Systemic Therapy Quotes

First, the physiological symptoms of post-traumatic stress disorder have been brought within manageable limits. Second, the person is able to bear the feelings associated with traumatic memories. Third, the person has authority over her memories; she can elect both to remember the trauma and to put memory aside. Fourth, the memory of the traumatic event is a coherent narrative, linked with feeling. Fifth, the person's damaged self-esteem has been restored. Sixth, the person's important relationships have been reestablished. Seventh and finally, the person has reconstructed a coherent system of meaning and belief that encompasses the story of trauma.

In contrast, EMDR, as well as the treatments discussed in subsequent chapters—internal family systems, yoga, neurofeedback, psychomotor therapy, and theater—focus not only on regulating the intense memories activated by trauma but also on restoring a sense of agency, engagement, and commitment through ownership of body and mind.

Let me put it this way: You cannot live in the world without being in pain, spiritual and physical pain. We have developed mechanisms to deal with these pains, to overcome them somehow. Therapy, religion and spirituality, relationships, material success. All this can work, but also become a problem itself. The pursuit of happiness has even been put into the American constitution a couple centuries ago. Today we're so rich, we own much more than we need, we have liberties unknown before, even though they are endangered in the current political climate in the US - and we forget how wonderful it nevertheless is, compared to most other political and economic systems. We have a saying that goes: Give a man enough rope and he hangs himself.

We humans appear to be meaning-seeking creatures who have had the misfortune of being thrown into a world devoid of intrinsic meaning. One of our major tasks is to invent a meaning sturdy enough to support a life and to perform the tricky maneuver of denying our personal authorship of this meaning. Thus we conclude instead that it was "out there" waiting for us. Our ongoing search for substantial meaning systems often throws us into crises of meaning.

The so-called “mental health system” served the interest of the patriarchy; that is, it pathologized the socially created problems that women face and reinforced the sex roles that the patriarchy prescribes.

Indeed, the capacity to tolerate uncertainty is a prerequisite for the profession. Though the public may believe that therapists guide patients systematically and sure-handedly through predictable stages of therapy to a foreknown goal, such is rarely the case: instead, as these stories bear witness, therapists frequently wobble, improvise, and grope for direction. The powerful temptation to achieve certainty through embracing an ideological school and a tight therapeutic system is treacherous: such belief may block the uncertain and spontaneous encounter necessary for effective therapy. This encounter, the very heart of psychotherapy, is a caring, deeply human meeting between two people, one (generally, but not always, the patient) more troubled than the other. Therapists have a dual role: they must both observe and participate in the lives of their patients. As observer, one must be sufficiently objective to provide necessary rudimentary guidance to the patient. As participant, one enters into the life of the patient and is affected and sometimes changed by the encounter.

The cross is shock therapy for a world addicted to solving its problems through violence. The cross shocks us into the devastating realization that our system of violence murdered God!

Imbalanced systems,whether internal or external, will tend to polarize.

Specificity refers to the ability of any medicine to discriminate between its intended target and its host. Killing a cancer cell in a test tube is not a particularly difficult task: the chemical world is packed with malevolent poisons that, even in infinitesimal quantities, can dispatch a cancer cell within minutes. The trouble lies in finding a selective poison—a drug that will kill cancer without annihilating the patient. Systemic therapy without specificity is an indiscriminate bomb. For an anticancer poison to become a useful drug, Meyer knew, it needed to be a fantastically nimble knife: sharp enough to kill cancer yet selective enough to spare the patient.

The job of the autonomic nervous system is to ensure we survive in moments of danger and thrive in times of safety. Survival requires threat detection and the activation of a survival response. Thriving demands the opposite—the inhibition of a survival response so that social engagement can happen. Without the capacity for activation, inhibition, and flexibility of response, we suffer.

A part is not just a temporary emotional state or habitual thought pattern. Instead, it is a discrete and autonomous mental system that has an idiosyncratic range of emotion, style of expression, set of abilities, desires, and view of the world. In other words, it is as if we each contain a society of people, each of whom is at a different age and has different interests, talents, and temperaments. In

Family systems theory offers therapists an invaluable way of understanding their clients’ strengths and problems—clarifying the familial rules, roles, myths, communication patterns, and boundary issues that defined their clients’ development.

The person of the therapist is the converting catalyst, not his order or credo, not his spatial location in the room, not his exquisitely chosen words or denominational silences. So long as the rules of a therapeutic system do not hinder limbic transmission - a critical caveat - they remain inconsequential, neocortical distractions. The dispensable trappings of dogma may determine what a therapist thinks he is doing, what he talks about when he talks about therapy, but the agent of change is who he is. (187)

I consider rugged individualism to be an exaggerated pretend posture of a person struggling against emotional fusion. The differentiated person is always aware of others and the relationship system around him.

According to my previous belief system, being a Christian and homosexual was not only incompatible; like heaven and hell, they were in absolute opposition. The constant conflict of being one person inside but presenting another on the outside for twenty-two years eventually took its toll. The messages I got were loud and clear. Never ever admit to yourself or anyone who you are. Hide it, kill it, eradicate it, heal it, deliver it, break it, suppress it, deny it, marry it to a woman, heterosexualize it, therapy it, anything and everything, but whatever you do don’t stand up one day and say “I am gay” because that will mean the end. I spent most of my life trying to destroy the real me, doing all I could to ensure he never found expression. A suicide of the soul, identity and meaning. When you finally embrace the gift of your sexual orientation it IS the end; the end of shame, fear and oppression. You leave the darkness of the closet and begin a life of honesty, authenticity and freedom.

Patients with complex trauma may at times develop extreme reactions to something the therapist has said or not said, done or not done. It is wise to anticipate this in advance, and perhaps to note this anticipation in initial communications with the patient. For example, one may say something like, "It is likely in our work together, there will be a time or times when you will feel angry with me, disappointed with me, or that I have failed you. We should except this and not be surprised if and when it happens, which it probably will." It is also vital to emphasize to the patient that despite the diagnosis and experience of dividedness, the whole person is responsible and will be held responsible for the acts of any part. p174

Through a polyvagal lens, we understand that actions are automatic and adaptive, generated by the autonomic nervous system well below the level of conscious awareness. This is not the brain making a cognitive choice. These are autonomic energies moving in patterns of protection. And with this new awareness, the door opens to compassion.

There is no politically neutral fence available for us to sit on, and our attempts to do so have the consequence (intended or not) of supporting the existing political system.

No matter how much pain or dysfunction you have to deal with in your life, every part of your psyche is doing its best to help you

Homeopathy is the only non-violent health care system

I recently consulted to a therapist who felt he had accomplished something by getting his dissociative client to remain in her ANP throughout her sessions with him. His view reflects the fundamental mistake that untrained therapists tend to make with DID and DDNOS. Although his client was properly diagnosed, he assumed that the ANP should be encouraged to take charge of the other parts at all times. He also expected her to speak for them—in other words, to do their therapy. This denied the other parts the opportunity to reveal their secrets, heal their pain, or correct their childhood-based beliefs about the world. If you were doing family therapy, would it be a good idea to only meet with the father, especially if he had not talked with his children or his spouse in years? Would the other family members feel as if their experiences and feelings mattered? Would they be able to improve their relationships? You must work with the parts who are inside of the system. Directly.

PTSD is, really, all about losing control. Therefore, it makes a lot of sense to prioritize reclaiming and increasing a client’s sense of control over his or her body, mind, therapy situation, and life. Judith Herman

Another, related issue is that longevity itself, and healthspan in particular, doesn’t really fit into the business model of our current healthcare system. There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed. Similarly, there’s no billing code for putting a patient on a comprehensive exercise program designed to maintain her muscle mass and sense of balance while building her resistance to injury. But if she falls and breaks her hip, then her surgery and physical therapy will be covered. Nearly all the money flows to treatment rather than prevention—and when I say “prevention,” I mean prevention of human suffering.

To learn theory by experimenting and doing. To learn belonging by participating and self-rule. Permissiveness in all animal behavior and interpersonal expression. Emphasis on individual differences. Unblocking and training feeling by plastic arts, eurythmics and dramatics. Tolerance of races, classes, and cultures. Group therapy as a means of solidarity, in the staff meeting and community meeting. Taking youth seriously as an age in itself. Community of youth and adults, minimizing 'authority.' Educational use of the actual physical plant (buildings and farms) and the culture of the school community. Emphasis in the curriculum on real problems and wider society, its geography and history, with actual participation in the neighboring community (village or city). Trying for functional interrelation of activities.

Because cells are surrounded with a lipid membrane, essential oils are attracted to and able to penetrate the cell membrane to deliver nutrients to the cell nucleus.[103],[104],[105],[106],[107] This suggests that essential oils can affect cell function and behavior, thus influencing overall well-being. At the same time, the aroma of the essential oil that is inhaled travels to the limbic system where a cascade of psychophysiological effects is triggered in response.

People think trauma is mental,” I say abruptly. “I’m mentally scarred, damaged, take your pick. And with enough therapy, time, my mind will heal and, ta-da, one day I’ll be all better again. But trauma isn’t just mental. It’s physiological. It’s an adrenal system that’s totally burnt out, so that I spend days at a time in fight mode.” I realize as I’m describing this that one of my knees is bouncing uncontrollably. “Followed by crashes where I can barely get out of bed.

I’m an occupational therapist, an obscure profession if there ever was one. We are few and far between, maybe because we have chosen to serve people with disabilities. All disabilities. Not a glamorous endeavour, nor a lucrative one. And I say serve because we deem that in helping we see weakness, while in serving we see wholeness. We’ve opted for wholeness nearly a century ago and have been at odds with the system ever since. We don’t fix people, you see: with them, we simply try to find a way to meaning, balance, and justice. I chose occupational therapy because it blends science and humanism, intellectual rigour and compassion.

Movement is the province of the muscular system: a child who needs to inhibit his or her natural feelings, whether for healthy or unhealthy reasons, also unconsciously either inhibits muscles that would express those feelings or activates muscles opposing those muscles of expression. In either case, the effect is the same: using the muscular body to keep the unacceptable emotions "under wrap." Touch can disrupt the patterns of muscular tension intended to inhibit emotions; thus, touch can have the effect of changing a person's emotional responses and promoting emotional healing.

In America, Rousseauism has turned Freud’s conflict-based psychoanalysis into weepy hand-holding. Contemporary liberalism is untruthful about cosmic realities. Therapy, defining anger and hostility in merely personal terms, seeks to cure what was never a problem before Rousseau. Mediterranean, as well as African-American, culture has a lavish system of language and gesture to channel and express negative emotion. Rousseauists who take the Utopian view of personality are always distressed or depressed over world outbreaks of violence and anarchy. But because, as a Sadean, I believe history is in nature and of it, I tend to be far more cheerful and optimistic than my liberal friends. Despite crime’s omnipresence, things work in society, because biology compels it. Order eventually restores itself, by psychic equilibrium. Films like Seven Samurai (1954) and Two Women (1961) accurately show the breakdown of social controls as a regression to animal-like squalor.

The "apparently normal personality" - the alter you view as "the client" You should not assume that the adult who function in the world, or who presents to you, week after week, is the "real" person, and the other personalities are less real. The client who comes to therapy is not "the" person; there are other personalities to meet and work with. When DID was still officially called MPD, the "person" who lived life on the outside was known as the "host" personality, and the other parts were known as alters. These terms, unfortunately, implied that all the parts other than the host were guests, and therefore of less importance than the host. They were somehow secondary. The currently favored theory of structural dissociation (Nijenhuis & Den Boer, 2009; van der Hart, Nijenhuis, & Steele, 2006), which more accurately describes the way personality systems operate, instead distinguishes between two kinds of states: the apparently normal personality, or ANP, and the emotional personality, or EP, both of which could include a number of parts. p21

Wirklichkeit besteht aus miteinander geteilten Geschichten.

Being HIV positive doesn’t necessarily mean that you are going to die before each and every person who is HIV negative.

Romantic love releases surges of the neurotransmitters dopamine and norepinephrine and activates brain regions that drive the reward system in a way that is similar to addiction

by aligning with her autonomic nervous system (ANS) activation instead of trying to move her toward a ventral state, ventral could arrive on its own.

Ozone therapy is also more effective than antibiotics and is highly preferable because it kills bacteria without wiping out your beneficial gut bacteria or taxing your immune system.

The power of music, narrative and drama is of the greatest practical and theoretical importance. One may see this even in the case of idiots, with IQs below 20 and the extremest motor incompetence and bewilderment. Their uncouth movements may disappear in a moment with music and dancing—suddenly, with music, they know how to move. We see how the retarded, unable to perform fairly simple tasks involving perhaps four or five movements or procedures in sequence, can do these perfectly if they work to music—the sequence of movements they cannot hold as schemes being perfectly holdable as music, i.e. embedded in music. The same may be seen, very dramatically, in patients with severe frontal lobe damage and apraxia—an inability to do things, to retain the simplest motor sequences and programmes, even to walk, despite perfectly preserved intelligence in all other ways. This procedural defect, or motor idiocy, as one might call it, which completely defeats any ordinary system of rehabilitative instruction, vanishes at once if music is the instructor. All this, no doubt, is the rationale, or one of the rationales, of work songs.

Define success as something achievable. For myself I define success like this: Did I try? Did I give my time? Did I never give up? All of which are very easy to do. Do not put success in things or outcomes.

The first thing you need to know if you are a survivor is that parts of you have probably been trained to create a variety of symptoms and behaviours. Abusers actually train child parts to cut the body, to make other parts cut, to attempt suicide, to create flashbacks by releasing pieces of visual or auditory memories, to create body memories of pain or electroshock, and to create depression, terror, anxiety, and despair by releasing the emotional components of memories to the rest of the personality system. The front person and most of the rest of the system do not know that this is the source of these feelings and behaviours. p126

When we are told what is healthy we are being told what is right to think and feel. When we are told what is mentally ill we are being told what ideas, behaviour, and fantasies are wrong. [...] The avenues of escape are blocked by the professioal abuse of pathologizing. To refuse the mental health approach confirms one's 'sickness'. One needs 'therapy', [...] How can we take back therapy [...] from a system which must find illness in order to promote health and which, in order to increase the range of its helping, is obliged to extend the area of sickness. Ever deeper pockets of pathology to be analyzed, ever earlier traumata: primal, prenatal, into my astral body; ever more people into the ritual: the family, the office force, community mental health, analysis for everyone. [...] Its practice may differ [...] but the premise is the same. The work of making soul requires professional help. Soul-making has become restricted by therapy and to therapy. And psychopathology has become restricted to therapy's negative definition of it, reduced to its role in the therapy game.

Someone asked me, “What do you have to say about Rajneesh after his death?” I said that the world has never seen such a pimp nor will it ever see one in the future. He combined Western therapies, the Tantric system, and everything that you could find in the books. He made a big business out of it. He took money from the boys; he took money from girls, and kept it for himself. He is dead and so we don't say anything. Nil nisi bonum (Of the dead speak not unless it be good)

We will live in more beautiful, wise and humane communities when we have learnt to reorient the system of ambition, when the most driven and energetic individuals have the chance to win honour through work that taps into mankind’s highest needs.

Attachment begins early but grows slowly. There are no shortcuts. Verbal guarantees of safety or nurturance carry no more weight than those for hair-replacement systems and miracle slicers. A therapist must prove trustworthy over time. Only consistent experiential demonstrations, in times of both quietude and turbulence, convince the child. Though all children love to be wined and dined, the safety, understanding, warmth, and containment of therapy are what foster trust and ultimately seduce the child patient.

His prescription to experience a deep sense of meaning, then, was remarkably pragmatic. He had three recommendations: 1. Have a project to work on, some reason to get out of bed in the morning and preferably something that serves other people. 2. Have a redemptive perspective on life’s challenges. That is, when something difficult happens, recognize the ways that difficulty also serves you. 3. Share your life with a person or people who love you unconditionally. Frankl called this treatment logotherapy, or a therapy of meaning. And surprisingly, it worked. He was put in charge of the mental-health division of the Viennese hospital system because they had lost far too many patients to suicide. When Frankl came aboard, he had more than thirty thousand suicidal patients under his care. The challenge was phenomenal. Frankl created community groups for the patients and taught counselors to identify projects the patients could contribute to, serious work the world needed that would give them a reason to get out of bed in the morning. Frankl also had the patients circle the difficult experiences they’d had and while allowing them to grieve, also asked them to list benefits that had come from their pain. The result of the program was transformational. Not one patient committed suicide on Frankl’s watch.

White fragility. Coined by Robin DiAngelo (a white American woman), this term suggests that whites are systemically (not necessarily individually) racist, but because this is largely unconscious, when challenged, whites often become very uncomfortable and defensive.

I'm not a particularly good daughter, but I sat through a month of therapy for my parents' sake. I'd like to think they got more out of it than I did. Couldn't have been too hard. Any system that requires the patient's family to pay someone else to care about her is fundamentally flawed.

Beyond the speculative and often fraudulent froth that characterizes much of neoliberal financial manipulation, there lies a deeper process that entails the springing of ‘the debt trap’ as a primary means of accumulation by dispossession. Crisis creation, management, and manipulation on the world stage has evolved into the fine art of deliberative redistribution of wealth from poor countries to the rich. I documented the impact of Volcker’s interest rate increase on Mexico earlier. While proclaiming its role as a noble leader organizing ‘bail-outs’ to keep global capital accumulation on track, the US paved the way to pillage the Mexican economy. This was what the US Treasury–Wall Street–IMF complex became expert at doing everywhere. Greenspan at the Federal Reserve deployed the same Volcker tactic several times in the 1990s. Debt crises in individual countries, uncommon during the 1960s, became very frequent during the 1980s and 1990s. Hardly any developing country remained untouched, and in some cases, as in Latin America, such crises became endemic. These debt crises were orchestrated, managed, and controlled both to rationalize the system and to redistribute assets. Since 1980, it has been calculated, ‘over fifty Marshall Plans (over $4.6 trillion) have been sent by the peoples at the Periphery to their creditors in the Center’. ‘What a peculiar world’, sighs Stiglitz, ‘in which the poor countries are in effect subsidizing the richest.

Basic misunderstandings about DID encountered in the therapeuric community include the following; • The expectation that all clients with DID will present in a Sybil-like manner, with obvious switching and extreme changes in personality. • That therapists create DID in their clients. • That DID clients have very little control over their internal systems and can be expected to stay in the mental health systein indefinitely. • That alter personalities, especially child alters, are simply regressive states associated with anxiety or that switching represents a psychotic episode.

The most popular antiracist curriculum among conservative evangelicals is Latasha Morrison’s Be the Bridge: Pursuing God’s Heart for Racial Reconciliation. In the accompanying curriculum, Whiteness 101: Foundational Principles Every White Bridge Builder Needs to Understand, Morrison defines racism as “a system of advantage based on race, involving cultural messages, misuse of power, and institutional bias, in addition to the racist beliefs and actions of individuals.” It is important to note that this redefinition of racism, among other things, changes the location and therefore the nature of the sin. We are no longer dealing with the hearts of men; we are addressing institutions and structures. “For as long as America exists with its current institutions,” writes DiAngelo, “it will also need to be in group therapy where our turn begins with: ‘Hi. I’m America, and I’m racist.’ ”34

You can tell a lot about a country by its prisons. In hippy-dippy Socialist Sweden, rapists and murders (all three of them) while away their days making arts and crafts in what are essentially taxpayer-funded mental health clinics. The Swedes’ theory seems to be that a) anyone who commits such a crime must be crazy and b) with enough art therapy, the individual in question will soon become just another law-abiding, nude-sunbathing pot-smoker. In America, we think people in prison are either the victims of some terrible government conspiracy, the victims of “society”—whatever that means—or heinous evildoers. And if they are heinous enough, we fry them with electricity, unless of course they find Jesus first. The Swedes, in a nutshell, are tolerant and forgiving, verging on the naïve; Americans are religious and vengeful, suspicious of their government, and suckers for tear-jerking tales of redemption.

I am a cuddly atheist... I am against creationism being taught in schools because there is empirical evidence that it is a silly notion... I am passionately concerned about the rise in pseudo-science; in beliefs in alternative medicine; in creationism. The idea that somehow it is based on logic, on rational arguments, but it's not. It doesn't stand up to empirical evidence. In the same way in medicine, alternative medicines like homeopathy or new age therapies – reiki healing – a lot of people buy into it and it grates against my rationalist view of the world. There is no evidence for it. It is deceitful. It is insidious. I feel passionately about living in a society with a rationalist view of the world. I will be vocal on issues where religion impacts on people's lives in a way that I don't agree with – if, for instance, in faith schools some of the teaching of religion suggests the children might have homophobic views or views that are intolerant towards other belief systems... I am totally against, for example, bishops in the House of Lords. Why should someone of a particular religious faith have some preferential treatment over anyone else? This notion that the Church of England is the official religion of the country is utterly outmoded now.

In therapy I fretted I didn’t know how to choose my own partner, folding and refolding my hands as I worked it out. Holding boundaries, so different from setting them, was unfamiliar and I could be easily talked out of an opinion or preference in order to support harmony, or his older wisdom, or male logic. As someone who loved spreadsheets and organization, he also loved systems and rules of convention. I tucked away some of my bold ideas of what freedom looked like and rested in the illusion of safety that came from this is how it’s done. Insecure, I taught my kids to go along with what he wanted, a fawning people-pleaser yet uncured.

I notice that when the other person has been in despair for a prolonged period, I begin to feel myself crumbling into discouragement internally. One of the ways my system seeks to protect both me and the other person is to activate into helpful doing. Even though it is a psuedo-engagement, the intent is to shelter both of us from being engulfed in despair.

In the cult, the people in power dictate what cult members are to do. Children raised in cults are systematically stripped of their own autonomous power and forced to feel powerful only in the destructive context allowed by the cult, and always under the power of the leader. Ritual abuse survivors have had to learn to be outer oriented - to perceive what is expected of them and do that, whether it is healthy for them or not. When a therapist creates a context in which he or she is the leader, and the client is to listen, learn, and follow what the therapist says, the therapist has inadvertently replicated the power system of the cult. That is not to say that the therapist has no power; the therapist has a lot of power, but the power the therapist has resides in authority based upon his or her expertise, knowledge, training and sensitivity. The point is to use this authority in a way in which the client can also begin to feel his or her own authority, and begin to develop a healthy feeling of power. The word used quite often now is "empowerment." How do you empower a client?

Only if we are able to widen the lens to take in the bigger picture that includes both the outer challenges and the inner distress do we begin to sense that the protectors are in proportion to what is in need of shelter. It is our system's sense that moving the safeguard aside and allowing the implicit to emerge would be more harmful than whatever the protector is doing in this moment.

Robin Carhart-Harris’ theory of the entropic brain represents a promising elaboration on this general idea and a first stab at a unified theory of mental illness that helps explain all three of the disorders we’ve examined in these pages. A happy brain is a supple and flexible brain, he believes. Depression, anxiety, obsession and the cravings of addiction are how it feels to have a brain that has become excessively rigid or fixed in its pathways and linkages—a brain with more order than is good for it. On the spectrum he lays out in his entropic brain article, ranging from excessive order to excessive entropy, depression, addiction and disorders of obsession all fall on the too much order end. Psychosis is on the entropy end of the spectrum which is why it probably doesn’t respond to psychedelic therapy. The therapeutic value of psychedelics, in Carhart-Harris’ view, lies in their ability to temporarily elevate entropy in the inflexible brain, jolting the system out of its default patterns. Carhart-Harris uses the metaphor of annealing from metallurgy: psychedelics introduce energy into the system, giving it the flexibility necessary for it to bend and so change.

Just before each sauna session, take approximately 100 milligrams of niacin on an empty stomach and spend twenty minutes dry-brushing (to remove dead skin and stimulate the lymphatic system) and twenty minutes doing high-intensity exercise to stimulate the circulation. (Be aware that niacin, a vasodilator, can make you feel very flushed and hot, which can be uncomfortable but is not a cause for concern.)

The first step of any therapy is a little self-awareness. I want you to think about the ways your habits, your belief systems, your personality quirks have been developed to help you and protect you. Then ask yourself if they are truly working or if they’re hurting you. For instance, when you feel a headache coming on, focus on something in front of you. Something real, like your hand, to keep you in the moment. It sounds small, but it helps, I promise.

Both women were mothers of children caught up in mind control cover-up, one of which paralleled Kelly’s and my case. She, too, had volumes of documents and evidences whereby it was inexcusable that justice had not prevailed. The other mother conveyed a story that touched me so deeply it undoubtedly will continue to motivate me with reverberating passion forever. This mother was very weak from the final stages of cancer and chemotherapy, and tears slid down her pale gray cheeks as she told me her story. When she reported sexual abuse of her three daughters, the local court system took custody of them. The children appeared dissociative identity disordered from their ordeal, yet were reportedly denied therapy and placed in Foster care “since the mother was dying anyway.” When she finally was granted brief visitation with her precious daughters, they looked dazed and robotic with no memory of her or their sexual abuse. Mind control was apparent to this mother, and she struggled to give voice to their plight to no avail. She explained how love and concern for her children had kept her alive far longer than her doctors thought possible. She embraced me and said, “Now I can die in peace knowing that you are out there talking, raising awareness with the same passion for justice and love for children that I have. Thank you. Please keep talking. Please remember my daughters.

Since we began with a felt sense of safety this day, several neural streams are initially supporting the renewal of our connection. In our midbrain, the energies of the SEEKING system are animating the CARE system, which can both foster the good feelings between us and support offers of repair should we have a rupture (Panksepp & Biven, 2012). Once in connection, our ventral vagal parasympathetic system is affecting the prosody of our voices, our facial mobility, and the attentiveness of our listening, maintaining social engagement (Porges, 2011). Since ventral lateralizes to the right hemisphere, we more easily stay rooted in the right-centric way of attending that keeps us in connection with this moment and with each other (McGilchrist, 2009). In this intimacy, our brains are coupling in many regions, so there is an experience of social emotional engagement and embodied communication as we become a single system in two bodies (Hasson, 2010). Because we are trustworthy partners in this healing process, social baseline theory tells us that our amygdalae are calming just because we are together (Beckes & Coan, 2011). All of this is happening without doing anything, even without saying anything, in microseconds below conscious awareness because of the safe space we have cultivated over time. We can more clearly understand why Porges says, "Safety IS the treatment".

On another occasion, as I was about to explain something during a session with a client on antidepressants, I forgot she was a busy clinical psychiatrist and casually asked, “Have you heard of the limbic system?” With the first smile I’d ever seen from her, she replied, “Yes, I believe I have, somewhere or other.” I then said, “Oh shit!” in a very professional manner, and we both started laughing. It turned into a very comfortable moment in our deepening, warm, and trusting partnership.

Due to persistently high elevation of stress hormones, which causes a reduction in the size of the hippocampus, survivors are often less able to put things in context and/or make critical distinctions about what is and what is not threatening in the present. Without this necessary discernment, survivors become more and more impulsive and less and less inhibited. In effect, what survivors are left with is a constantly hyperaroused autonomic nervous system, an inability to distinguish past from present threat.

Therapy entails the application of conceptual machinery to ensure that actual or potential deviants stay within the institutionalized definitions of reality, or, in other words, to prevent the “inhabitants” of a given universe from “emigrating.” It does this by applying the legitimating apparatus to individual “cases.” Since, as we have seen, every society faces the danger of individual deviance, we may assume that therapy in one form or another is a global social phenomenon. Its specific institutional arrangements, from exorcism to psychoanalysis, from pastoral care to personnel counseling programs, belong, of course, under the category of social control. What interests us here, however, is the conceptual aspect of therapy. Since therapy must concern itself with deviations from the “official” definitions of reality, it must develop a conceptual machinery to account for such deviations and to maintain the realities thus challenged. This requires a body of knowledge that includes a theory of deviance, a diagnostic apparatus, and a conceptual system for the “cure of souls.

Coming safely into stillness requires the ventral vagus to restrain the escape movements of the sympathetic nervous system and join with the dorsal vagal system while inhibiting its movement into protective dissociation. For many clients, the autonomic challenge of becoming safely still is too great. Without enough cues of safety from another Social Engagement System to co-regulate or the ability for individual regulation through a reliable vagal brake, the autonomic nervous system quickly moves out of connection into collapse and dissociation.

need to listen to my anger to know that I’ve had a boundary violated. I need to listen to my loneliness to know that I need to invest in deep relationships. I need to listen to my anxiety to know that I have an unresolved trauma that needs to heal. I need to listen to my depression to know that I need care for my heart’s deepest wounds. I need to listen to my fear to know that I may need to create safety. I need to listen to my stress and irritability to know that I’m out of balance and need rest or reprioritization. One common experience, however, keeps us all stuck. Instead of moving toward our pain and listening to the valuable messages it has for us, the vast majority of us move against or away from it. We ignore it, deny it, feel ashamed for feeling it, resent it, or attempt to numb, deflect, or dismiss it. We’ve been well taught to not listen to, or even feel, those yucky, hard feelings. Suck it up, buttercup. Be a man. Big girls don’t cry. Stop your whining or I’ll give you something to whine about! You can see why I believe we suffer from a very serious leprosy of the heart. And it’s killing us.

It may not be as visible a mark of your class as bad teeth, but a history of violence being acted upon you by those you love is just as effective at keeping you from climbing too high. Violence isn’t so much a belief system as it is a symptom. The Bible only serves to provide a necessary excuse, because the truth is, you can’t afford the cure for the disease you inherited. It was passed down from your parents who still don’t believe in therapy. They inherited it from their dads who came back from France with shattered nerves and screamed at night, sucked it up and went to work.

Indeed, the capacity to tolerate uncertainty is a prerequisite for the profession. Though the public may believe that therapists guide patients systematically and sure-handedly through predictable stages of therapy to a foreknown goal, such is rarely the case: instead, as these stories bear witness, therapists frequently wobble, improvise, and grope for direction. The powerful temptation to achieve certainty through embracing an ideological school and a tight therapeutic system is treacherous: such belief may block the uncertain and spontaneous encounter necessary for effective therapy.

theory and science are: 1. From the cradle to the grave, human beings are hardwired to seek not just social contact, but also physical and emotional proximity to special others who are deemed irreplaceable. The longing for a “felt sense” of connection to key others is primary in terms of the hierarchy of human goals and needs. Humans are most acutely aware of this innate need for connection at times of threat, risk, pain, or uncertainty. Threats that trigger the attachment system may be from the outside or the inside, for example, troubling construals of rejection by loved ones, negative images or concrete reminders of one’s own mortality (Mikulincer, Birnbaum, Woddis, & Nachmias, 2000; Mikulincer & Florian, 2000). In relationships, shared vulnerability builds bonds, precisely because it brings attachment needs for a felt sense of connection and comfort to the fore and encourages reaching for others. 2. Predictable physical and/or emotional connection with an attachment figure, often a parent, sibling, longtime close friend, mate, or spiritual figure, calms the nervous system and shapes a physical and mental sense of a safe haven where comfort and reassurance can be reliably obtained and emotional balance can be restored or enhanced.

Her eyes fill with tears, and when Holly sees them, she feels—in spite of all the work she’s done in therapy—a surge of resentment that’s close to hate. Maybe it is hate. She thinks of all the times she cried in her mother’s presence and was told to go to her room “until you get that out of your system.” She feels an urge to throw those very words in her mother’s face now, but gives Charlotte an awkward hug instead. As she does, she feels how close the bones lie under that thin and flabby flesh, and realizes her mother is old. How can she dislike an old woman who so obviously needs her help? The answer seems to be quite easily.

A short treatment of anti-nausea agents can be considered. A person may use benzodiazepines or meclizine to reduce the vertigo, but it is vital to remember NOT to use such medications for more than 2-3 days. After vestibular neuritis, the brain needs to adapt to the loss of inner ear function and reorganize the balance system (a process called central compensation). These medications impede central compensation, and will cause a person to feel off balance and dizzy for a very long time. On the other hand, vestibular rehabilitation therapy helps improve central compensation, and should be started as soon as possible after vestibular neuritis.

What I propose in this book is a hard sell in Western culture. We are primarily oriented toward getting from our partners what we need to feel good and don’t believe we can get much from ourselves. We want to transform the source of pain in the outside world rather than the source within us. That external focus—and the therapies of accommodation that subscribe to it—will only provide temporary relief at best from the inner and outer storms that gradually erode the fertile topsoil of our relationships. There is another way, and we will explore it in this book. Before we do, however, let’s further examine the problems with this accommodation premise.

There were inquiries, Congressional hearings, books, exposés and documentaries. However, despite all this attention, it was still only a few short months before interest in these children dropped away. There were criminal trials, civil trials, lots of sound and fury. All of the systems—CPS, the FBI, the Rangers, our group in Houston—returned, in most ways, to our old models and our ways of doing things. But while little changed in our practice, a lot had changed in our thinking. We learned that some of the most therapeutic experiences do not take place in “therapy,” but in naturally occurring healthy relationships, whether between a professional like myself and a child, between an aunt and a scared little girl, or between a calm Texas Ranger and an excitable boy. The children who did best after the Davidian apocalypse were not those who experienced the least stress or those who participated most enthusiastically in talking with us at the cottage. They were the ones who were released afterwards into the healthiest and most loving worlds, whether it was with family who still believed in the Davidian ways or with loved ones who rejected Koresh entirely. In fact, the research on the most effective treatments to help child trauma victims might be accurately summed up this way: what works best is anything that increases the quality and number of relationships in the child’s life.

There are so many valuable techniques for regulation, for exploring and integrating traumatic experience, and so on. Once we get to know these protocols, they may pull on us in ways that invite us to seize control of the therapy. The other pathway suggests that her system holds the answers and that if I can offer enough safe support, it will likely begin to speak with us. At least cognitively, I can recognize that this person's inner world contains much more information about the root causes of her upset than I do. From this perspective, I am less interested in dealing with symptoms than moving towards making room for the implicit origin to emerge so that the protective systems can take care of themselves.

Basics of Good Self-Care Exercise moderately but regularly Eat healthy but delicious meals Regularize your sleep cycle Practice good personal hygiene Don’t drink to excess or abuse drugs Spend some time every day in play Develop recreational outlets that encourage creativity Avoid unstructured time Limit exposure to mass media Distance yourself from destructive situations or people Practice mindfulness meditation, or a walk, or an intimate talk, every day Cultivate your sense of humor Allow yourself to feel pride in your accomplishments Listen to compliments and expressions of affection Avoid depressed self-absorption Build and use a support system Pay more attention to small pleasures and sensations Challenge yourself

I really think the problem with our healthcare system narrows down to incomplete evaluation. If you have pain, you are given a pill; high blood pressure—pill; high cholesterol—pill; ADD—pill. This is what I call duct-tape therapy. There is very little discovery of underlying causes to these problems. If it were HEALTHcare it would work; but it’s disease care. There’s hardly any prevention or food therapy. Even worse is the lazy diagnosis—you know, “You’re getting older now and you have to accept the fact that these things come with age.” Or, “It’s your genetics; you have the fat gene.” Or, “You’re African American and at risk for ____, so take these pills the rest of your life.” Everything is heavy on treatment but very light on prevention or evaluation to find the real cause.

Needless to say, elderly people taking steroids may also experience the same side effects as younger persons. So, if you are a senior and need to be on a long course of steroids, what should you do? We would suggest a practical approach—which could apply to anyone on steroids, regardless of age, but may be particularly relevant for seniors because they are particularly vulnerable to side effects: • Understand and verify the need for steroids in your own situation, weighing the anticipated benefit with the possible risks. This means that you should explore the range of other treatments that may be available for your particular condition. You need to learn about the benefits and risks of any other treatment suggested. In other words, get all the information you can prior to going on treatment, be it with steroids or other medications. • Be sure that your health is well-assessed before or at the start of therapy. If you have underlying, separate health conditions, those should be noted and followed while you are on steroids. • Assess bodily systems that might particularly be affected by being on steroids. This means an assessment of your skeletal health, your eyes, your teeth, and your internal organs. • Request guidance about staying active. Physical therapy should be planned, to minimize the chances that your muscles and joints will be overtaxed or that any existing damage might get worse. • Ask to reassess the length and dose of your medication course at various intervals. A reasonable interval is every couple of months, if you are on a long course of steroids.

As long as people are either hyperaroused or shut down, they cannot learn from experience. Even if they manage to stay in control, they become so uptight (Alcoholics Anonymous calls this “white-knuckle sobriety”) that they are inflexible, stubborn, and depressed. Recovery from trauma involves the restoration of executive functioning and, with it, self-confidence and the capacity for playfulness and creativity. If we want to change posttraumatic reactions, we have to access the emotional brain and do “limbic system therapy”: repairing faulty alarm systems and restoring the emotional brain to its ordinary job of being a quiet background presence that takes care of the housekeeping of the body, ensuring that you eat, sleep, connect with intimate partners, protect your children, and defend against danger.

Among DID individuals, the sharing of conscious awareness between alters exists in varying degrees. I have seen cases where there has appeared to be no amnestic barriers between individual alters, where the host and alters appeared to be fully cognizant of each other. On the other hand, I have seen cases where the host was absolutely unaware of any alters despite clear evidence of their presence. In those cases, while the host was not aware of the alters, there were alters with an awareness of the host as well as having some limited awareness of at least a few other alters. So, according to my experience, there is a spectrum of shared consciousness in DID patients. From a therapeutic point of view, while treatment of patients without amnestic barriers differs in some ways from treatment of those with such barriers, the fundamental goal of therapy is the same: to support the healing of the early childhood trauma that gave rise to the dissociation and its attendant alters. Good DID therapy involves promoting co­-consciousness. With co-­consciousness, it is possible to begin teaching the patient’s system the value of cooperation among the alters. Enjoin them to emulate the spirit of a champion football team, with each member utilizing their full potential and working together to achieve a common goal. Returning to the patients that seemed to lack amnestic barriers, it is important to understand that such co-consciousness did not mean that the host and alters were well-­coordinated or living in harmony. If they were all in harmony, there would be no “dis­ease.” There would be little likelihood of a need or even desire for psychiatric intervention. It is when there is conflict between the host and/or among alters that treatment is needed.

... we might be drawn into a more left-centric way of hearing ... and experience the promotion of safety as a somewhat mechanical process in which A inevitably leads to B-- [ie: the belief that 'my being in a ventral state will automatically draw you into one, and if it doesn't then there is something wrong with one of us'.] Viewing it that way encourages us to turn social engagement into a technique, even a manipulation of the other person's nervous system toward what we view as a more desirable state. Ironically, when the left hemisphere is dominant rather than supportive of right-centric attending, we have already moved out of social engagement and thus are in no position to offer safe space to another. When we make an effort to return to it, we have forgotten that neuroception is continually arising automatically and not under the control of our will. The very pressure to activate ventral makes the space between us unsafe.

Therapy entails the conceptual machinery to ensure that actual or potential deviants stay within the institutionalized definitions of reality, or, in other words, to prevent "inhabitants" of a given universe from "emigrating". It does this by applying the legitimating apparatus to individual "cases". Since ever society faces the danger of individual deviance, we may assume that therapy in one form or another is a global social phenomena. Its specific institutional arrangements, from exorcism to psycho-analysis, from pastoral care to personal counseling programmes, belong, of course, under the category of social control. [...] Since therapy must concern itself with deviations from the "official" definition of reality, it must develop a machinery to account for such deviations and to maintain the realities thus challenged. This requires a body of knowledge that include a theory of deviance, a diagnostic apparatus, and a conceptual system for the "cure of souls".

Did those “new gays” spinning about like giddy tops in discos care to know that dancing with someone of the same sex was punishable as “lewd conduct” then? Still, a club in Topanga Canyon boasted a system of warning lights. When they flashed, lesbians and gay men shifted—what a grand adventure!—and danced with each other, laughing at the officers’ disappointed faces! How much pleasure—and camaraderie, yes, real kinship—had managed to exist in exile. Did those arrogant young people know that, only years ago, you could be sentenced to life in prison for consensual sex with another man? A friend of his destroyed by shock therapy decreed by the courts. Another friend sobbing on the telephone before he slashed his wrists— Thomas's hands on his steering wheel had clenched in anger, anger he had felt then, anger he felt now. And all those pressures attempted to deplete you, and disallow— “—the yearnings of the heart,” he said aloud. Yet he and others of his generation had lived through those barbaric times—and survived—those who had survived—with style. Faced with those same outrages, what would these “new gays” have done? “Exactly as we did,” he answered himself. The wind had resurged, sweeping sheaths of dust across the City, pitching tumbleweeds from the desert into the streets, where they shattered, splintering into fragments that joined others and swept away. Now, they said, everything was fine, no more battles to fight. Oh, really? What about arrests that continued, muggings, bashings, murder, and hatred still spewing from pulpits, political platforms, and nightly from the mouths of so-called comedians? Didn't the “new gays” know—care!—that entrenched “sodomy” laws still existed, dormant, ready to spring on them, send them to prison? How could they think they had escaped the tensions when those pressures were part of the legacy of being gay? Didn't they see that they remained—as his generation and generations before his had been—the most openly despised? And where, today, was the kinship of exile?

In our society today, much is made of treating children as persons, human beings who have a right to be heard. But many family leaders today bend so far in the direction of consensus, in order to avoid the stigma of being authoritarian, that clarity of values and the positive, often crucial benefits of the leader's self-differentiation are almost totally missing from the system. One of the most prevalent characteristics of families with disturbed children is the absence or the involution of the relational hierarchy. While schools of family therapy have different ways of conceptualizing this condition, which may also be viewed as a political phenomenon regarding congregations, it is so diffuse among families troubled by their troubled children that its importance cannot be underestimated. What happens in any type of family system regarding leadership is paradoxical. The same interdependency that creates a need for leadership makes the followers anxious and reactive precisely when the leader is functioning best.

When one of my early teachers, for instance, recognized that many ritually abused clients were still being abused while in treatment, she insisted that they could not be treated on an outpatient basis, but should be hospitalized and kept from their families. She was targeted with a series of court cases involving false accusations that she had allegedly abused clients in hospital. The experience was devastating to her. And she was not alone. Many others faced persistent attempts to discredit their professional expertise, or legal assaults that robbed them of time, energy, and even the courage to continue to treat clients, write, or teach. Therapy professionals in both direct services and policy making, members of the criminal and civil justice systems, and the general public were systematically indoctrinated via the media. Many now share the view that people who disclose ritual abuse or mind control content suffer from "false memories” induced by "over-zealous therapists," and that dissociative disorders are iatrogenic (or else they do not exist at all).

We may find ourselves in a role similar to that of a gardener as we cultivate a space in which healing can naturally unfold. In terms of neurobiology, this stance encourages us to lean into the reassuring awareness that our systems already contain seeds awaiting our attention. For some examples, we humans are always seeking the warmest possible attachments we can imagine (Cozolino, Siegel), our brains are continuously yearning for the arrival of a co-organizing other (Badenoch, Cozolino, Schore), emotional regulation flows naturally from being in the presence of someone we trust (Beckes & Coan) and even our nervous systems have a preference for the social engagement circuitry that sustains connection (Porges). With this kind of support from the biology inherent in both practitioner and patient, our bodies may begin to open into a welcoming state as others come towards us, with a sense of partnership being established rather than someone doing something to us. However this also means letting go of the potential certainty that comes from feeling we are in charge.

Polyvagal Theory proposes a neurophysiological model of safety and trust. The model emphasizes that safety is defined by feeling safe and not by the removal of threat. Feeling safe is dependent on three conditions: 1) the autonomic nervous system cannot be in a state that supports defense; 2) the social engagement system needs to be activated to down regulate sympathetic activation and functionally contain the sympathetic nervous system and the dorsal vagal circuit within an optimal range (homeostasis) that would support health, growth, and restoration; and 3) to detect cues of safety (e.g., prosodic vocalizations, positive facial expressions and gestures) via neuroception. In everyday situations, the cues of safety may initiate the sequence by triggering the social engagement system via the process of neuroception, which will contain autonomic state within a homeostatic range and restrict the autonomic nervous system from reacting in defense. This constrained range of autonomic state has been referred to as the window of tolerance (see Ogden et. al. 2006; Siegel, 1999) and can be expanded through neural exercises embedded in therapy. See: throughout

Although these digital tools can improve the diagnostic process and offer clinicians a variety of state-of-the-art treatment options, most are based on a reductionist approach to health and disease. This paradigm takes a divide-and-conquer approach to medicine, "rooted in the assumption that complex problems are solvable by dividing them into smaller, simpler, and thus more tractable units." Although this methodology has led to important insights and practical implications in healthcare, it does have its limitations. Reductionist thinking has led researchers and clinicians to search for one or two primary causes of each disease and design therapies that address those causes.... The limitation of this type of reasoning becomes obvious when one examines the impact of each of these diseases. There are many individuals who are exposed to HIV who do not develop the infection, many patients have blood glucose levels outside the normal range who never develop signs and symptoms of diabetes, and many patients with low thyroxine levels do not develop clinical hypothyroidism. These "anomalies" imply that there are cofactors involved in all these conditions, which when combined with the primary cause or causes bring about the clinical onset. Detecting these contributing factors requires the reductionist approach to be complemented by a systems biology approach, which assumes there are many interacting causes to each disease.

For things to change, somebody somewhere has to start acting differently. Maybe it’s you, maybe it’s your team. Picture that person (or people). Each has an emotional Elephant side and a rational Rider side. You’ve got to reach both. And you’ve also got to clear the way for them to succeed. In short, you must do three things: → DIRECT the Rider FOLLOW THE BRIGHT SPOTS. Investigate what’s working and clone it. [Jerry Sternin in Vietnam, solutions-focused therapy] SCRIPT THE CRITICAL MOVES. Don’t think big picture, think in terms of specific behaviors. [1% milk, four rules at the Brazilian railroad] POINT TO THE DESTINATION. Change is easier when you know where you’re going and why it’s worth it. [“You’ll be third graders soon,” “No dry holes” at BP] → MOTIVATE the Elephant FIND THE FEELING. Knowing something isn’t enough to cause change. Make people feel something. [Piling gloves on the table, the chemotherapy video game, Robyn Waters’s demos at Target] SHRINK THE CHANGE. Break down the change until it no longer spooks the Elephant. [The 5-Minute Room Rescue, procurement reform] GROW YOUR PEOPLE. Cultivate a sense of identity and instill the growth mindset. [Brasilata’s “inventors,” junior-high math kids’ turnaround] → SHAPE the Path TWEAK THE ENVIRONMENT. When the situation changes, the behavior changes. So change the situation. [Throwing out the phone system at Rackspace, 1-Click ordering, simplifying the online time sheet] BUILD HABITS. When behavior is habitual, it’s “free”—it doesn’t tax the Rider. Look for ways to encourage habits. [Setting “action triggers,” eating two bowls of soup while dieting, using checklists] RALLY THE HERD.

Did you know that if you’re a middle-aged woman, you have only a small window of opportunity between the beginning of perimenopause and the start of menopause to start estrogen replacement therapy to protect not only your brain but also your bones and cardiovascular system? I did not, until I dug into the science, because as a woman who was diagnosed with a stage 0 breast lump, I was scared off like so many of us from the results of the Women’s Health Initiative, which got blasted out all over the news and initially showed a link between estrogen replacement therapy and breast cancer, but guess what? That study had so many flaws, its findings are little more than useless and possibly harmful. Worse, women like me without uteri show a decrease in breast cancer with estrogen replacement therapy. But this information never made it either into the headlines or into our gynecologists’ offices. I had to find it in scientific publications such as The Lancet online. In fact, get this: Our medical system barely trains gynecologists in menopausal medicine. A recent study found that only 20 percent of ob-gyn residency programs in the U.S. provide any menopause training. Yes, any. Which means that 80 percent of all gynecological residents in school today are getting no training whatsoever in post-reproductive women’s health. These are people whose job it is to know everything going on in our ladyparts, but they have not been taught the basic tenets of how to care for either us or our plumbing after we stop menstruating. And by “us” I mean 30 percent of all women alive on earth at any given moment. Half of my middle-aged female friends deal with chronic urinary tract infections. Oh, well, we think, throwing up our hands in defeat and consuming far too many antibiotics than are rational or safe or even good for the future safety of humanity. It took Dr. Rachel Rubin, a urologist in Washington, D.C., reaching out to me over Twitter to explain that UTIs in menopausal women do not have to be recurrent. They can be mitigated with, yes, vaginal estrogen. Not once was I ever

The personal case histories were the most encouraging. A prominent Los Angeles public relations executive has been living with MM for fourteen years, rides horses, and has an altogether active life on drug maintenance. An Arizona man survived MM and with his wife set up a foundation and website for other families bewildered by the diagnosis. I learned, for the first time, that Frank McGee, host of the Today show from 1971 to 1974, suffered from MM and kept it from everyone despite his ever more gaunt appearance. When he died after putting in another full week on the air his producers and friends were stunned. Sam Walton, founder of Walmart, was another MM casualty, which led many to believe that he had established the high-profile multiple myeloma treatment center in Little Rock, Arkansas. This is a full-immersion process in which MM is the singular target under the commanding title of Myeloma Institute for Research and Therapy. There is a Walton auditorium on the institute’s University of Arkansas medical school campus, but the institute itself was founded by Bart Barlogie, a renowned MM specialist from the MD Anderson Cancer Center in Houston. The institute has an impressive record, running well ahead of the national average for survival for those who are dealing with MM. One number is especially notable. The institute has followed 1,070 patients for more than ten years, and 783 have never had a relapse of the disease. Sam Walton was treated by Dr. Barlogie at MD Anderson before the Little Rock institute was founded, but the connection ended there. Walton, who’d had an earlier struggle with leukemia, didn’t survive his encounter with multiple myeloma, dying in April 1992, a time when life expectancy for a man his age with this cancer was short. I was unaware of all of this when I was diagnosed. I took comfort in the repeated reassurances of specialists that great progress in treating MM with a new class of drugs, your own body’s reengineered immunology system, was rapidly improving chances of a longer survival than the published five to ten years. As I began to respond to treatment the favored and welcome line was, “You’re gonna die but from something else.

Q. How can I be certain that what I fear will happen will never really happen? A. Sadly, the answer is you can't be certain! If you suffer from OCD you probably want a 100 percent guarantee that you will never do anything dangerous or that no harm will ever come to you or your family members. Unfortunately, life does not work like this. If I think about it, I know that there is no guarantee that I won't be hit by a car coming home from work today - but somehow my brain automatically accepts the very small chance of this happening and so permits me to go on living my life. More than two thousand years ago the Buddha (a great psychologist besides being a religious teacher) warned that one of the key things that makes us suffer is that we always want more than we will actually get - whether what we want is material like gold and jewels, or (my addition) in the case of OCD, more certainty than you will ever achieve. Thus the solution the Buddha might have offered you in northern India those thousands of years ago might have been something like this: "To stop suffering you must learn to accept that you will never achieve as much certainty as you want, no matter how much you pursue it; so it is up to you to choose: Either accept this truth and live your life happily, or fight against this truth and continue to suffer." Let me say it again for emphasis: you will never be certain that you won't act on the urges you have, or that the terrible things you fear will happen will not actually happen - but I can assure you that the odds of these things actually happening are small enough that it is not worth wasting your life trying (in vain) to get 100 percent certainty. Better to trust in yourself, your religious beliefs, or in evolution having prepared us well for surviving in this world. If evidence from brain studies better helps to convince you this is true, brain imaging studies of OCD sufferers now suggest that there really is something wrong with their "certainty system"; whatever automatically lets someone without OCD feel that things are OK does not function correctly in the OCD sufferer's brain (who then tries to convince himself that everything is OK, eventually becoming tired and frustrated when he cannot use other brain functions to achieve 100 percent certainty).

DRY SAUNA Numerous cultures use sweat lodges, steam baths, or saunas for cleansing and purification. Many health clubs and big apartment buildings have saunas and steam baths, and more and more people are building saunas in their own homes. Low-to-moderate-temperature saunas are one of the most important ways to detoxify from pesticide exposure. Head-to-toe perspiration through the skin, the largest organ of elimination, releases stored toxins and opens the pores. Fat that is close to the skin is heated, mobilized, and broken down, releasing toxins and breaking up cellulite. The heat increases metabolism, burns off calories, and gives the heart and circulation a workout. This is a boon if you don’t have the energy to exercise. It is well known in medicine that a fever is the body’s way of burning off an infection and stimulating the immune system. Fever therapy and sauna therapy are employed at alternative medicine healing centers to do just that. The controlled temperature in a sauna is excellent for relaxing muscular aches and pains and relieving sinus congestion. The only way I made it through my medical internship was by having regular saunas to reduce the daily stress. FAR-INFRARED (FIR) SAUNAS FIR saunas are inexpensive, convenient, and highly effective. Detox expert Dr. Sherry Rogers says that FIR is a proven and efficacious way of eliminating stored environmental toxins, and she thinks everyone should use one. There are one-person Sauna Domes that you lie under or more elaborate sauna boxes that seat several people. The far infrared provides a heat that increases the body temperature but the surrounding air is not overly heated. One advantage of the dome is that your head remains outside, which most people find more comfortable and less confining. Sweating begins within minutes of entering the dome and can be continued for thirty to sixty minutes. Besides the hundreds of toxins that can be removed through simple sweating, the heat of saunas creates a mild shock to the body, which researchers feel acts as a stimulus for the body’s cells to become more efficient. The outward signs are the production of sweat to help decrease the body temperature, but there is much more going on. Further research on sauna therapy is destined to make it an important medical therapy.

There presently exist three recognized conceptualizations of the antisocial construct: antisocial personality disorder (ASPD) as outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013), dissocial personality disorder in the International Classification of Diseases (ICD-10; World Health Organization, 1992), and psychopathy as formalized by Hare with the Psychopathy Checklist—Revised (PCL-R; Hare, 2003). A conundrum for therapists is that these conceptualizations are overlapping but not identical, emphasizing different symptom clusters. The DSM-5 emphasizes the overt conduct of the patient through a criteria set that includes criminal behavior, lying, reckless and impulsive behavior, aggression, and irresponsibility in the areas of work and finances. In contrast, the criteria set for dissocial personality disorder is less focused on conduct and includes a mixture of cognitive signs (e.g., a tendency to blame others, an attitude of irresponsibility), affective signs (e.g., callousness, inability to feel guilt, low frustration tolerance), and interpersonal signs (e.g., tendency to form relationships but not maintain them). The signs and symptoms of psychopathy are more complex and are an almost equal blend of the conduct and interpersonal/affective aspects of functioning. The two higher-order factors of the PCL-R reflect this blend. Factor 1, Interpersonal/Affective, includes signs such as superficial charm, pathological lying, manipulation, grandiosity, lack of remorse and empathy, and shallow affect. Factor 2, Lifestyle/Antisocial, includes thrill seeking, impulsivity, irresponsibility, varied criminal activity, and disinhibited behavior (Hare & Neumann, 2008). Psychopathy can be regarded as the most severe of the three disorders. Patients with psychopathy would be expected to also meet criteria for ASPD or dissocial personality disorder, but not everyone diagnosed with ASPD or dissocial personality disorder will have psychopathy (Hare, 1996; Ogloff, 2006). As noted by Ogloff (2006), the distinctions among the three antisocial conceptualizations are such that findings based on one diagnostic group are not necessarily applicable to the others and produce different prevalence rates in justice-involved populations. Adding a further layer of complexity, therapists will encounter patients who possess a mixture of features from all three diagnostic systems rather than a prototypical presentation of any one disorder.

Cannabinoids relax the rules of cortical crowd control, but 300 micrograms of d-lysergic acid diethylamide break them completely. This is a clean sweep. This is the Renaissance after the Dark Ages. Dopamine—the fuel of desire—is only one of four major neuro modulators. Each of the neuromodulators fuels brain operations in its own particular way. But all four of them share two properties. First, they get released and used up all over the brain, not at specific locales. Second, each is produced by one specialized organ, a brain part designed to manufacture that one potent chemical (see Figure 3). Instead of watering the flowers one by one, neuromodulator release is like a sprinkler system. That’s why neuromodulators initiate changes that are global, not local. Dopamine fuels attraction, focus, approach, and especially wanting and doing. Norepinephrine fuels perceptual alertness, arousal, excitement, and attention to sensory detail. Acetylcholine energizes all mental operations, consciousness, and thought itself. But the final neuromodulator, serotonin, is more complicated in its action. Serotonin does a lot of different things in a lot of different places, because there are many kinds of serotonin receptors, and they inhabit a great variety of neural nooks, staking out an intricate network. One of serotonin’s most important jobs is to regulate information flow throughout the brain by inhibiting the firing of neurons in many places. And it’s the serotonin system that gets dynamited by LSD. Serotonin dampens, it paces, it soothes. It raises the threshold of neurons to the voltage changes induced by glutamate. Remember glutamate? That’s the main excitatory neurotransmitter that carries information from synapse to synapse throughout the brain. Serotonin cools this excitation, putting off the next axonal burst, making the receptive neuron less sensitive to the messages it receives from other neurons. Slow down! Take it easy! Don’t get carried away by every little molecule of glutamate. Serotonin soothes neurons that might otherwise fire too often, too quickly. If you want to know how it feels to get a serotonin boost, ask a depressive several days into antidepressant therapy. Paxil, Zoloft, Prozac, and all their cousins leave more serotonin in the synapses, hanging around, waiting to help out when the brain becomes too active. Which is most of the time if you feel the world is dark and threatening. Extra serotonin makes the thinking process more relaxed—a nice change for depressives, who get a chance to wallow in relative normality.

YouTube: Dr. Samuel T. Francis — “Equality Unmasked" (American Renaissance Conference, 1996) In the second place, understanding egalitarianism as the ideology of the system and the elites that run it ought to alter our view of how the system and its elites actually operate. Most elites in history have always had a vested interest in preserving the societies they rule and that is why most elites have been conservative. ... But the elite that has come to power in the United States in the Western World in this century actually has a vested interest in managing and manipulating social change--the destruction of the society it rules. Political analyst Kevin Phillips pointed this out in his 1975 book "Mediacracy," which is a study of the emergence of what he calls the new knowledge elite, the members of which approach society from a new vantage point. Change does not threaten the affluent intelligentsia of the postindustrial society the way it threatened the land owners and industrialists of the New Deal. On the contrary, change is as essential to the knowledge sector as inventory turnover is to a merchant or a manufacturer. Change keeps up demand for the product: research, news, theory and technology. Post industrialism, a knowledge elite and accelerated social change appear to go hand in hand. The new knowledge elite does not preserve and protect existing traditions and institutions. On the contrary, far more than previous new classes, the knowledge elite has sought to modify or replace traditional institutions with new relationships and power centers. Egalitarianism and environmentalism serve this need to manage social change perfectly. Traditional institutions can be depicted not only as unequal and oppressive, but also as pathological, requiring the social and economic therapy that only the knowledge elite is skilled enough to design and apply. The interests of the knowledge elite in managing social change happen to be entirely consistent, not only with the agendas of the hard left, but also with the grievances and demands of various racial and ethnic groups that view racism and prejudice as obstacles to their own advancement. So that what we see as an alliance between the new elites and organized racial and ethnic minorities to undermine and displace the traditional institutions and beliefs of white, Euro-american society, which just happen to the power centers of older elites based on wealth, land and status. This process of displacement or dispossession is always described as progressive, liberating or diversifying, when in fact it merely helps consolidate the dominance of a new class and weaken the power and interests of its rivals.

If the symbolic father is often lurking behind the boss--which is why one speaks of 'paternalism' in various kinds of enterprises--there also often is, in a most concrete fashion, a boss or hierarchic superior behind the real father. In the unconscious, paternal functions are inseparable from the socio-professional and cultural involvements which sustain them. Behind the mother, whether real or symbolic, a certain type of feminine condition exists, in a socially defined imaginary context. Must I point out that children do not grow up cut off from the world, even within the family womb? The family is permeable to environmental forces and exterior influences. Collective infrastructures, like the media and advertising, never cease to interfere with the most intimate levels of subjective life. The unconscious is not something that exists by itself to be gotten hold of through intimate discourse. In fact, it is only a rhizome of machinic interactions, a link to power systems and power relations that surround us. As such, unconscious processes cannot be analyzed in terms of specific content or structural syntax, but rather in terms of enunciation, of collective enunciative arrangements, which, by definition, correspond neither to biological individuals nor to structural paradigms... The customary psychoanalytical family-based reductions of the unconscious are not 'errors.' They correspond to a particular kind of collective enunciative arrangement. In relation to unconscious formation, they proceed from the particular micropolitics of capitalistic societal organization. An overly diversified, overly creative machinic unconscious would exceed the limits of 'good behavior' within the relations of production founded upon social exploitation and segregation. This is why our societies grant a special position to those who specialize in recentering the unconscious onto the individuated subject, onto partially reified objects, where methods of containment prevent its expansion beyond dominant realities and significations. The impact of the scientific aspirations of techniques like psychoanalysis and family therapy should be considered as a gigantic industry for the normalization, adaption and organized division of the socius. The workings of the social division of labor, the assignment of individuals to particular productive tasks, no longer depend solely on means of direct coercion, or capitalistic systems of semiotization (the monetary remuneration based on profit, etc.). They depend just as fundamentally on techniques modeling the unconscious through social infrastructures, the mass media, and different psychological and behavioral devices...Even the outcome of the class struggle of the oppressed--the fact that they constantly risk being sucked into relations of domination--appears to be linked to such a perspective.

• No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We will talk about almost anyone about our physical health, even our sex lives, but bring depression, anxiety or grief , and the expression on the other person would probably be "get me out of this conversation" • We can distract our feelings with too much wine, food or surfing the internet, • Therapy is far from one-sided; it happens in a parallel process. Everyday patients are opening up questions that we have to think about for ourselves, • "The only way out is through" the only way to get out of the tunnel is to go through, not around it • Study after study shows that the most important factor in the success of your treatment is your relationship with the therapist, your experience of "feeling felt" • Attachment styles are formed early in childhood based on our interactions with our caregivers. Attachment styles are significant because they play out in peoples relationships too, influencing the kind of partners they pick, (stable or less stable), how they behave in a relationship (needy, distant, or volatile) and how the relationship tend to end (wistfully, amiably, or with an explosion) • The presenting problem, the issue somebody comes with, is often just one aspect of a larger problem, if not a red herring entirely. • "Help me understand more about the relationship" Here, here's trying to establish what’s known as a therapeutic alliance, trust that has to develop before any work can get done. • In early sessions is always more important for patients to feel understood than it is for them to gain any insight or make changes. • We can complain for free with a friend or family member, People make faulty narratives to make themselves feel better or look better in the moment, even thought it makes them feel worse over time, and that sometimes they need somebody else to read between the lines. • Here-and-now, it is when we work on what’s happening in the room, rather than focusing on patient's stories. • She didn't call him on his bullshit, which this makes patients feel unsafe, like children's whose parent's don’t hold them accountable • What is this going to feel like to the person I’m speaking to? • Neuroscientists discovered that humans have brain cells called mirror neurons, that cause them to mimic others, and when people are in a heightened state of emotion, a soothing voice can calm their nervous system and help them stay present • Don’t judge your feelings; notice them. Use them as your map. Don’t be afraid of the truth. • The things we protest against the most are often the very things we need to look at • How easy it is, I thought, to break someone’s heart, even when you take great care not to. • The purpose on inquiring about people's parent s is not to join them in blaming, judging or criticizing their parents. In fact it is not about their parents at all. It is solely about understanding how their early experiences informed who they are as adults so that they can separate the past from the present (and not wear psychological clothing that no longer fits) • But personality disorders lie on a spectrum. People with borderline personality disorder are terrified of abandonment, but for some that might mean feeling anxious when their partners don’t respond to texts right away; for others that may mean choosing to stay in volatile, dysfunctional relationships rather than being alone. • In therapy we aim for self compassion (am I a human?) versus self esteem (Am I good or bad: a judgment) • The techniques we use are a bit like the type of brain surgery in which the patient remains awake throughout the procedure, as the surgeons operate, they keep checking in with the patient: can you feel this? can you say this words? They are constantly calibrating how close they are to sensitive regions of the brain, and if they hit one, they back up so as not to damage it.

Addiction is the one disease that tells you that you don’t have a disease.

He watched me grieve and he didn’t try to make things more comfortable by interrupting or analyzing the issue. He let me tell the story in whatever way I needed to say" "Of course, there are times when something just isn't right between therapists, and patient, when the therapist's countertransference is getting in the way. One sign: having negative feelings about the patient". "Our experiences with this person are important because we're probably feeling something very similar to what everyone else in these patients' life feels." "If you expect an hour of sympathetic head nodding, you've come to the wrong place. Therapist will be supportive, but our support is for your growth, not for our low opinion of your partner (our role is to understand your perspective but not necessarily endorse it)" "A therapist will hold up the mirror in the most compassionate way possible, to stare back at it and say "oh isn’t that interesting? Now what instead of turning away?" "The therapist explained that often-different parts of ourselves want different things and if we silence the parts we find unacceptable they'll find other ways to be heard." "So many of our destructive behaviors take root in an emotional void, an emptiness that calls out of something to fill it." "Whenever one person in the family system starts to make changes, even if the changes are healthy or positive, it's not unusual for other members in this family to do everything they can do to maintain the status quo and bring things back to homeostasis." "Once we know what we are feeling we can make choices about where we want to go with them. But if we push them away the second they appear, often we end up veering off in the wrong direction, getting lost yet again in the land of chaos." "I know that therapy won't make all my problems disappear, prevent new ones from coming, or ensure that Ill always act from a place of enlightenment. Therapists don’t perform personality transplants; they just help to take the sharp edges off. Therapy is about understanding the self that you are. But part of getting to know yourself is to unknown yourself- let go of the limiting stories you've told yourself about who you are, so that you aren’t trap by them, so that you can live your life and not the story you've been telling yourself about your life." "The noonday demon: "The opposite of depression isn't happiness but vitality" "We marry our unfinished business" "Babies can die from lack of touch, and so can adults (adults who are touched regularly live longer). There is even a name for this condition: skin hunger" "What most people mean by type is a sense of attraction a type of physical appearance or a type of personality turns them on. But what underlies a person's type, in fact, is a sense of familiarity, It is not coincidence that people who had angry parents, often end up choosing angry partners.

Its not that people want to get hurt again. Its that they want to master a situation where they felt helpless. "Repetition compulsion" Maybe this time, the unconscious imagines, I can go back and heal that wound from long ago, by engaging with somebody familiar- but new. The truth is that they reopen the wounds and feel even more inadequate and unlovable." "He may be resistant to acknowledging it now, but I welcome his resistance because resistance is a clue to where the crux of the work lies; it signals what a therapist needs to pay attention to." "Conversion disorder: this is a condition in which a person's anxiety is "converted" into a neurologic conditions such as paralysis, balance issues, incontinence, deafness, tremors, or seizures." "People with conversion disorder aren't faking it- that’s called factitious disorder. People with factitious disorder have a need to be thought of as sick and intentionally go to great lengths to appear ill." "Interestingly, conversion disorder tends to be more prevalent in cultures with strict rules and few opportunities for emotional expression." "Ultracrepidarianism, which means "the habit of giving opinions and advice on matters outside of one's knowledge or competence" "Every decision they make is based on two things: fear and love. Therapy strives to teach you how to tell the two apart." "if you are talking that much, you cant be listening" and its variant, you have two ears and one mouth; there's a reason for that ratio)" "To feel better now, anytime, anywhere, within seconds" Why are we essentially outsourcing the thing that defines uses people? Was it that people couldn’t tolerate being alone or that they couldn’t tolerate being with other people?" "The four ultimate concerns are death, isolation, freedom, and meaningless" "Flooded: meaning one person is in overdrive, and when people feel flooded is best to wait a beat. The person needs a few minutes for his nervous system to reset before he can take anything in." "Developmental stage models: Freud, Jung, Erikson, Piaget and Maslow

I wonder who "they" are for him. Most of us have a "they" in the audience, even though nobody is really watching, at least not how we think they are. The people who are watching us - the people who really see us- don’t care about the false self, about the show we are putting on. I wonder who those people are for John?" "I thought about how many people avoid trying for things they really want in life because its more painful to get close to the goal but not achieve it than not to have taken the chance in the first place." "Every hour counts for all of us and I want to be fully present in the fully hour we spend with each one." "You will inevitably hurt your partner, your parents, your children, your closest friends - and they will hurt you- because if you sign up for intimacy, getting hurt is part of the deal." "The more you welcome your vulnerability the less afraid you'll feel" "We all use defense mechanisms to deal with anxiety, frustration, or unacceptable impulses, but what’s fascinating about them is that we aren't aware of them in the moment. A familiar examples is denial- some, rationalization." "Generally when the therapy is coming to an end, the work moves toward its final stage, which is saying goodbye. in those sessions, the patient and I consolidate the changes made by talking about the "progress and process". What was helpful in getting to where the person is today? What wasn't? What has she learned about herself -her strengths, her challenges, her internal scripts and narratives- and what coping strategies and healthier ways of being can she can take with her when she leaves? Underlying all this, of course, is how do we say goodbye?" "Just like your physiological immune system helps your body recover from physical attack, your brain helps you recover from psychological attack." "But many people come to therapy seeking closure. Help me not to feel. What they eventually discover is that you can't mute one emotion without muting others. You want to mute the pain? You will also mute joy.

According to the RO DBT neuroregulatory model (see chapter 2), when we are excited, elated, or proud of an accomplishment, our sympathetic nervous system (SNS) excitatory approach/reward system is activated, and, because of neuroinhibitory relationships between the parasympathetic nervous system (PNS) and the SNS, the excitatory approach/reward system functions to downregulate or impair the social safety system mediated by the ventral vagal complex of the PNS (the PNS-VVC). Excitatory reward mood states are energizing and associated with feelings of joy, self-confidence, and agency. When we are in positive mood states, we are more likely to be assertive, arrogant, and opinionated. Despite feeling on top of the world, we lose our ability to empathically read the subtle social signals displayed by others and also are less aware of how our behavior may be impacting them.

At the opposite end of the scale (to which we are all closer) is a couple diagrammed as though they were fused to the ends of a stick (A'-B'). Whatever either does automatically moves the other. There is no thinking of self, only we and us and the blaming you. The nature of the relationship might appear close. They might appear to be together, but they are really stuck together. They will wind up either perpetually in conflict, because they are so reactive to one another, or they will have a homey togetherness achieved through the total sacrifice of their own selves. In the latter case, their marriage might last 50 years, but their kids are likely to dysfunction all over America because, coming out of such an ill-defined system, they carry with them little capacity for autonomy in any emotional system.

Patients will come in to see me with various infections that do not respond to antibiotics and when they are also treated with ozone the antibiotics suddenly work much better. The reason is that antibiotics are one dimensional. They just kill germs. But ozone works differently. It activates the immune system, prevents the free radical damage that happens with acute infections, and at the same time helps the body detoxify from the toxins that infections release. So the combination of ozone therapy plus antibiotics is a real one-two punch for infections. One day this protocol will be common place in every hospital in the world.

DBT posits that borderline patients possess a genetic/biological vulnerability to emotional overreactivity. This view hypothesizes that the limbic system, the part of the brain most closely associated with emotional responses, is hyperactive in BPD. The second contributing factor, according to DBT practitioners, is an invalidating environment: that is, others dismiss, contradict, or reject the developing individual’s emotions. Confronted with such interactions, the individual is unable to trust others or her own reactions. Emotions are uncontrolled and volatile. To calm these erratic emotions, DBT emphasizes mindfulness, the process of paying attention to what is happening at the moment, without extreme emotional reactivity, judgment, or invalidation. In the initial stages of treatment, DBT focuses on a hierarchical system of targets, confronting first the most serious and then later the easier behaviors to change. The highest priority addressed immediately is the threat of suicide and self-injuring behaviors. The second-highest target is to eliminate behaviors that interfere with therapy, such as missed appointments or not completing homework assignments. The third priority is to address behaviors that interfere with a healthy quality of life, such as disruptive compulsions, promiscuity, or criminal conduct; among these, easier changes are targeted first. The fourth priority is to focus on increasing behavioral skills.

Infrared light therapy stimulates production of collagen, ribonucleic acid (RNA), ATP, and deoxyribonucleic acid (DNA), which enhances the body’s cellular repair rejuvenation systems, providing relief from pain and shortening recovery time.

Some of the prominent ones that have been particularly useful for many trauma survivors include dialectical behavior therapy for borderline personality (Linehan, 1993); systems training for emotional predictability and problem solving (STEPPS; Blum et al., 2008; Bos, Van Wel, Appelo, & Verbraak, 2010 also for borderline personality; short-term psychodynamic treatment of affect phobia (McCullough et al., 2003); and mindfulness and mentalization-based treatments such as acceptance and commitment therapy (ACT; Follette & Pistorello, 2007). In the past decade, manuals that specifically address the

This book presents the ABCs of REBT (and of other forms of cognitive and cognitive behavioral therapy) in a simple, understandable way, and it shows how stimuli or Activating Events (A) in your life do not mainly or directly cause your emotional consequences (C). Instead, your Belief System (B) largely upsets you, and you therefore have the ability to Dispute (D) your dysfunctional and irrational Beliefs (iBs) and to change them. It especially shows you many thinking, many emotive, and many behavioral methods of disputing and surrendering your irrational Beliefs (iBs) and thereby arriving at an Effective New Philosophy (E) of life.

Going to therapy and talking about healing may just be the go-to flex of our time. It is supposedly an indicator of how profoundly self-aware, enlightened, emotionally mature, or “evolved” an individual is. Social media is obsessed and saturated with pop psychology and psychiatry content related to “healing”, trauma, embodiment, neurodiversity, psychiatric diagnoses, treatments alongside productivity hacks, self-care tips and advice on how to love yourself without depending on anyone else, cut people out of your life, manifest your goals to be successful, etc. Therapy isn’t a universal indicator of morality or enlightenment. Therapy isn’t a one-size-fits-all solution that everyone must pursue. There are many complex political and cultural reasons why some people don’t go to therapy, and some may actually have more sustainable support or care practices rooted in the community. This is similar to other messaging, like “You have to learn to love yourself first before someone else can love you”. It all feeds into the lie that we are alone and that happiness comes from total independence. Mainstream therapy blames you for your problems or blames other people, and often it oscillates between both extremes. If we point fingers at ourselves or each other, we are too distracted to notice the exploitative systems making us all sick and sad. Oftentimes, people come out of therapy feeling fully affirmed and unconditionally validated, and this ego-caressing can feel rewarding in the moment even if it doesn’t help ignite any growth or transformation. People are convinced that they can do no wrong, are infallible, incapable of causing harm, and that other people are the problem. Treatment then focuses on inflating self-confidence, self-worth, self-acceptance, and self-love to chase one’s self-centered dreams, ambitions, and aspirations without taking any accountability for one’s own actions. This sort of individualistic therapeutic approach encourages isolation and a general mistrust of others who are framed as threats to our inner peace or extractors of energy, and it further breeds a superiority complex. People are encouraged to see relationships as accessories and means to a greater selfish end. The focus is on what someone can do for you and not on how to give, care for, or show up for other people. People are not pushed to examine how oppressive conditioning under these systems shows up in their relationships because that level of introspection and growth is simply too invalidating. “You don’t owe anyone anything. No one is entitled to your time and energy. If anyone invalidates you and disturbs your peace, they are toxic; cut them out of your life. You don’t need that negativity. You don’t need anyone else; you alone are enough. Put yourself first. You are perfect just the way you are.” In reality, we all have work to do. We are all socialized within these systems, and real support requires accountability. Our liberation is contingent on us being aware of our bullshit, understanding the values of the empire that we may have internalized as our own, and working on changing these patterns. Therapized people may fixate on dissecting, healing, improving, and optimizing themselves in isolation, guided by a therapist, without necessarily practicing vulnerability and accountability in relationships, or they may simply chase validation while rejecting the discomfort that comes from accountability. Healing in any form requires growth and a willingness to practice in relationships; it is not solely validating or invalidating; it is complex; it is not a goal to achieve but a lifelong process that no one is above; it is both liberating and difficult; it is about acceptance and a willingness to change or transform into something new; and ultimately, it is going to require many invalidating ego deaths so we can let go of the fixation of the “self” to ease into interdependence and community care.

Research has shown that laughter increases the secretion of the natural chemicals, catecholamines and endorphins, that make people feel so peppy and good. It also decreases cortisol secretion and lowers the sedimentation rate, which implies a stimulated immune response. Oxygenation of the blood increases, and residual air in the lungs decreases. Heart rate initially speeds up and blood pressure rises; then the arteries relax, causing heart rate and blood pressure to lower. Skin temperature rises as a result of increased peripheral circulation. Thus, laughter appears to have a positive effect on many cardiovascular and respiratory problems. In addition, laughter has superb muscle relaxant qualities. Muscle physiologists have shown that anxiety and muscle relaxation cannot occur at the same time and that the relaxation response after a hearty laugh can last up to forty-five minutes.

So much information is now available to all that even unsophisticated people can easily detect inconsistencies in government policies and glaring inadequacies in the teachings of many of our institutions. We have greater doubts about the truthfulness and strength of our leaders, and we no longer take for granted the standards of conduct set by our churches, our universities, and even our laws. Thus, the information explosion has helped to weaken older value systems, but as yet no new systems have replaced the old.

Self-led individuals have the great pleasure of recapturing all the energy their protectors used to expend on inhibition, containment, distraction, and rebellion.

And since human system levels are interconnected, Self-leadership at any level helps to heal all levels. We believe that each client who unburdens helps reduce the burden load of the planet, allowing all of us to have a little more access to the Self.

Albert Ellis system of Rational Emotive Therapy ... the ABC system. In every human reaction there is an Activating event, a Belief system through which the event is interpreted and evaluated, and a Consequent set of emotional reactions.

ChiroCynergy - Dr. Matthew Bradshaw - Chiropractic in Leland, NC CHIROPRACTIC “NO CRACKING” MANIPULATION Chiropractic is a health care profession that focuses on disorders of the musculoskeletal system and the nervous system, and the effects of these disorders on general health. Chiropractic care is used most often to treat neuromusculoskeletal complaints, including but not limited to back pain, neck pain, pain in the joints of the arms or legs, and headaches. Doctors of Chiropractic – often referred to as chiropractors or chiropractic physicians – practice a drug-free, hands-on approach to health care that includes patient examination, diagnosis and treatment. Chiropractors have broad diagnostic skills and are also trained to recommend therapeutic and rehabilitative exercises, as well as to provide nutritional, dietary and lifestyle counseling. Call us: (910) 368-1528 #chiropractor_Leland_nc #best_chiropractor_Leland_nc #chiropractor_near_ Leland_nc #chiropractic_in_Leland_nc #best_chiropractor_in_Leland_nc #chiropractic_near_me #chiropractor_near_me #family_chiropractor_in_Leland_nc #female_chiropractors_in_Leland_nc #physical_therapy_in_Leland_nc #sports_chiropractor_in_Leland_nc #pregnancy_chiropractor in_Leland_nc #sciatica_chiropractor_in_Leland_nc #car_accident_chiropractor_in_Leland_nc #Active_Release_Technique_in_Leland_nc #Cold_Laser_Therapy_in_Leland_nc #Spinal_Decompression_in_Leland_nc

The shame that our Inner Child internalizes—she writes about it as if it’s all about your individual experiences and interpersonal interactions. All based on what our parents did or didn’t do to us, with no real accounting for the systemic problems entrenched in society—no real accounting of anti-Blackness or anti-queerness—and not enough concern for community healing. It feels like a very individualistic kind of self-help.” What I didn’t say was that I still feared therapy in general might have the same limitations.

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As described by the Association for Contextual Behavioral Science, Acceptance and Commitment Therapy (ACT) is a form of empirically based psychological intervention that focuses on mindfulness. Mindfulness is the state of focusing on the present to remove oneself from feeling consumed by the emotion experienced in the moment. To properly observe yourself, begin by noticing where in your body you experience emotion. For example, think about a time when you felt really sad. You may have felt despair in your chest, or a sense of hollowness in your stomach. If you were angry, you may have felt a burning sensation in your arms. This occurs within everyone, in different variations. A study conducted by Carnegie Mellon University traced emotional responses in the brain to different activity signatures in the body through a functional magnetic resonance imaging (fMRI) scanner. If someone recalled a painful or traumatic memory, the prefrontal cortex and neocortex became less active, and their “reptilian brain” was activated. The former areas of the brain are responsible for conscious thought, spatial reasoning, and higher functions such as sensory perception. The latter is responsible for fight-or-flight responses. This means that the bodily responses caused by your emotions provide an opportunity for you to be mindful of them. Your emotions create sensations in your body that reflect your mind. Dr. Bruce Lipton, a developmental biologist who studies gene expression in relation to environmental factors, released a study on epigenetics that sheds light on this matter. It revealed that an individual’s body cannot heal when it is in its sympathetic state. The sympathetic nervous system, informally known as the fight-or-flight state, is triggered by certain emotional responses. This means that when we are consumed by emotion, an effective solution cannot be found until we shift our mind into reflecting on our emotions.

As described by the Association for Contextual Behavioral Science, Acceptance and Commitment Therapy (ACT) is a form of empirically based psychological intervention that focuses on mindfulness. Mindfulness is the state of focusing on the present to remove oneself from feeling consumed by the emotion experienced in the moment. To properly observe yourself, begin by noticing where in your body you experience emotion. For example, think about a time when you felt really sad. You may have felt despair in your chest, or a sense of hollowness in your stomach. If you were angry, you may have felt a burning sensation in your arms. This occurs within everyone, in different variations. A study conducted by Carnegie Mellon University traced emotional responses in the brain to different activity signatures in the body through a functional magnetic resonance imaging (fMRI) scanner. If someone recalled a painful or traumatic memory, the prefrontal cortex and neocortex became less active, and their “reptilian brain” was activated. The former areas of the brain are responsible for conscious thought, spatial reasoning, and higher functions such as sensory perception. The latter is responsible for fight-or-flight responses. This means that the bodily responses caused by your emotions provide an opportunity for you to be mindful of them. Your emotions create sensations in your body that reflect your mind. Dr. Bruce Lipton, a developmental biologist who studies gene expression in relation to environmental factors, released a study on epigenetics that sheds light on this matter. It revealed that an individual’s body cannot heal when it is in its sympathetic state. The sympathetic nervous system, informally known as the fight-or-flight state, is triggered by certain emotional responses. This means that when we are consumed by emotion, an effective solution cannot be found until we shift our mind into reflecting on our emotions. Let’s take a moment and test this theory together. Try to focus on what you’re feeling and where, and this will ground you in the present moment. By focusing on how you are responding, you essentially remove yourself from being consumed by your emotions in that moment. This brings you back into your sensory perception and moves the response in your brain back into the cortex and neocortex. This transition helps bring you back into a more logical state where emotions are not controlling your reactions.

Unintelligence of evil, absence of insight into things by evil and therefore always the same discourse on the 'foul beast' and the same naïveté in the analysis of present events. Our whole system of values excludes this predestination of evil. Yet all it has invented, at the end of its burdensome therapy on the human species, is another way of making it disappear, that is to say, of ironically carrying the possibility of happiness to its opposite term, that of the perfect crime, that of integral misfortune, which was somehow waiting for it just at the end. For you cannot liberate good without liberating evil, and that liberation is even more rapid than the liberation of good.

I would also exercise caution when mixing SSRI antidepressants and microdoses of psilocybin because they both affect the serotonin system in the brain. While an adverse reaction combining SSRIs with a microdose isn’t likely according to Fadiman’s site, as we’ll discuss in Chapter 14, these kinds of antidepressants can lessen the effects of full-dose psychedelics and will likely do the same with microdoses.

The main prescription mix that experts warn against is combining psilocybin with antidepressants like SSRIs and serotonin-norepinephrine reuptake inhibitors (SNRIs) (some popular brand names include Prozac, Zoloft, Paxil, Lexapro, Cymbalta, and Effexor). That’s because these drugs also affect the serotonin system, the main receptor system that psilocybin interacts with. Giordano explains that these types of antidepressants already make more serotonin available in the space between nerve cells in the brain. And so, when psilocybin also acts on that system, there’s a risk of essentially “overdosing” on serotonin, known as “serotonin syndrome.

2A signaling has been shown to play a role in cognitive flexibility.71 There have also been links between “trait pessimism,” like “pathological brooding” and deficient 2A receptor stimulation.72, 73, 74, 75 Both of these roles of 2A receptors make sense considering how people use psychedelics for personal growth, but some of the most interesting links between the serotonin system and psychedelics have to do with neural plasticity. Essentially, researchers have found evidence that 2A signaling may enhance neural plasticity, meaning that psychedelics may be able to promote brain plasticity by acting on those receptors.

ChiroCynergy - Dr. Matthew Bradshaw | Active Release Technique (A.R.T.) in Leland, NC What exactly is Active Release Technique (A.R.T.)? ART is a patented, state-of-the-art, soft tissue management system developed by Dr. Michael Leahy (an Air Force engineer/chiropractor) that treats problems occurring with: - Muscles - Tendons - Ligaments - Fascia - Nerves Injuries to these tissues can occur in 3 different ways: Acute trauma injury – a sprained ankle playing racquetball is a great example of this type of injury. Compression injury – an example of a compression injury would be back stiffness and pain and/or numbness down the leg (sciatica) caused by sitting behind a computer frequently and for long periods of time. Sitting causes reduced oxygen flow to the tissues, which in turn causes the numbness and/or pain. Overuse injuries – frequently seen in people whose jobs involve typing all day. The repetitive motion can produce wrist and hand pain (i.e. carpal tall syndrome) due to the accumulation of small tears in the tissues. Each of these changes causes your body to produce tough, dense scar tissue in the affected area. This scar tissue binds up and ties down tissues that need to move freely. As scar tissue builds up: Muscles become shorter and weaker. Tension on tendons causes tendonitis. Nerves can become trapped. This can result in reduced ranges of motion, loss of strength, and pain. With trapped nerves, you may also feel tingling, numbness, shooting pains, burning sensations, weakness, muscle atrophy and circulatory changes. Even when most doctors say medications or surgery is the only answer, ART may still be able to resolve the symptoms and put you back on the field or back to work and into your best game. ChiroCynergy can help! We offer Active Release Technique (A.R.T.) in Leland, NC. Call us: (910) 368-1528 #chiropractor_Leland_nc #best_chiropractor_Leland_nc #chiropractor_near_Leland_nc #chiropractic_in_Leland_nc #best_chiropractor_in_Leland_nc #chiropractic_near_me #chiropractor_near_me #family_chiropractor_in_Leland_nc #female_chiropractors_in_Leland_nc #physical_therapy_in_Leland_nc #sports_chiropractor_in_Leland_nc #pregnancy_chiropractor_in_Leland_nc #sciatica_chiropractor_in_Leland_nc #car_accident_chiropractor_in_Leland_nc #Active_Release_Technique_in_Leland_nc #Cold_Laser_Therapy_in_Leland_nc #Spinal_Decompression_in_Leland_nc

One common problem caused by postural faults is forward head position, in which the head is sitting forward of the spine. In this posture, for every inch the head moves forward, the weight of the head on the spine increases by an additional 10 pounds. People whose head is sitting 3 inches forward of their shoulders are now supporting 42 pounds of weight, compared to what is typically 12 pounds in aligned posture. This can occur in both sitting and standing postures. It can pull the spine out of alignment, reduce lung capacity inhibiting complete lung aeration, contribute to a sluggish gastrointestinal system, cause tension headaches, and decrease balance. Most devastating is if forward head posture leads to cervical spine instability, as a result of constant strain on the ligaments which stabilize the neck. A stable cervical spine protects the spinal cord and brainstem. The laxer the ligaments, the stronger the muscles must be support the head and neck.

Yin yoga can be viewed as a somatic form of IFS therapy, enabling compassionate self-attunement and insight through "conversations" with the body's innate wisdom.

The resonant space of nondual therapy allows client and practitioner to remain distinct yet ultimately inseparable through their shared being. This is intimacy and compassion at the deepest level, transcending subject/object division while not denying individuality, sensations, feelings or boundaries. As Rumi expressed, 'We are the mirror as well as the face in it. We are tasting the taste this minute of eternity. We are pain and what cures pain, both. We are the sweet cold water and the jar that pours.

As we approach parts with curiosity and compassion, they may spontaneously release burdens and polarities, returning to the wholeness of the Self, no longer believing in separateness. The conceptual framework surrounding parts may dissolve, and the very label "part" may become superfluous. This aligns with Schwartz’s belief that in a healthy, integrated, or never-burdened system, you "hardly notice your parts." As inner harmony is achieved through this work, the practices themselves may naturally fade away, including any mindfulness or self-inquiry techniques, as our direct knowing of the unified Self stabilizes. What remains is unmediated experiencing—perception without an internal judge or narrator imposing layers of meaning. Like a bird feeling the fresh raindrop, we awaken to the pure isness of the present moment. We recognize that diversity was never truly separate—all parts reside within the vastness of the Self and feel its illuminating presence infusing life with wholeness. Self-realization does not conflict with the experience of inner multiplicity. Rather, it provides the foundation for embracing our diverse parts with love and understanding. Just as clouds naturally arise within the vast expanse of the sky, the many facets of our psyche emerge from the same unitary source of consciousness. By recognizing our fundamental oneness, we can openly accept all inner voices and perspectives as inseparable expressions of our true nature. Parts work therapies like Jungian analysis, psychosynthesis, and IFS rest on the realization that our multiplicity arises from and returns to an underlying unity. Healing separation unveils the intrinsic connectedness shining through our diversity. The many are seen to be expressions of the one infinite consciousness from which we all emerge. Awakening to our true nature does not erase our finite human form but allows us to live as embodiments of the infinite while navigating the relative world. We can embrace relationships, experiences, and inner parts as manifestations of the vast depths of being itself. Our very capacity for a richly textured existence arises from the fecundity of the source—celebrating the unlimited creativity that gives rise to all multiplicities within its all-encompassing embrace. When we unravel the tendency to view parts as separate from Self, ourselves as separate from the collective, and the collective as separate from the universe, we find interconnected wholeness underneath it all, like pieces of the same puzzle fitting perfectly together. Though each piece may seem distinct, together they form a complete picture. Just as a puzzle is not whole without all its pieces, so too are we fragments without our connections to others and the greater whole. All pieces big and small fit together to create the fullness of life. From the vantage point of the infinite, life appears as a seamless whole. Yet seen through the finite lens of the mind, it fragments into countless shapes and forms. To insist that only oneness or multiplicity is real leads to a fragmented perspective, caught between mutually exclusive extremes. With curiosity and compassion, we can integrate these views into a unified vision. Like the beads in a kaleidoscope, Self appears in endless configurations—now as particle, now as wave. Though the patterns change, the beads remain the same. All possibilities are held safely within the kaleidoscope's luminous field. The essence lies in remembering that no bead stands alone. Parts require the presence of an overarching whole that encompasses them. The individual Self necessitates the existence of a vaster, universal SELF. The love that binds all parts infuses the inside and outside alike. This unifying love can be likened to the Tao, the very fabric from which life is woven.

Clinicians have only one obligation: to do whatever they can to help their patients get better. Because of this, clinical practice has always been a hotbed for experimentation. Some experiments fail, some succeed, and some, like EMDR, dialectical behavior therapy, and internal family systems therapy, go on to change the way therapy is practiced. Validating all these treatments takes decades and is hampered by the fact that research support generally goes to methods that have already been proven to work. I am much comforted by considering the history of penicillin: Almost four decades passed between the discovery of its antibiotic properties by Alexander Fleming in 1928 and the final elucidation of its mechanisms in 1965.

P2 - We are well on the way in a number of areas. Both billionaires and big Pharma are getting increasingly interested and money is starting to pour into research because it is clear we can see the light at the end of the tunnel which to investors equates to return on investment. Numerous factors will drive things forward and interest and awareness is increasing rapidly among both scientists, researchers and the general population as well as wealthy philanthropists. The greatest driving force of all is that the baby boomers are aging and this will place increasing demands on healthcare systems. Keep in mind that the average person costs more in medical expenditure in the last year of their life than all the other years put together. Also, the number of workers is declining in most developed countries which means that we need to keep the existing population working and productive as long as possible. Below are a list which are basically all technologies potentially leading to radical life extension with number 5 highlighted which I assume might well be possible in the second half of the century: 1. Biotechnology - e.g stem cell therapies, enhanced autophagy, pharmaceuticals, immunotherapies, etc 2. Nanotechnology - Methods of repairing the body at a cellular and molecular level such as nanobots. 3. Robotics - This could lead to the replacement of increasing numbers of body parts and tends to go hand in hand with AI and whole brain emulation. It can be argued that this is not life extension and that it is a path toward becoming a Cyborg but I don’t share that view because even today we don’t view a quadriplegic as less human if he has four bionic limbs and this will hold true as our technology progresses. 4. Gene Therapies - These could be classified under the first category but I prefer to look at it separately as it could impact the function of the body in very dramatic ways which would suppress genes that negatively impact us and enhance genes which increase our tendency toward longer and healthier lives. 5. Whole brain emulation and mindscaping - This is in effect mind transfer to a non biological host although it could equally apply to uploading the brain to a new biological brain created via tissue engineering this has the drawback that if the original brain continues to exist the second brain would have a separate existence in other words whilst you are identical at the time of upload increasing divergence over time will be inevitable but it means the consciousness could never die provided it is appropriately backed up. So what is the chance of success with any of these? My answer is that in order for us to fail to achieve radical life extension by the middle of the century requires that all of the above technologies must also fail to progress which simply won't happen and considering the current rate of development which is accelerating exponentially and then factoring in that only one or two of the above are needed to achieve life extension (although the end results would differ greatly) frankly I can’t see how we can fail to make enough progress within 10-20 years to add at least 20 to 30 years to current life expectancy from which point progress will rapidly accelerate due to increased funding turning aging at the very least into a manageable albeit a chronic incurable condition until the turn of the 22nd century. We must also factor in that there is also a possibility that we could find a faster route if a few more technologies like CRISPR were to be developed. Were that to happen things could move forward very rapidly. In the short term I'm confident that we will achieve significant positive results within a year or two in research on mice and that the knowledge acquired will then be transferred to humans within around a decade. According to ADG, a dystopian version of the post-aging world like in the film 'In Time' not plausible in the real world: "If you CAREFULLY watch just the first

The second way is dealing with the symptoms of friction troubles. This work includes the “therapy” that Sandra talked about: keeping others and yourself sane and motivated so that you can survive broken systems together and be fortified with the grit and gumption to repair them. Friction fixers also help others deal with symptoms by guiding them through the best—or least bad—paths through the muck. Friction fixers serve as shock absorbers, too: doing routine chores, dealing with reasonable and unreasonable demands and interruptions, and enduring unwarranted cruelty so that others don’t have to.

Implying that realities are merely psychotic experiences or that they exist in a realm that is not legitimate disregards Indigenous belief systems, which value spiritual experiences and recognize the impact of ancestral trauma

Sadly, disturbing experiences, whether major traumas or other kinds of upsetting events, can overwhelm the system. When that happens, the intense emotional and physical disturbance caused by the situation prevents the information processing system from making the internal connections needed to take it to a resolution. Instead, the memory of the situation becomes stored in the brain as you experienced it. What you saw and felt, the image, the emotions, the physical sensations and the thoughts become encoded in memory in their original, unprocessed form.

Our value system impacts our actions and influences every decision we make. Simply put, who we are determines how we do everything.

Three months after he received the cells, the boy’s father noticed his son’s eyes tracking a ball that his brother was bouncing. Suddenly the boy could see! There had been nothing wrong with his eyes. Instead, his blindness was caused by damage to his cerebral cortex. After several more treatments, the boy started to hear and talk, and could eventually walk with the aid of a walker. His parents were ecstatic. What I believe happened with our cultured cells is that they moved through the bloodstream to the damaged area, homing in on the site of the injury. Once there, the cells stimulated the formation of new blood vessels and secreted trophic factors, or bioactive molecules that encouraged new cell growth. Because the boy was so young and his system was so responsive, when blood started to flow to these areas, it jumpstarted his neural development and stimulated it to continue on a normal path, repairing some of the functions that had been damaged by his cerebral palsy.

Throat Let your fingers touch each other as you cup your hands on the bottom of the throat. Be gentle, and hold on to your hands, but do not touch your throat. Helping the thyroid and parathyroid gland, vocal cords, larynx, and lymph nodes, this hand position handles the throat (fifth) chakra that regulates neck and chest. This is the seat of communication and expression. Using therapy to help the patient speak, speak their minds, talk for themselves, and tell their reality. It's also perfect for writer’s block! Collarbone Place your hands with your fingers pointing to the middle of your chest on the sides of your arms. This position gives Reiki to the area of the thymus between the chakras of the throat and the neck. For immune function, the thymus gland is essential. Place yourself behind or on the recipient's side for this next position (it all depends on your height logistics, their height, and how far you can stretch!). Back of the neck and front of the heart Put your left hand under the neck area and your right hand over the top of the heart area of the middle. This role incorporates heart and back care of the heart. They address two regions simultaneously: the chakra of the throat and the chakra of the heart, which helps to express one's heart or to say one's reality. This is a good position to handle high blood pressure; any position on the neck actually helps reduce high blood pressure. Heart Place the hands in a T, a hand positioned horizontally above the breasts, and a hand placed vertically between the breasts. Treating the heart (fourth) chakra governs everything related to the circulatory system, including the pulse, veins, and arteries; the lungs (related to the chakras of the heart and throat); the breasts; and the thymus. Opening Reiki's heart chakra increases the supply of affection, air, and nourishment that can be received and offered. The recipient feels acceptance and a sense of love and compassion when the heart chakra is free and moving.

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She knew that she should feel discontentment, connected to a large chain of disenfranchisement or systemic persecution--it's not that black death and the news of the world didn't touch her spirit--but she was somewhat ashamed to say, in therapy or publicly, that the bulk of her discontentment came from having very little about which to be discontented.

Twenty years after working with Mary, I met Richard Schwartz, the developer of internal family systems therapy (IFS). It was through his work that Minsky’s “family” metaphor truly came to life for me and offered a systematic way to work with the split-off parts that result from trauma. At the core of IFS is the notion that the mind of each of us is like a family in which the members have different levels of maturity, excitability, wisdom, and pain. The parts form a network or system in which change in any one part will affect all the others.

Now there is no normal process except death which completely clears the brain from all past impressions; and after death, it is impossible to set it going again. Of all normal processes, sleep comes the nearest to a non-pathological clearing. How often we find that the best way to handle a complicated worry or an intellectual muddle is to sleep over it! However, sleep does not clear away the deeper memories, nor indeed is a sufficiently malignant state of worry compatible with an adequate sleep. We are thus often forced to resort to more violent types of intervention in the memory cycle. The more violent of these involve a surgical intervention into the brain, leaving behind it permanent damage, mutilation, and the abridgment of the powers of the victim, as the mammalian central nervous system seems to possess no powers whatever of regeneration. The principal type of surgical intervention which has been practiced is known as prefrontal lobotomy, and consists in the removal or isolation of a portion of the prefrontal lobe of the cortex. It has recently been having a certain vogue, probably not unconnected with the fact that it makes the custodial care of many patients easier. Let me remark in passing that killing them makes their custodial care still easier. However, prefrontal lobotomy does seem to have a genuine effect on malignant worry, not by bringing the patient nearer to a solution of his problems but by damaging or destroying the capacity for maintained worry, known in the terminology of another profession as the conscience. More generally, it appears to limit all aspects of the circulating memory, the ability to keep in mind a situation not actually presented. The various forms of shock treatment—electric, insulin, metrazol—are less drastic methods of doing a very similar thing. They do not destroy brain tissue or at least are not intended to destroy it, but they do have a decidedly damaging effect on the memory. In so far as this concerns the circulating memory, and in so far as this memory is chiefly damaged for the recent period of mental disorder, and is probably scarcely worth preserving anyhow, shock treatment has something definite to recommend it as against lobotomy; but it is not always free from deleterious effects on the permanent memory and the personality. As it stands at present, it is another violent, imperfectly understood, imperfectly controlled method to interrupt a mental vicious circle. This does not prevent its being in many cases the best thing we can do at present.

Lobotomy and shock treatment are methods which by their very nature are more suited to handle vicious circulating memories and malignant worries than the deeper-seated permanent memories, though it is not impossible that they may have some effect here too. As we have said, in long-established cases of mental disorder, the permanent memory is as badly deranged as the circulating memory. We do not seem to possess any purely pharmaceutical or surgical weapon for intervening differentially in the permanent memory. This is where psychoanalysis and other similar psychotherapeutic measures come in. Whether psychoanalysis is taken in the orthodox Freudian sense or in the modified senses of Jung and of Adler, or whether our psychotherapy is not strictly psychoanalytic at all, our treatment is clearly based on the concept that the stored information of the mind lies on many levels of accessibility and is much richer and more varied than that which is accessible by direct unaided introspection; that it is vitally conditioned by affective experiences which we cannot always uncover by such introspection, either because they never were made explicit in our adult language, or because they have been buried by a definite mechanism, affective though generally involuntary; and that the content of these stored experiences, as well as their affective tone, conditions much of our later activity in ways which may well be pathological. The technique of the psychoanalyst consists in a series of means to discover and interpret these hidden memories, to make the patient accept them for what they are and by their acceptance modify, if not their content, at least the affective tone they carry, and thus make them less harmful. All this is perfectly consistent with the point of view of this book. It perhaps explains, too, why there are circumstances where a joint use of shock treatment and psychotherapy is indicated, combining a physical or pharmacological therapy for the phenomena of reverberation in the nervous system, and a psychological therapy for the long-time memories which, without interference, might reestablish from within the vicious circle broken up by the shock treatment.

We have lost two things that we need to be well: darkness and silence. Our nervous systems are polluted with noise and electric lights. The affluent do 'dark therapy' and silent retreats. You have to buy silence and darkness, because the civilised world doesn't provide it for free. It trains us to be afraid of silence and darkness. And in exchange for our fear, it entertains us with noise and lights. Noise and lights stand in for lost meaning and lost power. They are false idols that replace the sacred. We are prisoners of our civilisation, tortured with noise and lights, unable to rest.

During EMDR, both the protocol and the bilateral stimulation contribute to the simultaneous activation of previously disconnected elements of neural, mental, and interpersonal processes. This simultaneous activation then primes the system to achieve new levels of integration.

A dysregulated nervous system is the most confining prison that can trap you. But if you can understand the bodily cues of safety and danger, you can learn how to regulate your responses and harness the most effective key to free your mind.

Having a family or normal life of any kind was out of the question. Jesus had great compassion for people with leprosy.29 He understood that their suffering was rooted in a strange condition. They didn’t feel pain. Now, normally we are all in favor of not feeling pain. We take pills. We drink and drug and act out sexually to escape it. We lose ourselves in TV and volunteering and staying busy. We do not like pain. It turns out that leprosy deadens pain. The disease does that by killing nerve endings, and as a result people get hurt. They lose parts of their body and suffer disfigurement and ugly discoloration from burns and other injuries. Because if you can’t feel pain, you don’t know when something is wrong. You don’t want to miss this. For most of the world, leprosy is not a thing anymore, at least for our bodies. But in our hearts, I’d say we suffer from a virtual epidemic. We do not want to feel pain. Or discomfort. Or any type of negative emotion at all. Somewhere along the line, we’ve missed the reality that our negative emotions are among the most important guides to our inner health—if we listen to them.

Maybe you have been taking a dose of vitamin D that you think is high enough, but if your PTH levels aren’t coming down this means you’re not taking enough vitamin D. If you aren't influencing the parathyroid, you can't be influencing the immune system.

EMDR therapy targets the unprocessed memories that contain the negative emotions, sensations and beliefs. By activating the brain’s information processing system (which will be explained in Chapter 2), the old memories can then be “digested.” Meaning what is useful is learned, what’s useless is discarded, and the memory is now stored in a way that is no longer damaging.

This is fucking bullshit!” I slip my feet into my fluffy slippers, pull my robe closed, and march across the street. As I bang on the front door, it flings open. There are at least a half-dozen naked women traipsing across the room, gyrating on beefy athletes and doing God knows what. My eyes dart to the sound system, and since I’ve given into my inner psycho, I head straight to it and yank the plug out of the wall. The silence makes everyone look up, and I realize I’m staring at my brother, who looks horrified to see me. And then I realize why and turn away before I hurl. Because the girl down on her knees in front of him is obviously not praying. Jesus, I’m gonna need so much therapy one day. I clear my throat and address the crowd at large. “Some people have to work tomorrow, assholes. Can you keep it the fuck down? Stop terrorizing this neighborhood. The world does not revolve around you and your dumb football games!” I’m screeching. I can’t help it. I’m half-asleep and so hungry I’m nauseous. My eyelids flutter. God, I feel woozy. It’s almost like… Almost like… that time I passed out. Oh, shit. Am I going to pass out again? I can’t remember the last time I ate. Jason and I were supposed to get dinner, which turned into soggy nachos from the gas station, which I passed on. I blink. And blink again. Everything feels fuzzy, like it’s wrapped in film. I don’t even care that Jason is here, and he’s missing clothes. “Shit, Gabby. This isn’t what it looks like.” Ignoring him, I stumble to what I think is the front door, lean against it, and close my eyes. I want to tell Jason to leave me alone, except I’m afraid I’m going to drop to the floor if I let go of the doorframe. Then I hear the little cry. It sounds like a baby. And that’s when I know I must be losing my mind.

The shibboleth “family values,” expressed by catchphrases like “bad mothering” and “absent fathering,” trickles down into “family systems therapy,” which has become the single most important set of ideas determining the theory of societal dysfunction and the practice of mental health. Yet all along a little elf whispers another tale: “You are different; you’re not like anyone in the family; you don’t really belong.

Since then neuroscience research has shown that we possess two distinct forms of self-awareness: one that keeps track of the self across time and one that registers the self in the present moment. The first, our autobiographical self, creates connections among experiences and assembles them into a coherent story. This system is rooted in language. Our narratives change with the telling, as our perspective changes and as we incorporate new input.

Then in March 1993, everything changed. My one-year-old son, Charlie, had his first seizure. There’s absolutely nothing funny about being the parent of a child with uncontrolled epilepsy. Nothing. After a year of daily seizures, drugs, and a brain surgery, I learned that the cure for Charlie’s epilepsy, the ketogenic diet—a high fat, no sugar, limited protein diet—had been hiding in plain sight for, by then, over seventy years. And despite the diet’s being well documented in medical texts, none of the half-dozen pediatric neurologists we had taken Charlie to see had mentioned a word about it. I found out on my own at a medical library. It was life altering—not just for Charlie and my family, but for tens of thousands like us. Turns out there are powerful forces at work within our health care system that don’t necessarily prioritize good health. For decades, physicians have barely been taught diet therapy or even nutrition in medical school. The pharmaceutical, medical device, and sugar industries make hundreds of billions every year on anti-epileptic drugs and processed foods—but not a nickel if we change what we eat. The cardiology community and American Heart Association demonize fat based on flawed science. Hospitals profit from tests and procedures, but again no money from diet therapy. There is a world epilepsy population of over sixty million people. Most of those people begin having their seizures as children, and only a minuscule percentage ever find out about ketogenic diet therapies. When I realized that 99 percent of what had happened to Charlie and my family was unnecessary, and that there were millions of families worldwide in the same situation, I needed to try to do something. Nancy and I began the Charlie Foundation (charliefoundation.org) in 1994 in order to facilitate research and get the word directly to those who would benefit. Among the high points were countless articles, a couple appearances of Charlie’s story on Dateline NBC, and a movie I produced and directed about another family whose child’s epilepsy had been cured by the ketogenic diet starring Meryl Streep titled First Do No Harm (1997). Today, of course, the diet permeates social media. When we started, there was one hospital in the world offering ketogenic diet therapy. Today, there are 250. Equally important, word about the efficacy of the ketogenic diet for epilepsy spread within the scientific community. In 1995, we hosted the first of many scientific global symposia focused on the diet. As research into its mechanisms and applications has spiked, incredibly the professional communities have found the same metabolic pathway that is triggered by the ketogenic diet to reduce seizures has also been found to benefit Alzheimer’s disease, ALS, severe psychiatric disorders, traumatic brain injury, and even some cancers. I

Rheumatoid arthritis (RA) is an autoimmune disorder in which the body’s immune system attacks its joint tissue. RA patients often depend on medication and targeted physical therapy to mitigate symptoms.

Unlike AIDS drugs (like AZT) which burden the liver and immune system with toxic substances, ozone overcomes the AIDS virus by simply oxidizing the molecules in the shell of the virus. When the ozone molecules dissolve into the blood, they release their 3rd oxygen atom, thereby causing hyper-oxygenation that destroys all viruses and disease microorganisms while leaving normal cells unharmed. Today, it is possible to receive ozone therapy through blood infusions at select doctors’ offices. While most traditional doctors have not yet begun offering this therapy, it is not difficult to find a list of enlightened medical practitioners, clinics and hospitals that offer ozone therapy. Just do a search on any Internet search engine, using “ozone therapy,” as well as your city or country as keywords.

Trauma can be defined in terms of the relationship you establish with an event. Becoming traumatized depends on how your system responds to the way you perceive, interpret, and interact with the events you experience as overwhelming/shocking/threatening. Trauma is not the event itself!

Therapy, whether physical or social, is a counter-irritant that aids in that equilibrium of the physical organs which protect the central nervous system. Whereas pleasure is a counter-irritant (e.g., sports, entertainment, and alcohol), comfort is the removal of irritants. Both pleasure and comfort are strategies of equilibrium for the central nervous system.

Instead of talking about their feelings, EI people express themselves nonverbally through emotional contagion (Hatfield, Rapson, and Le 2009), coming across your boundaries and getting you as upset as they are. In family systems theory, this absence of healthy boundaries is called emotional fusion (Bowen 1985), while in structural family therapy it is called enmeshment (Minuchin 1974). This is the process by which EI family members get absorbed into each other’s emotions and psychological issues.

Ayurvedic Clinic in Vadodara: Natural Healing for Body and Mind A Journey to Wellness: Top Ayurvedic Clinic in Vadodara Introduction Vadodara, a vibrant city steeped in history and culture, is also a hub for holistic healing. Ayurvedic practices have been deeply ingrained in the city's heritage, and today, it boasts a plethora of reputable Ayurvedic clinics offering a wide range of treatments and therapies. Understanding Ayurveda Ayurveda, the ancient Indian system of medicine, emphasizes holistic well-being by balancing the body, mind, and spirit. It incorporates natural remedies, herbal formulations, and lifestyle modifications to address various health concerns. At Dhanshree Ayurveda, we believe in the transformative power of ancient Ayurvedic wisdom. Our clinic in Vadodara is dedicated to providing authentic Ayurvedic treatments, combined with modern approaches, to cater to the diverse needs of our patients. Experience the natural healing essence of Ayurveda and embark on a journey towards optimal well-being.

Basic misunderstandings about DID encountered in the therapeutic community include the following: ° The expectation that all clients with DID will present in a Sybil-like manner, with obvious switching and extreme changes in personality. ° That therapists create DID in their clients. ° That DID clients have very little control over their internal systems and can be expected to stay in the mental health system indefinitely. ° That alter personalities, especially child alters, are simply regressive states associated with anxiety or that switching represents a psychotic episode. Anyone who experiences dissociation on a regular basis knows better, however. DID is not only disruptive to everyday life but is also confusing and, at times, frightening.

The memory mapping system is an intrinsic part of the Memorize system once your memories are uploaded into it and mapped accordingly, your memory therapy sessions can begin; you only have one Memory Evangeline and if its corrupted by fragmented recollections we try to restore those and eliminate any horrors they contain. Celt explained.

I don't have anything against therapy, by the way; it's great for other people. It's just that, personally, I see the enterprise as proceeding from the same premises that cause the problems it seeks to treat. For you guys, what I am, fundamentally, is a closed system, a container of ego and id and biological imperatives. That I'm not may be a fiction, but if I can't imagine a reference point larger than myself, morally speaking, then what's the use?

SMELL (OLFACTORY): Our nose contains sensory receptors which send information to the olfactory bulb located in the mid-brain. The interesting fact about smells is that a smell can take a direct “shortcut” to the part of the brain that is responsible for emotional memory—the limbic system.

When our threat system quickly narrows our attention, our thoughts follow. This is one of the reasons we can feel trapped by our anger, why we may make decisions that don’t seem to make sense when we examine them later. We tend to lose perspective when our threat system takes over. It becomes difficult to think flexibly and to gather information that isn’t directly related to the perceived threat.

Historically in the literature CBT [Cognitive Behavioral Therapy] was inappropriately touted as a cure for patients with ME/CFS if they changed their “belief system”. ME/CFS is a physical illness and not a psychological illness, therefore CBT cannot cure ME/ CFS. What CBT can do is to help patients cope with being chronically ill and manage their emotional reactions better so that they do not waste valuable energy on worrying or feeling guilty about things that they cannot control. We like to think of CBT as “emotional energy conservation”.

Conventional cancer therapies damage the blood, liver, and immune system so severely that if they fail, as they usually do, the patient no longer enjoys the option to try alternative holistic therapies, which can work only in conjunction with the body's natural defence mechanisms. Therefore, if you get cancer, consider alternative therapies first, because even if they don't help you, at least they won't harm you, and you can always let conventional doctors try to poison, burn, or cut the cancer out of your system later if you wish.

RE’EQUIL stands for re-balance and it is the essence of our series of ‘Health Re-balancing’ products. We believe beauty is not just external. It requires internal re-balancing of our system.

I’ve found Feeling Good: The New Mood Therapy (Collins) and The Feeling Good Handbook (Plume) to be extremely helpful and highly regarded books in the area of managing stress in productive ways. Many

Whether you're looking to upgrade your look with hair extensions or grow a head full of healthy hair, helping you reach your own unique state of hair happiness is what Nina Ross Hair Therapy is all about. No matter the method, my goal is to keep you in a forever love affair with your hair. Wouldn't that be nice? Consider me your hair happiness partner-in-crime! Hair Extensions, Custom Made Wigs and hair replacement system in Atlanta are effortless way to make your hair dreams a reality.

Feel relaxed and renewed after each session of our oriental massage London which is the erotic blend of present techniques and ancient therapies. Our masseuses will rub and stroke you in a way to trigger the free and uninterrupted energy flow throughout your body. The massage session will help you to maintain the balance between your mental, physical and spiritual systems.

It’s ironic that our nearly three trillion dollar medical system actually has some of the most sophisticated diagnostic equipment available in the world, which detects and measures energies and frequencies in the body. This diagnostic equipment includes devices you probably heard of like MRIs (Magnetic Resonance Imaging), PET scans (Positron Emission Tomography), CAT scans (Computed Axial Tomography), EEGs (Electro encephalograms), EKGs (Electrocardiography), ultrasound devices and more. Our medical system diagnoses the body energetically with modern physics (Quantum Field Theory), and then treats with drugs and surgery (Newtonian Science). What is wrong with this picture? The Book Of Science is Constantly Being Rewritten Nothing is so fatal to the progress of the human mind as to suppose our views of science are ultimate; that there are no new mysteries in nature; that our triumphs are complete; and that there are no new worlds to conquer. —Humphry Davy (from a public lecture given in 1810)

the most sophisticated diagnostic equipment available in the world, which detects and measures energies and frequencies in the body. This diagnostic equipment includes devices you probably heard of like MRIs (Magnetic Resonance Imaging), PET scans (Positron Emission Tomography), CAT scans (Computed Axial Tomography), EEGs (Electro encephalograms), EKGs (Electrocardiography), ultrasound devices and more. Our medical system diagnoses the body energetically with modern physics (Quantum Field Theory), and then treats with drugs and surgery (Newtonian Science). What is wrong with this picture?

Mindfulness works out your brain and builds ‘thinking roads’ that enable you to be less fearful of the future and the now, and fully immerse yourself in truly living life. The more you practise, the more your brain structurally changes and engages your self-soothing system.

by coaching individual family members to change themselves in the context of their nuclear and parental family systems (McGoldrick

Life Path # 11: You are highly intuitive and you are gifted with amazing psychic abilities. Without any effort you become a source of inspiration for other people. You have this innate ability to connect the subconscious and the conscious and the higher and the lower realms. You are a natural psychic. Eleven is the life path of many prophets, inventors, historical leaders, religious leaders and artists. They usually don’t progress early in life but they are destined to accomplish more than other life paths. When they reach the age of maturity (35-45) their success starts to bloom. Confidence is the key to success for the Eleven. Your tremendous potential needs equally tremendous confidence for you to realize your dreams. Without confidence, you are reduced to nothing. As a higher vibration of the number 2, you have many characteristics, talents and tendencies inherent to the Twos. You have to guard your nervous system from stress. Seek out peace and harmony and you will find it in nature. Exercise and diet is necessary for you. Just like the number 2, you love harmony and peace and you possess a refined taste for beauty. You are best suited to anything that requires healing like physical therapy, acupuncture, massage and counseling. As a partner, you know what your partner needs and desires.

A Report in 1996 by the Environmental Protection Agency (EPA) found a link between harmful electromagnetic fields and cancer. The Air Force and White House apparently tried to suppress this report because they felt it might be unnecessarily alarming to the public, but some EPA staff members were so alarmed they leaked a draft copy of the findings to the press. The suppressed report concluded40: “Studies showing leukemia, lymphoma and cancer of the nervous system in children exposed to magnetic fields from residential 60 Hz electrical power distribution systems, supported by similar findings in adults in several occupational studies also involving electrical power frequency exposures, show a consistent pattern of response that suggests, but does not prove a causal link.

The United States alone sports an inventive spectrum of psychotherapeutic sects and schools: Freudians, Jungians, Kleinians; narrative, interpersonal, transpersonal therapists; cognitive, behavioral, cognitive-behavioral practitioners; Kohutians Rogerians, Kernbergians; aficionados of control mastery, hypnotherapy, neurolingustic programming, eye movement desensitization- that list does not even complete the top twenty. The disparate doctrines of these proliferative, radiating divisions, often reach mutually exclusive conclusions about therapeutic propriety: talk about this, not that; answer questions, or don’t; sit facing the patient, next to the patient, behind the patient. Yet no approach has ever proven its method superior to any other. Strip away a therapist’s orientation, the journal he reads, the books on his shelves, the meetings he attends- the cognitive framework his rational mind demands – and what is left to define the psychotherapy he conducts? Himself. The person of the therapist is the converting catalyst, not his order or credo, not his spatial location in the room, not his exquisitely chosen words or denominational silences. So long as the rules of a therapeutic system do not hinder limbic transmission - a critical caveat - they remain inconsequential, neocortical distractions. The dispensable trappings of dogma may determine what a therapist thinks he is doing, what he talks about when he talks about therapy, but the agent of change is who he is.

Everything was going to be fine and if it wasn’t…there was always therapy.

Interlocking pathology in family relationships. In S. Rado and G. Daniels (Eds.), Changing concepts of psychoanalytic medicine (pp. 135–150). New York: Grune and Stratton. Ackerman, N. W. (1958). The psychodynamics of family life. New York: Basic Books. Bateson, G., Jackson, D. D., Haley, J. & Weakland, J. (1956). Toward a theory of schizophrenia. Behavioral Science, 1, 251–164. Bowen, M. (1972). Toward the differentiation of self in one’s family of origin. In Georgetown Family Symposia: A collection of selected papers (Vol.1, 1971–1972). Washington, DC: Georgetown University Family Center. Bowen, M. (1976). Family theory in the practice of psychotherapy. In P. Guerin (Ed.), Family therapy: Theory and practice (pp. 335–348). New York: Gardner Press. Bowen, M. (1978). Family therapy

need to have a prostate biopsy to confirm that the cancer recurrence is local; you will also need a bone scan and CT scan or MRI of the abdomen and pelvis to rule out the possibility that cancer has spread to distant sites. The guidelines above (see What Should I Do If My PSA Comes Back After Surgery?) may one day be adapted for men who have failed radiation treatment, but the overriding principles can be useful here in identifying the likelihood of metastases. If you have a high Gleason score (8 or greater), or if the PSA level begins to rise early after radiation therapy, or if the PSA level has a rapid doubling time, it is more likely that you have metastases than a local recurrence, and in this case, you should seek systemic therapy (see chapter 13).

Dr. Margaret Naeser and colleagues from Harvard, MIT, and Boston University, including Harvard professor Michael Hamblin, a world leader in understanding how light therapy works at the cellular level. Hamblin, at Massachusetts General Hospital’s Wellman Center for Photomedicine, specializes in the use of light to activate the immune system in treating cancer and cardiac disease; he was now branching out into its use for brain injuries. Building on lab work that applied laser therapy to the top of the head (transcranial laser therapy), the Boston group had studied its use in traumatic brain injury and found laser treatment helpful. Naeser, a research professor at the Boston University School of Medicine, had done studies using lasers for stroke and paralysis and was one of several pioneers using “laser acupuncture” by placing light on acupuncture points.

brain and other nerve-related problems such as headaches from concussions, vascular dementia (dementia caused by blood vessel problems in the brain), migraines, Bell’s palsy (a paralysis of the facial nerve), and tinnitus (ringing of the ears). He emphasized he was influenced by research that had been done in Israel on light therapy and the brain. Dr. Shimon Rochkind, a neurosurgeon at Tel Aviv University, originally pioneered work using lasers to treat injuries in the peripheral nervous system, that is, all the nerves in the body except those in the brain and spinal cord. Injury to peripheral nerves can lead to problems sensing or moving.

overriding principles can be useful here in identifying the likelihood of metastases. If you have a high Gleason score (8 or greater), or if the PSA level begins to rise early after radiation therapy, or if the PSA level has a rapid doubling time, it is more likely that you have metastases than a local recurrence, and in this case, you should seek systemic therapy (see chapter 13).

We survive largely because of the existence and recognition of high-end qualities—compassion, integrity, courage, humility, etc. These are how we perceive spirit. Even the most cynical and fatalistic bastard will snap out of self-absorption, abuse and hopelessness when confronted by an extreme expression of any one of these qualities. (Case studies show that this also applies even to rapists and murderers, not always, but more so than any other technique or therapy.) That is, beyond belief, the desire to feel good, or even hope or despair, there does exist an essential intuitive value system in each of us. This runs through and across every culture, and even every species. I don’t believe that those intuitive values are there to fool us into occupying ourselves so as to feel good while waiting for the inevitable to happen. Nature is not so decadent. Or cynical.

This intelligence knows how to maintain order among all of the cells, tissues, organs, and systems of the body because it created the body from two individual cells. Again, the power that made the body is the power that maintains and heals the body. My subjects’ illnesses signified that, to some extent, they had gotten out of touch or distanced themselves from part of their connection with this higher order. Maybe their own thinking had somehow directed this intelligence toward illness and away from health. But they came to understand that if they tapped into this intelligence and used their thoughts to direct it, it would know how to heal their bodies for them. Their greater mind already knew how to take care of business, if they could only make contact with it. The abilities of this innate intelligence, subconscious mind, or spiritual nature are far greater than any pill, therapy, or treatment, and it is only waiting for our permission to willfully act. We are riding on the back of a giant, and we’re getting a free ride. Coincidence

Prolonged exposure therapy, a variant of flooding, attempts to maintain a high level of fear arousal, but its key premise is that all aspects of fear, as defined by Lang’s three response systems (behavioral avoidance, physiological responses, and verbal behavior), have to be reduced in order for exposure to be effective.

It has been a long road for us as family therapists to reach an understanding of just this phenomenon-the sense of the whole, the family system. While we could have explained the theory of meeting with the whole family to the Brices, at that anxious moment it would not have touched them. There are situations where, in the words of Franz Alexander, the woice of the intellent is too soft. The family needed to test us. They needed the experience of our being firm. As unpleasant as it was, our response must have reassured them. They knew, and we sensed, how difficult their situation was and how tumultuous it could become. They simply has to know that we could withstand the stress if they dared open it up.

Not everyone who has killed themselves because they were HIV positive would have been killed by AIDS.

Over the last few years the counselling, the friendships and the holistic therapies she has embraced have enabled her to win back her personality, a character which has been smothered by her husband, the royal system, and the public’s expectations towards their fairy-tale princess. The woman behind the mask is not a flighty, skittish young thing nor a vision of saintly perfection. She is, however, a much quieter, introverted and private person than many would like to believe. As Carolyn Bartholomew says: “She has never liked the media although they’ve been friends to her. Actually she has always been shy of them.” As she has matured over the last three years the physical changes in her have been noticeable. When she asked Sam McKnight to cut her hair in a shorter sportier style it was a public statement of the way she felt she had altered. Her voice, too, is a barometer of the way she has matured. When she speaks of the “dark ages”, her tone is flat and soft, almost fading to nothing, as though dredging thoughts from a dim recess of her heart which she only visits with trepidation. When she is feeling “centered”. And in charge of herself her voice is lively, colourful and brimming with wry amusement. When Oonagh Toffolo first visited Diana at Kensington Palace in September 1989 she observed that the Princess was timid and would never look her straight in the eye. She says: “Over the last two years she has got in touch with her own nature and has found a new confidence and sense of liberation which she had never known before.” Her observation is borne out by others. As one friend who first met Diana in 1989 recalls: “My initial impression was of a very shy and retiring person. She bowed her head low and hardly looked at me when she spoke. Diana emanated such sadness and vulnerability that I just wanted to give her a hug. She has matured enormously since that time. She now has a purpose in life and is no longer the lost soul of that first meeting.

Mills, R. S. L. (2005). Taking stock of the developmental literature on shame. Developmental Review, 25, 26–63. Schore,

This chapter explores how interpersonal trauma can unleash the destructive force of shame into both external and internal relationships, morphing a dangerous event into a dangerous identity, which psychiatric symptoms—the behaviors of parts—are attempting to handle. Chapter

To establish a bridge of attunement, we rely on many neural systems that receive and send social and emotional information. We use all of this information to create theories about what is on the minds of others.

Thoughts are like blossoms on a flower—there's a stem and then a whole root system beneath them. Thought substitution alone is like plucking off a dandelion bloom, glue-gunning a daffodil blossom on the stem, and expecting daffodils to keep blooming.

A trigger is nothing more than a sound, a smell, or some other form of sensory input that our threat-response system associates—however tangentially—with our experiences of past painful learning.

numerous studies link gluten, the protein found in wheat, spelt, barley, rye and similar grains to Hashimoto’s.25 26 27 28 29 30 31 32 If the person is already on a gluten-free diet, I will have them consume wheat for two weeks and then repeat the test, providing gluten doesn’t cause other severe symptoms. A positive antibody test confirms an autoimmune thyroid condition and indicates that the immune system, not the thyroid gland, is the target for therapy.

STEP THREE: MAXIMIZE YOUR ENERGY & REGENERATION Consider what aspects of Vitality Pharmacy (Chapter 10) might help you accelerate your energy, your strength, your vitality. Or help you to recover from challenges you may be facing. 1. Are you going to expand your capacity by optimizing your hormones through H.O.T. (hormone optimization therapy)? 2. Would peptides be something you may want to consider? Are there any peptides that you’d like to look into that could make a difference in anything from your immune system to sexual desire and drive? 3. What are some of the pharmaceutical-grade supplements that you might want to have to start your day with energy or to get yourself to sleep at night without side effects? 4. Or would you like to tap into NAD3 or other NMN-like products to maximize your energy and vitality?

STEP THREE: MAXIMIZE YOUR ENERGY & REGENERATION Consider what aspects of Vitality Pharmacy (Chapter 10) might help you accelerate your energy, your strength, your vitality. Or help you to recover from challenges you may be facing. 1. Are you going to expand your capacity by optimizing your hormones through H.O.T. (hormone optimization therapy)? 2. Would peptides be something you may want to consider? Are there any peptides that you’d like to look into that could make a difference in anything from your immune system to sexual desire and drive? 3. What are some of the pharmaceutical-grade supplements that you might want to have to start your day with energy or to get yourself to sleep at night without side effects? 4. Or would you like to tap into NAD3 or other NMN-like products to maximize your energy and vitality? STEP

Monitoring and Supporting Hashimoto’s ​• ​After Hashimoto’s is assessed with a positive TPO and/or TGB serum antibody test, establish TH-1 or TH-2 dominance with an immunological serum test. Look at the percentage values, not the total. ​• ​A TH-1 serum profile includes interferon, IL-2, IL-12, interferon-gamma, and TNF alpha. ​• ​A TH-2 serum profile includes IL-4, IL-13 and IL-10. ​• ​If the TH-1 cytokines are high, then modulate the autoimmune condition by supporting the TH-2 pathway with TH-2 stimulators. ​• ​If the TH-2 cytokines are high, then support the TH-1 pathway with TH-1 stimulators. ​• ​A CD4/CD8 (T-suppressor cell/T-helper cell) ratio of 2 or higher is an indication that an active antigen is driving the autoimmune response. This test is also a baseline from which to monitor overall progress. ​• ​If an active antigen or hapten is at work, then stimulate the dominant TH pathway to eradicate the antigen or drive it into remission. ​• ​If both TH-1 and TH-2 stimulators make you feel worse, a hapten may be driving the autoimmune condition. In that case, restore the immune barriers. ​• ​In all instances, modulate immune T-helper cell response with therapeutic doses of emulsified vitamin D plus cofactors, fish oil, and liposomal glutathione and superoxide dismutase cream. Have a licensed healthcare practitioner qualified to work with vitamin D therapy prescribe the appropriate dose. ​• ​Add in nutritional compounds individually every three days to monitor response. ​• ​Remove gluten and possibly dairy from the diet and support other systems, organs, and functions in the body.  (Managing blood sugar, digestive function, and adrenal health using functional medicine principles is explained in later chapters.) ​• ​Monitor whether support is effective with follow-up TSH, CD4/CD8, and TH-1 and TH-2 cytokine tests.

STRESS was very probably the trigger.

Don’t be surprised that our bodies react to criticism, rejection and social shaming the same way they do to physical threats. This is because our later evolving social systems were crafted onto preexisting structures dedicated to physical survival. This is also why pain medications and anti inflammatory decrease the pain of social rejection.

The goal of critical therapy is not just analysis or the adaptation and accommodation of the individual to oppressive systems and relationships. The goal is liberation, and in the process, we help to create more collaborative relationships, workspace, and environments and ultimately a more democratic society.

What is sensory integration therapy? This form of occupational therapy helps children and adults with SPD (sensory processing disorder) use all their senses together. These are the senses of touch, taste, smell, sight, and hearing. Sensory integration therapy is claimed to help people with SPD respond to sensory inputs such as light, sound, touch, and others; and change challenging or repetitive behaviours. Someone in the family may have trouble receiving and responding to information through their senses. This is a condition called sensory processing disorder (SPD). These people are over-sensitive to things in their surroundings. This disorder is commonly identified in children and with conditions like autism spectrum disorder. The exact cause of sensory processing disorder is yet to be identified. However, previous studies have proven that over-sensitivity to light and sound has a strong genetic component. Other studies say that those with sensory processing conditions have abnormal brain activity when exposed simultaneously to light and sound. Treatment for sensory processing disorder in children and adults is called sensory integration therapy. Therapy sessions are play-oriented for children, so they should be fun and playful. This may include the use of swings, slides, and trampolines and may be able to calm an anxious child. In addition, children can make appropriate responses. They can also perform more normally. SPD can also affect adults Someone who struggles with SPD should consider receiving occupational therapy, which has an important role in identifying and treating sensory integration issues. Occupational therapists are health professionals using different therapeutic approaches so that people can do every work they need to do, inside and outside their homes. Through occupational therapy, affected individuals are helped to manage their immediate and long-term sensory symptoms. Sensory integration therapy for adults, especially for people living with dementia or Alzheimer's disease, may use everyday sounds, objects, foods, and other items to rouse their feelings and elicit positive responses. Suppose an adult is experiencing agitation or anxiety. In that case, soothing music can calm them, or smelling a scent familiar to them can help lessen their nervous excitement and encourage relaxation, as these things can stimulate their senses. Seniors with Alzheimer's/Dementia can regain their ability to connect with the world around them. This can help improve their well-being overall and quality of life. What Are The Benefits of Sensory Integration Therapy Sensory integration treatment offers several benefits to people with SPD: * efficient organisation of sensory information. These are the things the brain collects from one's senses - smell, touch, sight, etc. * Active involvement in an exploration of the environment. * Maximised ability to function in recreational and other daily activities. * Improved independence with daily living activities. * Improved performance in the home, school, and community. * self-regulations. Affected individuals get the ability to understand and manage their behaviours and understand their feelings about things that happen around them. * Sensory systems modulation. If you are searching for an occupational therapist to work with for a family with a sensory processing disorder, check out the Mission Walk Therapy & Rehabilitation Centre. The occupational therapy team of Mission Walk uses individualised care plans, along with the most advanced techniques, so that patients can perform games, school tasks, and other day-to-day activities with their best functional skills. Call Mission Walk today for more information or a free consultation on sensory integration therapy. Our customer service staff will be happy to help.

Monoclonal antibodies are molecules engineered to restore, boost, or mimic the immune system’s attack on alien cells. The first one was approved for dealing with acute transplant rejection, but anticancer and anti-inflammatory therapies are now most common, and in 2020 the FDA authorized two compounds for the treatment of COVID-19.