THE 3A TOOLKIT MOVING TOWARDS REGULATION AND INTEGRATION Meg - - PowerPoint PPT Presentation

THE 3A TOOLKIT MOVING TOWARDS REGULATION AND INTEGRATION

Meg Kapil, MA, CCC

TERRITORY ACKNOWLEDGMENT We are here on the original lands of the Anishinaabeg, Cree, Oji-Cree, Dakota, and Dene peoples, and on the homeland of the Metis Nation. We respect the Treaties that were made on these territories, we acknowledge the harms and mistakes of the past, and we dedicate

• urselves to move forward in partnership with

Indigenous communities in a spirit of reconciliation and collaboration.

(University of Manitoba)

THE 3A TOOLKIT SUPPORTING CLIENTS TO MOVE TOWARDS INTEGRATION AND REGULATION

• What is it?
• What kind of presenting issues has it helped with?
• How can it be applied across various ages and

developmental stages?

• Examples

INTERPERSONAL NEUROBIOLOGY

• Interpersonal neurobiology attempts to extract the wisdom from
• ver a dozen different disciplines of science to weave a picture of

human experience and the process of change across the lifespan.

• The IPNB perspective includes the objective domains of science and

the subjective domains of human knowing to help alleviate suffering and move towards well-being

WHAT IS THE MIND?

MIND

Self-organizing emergent, embodied and relational process that regulates the flow of energy and information.”

(Daniel Siegel)

• From this definition, the mind is:
• A process of energy and information
• Includes not just the head but also the body
• Exists in relationships

WHAT IS WELLNESS?

• Integration
• Regulation

THE 3A TOOLKIT APPROACH

• Aw

Aware reness (collecting information)

• The Brain
• The Body
• Relationships
• Assessm

Assessment ent (organizing information)

• Name it to Tame It
• Ac

Acti tion (what to do with the information)

• Top Down
• Bottom Up
• Relationship

RELATIONSHIPS - PART

• Presence – centered, grounded, available, open
• Attunement – communicating empathy, naming feelings, focus on the internal

experience of the other, tuning into the sensory experience of the other

• Resonance - Resonance is how we change because of the other person,

feeling felt

• Trust – feeling of security, receptive and resilient state, helps us manage and

bounce back

• Adults – attend to your regulation first
• The younger the child, the more important co-regulation will be

AWARENESS “COLLECTING INFORMATION”

THE BRAIN

THE NERVOUS SYSTEM

Zo Zone ne De Description Ho How t w to Go Go Gr Green

Panic, heart beating fast, short and shallow breaths, sweating, can’t stay in the room, sometimes yell and appear angry Thinking (This will pass) Body (move, jump, throw away the red) Relationship: Kind words, compassion, supportive adult Worried but still thinking, fidgety, notice changes in heart rate and breathing but still in control, know in stomach Thinking (I can turn this around, what can I do to feel more calm?) Body (Figure 8 breathing, butterfly hug) Relationship: Kind words, compassion, supportive adult Relaxed, focused, calm, optimistic Thinking (green thoughts) Body (play, go outside) Relationship: Kind words, compassion Stuck, pessimistic, not hopeful, energy low Thinking (this will pass, what will help me feel better?) Body (play, go outside, exercise, long inhale) Relationship: Kind words, compassion, supportive adult

Threat Le Levels

WINDOW OF TOLERANCE

HOW DO YOU KNOW WHAT PART OF THE WINDOW YOU ARE IN?

Hyperarousal

Increased sensations, emotionally reactive, hypervigilant, intrusive imagery/thoughts, disorganized thinking Chaos

Optimal Arousal

Emotions are tolerable, attentive and able to learn Integrated Regulated ‘Yes’ Brain (FACES)

Hypoarousal

Relative absence of sensation, numbing of emotions, disabled thinking, reduced physical movement Rigidity

RELATIONSHIP CONSIDERATIONS

• Interpersonal
• Attachment
• Family of origin
• Social relationships
• Intrapersonal
• Self-compassion
• Ego state work
• Considering how you relate to yourself

ASSE ASSESSME SSMENT “ORGANIZING THE INFORMATION”

• Mi

Mindfulness

• Na

Name It to Tame It

• Diagnos
• sis

AC ACTION “RESPONDING TO THE INFORMATION”

Name It to Tame It

Top Down Relationships Bottom Up

BO BOTTOM U UP S STRATEGIES HO HOW TO REG REGUL ULATE E THE HE BODY

Le Level of activation? 0 to 5

• Grounding
• Orienting
• Breathing
• Progressive muscle relaxation
• Butterfly hug

5 to 10

• Movement
• Finger pushups
• Moving feet
• Shaking

TOP DOWN STRATEGIES THINKING BASICS

• Negativity bias
• Triangle of experience
• Noticing the negative
• You grow what you focus on, Shifting to the positive,

helpful thoughts

• Capability
• What can you influence
• Present moment

Thinking Behaviour Feeling

APPLICATIONS

• Individual Clients
• Stress, Anxiety, and Depression Support Group
• Stress Less Workshop for Postsecondary Students
• Creating Calm Anxiety Group
• Supporting teachers and schools to understand and

support regulation and integration

• 3A Story
• 3A Comic

CREATING CALM FAMILY ANXIETY SUPPORT GROUP

5 10 15 20 25 30 35 40 45 50 BSCI-Y BAI-Y BAN-Y BANI-Y BDBI_Y

Beck Youth Anxiety Inventory

Pre Post

TH THE 3A TO TOOLKIT IT

Awareness

“Collecting information”

Assessment

“Organizing Information”

Action

“Responding to the Information”

TH THE 3A TO TOOLKI KIT Awareness

“Collecting information”

Assessment

“Organizing Information”

Action

“Responding to the Information”

Mindfulness Brain and Nervous System Basics Self

• Level of activation
• ’Threat’ Detection

SIFT Sensations Images Feeling Thinking Others

• Stressors and ‘threats’
• Contextual factors?

Relationships

• Relationship assessment

Name It To Tame It Diagnosis

• Relationship/Co-Regulation
• Top Down
• Bottom Up

AC ACTION STRATEGIES

Re Relation

• nship/

p/Co-Re Regu gulation

• n

Bo Bottom Up Up (B (Body R Reg egul ulati tion) n) Top D Down (Thi (Think nking ng) SE SELF

• Self-compassion
• How you relate to difficult

experiences

• Notice what is already

there

• Turn towards it
• Turn towards yourself

with an act of kindness OT OTHERS

• Relationships/co-regulation
• What can you influence?

Level of Activation 0 t 0 to 5 5

• Breathing
• Figure 8 Breathing
• Tummy clench and release
• Butterfly hug
• Orienting
• Grounding

5 t 5 to 10 10

• Exercise – slow & deliberate
• Movement
• Finger pushups
• Bilateral movement

Act As If

• Posture

Notice Red Thoughts and let them go Focus on Green Thoughts

• Capable
• Things you can influence
• Present moment
• “I can get through this”
• “This feeling will pass”
• “Thank you for trying to help me Mr.

Worry but I am safe” Reflective questions

• “What would help”?
• “How can I get back to green”?

Cultivate the positive

• Gratitude

3 A TOOL KIT COMIC

I know my ___________________________________ is acting up when: 1. 2. 3. Then I said, “That’s just my _____________________________________________________ I know I can shrink my ____________________________by: 1. 2. 3.

3A STORIES

THANK YOU!

megkapil@uvic.ca