the brain-informed classroom - pottstownfoundation.org · sleep hygiene walk / run ... the...
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Brainstem
Midbrain
Limbic
Cortex
The brain develops from the bottom up and inside out.
©Bruce Perry, MD, PhD. www.childtrauma.org. All rights reserved. May not be duplicated. Used with permission.
Brainstem
Midbrain
Limbic
Cortex Abstract thought
Concrete thought
Affiliation, Attachment
Sexual behavior
Emotional reactivity
Motor regulation
States of arousal
Appetite, Sleep
Blood Pressure
Heart Rate
Body Temperature
©Bruce Perry, MD, PhD. www.childtrauma.org. All rights reserved. May not be duplicated. Used with permission.
Intervention Following Neglect
• The earlier the better
• No part of the brain will change in an organized way unless it is activated
• Many of the primary areas of deficit are in the brainstem, diencephalon and limbic areas
• Repetitive, specific and sequential experience can recapture potential
All rights reserved © 2006-2012 Bruce D. Perry and The Child Trauma Academy
Brain Maps
©Bruce Perry, MD, PhD. www.childtrauma.org. All rights reserved. May not be duplicated. Used with permission.
NME Mini-map: Struggling
1 1 1 1
1 1 1
2 2
1
Date
2 2 1 2
2 2 3
1 3
2
3/3/13
1 1 1 1
2 2 2
1 2
1©Bruce Perry, MD, PhD. www.childtrauma.org. All rights reserved. May not be duplicated. Used with permission.
Cortical
Limbic
DE
BS
Cortex
Limbic
DE
BS
CORTICAL MODULATION
Cortex
Limbic
All rights reserved © 2006-2011 Bruce D. Perry and The ChildTrauma Academy
Students capable of independentlyperforming in a traditional classroom(EFS above 2.5)
Students who need assitance toappropriately perform in a traditionalclassroom (EFS between 1.5 and 2.5)
Students who would find it verydifficult to function in a traditionalclassroom (EFS below 1.5)
Cortical Modulation Graph
Terror
Fearful
Alarm
CalmAlert
Cortex
Limbic
Midbrain
Brainstem
©Bruce Perry, MD, PhD. www.childtrauma.org. All rights reserved. May not be duplicated. Used with permission.
Brain Region
Terror
Fearful
Alarm
CalmAlert
Abstract/Creative
Concrete
Emotional
Reactive
Reflexive
©Bruce Perry, MD, PhD. www.childtrauma.org. All rights reserved. May not be duplicated. Used with permission.
Thinking
Terror
Fearful
Alarm
CalmAlert
Future
Week/day
Hours/Minutes
Minutes/Seconds
Loss of sense of time
©Bruce Perry, MD, PhD. www.childtrauma.org. All rights reserved. May not be duplicated. Used with permission.
Sense of Time
Terror
Fearful
Alarm
CalmAlert
70-90
90-100
101-110
111-135
136-160
©Bruce Perry, MD, PhD. www.childtrauma.org. All rights reserved. May not be duplicated. Used with permission.
Heart Rate
Terror
Fearful
Alarm
CalmAlert
110-100
100-90
90-80
80-70
70-60
©Bruce Perry, MD, PhD. www.childtrauma.org. All rights reserved. May not be duplicated. Used with permission.
Functional IQ
Terror
Fearful
Alarm
CalmAlert
N/A
60%
30%
20%
N/A
©Bruce Perry, MD, PhD. www.childtrauma.org. All rights reserved. May not be duplicated. Used with permission.
LTM Potential
Before Choosing Your Response
Attunement is the key
• Know the developmental stage
• Watch the brain state
Regulate
Relate
Reason Approach your work with students from a bottom up brain perspective.
1. Regulate
2. Relate
3. Reason
©Bruce Perry, MD, PhD. www.childtrauma.org. All rights reserved. May not be duplicated. Used with permission.
Healing Touch / Massage
Primary Somatosensory
Rocking
Swinging
Animal-Assisted Therapy
Music / Drumming
Martial Arts
Healing Brainstem Level
OT Directed Activities
Sleep Hygiene
Walk / Run / Exercise
Animal-Assisted Therapy
Breathing Exercises
Creative Arts
Gardening
Music
Healing Midbrain Level
Interventions
• Fidgets
• Rocking chairs
• Swings
• Walking Track
• Music
• Drumming
• Pulse oximeter
• Chew items
• Weight room
• Weighted blankets
• Lycra wraps
• Yoga/Breathing/Mindfulness exercises
• Animal assisted interventions
• Horticulture
• Creative Arts
• Sand trays
“Kids do well if they can.If they can’t, something is getting in the way.We need to figure out what, so we can help.
Your understanding determines your solution.”
Dr. Stuart Ablon
In Closing