on the floor, can create profound cognitive and emotional shifts for our clients.  

Having a simultaneous awareness of our own body movements, postures, gestures, and sensations can help us remain grounded and present during challenging sessions, and reduce counter-transferential responses that communicate confusing messages to our clients or inadvertently undermine our efficacy.  To learn more, I highly recommend Pat’s book, Trauma and the Body.  I also encourage you to take some of our wonderful trainings at The Institute that focus on working creatively with the body.  It will profoundly enhance the quality of your work!  And if you already incorporate Sensorimotor Psychotherapy and other Body Therapies in your work, we welcome your feedback!