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8/27/2015

TENSION & TRAUMA RELEASING EXERCISES


DR. DAVID BERCELI
Copyright: Dr. David Berceli www.traumaprevention.com

DISCLAIMER

1. TRE has not been evaluated by the


US Food & Drug Administration or the
American Medical Association.

2. Individuals teaching this technique are


not intending to diagnose, treat, cure,
or prevent any disease.

3. Medical advice must only be obtained


from a physician or qualified health practitioner.

4. Results may vary between individuals.

5. There are no guarantees, expressed, or


implied.

Copyright: Dr. David Berceli www.traumaprevention.com

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PROTECT YOURSELF - RESPECT OTHERS

1. TRADEMARKS: TRE is a registered title and process.


1. COPYRIGHTS: All books, DVDs, printed and electronic TRE materials are protected by copyrights.
They are not allowed to be reproduced without written permission in writing from TRE LLC.
1. INTELLECTUAL PROPERTY RIGHTS (IP): All the information you have learned through the
TRE process is considered intellectual property. When you use this information it must be quoted and
referenced to TRE.
1. PLAGIARISM: When a TRE idea has been critical in developing your own ideas or whenever you
borrow words or ideas from TRE you are required to acknowledge and reference TRE as the source.
This means any public displays, teachings, workshops or TRE trainings (including materials), can
never be taught, demonstrated or written about without acknowledging the source (Dr.David Berceli
TRE LLC) from which you obtained this information or idea.
2. AUTHORIZED TRAINING MATERIALS: Whenever you demonstrate, teach, or offer some form
of public display of the Trauma Releasing Exercises and/or Trauma Recovery Workshop you must
use authorized TRE Materials and/or information.
1. OWNERSHIP: At no time can any other name or title that would otherwise render uncertain or
connote ownership of the TRE name and methodology to their organization or another individual
or organization without permission from TRE, LLC.

Copyright: Dr. David Berceli www.traumaprevention.com

ETHICAL GUIDELINES

ETHICS: Since each person is unique with their own experiences and
beliefs, ethics can be difficult to define. However for TRE, ethics refers to
our standards of conduct when teaching TRE.

INFORMED CONENT: Clients need to be able to make a decision as to


whether they want you to work with them as well as what they agree to have
you do with them.

RIGHT OF FIRST REFUSAL: Clients have the right to refuse the service
for any reason at any time. If they determine that the session should be
stopped right in the middle, their needs must be respected.

CONFIDENTIALITY: Anything that is said or


done within the TRE session cannot be written
or spoken about outside the session without the
consent of the individual.

Copyright: Dr. David Berceli www.traumaprevention.com

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ETHICAL GUIDELINES

BOUNDARIES: can be a physical, emotional or


mental space that the individual needs to feel safe and
respected.

LEGAL, PROFESSIONAL & PERSONAL


BOUNDARIES: are legal rules and regulations
determined by each state, city or country.

TRANSFERENCE: occurs when the client makes the


professional relationship, personal.

COUNTER-TRANSFERENCE: occurs when the


TRE provider is unable to separate their TRE
relationship from their personal feelings surrounding
the client.

Copyright: Dr. David Berceli www.traumaprevention.com

PULSATION

Psycho-emotional Physical

If someone says an event divided his/her life into before and after, that's probably a trauma
Copyright: Dr. David Berceli www.traumaprevention.com

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PULSATION

The human organism naturally pulsates when it is safe.


When it is confronted by a threat its pulsation reduces.
The greater the threat the greater the reduction of pulsation.
If the threat is severe enough the freeze/dissociation response will occur.
The tremor mechanism helps to re-initiate the inhibited/frozen pulsation.

Copyright: Dr. David Berceli www.traumaprevention.com

NEUROLOGY OF TRE

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PSYCHOLOGY VS NEUROLOGY

Psychological Interpretation Neurological Process


Is about the content of the How is the brain processing
brain or the (psycho-emotional) its content: THE STORY
experience of: THE STORY

Copyright: Dr. David Berceli www.traumaprevention.com

TRIUNE BRAIN

NEOCORTEX
Human Brain
Rational, logic, creative,
belief systems,
imagination

LIMBIC SYSTEM
Brain
Emotional
Fight/Flight
Basic Emotions
Fear, Anger, Hate, Hurt, Rage
Mammalian

BRAIN STEM
Reptilian Brain
Instinctual
Respiration
Heart Rate
Blood Pressure
The tremors are evoked by brain stem reaction

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TRAUMA IMPRINT: BRAIN STEM

Bessel van der Kolk reminds us that


the imprint of trauma occurs in the reptilian
brain (stem) not in the cortex. We need a
treatment that addresses the primitive parts
of the brain as well as the cognitive parts.

The imprint of trauma occurs


in the brain stem.

The brain stem is part of the Autonomic Nervous


System (ANS) and is therefore independent of the
cortex and not subject to conscious control. (This
is largely true, but people have trained
themselves to gain conscious control of their
heart rates, for example.)
Copyright: Dr. David Berceli www.traumaprevention.com

CORTEX FUNCTIONING DISENGAGES

During normal life experiences these three


parts of the brain function as one whole
unit.
During stressful experiences the frontal
lobes of the cortex

are disengaged by the activation of the


limbic system
brain stem

The purpose of this neurological separation


is so that the brain will bypass the
executive functioning of the cortex and
activate our instinctual survival responses.

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CORTEX FUNCTIONING DISENGAGES

This instinctual brain process saves us during Bypass executive functioning


the stressor however.. of the pre-frontal cortex

Over time this neurological separation can lead


Activate
to continued instinctual behaviors and instinctual brain
emotions which can create
impulsive, short-sighted even violent
behavior;
increased anxiety;
depression;
substance abuse, and
increased stress related diseases.
These behaviours are what describes the
PERSONALITY OF TRAUMA. It is these
neurological changes that give rise to
individual and cultural behaviors of domestic &
social violence, suicidal ideation.
Copyright: Dr. David Berceli www.traumaprevention.com

HPA AXIS

(HPA) Axis Hypothalamus-Pituitary-Adrenal


Hypothalamus

Pituitary gland

Amygdala

The HPA axis signals the adrenal glands


to produce more of the hormones
adrenaline and cortisol and release
them into the bloodstream. These
hormones speed up heart rate, breathing
rate, blood pressure, and metabolism.
Blood vessels open wider to let more blood Adrenal
flow to large muscle groups. Glands

Copyright: Dr. David Berceli www.traumaprevention.com


Copyright 2008

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ANATOMY OF TREMORS

Copyright: Dr. David Berceli www.traumaprevention.com

MUSCLES & NERVOUS SYSTEM

PRIMARILY
PRIMARILY ACTIVATED BY THE
ACTIVATED BY THE PARASYMPATHETIC
SYMPATHETIC NERVOUS SYSTEM
NERVOUS SYSTEM
When the PNS activates
When the SNS activates the extensor muscles
the flexor muscles the allow us to come into a
extensor muscles are softer, upright, open and
inhibited. receptive posture.

Sumner, G., & Haines, S. (2010). Cranial Intelligence: A practical guide to biodynamic craniosacral therapy. Singing Dragon;
London & Philadelphia.
Copyright: Dr. David Berceli www.traumaprevention.com

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FETAL POSITION

In the fetal position, all major flexor Positive emotions are associated with
muscle groups are shortened, while a lengthening of flexor muscles and
extensor groups are lengthened. postural patterns that are opposite
those of fetal position.

Flexoror Muscles
Flexoror Muscles

Flexoror Muscles

Extension of
Contraction of
Flexoror Muscles
Contraction of

Extension of

Copyright: Dr. David Berceli www.traumaprevention.com

PSOAS MUSCLE

This muscle pattern creates the flexion


response in the body that pulls the body
forward into a fetal position during
traumatic events.

Origin

The psoas (iliopsoas) located in the front


of the transverse processes of the lumbar
vertebrae, causes flexion of the spine
when it contracts.

Insertion

Copyright: Dr. David Berceli www.traumaprevention.com

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CORE MUSCLES OF CONTRACTION

This muscle pattern


creates the flexion Masseter
response in the body Sternocleidomastoid
that pulls the body
forward into a fetal Diaphragm
position during Quadratus lumborum
traumatic events.

Psoas & Iliacus (iliopsoas)


Adductors

Copyright: Dr. David Berceli www.traumaprevention.com

TREMORS

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TRE: SITT has specific unique qualities:


1. Postural or isometric (static) activation
(The tremors can be activated by holding a posture or by
being passively relaxed.)

2. Augmented at rest
(The tremors are assisted in their continuation
by remaining in a rest position.)

3. Wide distribution/migratory
(The tremors travel throughout the body.
They do not only occur in the muscles that we Low frequency =
have stressed.) big movement (high amplitude)
High frequency =
4. Variable amplitude and frequency smaller movement (low amplitude)
(Amplitude explains how much the tremors
move the organism.
The bigger the movement the lower the frequency

Copyright: Dr. David Berceli www.traumaprevention.com

High frequency = low amplitude


(fast tremors = small movements)

Low frequency = high amplitude


(slow tremors = large movements)

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TREMORS EXPLAINED

Copyright: Dr. David Berceli www.traumaprevention.com

PSYCHOLOGY OF TREMORS

Tremors have been used as diagnostic features


in a variety of DSM-5.

Panic attacks trembling or shaking;


Social phobia tremors;
Generalized anxiety disorder trembling or feeling shaky
Post Traumatic Stress Disorder (PTSD); trembling.

The science of psychology has viewed body tremor as


part of the pathological expression of the disorder.

The self-induced therapeutic tremors of TRE are recognized as the


neurophysiological attempt of the human organism to reduce autonomic nervous
system (ANS) reactivity after the threat or danger has ended.

Copyright: Dr. David Berceli www.traumaprevention.com

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NEUROLOGY OF TREMORS

More than 10 distinct types of tremor,


with varying patterns of onset
and degrees of progression,
have been identified.

Rest tremors, Isometric tremors


Postural tremors Parkinsons tremors
Kinetic tremors, Cerebellar tremors
Involuntary tremors Simple tremors
Intentional tremors Essential tremors

Generators of Tremor and Anatomical Pathways


Several brain areas play a key-role in tremorgenesis

A comprehensive review of tremor: by: Kevin T. Wyne, MPAS, MSc. VOL.18, NO. 12 DECEMBER 2005 JAAPA.
www.jaapa.com

Copyright: Dr. David Berceli

NEUROLOGY OF TREMORS

Current Bioinformatics, 2009, Vol. 4, No. 2

Copyright: Dr. David Berceli www.traumaprevention.com

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PHYSIOLOGY OF TREMORS

1960: Rhythmic Neuromuscular Stimulation (RNS): method


(the technique that today's vibration methodology is based on) dates
back to 1960 when Professor. W. Biermann, from the former East
German Republic, described so-called "cyclical vibrations" as being
capable of improving the condition of the joints (by stretching
muscles and tendons) relatively quickly. (Cardinale & Bosco, 2003).

1970: Vibrational therapy: Vibration on human muscles was


utilized by Russian scientist Vladimir Nazarov in the 1970s, on gymnasts
in training for Olympic gold because numerous studies demonstrated
that low-amplitude and low-frequency mechanical stimulation
of the neuromuscular system had positive effects on athletic
performance (Issurin & Tenenbaum, 1999; Cardinale & Bosco, 2003;
Torvinen et al., 2002; Bosco et al., 1999).

Copyright: Dr. David Berceli www.traumaprevention.com

PHYSIOLOGY OF TREMORS

1990: BIOMECHANICAL STIMULATION [BMS]: Over time vibrational therapy developed as a serious
field of research known as Biomechanical Stimulation ([BMS], Bosco et al., 1999). It was then used in
physical therapy and rehabilitation programs to:
1. correct restricted body mobility,
2. improve range of motion,
3. coordination of musculoskeletal and nervous systems
4. increase the rate of healing injuries
5. increase bone density
6. provide pain relief and
7. heal tendons and muscles
(Bosco, Cardinale, & Tsarpela, 1999; Bosco et el., 2000; Bosco et al., 1999).

2000: WHOLE BODY VIBRATION: Biomechanical stimulation has since evolved into the most recent
form of vibrational therapy known as whole body vibration. Whole body vibration has been recently
proposed as an exercise intervention because of its potential for :
1. increasing force generating capacity in the lower limbs
2. positively altering muscle blood volume
3. increasing muscle strength
(Cardinale & Wakeling, 2005; Kerschn-Schindl et al. 2001; Torvinen, et al., 2002).

Copyright: Dr. David Berceli www.traumaprevention.com

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TREMORGENESIS

Several brain areas play a key role in tremorgenesis.

Generators of Tremors
and Anatomical Pathways

the loop between the


cerebellum and the brainstem

Current Bioinformatics, 2009, Vol. 4, No. 2


Copyright: Dr. David Berceli www.traumaprevention.com

TREMORGENESIS

Generators of Tremor and Anatomical Pathways


Several brain areas play a key role in tremorgenesis.

These regions are the key elements of several loops controlling voluntary
movement. Each of these loops has inherent time delays and interact with
sensory feedback signals:
A. the loop between motor cortex and basal ganglia

Current Bioinformatics, 2009, Vol. 4, No. 2


Copyright: Dr. David Berceli www.traumaprevention.com

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TREMORGENESIS

1.8. Generators of Tremor and Anatomical Pathways


B. the loop between the cerebellum, the thalamic nuclei and the motor cortex

Current Bioinformatics, 2009, Vol. 4, No. 2


Copyright: Dr. David Berceli www.traumaprevention.com

1.8. Generators of Tremor and Anatomical


Pathways
TREMORGENESIS

C. the peripheral loops, including the afferences from the muscle spindles to the
alpha-motoneurons (spinal loop) and from the peripheral sensors to the motor
cortex (transcortical loop).
AFFERENT NEURONS: carry nerve impulses from receptors or sense organs
(muscles) towards the central nervous system (brain).

Motor cortex

EFFERENT NEURONS: carry nerve impulses from the central nervous system
(brain) to effectors and sense organs such as muscles.
Current Bioinformatics, 2009, Vol. 4, No. 2
Copyright: Dr. David Berceli www.traumaprevention.com

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TRANSCORTICAL LOOP

Afferent neurons Efferent neurons


carry nerve impulses from carry nerve impulses from
the muscles of the the brain of the Central
Peripheral Nervous Nervous System (CNS) to
System (PNS) to the brain muscles of the Peripheral
in the Central Nervous Nervous System (PNS).
System (CNS).
Copyright: Dr. David Berceli www.traumaprevention.com

PRECAUTIONS

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PRECAUTIONS

Irregular Blood Pressure (High or Low)


Irregular Heart Conditions (surgery, pace makers, arrhythmia)
Physical limitations (broken bones, strains, sprains, chronic aches)
Operations
Hypo or Hyperglycemia (medications)
Pregnancy (use TRE only with professionals in the maternal medical field)
Epilepsy

Psychiatric conditions (with medication- only when trained in psychiatric care)


Manic/depressive
Bi-polar conditions
Schizophrenia
Severe depression
Psychosis
Borderline
Dissociative Disorders

Copyright: Dr. David Berceli www.traumaprevention.com

SCOPE OF PRACTICE GUIDELINES

1. Only work with individuals who are within


your professional scope of practice,
knowledge and skills.

2. Teach TRE self-regulation and


modification techniques as needed.

3. Assess whether or not TRE can be used as Physical limitations


a self-help technique for each person.

4. Present TRE with the focus being on


teaching and empowering the individual to
be able to use TRE as a self-help
technique.

Emotional difficulties
Copyright: Dr. David Berceli www.traumaprevention.com

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FREEZING, FLOODING, DISSOCIATION

Frontal lobes are disengaged in order to bypass the


executive functioning of the cortex and activate our
instinctual survival responses
cortex

limbic system
brain stem
Freezing: This is the experience of stiffness in the joints
(eg. hands & feet) where normal sensation is reduced.
You might feel cold or tingling or numbness.
Flooding: is the feeling of having strong, emotions,
sensations, feelings or thoughts that are too
overwhelming to be integrated into the present moment.
Dissociation: is the experience of temporarily loosing
connection with our thoughts, sensations or feelings.
Copyright: Dr. David Berceli www.traumaprevention.com

FIRST AID INTERVENTIONS


FREEZING, FLOODING, DISSOCIATION

Slide legs
out to stop
the tremors

Open your eyes

Come into a
sitting position

Roll onto the side


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RE-TRAUMATIZATION

The term re-traumatization is used to indicate that a patient experiences dramatic


worsening of symptoms and deterioration of functioning as a result of the treatment
itself.

A session may be considered re-traumatizing if recollections of a past traumatic


event are elicited in a manner that continually escalates fear and helplessness rather
than promoting new learning about safety.

The evidence for re-traumatization in CBT is difficult to interpret, because CBT does
sometimes result in a temporary increase in symptoms, even when the therapy is
proceeding well.
Cognitive-behavioral therapy for PTSD: a case formulation approach.(2007) by: Claudia Zayfert, Carolyn
Black Becker

Only the therapists ability to maintain full contact with both self and client
can counteract the movement toward re-traumatization.
Beyond Empathy: a therapy of contact-in-relationship. (1999) By: Erskine et al.

Copyright: Dr. David Berceli www.traumaprevention.com

SELF-REGULATION

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SELF-REGULATION

SELF-REGULATION: is the ability to tolerate and control ones emotions, thoughts,


feelings, and sensations independently of external supervision or regulation.
SELF-REGULATORY COLLAPSE: is when the individual cannot control their own
overwhelming emotions, thoughts, feelings, and sensations.
Cognitive neuroscience research suggests that successful self-regulation is
dependent on top-down control from the prefrontal cortex over subcortical
regions involved in survival and emotion.

cortex
limbic system
brain stem

Copyright: Dr. David Berceli www.traumaprevention.com

NEUROPLASTICITY
SELF-REGULATION

SELF-REGULATORY FAILURE: occurs whenever the balance is tipped in


favor of subcortical areas, either due to particularly strong impulses or when
prefrontal function itself is impaired.
NEUROPLASTICITY: refers to the ability of the brain and nervous system to
change structurally and functionally as a result of input from the environment.
PLASTICITY: exists in the hypothalamus, amygdala and hippocampus and in the
spinal cord which helps make the neuro-physiological
connections.

cortex
limbic system
brain stem

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NEUROPLASTICITY
SELF-REGULATION

Neuroplasticity can work in two directions;


1. it is responsible for deleting old connections
2. it enables the creation of new connections.
a. Neuron connections that are inefficient or infrequently used are allowed to
fade away. b. Neuron connections that are highly used are preserved,
strengthened, made even more synaptically dense
(called synaptic pruning,).

cortex
limbic system
brain stem

The Mind and the Brain: Neuroplasticity and the Power of Mental Force. by: Jeffrey M. Schwartz & Sharon
Begley.
Copyright: Dr. David Berceli www.traumaprevention.com

NEUROPLASTICITY

70% of synaptic connections change each day.


Increase neuroplasticity

Exercise

Cardiovascular

Resistance training
Sleep

Max Cynader: Director of the Brain Research Center


in Vancouver, BC

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SELF-REGULATION

Copyright: Dr. David Berceli www.traumaprevention.com

POLYVAGAL NERVE

UNDERSTANDING
THE
POLYVAGAL THEORY
IN THE TRE PROCESS

The following slides are the Polyvagal Theory as explained by Cheryl Sanders

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POLYVAGAL THEORY

The Polyvagal Perspective: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1868418/


The following slides are the Polyvagal Theory as explained by Cheryl Sanders
Copyright: Dr. David Berceli www.traumaprevention.com

VAGUS NERVE

The vagus nerve is a primary component of the autonomic


nervous system.

The vagus nerve comprises between 80% and 90% of


afferent nerves (from body to brain).

The vagus nerve conveys sensory information about the


state of the body's organs to the central nervous system.

The vagus nerve helps:


reduce heart rate & blood pressure,
regulates gastrointestinal peristalsis
Sweating
lower the heart rate.

Neural regulation of the striated muscles (muscle is under


voluntary control) of the face and head.

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POLYVAGAL THEORY

Autonomic Nervous System

Sympathetic Nervous System (SNS) Parasympathetic Nervous System (PNS)


Mobilization system for Rest, Digest, and Calm
the fight/flight response Social Engagement

Polyvagal Theory
Sympathetic Nervous System (SNS) Parasympathetic Nervous System (PNS)

Sympathetic Nervous Ventral Vagal Dorsal Vagal


System (SNS) Parasympathetic Rest, Digest, Parasympathetic
Mobilization system for and Calm Immobilization
the fight/flight response Social Engagement response
Copyright: Dr. David Berceli www.traumaprevention.com

POLYVAGAL THEORY
We respond to challenges or stressors in a hierarchical manner, using our newest tools first.

Controls facial expression and vocalization


(which aids in social engagement)

The initial response of most animals is to escape


the threat. Animals also orient towards escape.
sympathetic
When escape is not an option, animals will attempt to
attack and remove the threat. The quality of
orientation towards the threat often determines
survival. sympathetic
When flight and fight have failed, the animal
will prepare for death by conserving vital
energy and numbing the body with endorphins.
parasympathetic
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POLYVAGAL CURVE

(3) Dorsal Vagal PNS Immobility Response


(2) Sympathetic Nervous System
Fight and flight responses

PTSD Cycle re-traumatization

Self-regulation

(1) Ventral Vagal PNS Social Engagement


Copyright: Dr. David Berceli www.traumaprevention.com

CONTAINMENT INTERVENTIONS

Tell client to:


1. Rest in child position, forehead to the floor or roll into semi-fetal position.
2. Stand on feet and stomp on the ground..
3. Grab your hand and squeeze it. If they cant squeeze your hand, inform them that
you will squeeze their hand.
4. Name 3 things see in room, hear, smell in the room.
5. Hold their breath for a few seconds to allow breath to even out (if breathing in a
panicy manner)
You can:
6. Sit with your back against the clients back to provide containment, grounding and
support.
7. Make eye contact with direction to breathe and reassurance that they will be fine
If in a group, have another person from the group sit back to back to help contain.
8. Use a watch and follow the amount of time prior to dissociating experiences. This
creates structured and regular times for the exercises.

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EEG RECORDINGS OF TREMORS

Research contribution made by: Dr. Riccardo Cassiani-Ingoni cassianiingoni@gmail.com

Copyright: Dr. David Berceli www.traumaprevention.com

SELF-REGULATION

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Group training

Five (5) Components of Group


Work
1. Importance of Ventral Vagal activation with group process.
2. Attachment theory within TRE process.
2. Myofascia patterns and release within the TRE process.
2. Hands-on & hands-off interventions within the TRE process.
2. Self-focused & group focused awareness within the TRE process.

Vagus Nerve Attachment Myofascia Interventions Group Focus


55
Copyright: Dr. Copyright: Dr. David Berceli
David Berceli www.traumaprevention.com

Group trainings

1. Keep yourself in a ventral vagal state so the other nervous systems in the room can
resonate towards you.
1. Be aware of the needs of both the individual and the group without losing connection with
either.
1. Ability to create a safe space for the whole group and each individual participant.
1. Ability to keep the group on task, focus on TRE process.

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Group trainings

1. Learn from other group 3. Provide encouragement to


members. each other.

2. Share mutual support for 4. Share useful and helpful


each other. information with each other.

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Copyright: Dr. David Berceli www.traumaprevention.com

Group trainings (self assessment)

1. What informs me whether


Im grounded?
Im not grounded?"

2. What personalities or body


types were I drawn too?

3. What personalities or body types did I avoid?

4. How well did I follow the groups responsiveness?

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Group trainings (group assessment)

1. Was there resistance to the


instructions or the exercises?

2. Where the group members


grounded? How did I know that?

3. How did the group members relate to each other during and/or
after the TRE process?

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SELF-REGULATION

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BELIEF SYSTEMS

Cosmos
World Life

Agnostic Muslim

Atheist Christian

Hindu Humanity

Jewish Self

Copyright: Dr. David Berceli www.traumaprevention.com

NEUTRALITY
TRE IS NEUROPHYSIOLOGICAL

TRE does not espouse any belief system (ie., religious systems,
ideologies, specific spiritual values, etc.).

TRE is purely a neuro-physiological process of deep relaxation that


allows people to connect to themselves in a healthier manner. In the
process of connecting with themselves they may find that more esoteric
words and ideas most easily help them express the experiences they
have when achieving a deep state of relaxation and inner calmness.

This is important because the therapeutic tremors evoked through


these exercises are purely part of the innate mechanisms of the human
body. There is no need to believe in anything except the body's ability to
self-heal.

Observe what is happening in the body in the present moment. It is not


important to know, understand or believe in the cause of the present
moment experience. Just observe and help the release into a more
integrated/fluid structure.

TRE is working when this expansiveness of inner safety occurs


regardless of the words, symbols or images the person may use to try to
express this deep human experience.

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WORLD VIEW

TRAUMA

WORLD
VIEW
-Experiences
- Culture
- Belief System
-Family

Copyright 2005 by David Berceli


Copyright: Dr. David Berceli www.traumaprevention.com

WORLD VIEW

TRAUMA

WORLD
VIEW
-Experiences Because the trauma is so
- Culture overwhelming and challenging
- Belief System to our strongly held belief
-Family system, we try to patch up the
hole it has made in our lives.

Copyright 2005 by David Berceli


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TRAUMA & EVOLUTION

Trauma is an overwhelming and


seemingly unbearable experience.
It is precisely for this reason
and because of this
reason
TRAUMA

WORLD
VIEW
-Experiences
- Culture
- Belief System
-Family that trauma will force you
out of your old way of thinking
into a new way of being in the
universe. Thats EVOLUTION!

Copyright: Dr. David Berceli www.traumaprevention.com

POLYVAGAL CURVE

(3) Dorsal Vagal PNS Immobility Response


(2) Sympathetic Nervous System
Fight and flight responses

Daydreaming
Internal-reflection
Fantasizing

Self-regulation

(1) Ventral Vagal PNS Social Engagement


Copyright: Dr. David Berceli www.traumaprevention.com

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8/27/2015

POLYVAGAL CURVE

(3) Dorsal Vagal PNS Immobility Response


(2) Sympathetic Nervous System
Fight and flight responses

Daydreaming Intuition
Internal-reflection Creativity
Fantasizing Imagination

Self-regulation

(1) Ventral Vagal PNS Social Engagement


Copyright: Dr. David Berceli www.traumaprevention.com

POLYVAGAL CURVE

(3) Dorsal Vagal PNS Immobility Response


(2) Sympathetic Nervous System

Daydreaming Intuition Higher consciousness


Fight and flight responses

Internal-reflection Creativity Expanded awareness


Fantasizing Imagination In the zone

Self-regulation

(1) Ventral Vagal PNS Social Engagement

Copyright: Dr.Copyright: Dr. David Berceli


David Berceli www.traumaprevention.com 68

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8/27/2015

PORGES & SPIRITUALITY LETTER

QUESTION: In early childhood traumas, children often develop strong


dorsal vagal responses for survival purposes. In later adulthood, can this
familiarity of the dorsal vagal activation become an avenue for spiritual
development, intuition, or heightened sensitivity? If so, can they now
combine a ventral vagal activation with this dorsal vagal familiarity as a
way of grounding their 'heightened sensitivities' so that they are
experiencing what they call "grounded or embodied spirituality"?
ANSWER: This is a very interesting possibility and may provide an
explanation for those who have truly a spiritual TRANSFORMATION as
part of the recovery process. Basically, the answer would be yes- if and only
if they were able to recruit the dorsal vagal circuit in a truly safe
environment with loving, trusting, and supportive "others." Thus, they
would maintain contact with reality (i.e., not dissociate) through the ventral
vagal system (social engagement system) and experience features of the
dorsal vagal response (i.e., immobilizing without fear) that might support
spirituality.
Copyright: Dr. David Berceli www.traumaprevention.com

POST-TRAUMATIC GROWTH

Post Traumatic Growth


Psychologists call post-traumatic growth (PTG) the lesser-known sibling of
post-traumatic stress disorder.

PTG is positive change experienced as a result of the struggle with a major life
crisis or a traumatic event.

Researchers are now studying the positive side of


trauma and grief. They are finding that:
1. most people bounce back to baseline,
1. some emerge from disaster stronger and better, at
least in some ways.
1. The grief experience in some ways, forces people
to become different people and ... that the new
person is sometimes better than the old one.

Copyright: Dr. David Berceli www.traumaprevention.com

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8/27/2015

COMPASSION OR UNCONDITIONAL ACCEPTANCE

COMPASSION OR UNCONDITIONAL ACCEPTANCE: is understanding that peoples


reactions and behaviors are the only ones they can have at the moment considering
how their life has gone until now.

The level of activity in peoples vagus nerve correlates with how warm and friendly
they are to other people.

The level of activity in the vagus nerve also correlates with how likely they are to report
having had a spiritual experience during a six-month follow up period.

Keltner suggests that just as evolution produced in humans the flight/fight/freeze


tendencies, it may have also produced a biologically based tendency to be good to
other people and to sacrifice self-interest.

To make it possible for the client to revisit an unsafe place, The therapist must be able
to stay present with the sadness and helplessness, and have the compassion to not
impose anything on the client.
Orzech, D. (2006). Compassion At the Core of Social Work/Social Work Today March / April 2006. Pg 21-24.

Copyright: Dr. David Berceli www.traumaprevention.com

TENSION & TRAUMA RELEASING EXERCISES


DR. DAVID BERCELI
Copyright: Dr. David Berceli www.traumaprevention.com

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