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Brain - The Leader - Mind Brain Body and Extended Mind Theories and how they apply to Clinical Practice for Health and Disease.
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Boot Camp SampleSession One right & left cerebral hemispheres are not paired have different functionsSpecializedLeftSpeechReasoningMath and scientific skillsBRODMANNS AREAS TO SPINE TO MENTAL HEALTH CORRELATES WILL BE PRESENTED
Hemispheric Lateralization1Human PhysiologyThe Central Nervous SystemThe Blood-Brain Barrier (BBB)Function - protectionBrain capillaries much less permeable than othersProtects the brain from blood composition fluctuationsCan transport nutrients into the ISFExceptions - posterior pituitary and vomiting center
Path of CerebroSpinal Fluid
The Central Nervous System
Brain Based ChiropracticCaudal Linear Image
4
Brain Based ChiropracticRaphe Magnus Nucleus
5A system in homeostasis needs SensorPerturbation in the internal environment Return to normal internal environment EffectorComparatorSensorNegative feedback
Tariq Faridi ( c ) 2013Hormone pathways impacted by an adjustmentHormone secreted into the blood streamEndocrine cellHormone stored in vesiclesHormone precursorsHormone synthesisStimulus acts on receptor site or directly inside cellChemicals stimulating the release of the hormone 2008 Paul Billiet ODWSNeuroscience Integrating BiomechanicsORIGINAL FARIDI ALGORITHM ROUGH DRAFTMentalDistressRoot Causes
Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins8Neuroscience Integrating BiomechanicsORIGINAL FARIDI ALGORITHM ROUGH DRAFTMentalDistressRoot Causes
Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins9Common Reservoir of Bodily Distress
Normal physiologySelf-limited, minor, benign ailmentsPreviously diagnosed medical diseaseAutonomic concomitants of emotionStress response10Symptom Amplification ModelCommon Reservoirof Distress3 Causes
ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,ExacerbateNeuroscience Integrating BiomechanicsORIGINAL FARIDI ALGORITHM ROUGH DRAFTPLEASE DISREGARD - INCOMPLETE11Neuroscience Integrating BiomechanicsMentalDistressRoot Causes
Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins123 Causes
Onset of psychiatric disorder (e.g., panic attack)
Medical threat
Personally meaningful event/stressor
13Symptom Amplification ModelCommon Reservoirof Distress3 Causes
ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,ExacerbateNeuroscience Integrating BiomechanicsORIGINAL FARIDI ALGORITHM ROUGH DRAFTPLEASE DISREGARD - INCOMPLETE14Neuroscience Integrating BiomechanicsMentalDistressRoot Causes
Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins15Provisional Disease Attribution
Provisional reattributionof symptom to disease16Symptom Amplification ModelCommon Reservoirof Distress3 Causes
ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate Spinal Cord Physiology & Anatomy 17Neuroscience Integrating BiomechanicsMentalDistressRoot Causes
Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins18Cognitive and Perceptual Processing
Bodily hypervigilance
Selective attention
Confirmatory bias
Health-related anxiety
19Symptom Amplification ModelCommon Reservoirof Distress3 Causes
ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate20Neuroscience Integrating BiomechanicsMentalDistressRoot Causes
Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins21Symptom Amplification
Symptoms become more intense, noxious,intrusive, alarming22Symptom Amplification ModelCommon Reservoirof Distress3 Causes
ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate23Neuroscienc Integrating BiomechanicsMentalDistressRoot Causes
Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins24Medical Care
Seek medical attention25Symptom Amplification ModelCommon Reservoirof Distress3 Causes
ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate26Neuroscienc Integrating BiomechanicsMentalDistressRoot Causes
Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins27Reassurance
Explanation
Education
Symptomatic treatment
Tincture of time
28Symptom Amplification ModelCommon Reservoirof Distress3 Causes
ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate29Neuroscience Integrating BiomechanicsMentalDistressRoot Causes
Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins30Normal Transient Somatization
Resolution of symptom and concern31Symptom Amplification Model Common Reservoirof Distress3 Causes
ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate32Neuroscience Integrating BiomechanicsMentalDistressRoot Causes
Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins33Psychiatric and Psychosocial Factors Perpetuate, Maintain, Exacerbate
Secondary gain
Situation/stressor does not resolve
Illness behaviors reinforce symptoms
Iatrogenesis
Major psychiatric comorbidity
34Symptom Amplification ModelCommon Reservoirof Distress3 Causes
ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate35Neuroscienc Integrating BiomechanicsMentalDistressRoot Causes
Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins36Chronic, Severe, Disabling, Refractory
? Somatoform disorder ?37Symptom Amplification ModelCommon Reservoirof Distress3 Causes
ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate38Neuroscienc Integrating BiomechanicsMentalDistressRoot Causes
Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins39SummaryGood health is not symptom-free and therefore is a reservoir of distress available for misattribution, somatization
Multiple psychological, interpersonal and situational forces can precipitate symptom amplification and misattribution of these symptoms to disease
This process not necessarily psychopathological
Psychopathological forces may be more important in maintaining and perpetuating symptoms, and in producing intractability and refractoriness to medical management, than in initiating the symptoms
Treatment focus should be on coping with symptoms and an impairment and disability than on symptomatic cure
40