Perry does separate developmental “maps” of each person (left) using his “Neurosequential Model of Therapeutics” (NMT). “You’re going to do 20 sessions of CBT and expect change? That’s a fantasy.” ĭr. “Cognitive behavioral therapy (CBT) is great if you have a developed frontal cortex – but we’re talking about a five year old kid who’s so scared to death most of the time that it’s shut down his frontal cortex ’cause he just saw his mother get shot,” Perry told an audience of therapists. “Patterned, repetitive rhythmic activity: walking, running, dancing, singing, repetitive meditative breathing – you use brain stem-related somatosensory networks which make your brain accessible to relational (limbic brain) reward and cortical thinking. “The only way to move from these super-high anxiety states, to calmer more cognitive states, is rhythm,” he says. “ We must regulate people, before we can possibly persuade them with a cognitive argument or compel them with an emotional affect. If you want a person to use relational reward, or cortical thought – first those lowest parts of the brain have got to be regulated,” Perry concludes. “The only part of the brain left functioning is the most primitive: the brain stem and diencephalon cerebellum.
They have attachment trauma, so people per se seem threatening they don’t get reward from emotional or relational interaction. “Next the emotional brain (limbic brain) shuts down. Ask them to think and you only make them more anxious. “First the stress chemicals shut down their frontal cortex (thinking brain). “People with developmental trauma can start to feel so threatened that they get into a fight-flight alarm state, and the higher parts of the brain shut down,” says Perry. “Because this is the time when the brain makes the majority of its “primary” associations… early developmental trauma and neglect have disproportionate influence on brain organization and later brain functioning… When a child has experienced chronic threats, the brain exists in a persisting state of fear… and the lower parts of the brain house maladaptive, influential, and terrifying pre-conscious memories… ” “The majority of brain organization takes place in the first four years. “The brain organizes from bottom to top, with the lower parts of the brain (brain stem/diencephalon aka “survival brain”) developing earliest, the cortical areas (thinking brain) much later,” Perry says.
“Yet 70% of the children showed improvement in symptoms of depression, anxiety, and PTSD.” Sarah MacArthur of the San Diego Center for Children. “I am asked how hip hop and skateboarding can help a child with depression or ADHD,” reports Dr. Click here for Perry’s web page on interventions. It also relies on meditation, yoga, Tai Chi, and Qi Gong, along with theater groups, walking, running, swinging, trampoline work, massage, equine grooming and other animal-assisted therapy…. It includes singing, dancing, drumming, and most musical activities. The list of repetitive, rhythmic regulations used for trauma by Dr. Long before we had a thinking frontal cortex or “explicit memory” function. Developmental trauma happens in the body, where pre-conscious “implicit memory” was laid down in the primitive brain stem (survival brain) and viscera. Perry says we need “ patterned, repetitive, rhythmic somatosensory activity,” literally, bodily sensing exercises. But Perry and many experts say talk therapy alone can re-traumatize trauma survivors.
One California county is trying to cancel such programs, insisting on Cognitive Behavioral Therapy (CBT) which relies on the thinking brain. These principles are so fundamental to our brains they go back to the dawn of man the Vedas were sung before 5,000 BC (likely with yoga and meditation.) My book describes how yogic chant and meditation saved my life in 2010, before I ever read a word about brain science. In fact, he and other trauma experts are reporting revolutionary success with treatments using yoga, meditation, deep breathing, singing, dancing, drumming and more. Bruce Perry, MD is taking his healing for trauma to Washington in a May 4 program for the National Council for Behavioral Health.Īnd the doc’s got rhythm.
0 kommentar(er)
