somatic & energy therapies -...

LeslieKorn,PhD,MPHLMHC,ACS,RPP,NTP,NCBTMB

CopyrightDr.LeslieKorn,2018

Somatic & Energy Therapies

Copyright,LeslieE.Korn,2018Copyright,LeslieE.Korn,2018

Ethics, Collaboration & Referrals

• BodyOrientedPsychotherapy• Trained&certifiedindualmethods

• Touchornontouchsomatics

• Massage&Somaticsmethods• Licensurebystate• NationalCertificationBoard

• Referrals,workingtogethersimultaneouslyordistance• Identifyingethicalproviders,boundaries,traumatrained

• Wordofmouth

• Experientialthemethods

2


• Referringforbodyworkissimilartocounselingreferrals

• Pain,relaxation,awareness,psychosomaticintegration

• Lighttouchthroughdeeptouch,movementonly(notouch)

• Layers:energetic,muscular,joint,fascia

• Specializedmethods:structure/posture,lymph,nervoussystem,visceral,etc.

• KornNIH-fundedresearchseehandout

Somatic & Bodywork Therapies


• StateDependentMemoryLearning&Behavior

• Whatislearned/rememberedinonestateofconsciousnessmustbeaccessed&resolvedinthatstate(Rossi,Erickson)

• Bodyisthefocusofprocess

• Integratestalk&touchortalk&theBodyw/otouch

• Somatics

• USABP–UnitedStatesAssociationforBodyPsychotherapy

Body-Oriented Psychotherapy


•Arouses,desensitizes,&transducesstate-dependentmemory• Facilitatesconsciousnessstatesassociatedwithalpha,beta,theta,&deltabrainwaves•Caninducetrance&simultaneouslyprovidethegroundingrodtogaincontroloverdissociativeprocesses•Anxiolytic,soporific,&stimulatescirculatory,lymphatic,&immuneresponse,&regulatestheprimaryrespiratorymechanism,(thecranial-sacralrhythm)

How Does Touch Heal?


• Activatesneurohormonalresponses,releaseofbeta-endorphins,oxytocin,serotonin,⬇cortisollevels&stimulatesthe

endocannabinoidsystem

• Nonverbalformofbiofeedback

• Simultaneousretrievalofsomatosensorymemory,bodysensationsarticulationofassociativefeelings,&cognitivereframing

• Reducesautonomichyperactivity

Touch


• Touch(Massage)reduceslacticacid,reducingthechemistryfeedbackloopofanxiety

• Touchfacilitatessomaticempathy• psychobiologicalattunement• attachment&bonding

Touch


• Deeprelaxation-parasympathetic• Josie-Spasminanalsphincter

• Reduceinflammation,pain

• David-chronicbackpain,opiateaddiction• Access&de-conditionstraumaticmemory;Restorationofcapacityforpleasure

• John-Incestbymother• Susan-suicidality• Amy-surgeryaddiction/liposuction

• Changesbodyimage,improvesbodyconcept• Jana-latestagetraumarecovery

• Explorationofkinesthetic&proprioceptiveboundaries

Bodywork/Massage

Copyright,LeslieE.Korn,2018

The Cradle Parasympathetic

dominance induction


Induceparasympatheticdominance

Neckpain


North Pole Stretch

• Theorizedthatthe“stretch&flush”• Fotriggersareleaseofendocannabinoids(eCBs)

• Serumanandamide,the“ananda”

• Blisschemicalswhichfillcerebrospinalfluid

• Contributetotherelaxed“high”ofthetreatment


Auricular contact Vitalitypoint

Vagalcontact


Trapezius release Elana-Shoulderpain,respiration,gallbladder…


• ShattuckHospital• Rockingisauniversalbehavior• Synchronizesthebrain&acceleratesandimprovesthequalityofsleep

(Bayeretal.,2011)

• Increasessleepspindles,whichareassociatedwithbeingabletosleepthroughenvironmentalnoise

(Bayeretal.,2011)

• Rockingengagesthetemplateoftouch&innerinfant• Lifecycleneeds

Bayer,Laurenceetal.RockingsynchronizesbrainwavesduringashortnapCurrentBiology,Volume21,Issue12,R461-R462

Rocking



The Air Element Theback&kidneys


Anxiety&Respiration

Releasingthescapulaforbackpain,improvedrespiration,posturaltension


• Bingeeatingengorgesthestomach

• Pressureuponthediaphragm,givinga‘full’feeling

• Contraction&heavingmotionofthediaphragmstimulatesthevagusnervereleasesthechronicmuscularcontractionofthediaphragm

• Purgingisanxiolyticineffect

• PhrenistheGreekwordmeaningbothdiaphragm&mind,

•Gentlemanipulationofthediaphragm

• Stimulatesvagalactivity&parasympatheticresponse,providingrelief&relaxation

Visceral Manipulation Anxiety/Bulimia/Purging


RestingButterflyPelvictension,menstrualcramps,backpain


AdrenalReflex/IliotibialBand


DifferentiatingReferralsforbodywork/touch/acupuncture

•AyurvedicPrinciplesofPolarities•Hypervs.Hypoactive•Clinicalvignette•Needles/piercing/alternativetocutting•Dissociation,Selfmedication

Acupuncture or Bodywork?


Auricular Acupressure/Puncture NADA Protocol

“Ifyouwanttoempowerpatients,justputmorepatientsthanprovidersintheroom.”

MichaelO.Smith,M.DFounderofNADA



•TheCESisFDA-approved

•Anxiety

•Depression

•Insomnia

CES Uses


•Microcurrentstimulation

•Highfrequency,Low-levelpulsedcurrent

•ClassIIa,TypeBFmedicaldevice

•Stimulatesthereleaseofneurotransmitters

•CatalystforconversionofglutamineintoGABA&tryptophanintoserotoninCES-

Cranial Electrical Stimulation/CES


• Anxiety

• Depression

• Insomnia

•Withdrawalsymptoms

• Fibromyalgiapain

!Enhancedcognition

!Improvedbrainwaves

!Enhancedneurotransmitterfunctions

!Relapseprevention

!Preventionofsubstanceabuseinhigh-riskindividuals

Beneficial Effects of CES


Research is Varied & Inconclusive

• EvidenceisinsufficientthatCEShasclinicallyimportanteffectsonfibromyalgia,headache,neuromusculoskeletalpain,degenerativejointpain,depression,orinsomnia+

• Low-strengthevidencesuggestsmodestbenefitinpatientswithanxiety&depression.+• Recentfindingsfromfunctionalmagneticresonanceimaging(fMRI)after4weeksofCESuseincreasedactivationofthecingulatecortex*

+AnnInternMed.2018;168(6):414-421.DOI:10.7326/M17-1970

*Family&communityhealth.2008;31(3):240-246.doi:10.1097/01.FCH.0000324481.40459.69.

JournalofNervousandMentalDisease.1973;157(2):121–128.


Cranial Electrical Stim

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• AlphaStimCranialElectricalStimulation(CES)• Ph:(800)367-7246.Fax:(940)328-0888.Email:[email protected]:http://www.alpha-stim.com/


Acupuncture, Biofeedback

• NationalAcupunctureDetoxificationAssociation(NADA)• Ph:(888)765-NADA(6232),OR:(573)777-9955(Local);Fax:(573)777-9956;Email:[email protected];Website:http://www.acudetox.com/

• TheInstituteofHeartMath• Ph:(800)538-0984(Toll-free),OR:(831)338-8772(International); Email:[email protected]:www.heartmath.com


Summary

• SpectrumSomatic&Bodyworktherapies

• DifferentStagesoftreatmentwillbenefit

• Personalitiesresponddifferently:touch/bodywork/acupuncture• Everythingispsycho-somatic/SDMLB

• Accesspre-verbalmemory&storedmemory

• Somaticmethodsrangefromlighttodeeptouch

• Applieddifferentlyvariousstagesofrecovery• DifferentiatingSomatics&touchfromacupunctureorotherenergymethods

• CranialElectricalStimulation&it’sapplication

• Collaboration&Referrals52

Thank you!drlesliekorn.com [email protected]

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