The Second Brain & The Gut Feeling - Leslie Goertzen, LSCSW, LMAC

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The Second Brain & The Gut Feeling - Leslie Goertzen, LSCSW, LMAC
The Second Brain &
The Gut Feeling
Leslie Goertzen, LSCSW, LMAC
The Second Brain & The Gut Feeling - Leslie Goertzen, LSCSW, LMAC
Objectives

         1                       2                         3                      4
Learn how the brain     Learn how the            Be able to identify    Learn therapy skills
and digestive system    parasympathetic and      possible diagnoses     that can be utilized to
impacts one another     sympathetic nervous      when the “second       regulate ourselves.
and what this does to   systems play a role in   brain” is activated.
our everyday lives.     this.
The Second Brain & The Gut Feeling - Leslie Goertzen, LSCSW, LMAC
Brain and Digestive System
Link
       https://youtu.be/VzPD009qTN4
The Second Brain & The Gut Feeling - Leslie Goertzen, LSCSW, LMAC
Norepinephrine                              Epinephrine
• Found mainly in adrenal glands            • Increased blood sugar levels
• Increased blood sugar levels              • Increased heart rate
• Increased heart rate                      • Relaxation of lung muscles improving breathing
• Blood vessels become narrower             • “Adrenaline rush”
• Increase blood pressure

                                   Neurotransmitters

Dopamine                                    Serotonin
• “feel good”                               • The “mood stabilizer” of the body
• Helps digestion                           • Reduces depression
• Heart and kidney function                 • Assists with relaxation
• Regulates moods and emotions              • Helps to heal wounds
• Reward seeking behavior                   • Causes the feeling of nausea
• Assists with sleep                        • Mainly found in GI tract
The Second Brain & The Gut Feeling - Leslie Goertzen, LSCSW, LMAC
The Grumpy Gut

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5772764/table/T1/?report=objectonly
The Second Brain & The Gut Feeling - Leslie Goertzen, LSCSW, LMAC
The Gut
Feeling
•
•
    What does it feel like?
    What emotions?
•   Intuition??
•   Inner voice
•   Sixth sense
•   More than likely, it’s good to listen 
The Second Brain & The Gut Feeling - Leslie Goertzen, LSCSW, LMAC
You didn’t
know you were
back in
school!!
The Second Brain & The Gut Feeling - Leslie Goertzen, LSCSW, LMAC
https://youtu.be/71pCilo8k4M
The Second Brain & The Gut Feeling - Leslie Goertzen, LSCSW, LMAC
The Second Brain & The Gut Feeling - Leslie Goertzen, LSCSW, LMAC
Autonomic
Nervous System
Cortisol

https://askthescientists.com/cortisol/
Autonomic
Nervous System
The
 Polyvagal
 Theory
 Dr. Stephen Porges

https://youtu.be/z41x1BaXMdE
What is
trauma???
Oxford
Dictionary

             https://www.google.com/search?q=trauma&hl=en&sxsrf=ALeKk00Di3ZDHIU9gLBlUftfBnfP7eaQkg%3A161
             7722189425&ei=TXtsYICzGZqxtQb9rIj4Aw&oq=trauma&gs_lcp=Cgdnd3Mtd2l6EAMyBwgAELEDEEMyBwgA
             ELEDEEMyBwgAELEDEEMyCggAEIcCELEDEBQyBwgAELEDEEMyBAgAEEMyBQgAELEDMgUIABCxAzIECAAQQ
             zIHCC4QsQMQQ1CvElivEmCkFGgAcAJ4AIABngKIAesCkgEFMS4wLjGYAQCgAQGqAQdnd3Mtd2l6wAEB&scli
             ent=gws-wiz&ved=0ahUKEwjAjcjj9OnvAhWaWM0KHX0WAj8Q4dUDCA0&uact=5
Factors
contributing
to intensity
of trauma.
Person A                 Person B
     • Previously           • Previously
    diagnosed with         diagnosed with
          MDD                    MDD
  • Some financial       • Some financial
         stress                  stress
 • Family history of    • Family history of
    depression and         depression and
        anxiety.
                                anxiety
    • Little to no
        support.       • Has good, healthy
                               supports
• Been told they are
    a “worry-wort”        • More relaxed
 • Previously in car    • Never been in a
    wreck 2 yrs ago           car wreck
• What would it look like 1 week   • What would it look like 1 year
later?
                                     later?
• 1 month later?                   • 5 years??
• 6 months later?                  • 10 years???
Continued activation
of stress/fear
response…
On-going gut
problems can
                                       Can’t trust the gut
lead to…
Diagnoses:                             Question *almost* everything-including self
• PTSD
                                       Difficulty with trusting others
• Acute Stress Disorder
• Major Depression Disorder            Impending doom frequently
• Anxiety: Panic Disorder, GAD, etc.
                                       GI issues: nausea, diarrhea, constipation, IBS, etc.
• Eating Disorders
• Personality Disorders                Difficulty concentrating
• Somatic Disorders
                                       Startled easily
• Dissociative Disorders
Somatic &
Dissociative
Disorders
https://step2.medbullets.com/psychiatry/120644/somatic-symptom-and-related-disorders
Let’s recap, so far…

    Stress=trauma

    Brain can interpret daily stress
    as life threatening

    This causes continued
    fight/flight or freeze responses

    Which could cause continued
    GI problems and other issues
SKILLS!!!
• I’m kidding…don’t do this, please.
Stre
          ss
Preven          Interven
 tion             tion

   Self-           Movem
                   ent/Bo
   Care              dy
  Mindful          Breath
   ness            Work

  Cognitiv
   e Skills
Prevention     = Self-Care

https://wordart.com/create
1. What you do.
2. What you NEED to do.
https://youtu.be/aNCB1MZDgQA
                                     Mindful Practice:
                                     • Mindfulness Skills
                                         • What and How Skills
                                     • Meditation
                                         • Guided breathing, imagery, Open mind and
                                           Focused Mind
                                     • Contemplative Prayer
                                     • Mindful Movement
                                         • Yoga, tai chi, horseback riding, walking,
                                           dancing, etc.

Mindfulness
Cognitive Skills
Restructuring   Reframing
InterventioN
Movement / Body                    Breath Work
• Stretching/Yoga—especially       • 4-7-8 breathing
  sides                            • Box Breathing/4 square method
• Running, jumping jacks, etc.     • Belly breathing/blowing balloon
• Cold Water                       • Humming-activates vagus nerve
• Progressive Muscle Relaxation           victory breath
• Grounding: 5, 4, 3, 2, 1; bare          https://youtu.be/6sEittuZ3GA
  feet on the floor/ground         • Alternate Nostril Breathing
• Rocking                          • Breath of Fire/Wim Hof method
TIPP
               • Temperature
                   • Mammalian dive reflex:
                     https://youtu.be/00RKh6NRMqc
               • Intense Exercise
                   • Min. 20 minutes
      Skills       • https://www.heart.org/en/healthy-
                     living/fitness/fitness-basics/target-heart-rates
Breakdown      • Paced Breathing
                   • 4 seconds in
     Point         • Hold 2 seconds
                   • 6 seconds out
                   • Hold 2 seconds
               • Paired Muscle Relaxation
                   • Similar to muscle relaxation
                   • Add breathing and saying “relax” while
                     releasing muscle groups
Objectives

      Learn how the brain and digestive system impacts one
      another and what this does to our everyday lives.

      Learn how the parasympathetic and sympathetic nervous
      systems play a role in this.

      Be able to identify possible diagnoses when the “second
      brain” is activated.

      Learn therapy skills that can be utilized to regulate ourselves.
Questions,
comments…
Leslie A. Goertzen, LSCSW, LMAC
Compass Behavioral Health, Dodge City
lgoertzen@compassbh.org
references
•   (2015, April 06). Retrieved April 06, 2021, from https://youtu.be/71pCilo8k4M
•   (2015, February 02). Retrieved April 06, 2021, from https://youtu.be/aNCB1MZDgQA
•   (2017, October 05). Retrieved April 06, 2021, from https://youtu.be/VzPD009qTN4
•   (2018, June 01). Retrieved April 06, 2021, from https://youtu.be/6sEittuZ3GA
•   22, M. J., & 24, N. J. (2020, November 13). How Stress And Cortisol Can Affect Your Period. Retrieved April 6, 2021, from
    https://nicolejardim.com/the-cortisol-connection/
•   An Introduction To The Sympathetic and Parasympathetic Nervous System - iMotions. (2021, February 10). Retrieved April 6, 2021, from
    https://imotions.com/blog/nervous-system/
•   Cognitive Restructuring. (n.d.). Retrieved from https://www.advancewithava.com/ava-aid/Cognitive-Restructuring
•   Linehan, M. (2015). DBT skills training handouts and worksheets. New York: The Guilford Press.
•   Matthew Tull, P. (2019, August 08). How Traumatic Events Cause PTSD. Retrieved April 6, 2021, from
    https://www.verywellmind.com/ptsd-causes-and-risk-factors-2797397
•   Missimer, A. (2020, March 22). How to Map Your Own Nervous Sytem: The Polyvagal Theory. Retrieved April 6, 2021, from
    https://themovementparadigm.com/how-to-map-your-own-nervous-sytem-the-polyvagal-theory/
•   Mittal, R., Debs, L. H., Patel, A. P., Nguyen, D., Patel, K., O'Connor, G., . . . Liu, X. Z. (2017, September). Neurotransmitters: The Critical
    Modulators Regulating Gut-Brain Axis. Retrieved from
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5772764/table/T1/?report=objectonly
•   Posted by Sana I. Powell, M. (2020, April 24). Cognitive Reframing: Quarantine. Retrieved from
    https://curlytherapist.com/2020/04/24/cognitive-reframing-quarantine/
•   Somatic Symptom and Related Disorders. (n.d.). Retrieved from https://step2.medbullets.com/psychiatry/120644/somatic-symptom-and-
    related-disordersWhat Is the 'Spectrum of Dissociation'? (2021, April 06). Retrieved April 6, 2021, from
    https://themighty.com/2021/01/spectrum-of-dissociation-daydreaming-disorders/
•   Why do I procrastinate to the deadline and play, how can I prevent it? (n.d.). Retrieved April 6, 2021, from
    https://gigazine.net/gsc_news/en/20160422-how-to-overcome-procrastination/
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