Counselor Toolbox Podcast with DocSnipes

Learn how gamification can increase motivation, attention and improve outcomes and explore multiple easy ways to gamify most counseling issues. To access the CEU/OPD/CPD course go to https://allceus.com/counselortoolbox in the US or https://australia.allceus.com/counselortoolbox if you are in Australia

Learn more about your ad choices. Visit megaphone.fm/adchoices

NSSI usually represents a way of dealing with distress the best the person knows how. Learn the reasons for self-injury and interventions to assist you. To access the CEU/OPD/CPD course go to https://allceus.com/counselortoolbox in the US or https://australia.allceus.com/counselortoolbox if you are in Australia.

Learn more about your ad choices. Visit megaphone.fm/adchoices

Learn about factors that we can enhance to help prevent or mitigate mental health and/or addiction issues. To access the CEU/OPD/CPD course go to https://allceus.com/counselortoolbox in the US or https://australia.allceus.com/counselortoolbox if you are in Australia

Learn more about your ad choices. Visit megaphone.fm/adchoices

Learn about how food can be used as addictive behavior and interventions to help people address emotional eating. To access the CEU/OPD/CPD course go to https://allceus.com/counselortoolbox in the US or https://australia.allceus.com/counselortoolbox if you are in Australia

Learn more about your ad choices. Visit megaphone.fm/adchoices

Mind-Body Connection: How Health, Thoughts, Feelings and Behaviors Interact Counselor Toolbox Podcast Episode 433 Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs.com Podcast Host: Counselor Toolbox, Case Management Toolbox Sponsored by TherapyNotes.com Manage your practice securely and efficiently. Two free weeks of TherapyNotes with coupon code “CEU” Objectives - A healthy body is essential to health and happiness. - Explore… - How emotions are created - How physical symptoms including pain, fatigue are created - How is this done (general overview) - ANS/PNS - HPA Axis - Circadian Rhythms - Gut-Brain Axis and the Vagus Nerve - The bidirectional relationship between the mind and body How are Emotions Created (Simplified) - Born with the capacity for anger (fight), fear (flee/freeze), depression (f-It) - Emotional responses are regulated by the autonomic nervous system (ANS) - SNS- Sympathetic (Fight or Flee) - PSNS- Parasympathetic (Rest and Relax) - The limbic system helps control the ANS and PNS - Hippocampus (memory consolidation, learning, attention, olfaction) - Amygdala (fight or flee/survival) - Hypothalamus (hormone regulation (HPA-Axis)) How are Emotions Created - Unconditioned emotional responses are reactions to stimuli which did not need to be learned– i.e. present from birth - Startle (puppy) - Pain-Cry (shots) - “Love”/ “contentment” (kangaroo care) How are Emotions Created - Conditioned emotional responses are learned emotional reactions to stimuli - What things get conditioned and how can they cause or reduce stress- - Dogs/Fire/Police/Guns - Phone Calls - Being Alone (child vs. adult) - Transference - Failure - Rejection - Loss of Control HPA –Axis (Threat Response System) - Secretion of adrenaline, norepinephrine and corticotropin releasing hormone (CRH) - Cortisol is released - Glutamate is released and GABA is inhibited - Blood pressure increases - Blood glucose is elevated - Some 5HT receptors are activated, others are inhibited Neurobiology of Attachment - Hormones including dopamine, norepinephrine, cortisol, oxytocin and the serotonergic system modulate attachment - Opioids may inhibit oxytocin and reduce feelings of social connection How Physical Sensations Are Created - Nociception can occur in the absence of awareness of pain, and pain can occur in the absence of measurably noxious stimuli - CNS receives a pain signal from the PNS (peripheral nervous system) - This triggers the Autonomic Nervous System and HPA-Axis - All pain “information” is transmitted via glutamate - An “inflammatory soup” is created which results in signals to the CNS as well as initiating inflammation which releases substance P and causes vasodilation, leakage of proteins and fluids into the extracellular space near the terminal end of the nociceptor (swelling), and stimulation of immune cells - Substance P is associated with depression and anxiety symptoms Neurotransmitters Pain & Fatigue - Serotonin - 5-HT2A receptor produces anxiety, pain, insomnia - 5HT1A receptors reduce anxiety, pain, insomnia - Serotonin directly and indirectly regulates dopaminergic neurons - GABA may decrease the perception of pain. - Dopamine - Helps relieve pain - Increases energy - Norepinephrine - Activated during pain (emotional and physical) and causes decreased sensitivity to painful stimuli (hypoalgesia) and pain relief (analgesia). - Mobilizes the brain and body for action Gut-Brain Axis - Up to 95% of some neurotransmitters are made in the gut - The gut communicates with the brain via the vagus nerve, the enteric nervous system - Lactobacillus produces acetylcholine - Controls voluntary movement, memory, learning, and sleeping patterns. Excess can cause depression whereas deficiencies cause Dementia - Candida, streptococcus, E. Coli and enterococcus produce 5HT - Serratia (gram neg. bacteria) produces dopamine - Lactobacillus, Bifidbacterium, candida and streptococcus secrete GABA and regulate endocannabinoid expression - A healthy gut microbiome can decrease depression and anxiety, regulate sleep, appetite and improve cognition (1000 species) - An unhealthy gut microbiome contributes to an exaggerated HPA-Axis response Gut-Brain Axis - The effect of acute stress is limited due to microbiota's long time relative stable state, but chronic stress can disturb this balance - The structure of intestinal microbiota is strongly influenced by diet and environmental stressors - Corticotrophin-releasing factor (CRF) plays an important role in changing intestinal permeability - Research suggests that gut-brain axis dysfunction may be involved in the development of mood disorders, schizophrenia, addiction, and neurodevelopmental and neurodegenerative diseases as well as age-related cognitive decline* - The treatment of these conditions may adversely affect the composition of intestinal microbiota since antipsychotics and antidepressants are antibacterial agents Endocannabinoid System - Clinical s...