SlideShare ist ein Scribd-Unternehmen logo
1 von 16
The Cycle Tool
Laurel Mellin, PhD
Associate Professor of Family and Community Medicine, UCSF

Igor Mitrovic, MD
Professor of Physiology, UCSF
SESSION 6 OBJECTIVES
• Describe the neurophysiology of allostatic circuit
reconsolidation through use of the Cycle Tool.
• Use the Cycle Tool Test to evaluate the effectiveness of
use of the Cycle Tool.
The Neurophysiology
of the Cycle Tool
Igor Mitrovic, MD
Professor of Physiology, UCSF
Experiential Learning
The Cycle Tool
Laurel Mellin, PhD
Associate Professor of Family and Community Medicine, UCSF
The Cycle Tool Test: Point #1
BRAIN STATE 4: UNLOCK THE CIRCUIT
Just the Facts (Cognitive Activation):
State the facts. What are you most stressed about. Do not
express feelings. 2 or 3 sentences only.
The Cycle Tool Test: Point #2
BRAIN STATE 4: UNLOCK THE CIRCUIT
Natural Flow of Feelings (Progressive Emotional
Expression):
Express Allostatic Anger (“A+ Anger”)
Express anger, in short, choppy sentences, really get angry. I
feel angry that . . I can’t stand it that . . I hate it that . . . Up
to 20 times.
The Cycle Tool Test: Points #3 - #6
BRAIN STATE 3: SWITCH THE CIRCUIT
Stayed on this topic for all feelings expressed
(ANGER, SADNESS, FEAR AND GUILT).
All feelings are short and choppy statements (to
reflect emotions, not thoughts).
Activated the circuit (got to Brain State 4+) to
UNLOCK the circuit.
The SADNESS, FEAR and GUILT statements are
followed by 20+ seconds of pause to feel the feeling.
The Cycle Tool Test: Points #7 - #8
BRAIN STATE 3: SWITCH THE CIRCUIT
Unreasonable expectation is:
• Brief (no more than 8 words)
I do not have power.
• Orthogonal ( zero correlation )
I do have power.
• Core (no divisors)
No emotionally vivid dependent expectation.
Sustained Brain State 3 for 60 seconds or more
(without speaking) to promote subcortical
reconsolidation of new circuit.
THE EMOTIONAL MESSAGE:
Allostatic “Attachment” Circuits
 I do not exist.
 I am bad.

 I have no power.
 I cannot do good.
 I cannot love.
 I am not worthy.
 I cannot have joy.
ALLOSTATIC ATTACHMENT CIRCUITS
Related Circuits
 I do not exist.

• You do not exist.
• Only I exist.
• Only you exist.

 I am bad.

• You are bad.
• I must be perfect.
• You must be perfect.

 I have no power. • You have no power.
• I must be in complete control.
• You must be in complete control.
ALLOSTATIC SURVIVAL CIRCUITS:
I get my “X” (safety) from “Y”.
•
 Behavioral •
•
•
•
•
 Emotional

Food
Tobacco
Alcohol
Drugs
Gambling
Spending

•
•
•
•
•
•

Tech
Exercise
Sleeping
Hoarding
Sexual Excesses
Overworking

•
•
•
 Relational •

Hostility
Depression
Anxiety
Cigarettes

•
•
•
•

Panic
Shame
Numbness
Stress High

• Merging

• Distancing
The Cycle Tool Test Point #9
BRAIN STATE 1: LOCK IN NEW CIRCUIT
Differentiate 4 Circuit from 5 Circuit
Would it be rewarding to you to negate the circuit?
If not, it is a 5 Circuit.
The Cycle Tool Test Point #10 (4 Circuit)
BRAIN STATE 1: LOCK IN NEW CIRCUIT
•

Grind In (Repeat opposite): Based on Hebb’s Law,
neurons that fire together wire together and get stronger
and the opposite ones get weaker. State the opposite to
weaken the circuit. (Add the word “not”).
• Stage 1. Low emotional expression, slow pace –
decrease stress activation
• Stage 2. Moderate emotional expression, moderate
pace – increase endogenous dopamine.
• Stage 3. High emotional expression, moderate page,
elevated emotions – increase endogenous dopamine
and oxytocin.
The Cycle Tool Test Point #10 (5 Circuit)
BRAIN STATE 1: LOCK IN NEW CIRCUIT
Acute Care Applications
• Co-regulate with provider to get to Brain State 1, then
facilitate awareness and set aside.
EBT Training with Certified EBT Provider
• Co-regulation with provider to get to Brain State
1, then instruct on use 10 Step Survival Circuit
Technology.
CYCLE TOOL FOR PREVENTION OF
Secondary Traumatic Stress (STS)
• Do a Cycle a Day (“whether you need it or not”).
• Train colleagues to use the Cycle Tool & Connecting
Messages
• Train family members to use the Cycle Tool & Connecting
Messages.
The Cycle Tool Activities
•

Use the Cycle Tool Test to score your Cycle to evaluate
your skill in using the tool.

•

Check to determine your reconsolidation success based
on attaining the 4-3-1 Pattern.

•

Experiment with co-regulating with another as you use
the Cycle Tool.

•

Receive a Connecting Message after the Cycle, noticing
the change in Brain State that it evokes.

Weitere ähnliche Inhalte

Andere mochten auch

Digital scavenger hunt
Digital scavenger huntDigital scavenger hunt
Digital scavenger huntdrodriguezp6
 
Wesley St John Games Portfolio
Wesley St John Games PortfolioWesley St John Games Portfolio
Wesley St John Games PortfolioWesley St. John
 
Modelling Clustering of Wireless Sensor Networks with Synchronised Hyperedge ...
Modelling Clustering of Wireless Sensor Networks with Synchronised Hyperedge ...Modelling Clustering of Wireless Sensor Networks with Synchronised Hyperedge ...
Modelling Clustering of Wireless Sensor Networks with Synchronised Hyperedge ...M H
 
The Evolution of Laboratory Data Systems: Replacing Paper, Streamlining Proce...
The Evolution of Laboratory Data Systems: Replacing Paper, Streamlining Proce...The Evolution of Laboratory Data Systems: Replacing Paper, Streamlining Proce...
The Evolution of Laboratory Data Systems: Replacing Paper, Streamlining Proce...IDBS
 
мы разные
мы разныемы разные
мы разныеkillaruns
 
анализ за 2011 2012 нр
анализ за 2011 2012 нранализ за 2011 2012 нр
анализ за 2011 2012 нрpolemic
 
An efficient implementation of pattern growth approach
An efficient implementation of pattern growth approachAn efficient implementation of pattern growth approach
An efficient implementation of pattern growth approachEsranur Öğretmen
 
решение уравнений
решение уравненийрешение уравнений
решение уравненийkillaruns
 
Course 2 week 6 lesson 10
Course 2 week 6 lesson 10Course 2 week 6 lesson 10
Course 2 week 6 lesson 10Joe Mellin
 
Exclusive Jaipur Handicrafts & Ethnic Artefacts
Exclusive Jaipur Handicrafts & Ethnic ArtefactsExclusive Jaipur Handicrafts & Ethnic Artefacts
Exclusive Jaipur Handicrafts & Ethnic ArtefactsAvik Enterprises
 
How to not freak out about common core
How to not freak out about common coreHow to not freak out about common core
How to not freak out about common coreGalesburg CUSD #205
 

Andere mochten auch (16)

E di stefano_des660_jrg_paper
E di stefano_des660_jrg_paperE di stefano_des660_jrg_paper
E di stefano_des660_jrg_paper
 
How to sai
How to saiHow to sai
How to sai
 
Digital scavenger hunt
Digital scavenger huntDigital scavenger hunt
Digital scavenger hunt
 
Wesley St John Games Portfolio
Wesley St John Games PortfolioWesley St John Games Portfolio
Wesley St John Games Portfolio
 
Evaluation q2 visual
Evaluation q2 visualEvaluation q2 visual
Evaluation q2 visual
 
Modelling Clustering of Wireless Sensor Networks with Synchronised Hyperedge ...
Modelling Clustering of Wireless Sensor Networks with Synchronised Hyperedge ...Modelling Clustering of Wireless Sensor Networks with Synchronised Hyperedge ...
Modelling Clustering of Wireless Sensor Networks with Synchronised Hyperedge ...
 
The Evolution of Laboratory Data Systems: Replacing Paper, Streamlining Proce...
The Evolution of Laboratory Data Systems: Replacing Paper, Streamlining Proce...The Evolution of Laboratory Data Systems: Replacing Paper, Streamlining Proce...
The Evolution of Laboratory Data Systems: Replacing Paper, Streamlining Proce...
 
мы разные
мы разныемы разные
мы разные
 
анализ за 2011 2012 нр
анализ за 2011 2012 нранализ за 2011 2012 нр
анализ за 2011 2012 нр
 
An efficient implementation of pattern growth approach
An efficient implementation of pattern growth approachAn efficient implementation of pattern growth approach
An efficient implementation of pattern growth approach
 
решение уравнений
решение уравненийрешение уравнений
решение уравнений
 
Newspaper analysis 1
Newspaper analysis 1Newspaper analysis 1
Newspaper analysis 1
 
Newspaper analysis 1
Newspaper analysis 1Newspaper analysis 1
Newspaper analysis 1
 
Course 2 week 6 lesson 10
Course 2 week 6 lesson 10Course 2 week 6 lesson 10
Course 2 week 6 lesson 10
 
Exclusive Jaipur Handicrafts & Ethnic Artefacts
Exclusive Jaipur Handicrafts & Ethnic ArtefactsExclusive Jaipur Handicrafts & Ethnic Artefacts
Exclusive Jaipur Handicrafts & Ethnic Artefacts
 
How to not freak out about common core
How to not freak out about common coreHow to not freak out about common core
How to not freak out about common core
 

Ähnlich wie UCSF 6 1

Tips for Setting Healthy and Safe Boundaries To Reduce Stress by
Tips for Setting Healthy and Safe Boundaries To Reduce Stress byTips for Setting Healthy and Safe Boundaries To Reduce Stress by
Tips for Setting Healthy and Safe Boundaries To Reduce Stress byAtlantic Training, LLC.
 
Stress class notes
Stress class notesStress class notes
Stress class notesmpiskel
 
Reframing Distressing Thoughts, Self-Compassion and other Mind-Body Technique...
Reframing Distressing Thoughts, Self-Compassion and other Mind-Body Technique...Reframing Distressing Thoughts, Self-Compassion and other Mind-Body Technique...
Reframing Distressing Thoughts, Self-Compassion and other Mind-Body Technique...Canadian Cancer Survivor Network
 
SPACE presentation
SPACE presentationSPACE presentation
SPACE presentationShannon Fung
 
The art of sleeping well and at will
The art of sleeping well and at willThe art of sleeping well and at will
The art of sleeping well and at willPawan Mishra
 
Week 11 A2 Biology and Depression
Week 11 A2 Biology and DepressionWeek 11 A2 Biology and Depression
Week 11 A2 Biology and DepressionJamie Davies
 
5 7 Spiral Up Grind In
5 7 Spiral Up Grind In5 7 Spiral Up Grind In
5 7 Spiral Up Grind InJoe Mellin
 
5 7 Spiral Up Grind In
5 7 Spiral Up Grind In5 7 Spiral Up Grind In
5 7 Spiral Up Grind InJoe Mellin
 
Absolute-North Ltd. David C Winegar People Strategies for Beating COVID-19
Absolute-North Ltd. David C Winegar People Strategies for Beating COVID-19 Absolute-North Ltd. David C Winegar People Strategies for Beating COVID-19
Absolute-North Ltd. David C Winegar People Strategies for Beating COVID-19 David Winegar
 
The neurochemical basis of exercise
The neurochemical basis of exerciseThe neurochemical basis of exercise
The neurochemical basis of exerciseCharlie Hoolihan
 
10. emotions and health
10. emotions and health10. emotions and health
10. emotions and healthMadhumita Sen
 
Managing Patients With Behavioral Health issues(combo)
Managing Patients With Behavioral Health issues(combo)Managing Patients With Behavioral Health issues(combo)
Managing Patients With Behavioral Health issues(combo)Gina Napolitano
 
A campagna final-project-unit9
A campagna final-project-unit9A campagna final-project-unit9
A campagna final-project-unit9amandarose1226
 
Cognitive Behavorial Therapy for Insomnia k. Jensen f. Remillard
Cognitive Behavorial Therapy for Insomnia   k. Jensen f. RemillardCognitive Behavorial Therapy for Insomnia   k. Jensen f. Remillard
Cognitive Behavorial Therapy for Insomnia k. Jensen f. RemillardPASaskatchewan
 
Complaint free teachers
Complaint free teachersComplaint free teachers
Complaint free teachersEva Migdal
 

Ähnlich wie UCSF 6 1 (20)

Tips for Setting Healthy and Safe Boundaries To Reduce Stress by
Tips for Setting Healthy and Safe Boundaries To Reduce Stress byTips for Setting Healthy and Safe Boundaries To Reduce Stress by
Tips for Setting Healthy and Safe Boundaries To Reduce Stress by
 
Stress class notes
Stress class notesStress class notes
Stress class notes
 
Eft basics
Eft basicsEft basics
Eft basics
 
Reframing Distressing Thoughts, Self-Compassion and other Mind-Body Technique...
Reframing Distressing Thoughts, Self-Compassion and other Mind-Body Technique...Reframing Distressing Thoughts, Self-Compassion and other Mind-Body Technique...
Reframing Distressing Thoughts, Self-Compassion and other Mind-Body Technique...
 
SPACE presentation
SPACE presentationSPACE presentation
SPACE presentation
 
The art of sleeping well and at will
The art of sleeping well and at willThe art of sleeping well and at will
The art of sleeping well and at will
 
Week 11 A2 Biology and Depression
Week 11 A2 Biology and DepressionWeek 11 A2 Biology and Depression
Week 11 A2 Biology and Depression
 
5 7 Spiral Up Grind In
5 7 Spiral Up Grind In5 7 Spiral Up Grind In
5 7 Spiral Up Grind In
 
5 7 Spiral Up Grind In
5 7 Spiral Up Grind In5 7 Spiral Up Grind In
5 7 Spiral Up Grind In
 
Absolute-North Ltd. David C Winegar People Strategies for Beating COVID-19
Absolute-North Ltd. David C Winegar People Strategies for Beating COVID-19 Absolute-North Ltd. David C Winegar People Strategies for Beating COVID-19
Absolute-North Ltd. David C Winegar People Strategies for Beating COVID-19
 
Nymhca conference
Nymhca conferenceNymhca conference
Nymhca conference
 
PTSD & EFT Research
PTSD & EFT ResearchPTSD & EFT Research
PTSD & EFT Research
 
The neurochemical basis of exercise
The neurochemical basis of exerciseThe neurochemical basis of exercise
The neurochemical basis of exercise
 
10. emotions and health
10. emotions and health10. emotions and health
10. emotions and health
 
Managing Patients With Behavioral Health issues(combo)
Managing Patients With Behavioral Health issues(combo)Managing Patients With Behavioral Health issues(combo)
Managing Patients With Behavioral Health issues(combo)
 
A campagna final-project-unit9
A campagna final-project-unit9A campagna final-project-unit9
A campagna final-project-unit9
 
Learning Theory
Learning TheoryLearning Theory
Learning Theory
 
Cognitive Behavorial Therapy for Insomnia k. Jensen f. Remillard
Cognitive Behavorial Therapy for Insomnia   k. Jensen f. RemillardCognitive Behavorial Therapy for Insomnia   k. Jensen f. Remillard
Cognitive Behavorial Therapy for Insomnia k. Jensen f. Remillard
 
Complaint free teachers
Complaint free teachersComplaint free teachers
Complaint free teachers
 
Nfb What Why How
Nfb What Why HowNfb What Why How
Nfb What Why How
 

Mehr von Joe Mellin

7 4 Dede and the EBT 5-Point System
7 4 Dede and the EBT 5-Point System7 4 Dede and the EBT 5-Point System
7 4 Dede and the EBT 5-Point SystemJoe Mellin
 
7 3 Jena's Telegroup
7 3 Jena's Telegroup7 3 Jena's Telegroup
7 3 Jena's TelegroupJoe Mellin
 
7 2 Jena Check In and Acceptance Tools
7 2 Jena Check In and Acceptance Tools7 2 Jena Check In and Acceptance Tools
7 2 Jena Check In and Acceptance ToolsJoe Mellin
 
7 1 Staying Connected and Spiraling Up!
7 1 Staying Connected and Spiraling Up!7 1 Staying Connected and Spiraling Up!
7 1 Staying Connected and Spiraling Up!Joe Mellin
 
6 3 Kela's Telegroup
6 3 Kela's Telegroup6 3 Kela's Telegroup
6 3 Kela's TelegroupJoe Mellin
 
6 2 Kela_ Core Grind In and Cycle Tool
6 2 Kela_ Core Grind In and Cycle Tool6 2 Kela_ Core Grind In and Cycle Tool
6 2 Kela_ Core Grind In and Cycle ToolJoe Mellin
 
6 1 Strengthen the Core
6 1 Strengthen the Core6 1 Strengthen the Core
6 1 Strengthen the CoreJoe Mellin
 
5 9 Dede's Telegroup
5 9 Dede's Telegroup5 9 Dede's Telegroup
5 9 Dede's TelegroupJoe Mellin
 
5 8 Dede's Reward & Cycle Tool
5 8 Dede's Reward & Cycle Tool5 8 Dede's Reward & Cycle Tool
5 8 Dede's Reward & Cycle ToolJoe Mellin
 
3 3 Core Skill 3: Unlock the Circuit
3 3  Core Skill 3: Unlock the Circuit3 3  Core Skill 3: Unlock the Circuit
3 3 Core Skill 3: Unlock the CircuitJoe Mellin
 
2 3 Core Skill 1: Emotional Housekeeping
2 3  Core Skill 1: Emotional Housekeeping2 3  Core Skill 1: Emotional Housekeeping
2 3 Core Skill 1: Emotional HousekeepingJoe Mellin
 
2 2 The 4 Steps
2 2  The 4 Steps2 2  The 4 Steps
2 2 The 4 StepsJoe Mellin
 
3 1 audios.ppt
3 1 audios.ppt3 1 audios.ppt
3 1 audios.pptJoe Mellin
 

Mehr von Joe Mellin (20)

7 4 Dede and the EBT 5-Point System
7 4 Dede and the EBT 5-Point System7 4 Dede and the EBT 5-Point System
7 4 Dede and the EBT 5-Point System
 
7 3 Jena's Telegroup
7 3 Jena's Telegroup7 3 Jena's Telegroup
7 3 Jena's Telegroup
 
7 2 Jena Check In and Acceptance Tools
7 2 Jena Check In and Acceptance Tools7 2 Jena Check In and Acceptance Tools
7 2 Jena Check In and Acceptance Tools
 
7 1 Staying Connected and Spiraling Up!
7 1 Staying Connected and Spiraling Up!7 1 Staying Connected and Spiraling Up!
7 1 Staying Connected and Spiraling Up!
 
6 3 Kela's Telegroup
6 3 Kela's Telegroup6 3 Kela's Telegroup
6 3 Kela's Telegroup
 
6 2 Kela_ Core Grind In and Cycle Tool
6 2 Kela_ Core Grind In and Cycle Tool6 2 Kela_ Core Grind In and Cycle Tool
6 2 Kela_ Core Grind In and Cycle Tool
 
6 1 Strengthen the Core
6 1 Strengthen the Core6 1 Strengthen the Core
6 1 Strengthen the Core
 
5 9 Dede's Telegroup
5 9 Dede's Telegroup5 9 Dede's Telegroup
5 9 Dede's Telegroup
 
5 8 Dede's Reward & Cycle Tool
5 8 Dede's Reward & Cycle Tool5 8 Dede's Reward & Cycle Tool
5 8 Dede's Reward & Cycle Tool
 
3 3 Core Skill 3: Unlock the Circuit
3 3  Core Skill 3: Unlock the Circuit3 3  Core Skill 3: Unlock the Circuit
3 3 Core Skill 3: Unlock the Circuit
 
2 3 Core Skill 1: Emotional Housekeeping
2 3  Core Skill 1: Emotional Housekeeping2 3  Core Skill 1: Emotional Housekeeping
2 3 Core Skill 1: Emotional Housekeeping
 
2 2 The 4 Steps
2 2  The 4 Steps2 2  The 4 Steps
2 2 The 4 Steps
 
1 2 Why EBT?
1 2 Why EBT?1 2 Why EBT?
1 2 Why EBT?
 
3 1 audios
3 1 audios3 1 audios
3 1 audios
 
3 1 audios.ppt
3 1 audios.ppt3 1 audios.ppt
3 1 audios.ppt
 
UCSF 7 1
UCSF 7 1UCSF 7 1
UCSF 7 1
 
UCSF 6 2
UCSF 6 2UCSF 6 2
UCSF 6 2
 
UCSF 6 1
UCSF 6 1UCSF 6 1
UCSF 6 1
 
Ucsf 5 8
 Ucsf 5 8 Ucsf 5 8
Ucsf 5 8
 
Ucsf 5 7
 Ucsf 5 7 Ucsf 5 7
Ucsf 5 7
 

Kürzlich hochgeladen

Yaroslav Rozhankivskyy: Три складові і три передумови максимальної продуктивн...
Yaroslav Rozhankivskyy: Три складові і три передумови максимальної продуктивн...Yaroslav Rozhankivskyy: Три складові і три передумови максимальної продуктивн...
Yaroslav Rozhankivskyy: Три складові і три передумови максимальної продуктивн...Lviv Startup Club
 
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...lizamodels9
 
Enhancing and Restoring Safety & Quality Cultures - Dave Litwiller - May 2024...
Enhancing and Restoring Safety & Quality Cultures - Dave Litwiller - May 2024...Enhancing and Restoring Safety & Quality Cultures - Dave Litwiller - May 2024...
Enhancing and Restoring Safety & Quality Cultures - Dave Litwiller - May 2024...Dave Litwiller
 
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service BangaloreCall Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangaloreamitlee9823
 
How to Get Started in Social Media for Art League City
How to Get Started in Social Media for Art League CityHow to Get Started in Social Media for Art League City
How to Get Started in Social Media for Art League CityEric T. Tung
 
Value Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and painsValue Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and painsP&CO
 
Pharma Works Profile of Karan Communications
Pharma Works Profile of Karan CommunicationsPharma Works Profile of Karan Communications
Pharma Works Profile of Karan Communicationskarancommunications
 
Grateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdfGrateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdfPaul Menig
 
M.C Lodges -- Guest House in Jhang.
M.C Lodges --  Guest House in Jhang.M.C Lodges --  Guest House in Jhang.
M.C Lodges -- Guest House in Jhang.Aaiza Hassan
 
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...amitlee9823
 
Boost the utilization of your HCL environment by reevaluating use cases and f...
Boost the utilization of your HCL environment by reevaluating use cases and f...Boost the utilization of your HCL environment by reevaluating use cases and f...
Boost the utilization of your HCL environment by reevaluating use cases and f...Roland Driesen
 
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...anilsa9823
 
Insurers' journeys to build a mastery in the IoT usage
Insurers' journeys to build a mastery in the IoT usageInsurers' journeys to build a mastery in the IoT usage
Insurers' journeys to build a mastery in the IoT usageMatteo Carbone
 
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756dollysharma2066
 
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756dollysharma2066
 
Regression analysis: Simple Linear Regression Multiple Linear Regression
Regression analysis:  Simple Linear Regression Multiple Linear RegressionRegression analysis:  Simple Linear Regression Multiple Linear Regression
Regression analysis: Simple Linear Regression Multiple Linear RegressionRavindra Nath Shukla
 
MONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRL
MONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRLMONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRL
MONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRLSeo
 

Kürzlich hochgeladen (20)

Yaroslav Rozhankivskyy: Три складові і три передумови максимальної продуктивн...
Yaroslav Rozhankivskyy: Три складові і три передумови максимальної продуктивн...Yaroslav Rozhankivskyy: Три складові і три передумови максимальної продуктивн...
Yaroslav Rozhankivskyy: Три складові і три передумови максимальної продуктивн...
 
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
 
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabiunwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
 
Enhancing and Restoring Safety & Quality Cultures - Dave Litwiller - May 2024...
Enhancing and Restoring Safety & Quality Cultures - Dave Litwiller - May 2024...Enhancing and Restoring Safety & Quality Cultures - Dave Litwiller - May 2024...
Enhancing and Restoring Safety & Quality Cultures - Dave Litwiller - May 2024...
 
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service BangaloreCall Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
 
VVVIP Call Girls In Greater Kailash ➡️ Delhi ➡️ 9999965857 🚀 No Advance 24HRS...
VVVIP Call Girls In Greater Kailash ➡️ Delhi ➡️ 9999965857 🚀 No Advance 24HRS...VVVIP Call Girls In Greater Kailash ➡️ Delhi ➡️ 9999965857 🚀 No Advance 24HRS...
VVVIP Call Girls In Greater Kailash ➡️ Delhi ➡️ 9999965857 🚀 No Advance 24HRS...
 
How to Get Started in Social Media for Art League City
How to Get Started in Social Media for Art League CityHow to Get Started in Social Media for Art League City
How to Get Started in Social Media for Art League City
 
Value Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and painsValue Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and pains
 
Pharma Works Profile of Karan Communications
Pharma Works Profile of Karan CommunicationsPharma Works Profile of Karan Communications
Pharma Works Profile of Karan Communications
 
Grateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdfGrateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdf
 
M.C Lodges -- Guest House in Jhang.
M.C Lodges --  Guest House in Jhang.M.C Lodges --  Guest House in Jhang.
M.C Lodges -- Guest House in Jhang.
 
Forklift Operations: Safety through Cartoons
Forklift Operations: Safety through CartoonsForklift Operations: Safety through Cartoons
Forklift Operations: Safety through Cartoons
 
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
 
Boost the utilization of your HCL environment by reevaluating use cases and f...
Boost the utilization of your HCL environment by reevaluating use cases and f...Boost the utilization of your HCL environment by reevaluating use cases and f...
Boost the utilization of your HCL environment by reevaluating use cases and f...
 
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
 
Insurers' journeys to build a mastery in the IoT usage
Insurers' journeys to build a mastery in the IoT usageInsurers' journeys to build a mastery in the IoT usage
Insurers' journeys to build a mastery in the IoT usage
 
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
 
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
 
Regression analysis: Simple Linear Regression Multiple Linear Regression
Regression analysis:  Simple Linear Regression Multiple Linear RegressionRegression analysis:  Simple Linear Regression Multiple Linear Regression
Regression analysis: Simple Linear Regression Multiple Linear Regression
 
MONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRL
MONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRLMONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRL
MONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRL
 

UCSF 6 1

  • 1. The Cycle Tool Laurel Mellin, PhD Associate Professor of Family and Community Medicine, UCSF Igor Mitrovic, MD Professor of Physiology, UCSF
  • 2. SESSION 6 OBJECTIVES • Describe the neurophysiology of allostatic circuit reconsolidation through use of the Cycle Tool. • Use the Cycle Tool Test to evaluate the effectiveness of use of the Cycle Tool.
  • 3. The Neurophysiology of the Cycle Tool Igor Mitrovic, MD Professor of Physiology, UCSF
  • 4. Experiential Learning The Cycle Tool Laurel Mellin, PhD Associate Professor of Family and Community Medicine, UCSF
  • 5. The Cycle Tool Test: Point #1 BRAIN STATE 4: UNLOCK THE CIRCUIT Just the Facts (Cognitive Activation): State the facts. What are you most stressed about. Do not express feelings. 2 or 3 sentences only.
  • 6. The Cycle Tool Test: Point #2 BRAIN STATE 4: UNLOCK THE CIRCUIT Natural Flow of Feelings (Progressive Emotional Expression): Express Allostatic Anger (“A+ Anger”) Express anger, in short, choppy sentences, really get angry. I feel angry that . . I can’t stand it that . . I hate it that . . . Up to 20 times.
  • 7. The Cycle Tool Test: Points #3 - #6 BRAIN STATE 3: SWITCH THE CIRCUIT Stayed on this topic for all feelings expressed (ANGER, SADNESS, FEAR AND GUILT). All feelings are short and choppy statements (to reflect emotions, not thoughts). Activated the circuit (got to Brain State 4+) to UNLOCK the circuit. The SADNESS, FEAR and GUILT statements are followed by 20+ seconds of pause to feel the feeling.
  • 8. The Cycle Tool Test: Points #7 - #8 BRAIN STATE 3: SWITCH THE CIRCUIT Unreasonable expectation is: • Brief (no more than 8 words) I do not have power. • Orthogonal ( zero correlation ) I do have power. • Core (no divisors) No emotionally vivid dependent expectation. Sustained Brain State 3 for 60 seconds or more (without speaking) to promote subcortical reconsolidation of new circuit.
  • 9. THE EMOTIONAL MESSAGE: Allostatic “Attachment” Circuits  I do not exist.  I am bad.  I have no power.  I cannot do good.  I cannot love.  I am not worthy.  I cannot have joy.
  • 10. ALLOSTATIC ATTACHMENT CIRCUITS Related Circuits  I do not exist. • You do not exist. • Only I exist. • Only you exist.  I am bad. • You are bad. • I must be perfect. • You must be perfect.  I have no power. • You have no power. • I must be in complete control. • You must be in complete control.
  • 11. ALLOSTATIC SURVIVAL CIRCUITS: I get my “X” (safety) from “Y”. •  Behavioral • • • • •  Emotional Food Tobacco Alcohol Drugs Gambling Spending • • • • • • Tech Exercise Sleeping Hoarding Sexual Excesses Overworking • • •  Relational • Hostility Depression Anxiety Cigarettes • • • • Panic Shame Numbness Stress High • Merging • Distancing
  • 12. The Cycle Tool Test Point #9 BRAIN STATE 1: LOCK IN NEW CIRCUIT Differentiate 4 Circuit from 5 Circuit Would it be rewarding to you to negate the circuit? If not, it is a 5 Circuit.
  • 13. The Cycle Tool Test Point #10 (4 Circuit) BRAIN STATE 1: LOCK IN NEW CIRCUIT • Grind In (Repeat opposite): Based on Hebb’s Law, neurons that fire together wire together and get stronger and the opposite ones get weaker. State the opposite to weaken the circuit. (Add the word “not”). • Stage 1. Low emotional expression, slow pace – decrease stress activation • Stage 2. Moderate emotional expression, moderate pace – increase endogenous dopamine. • Stage 3. High emotional expression, moderate page, elevated emotions – increase endogenous dopamine and oxytocin.
  • 14. The Cycle Tool Test Point #10 (5 Circuit) BRAIN STATE 1: LOCK IN NEW CIRCUIT Acute Care Applications • Co-regulate with provider to get to Brain State 1, then facilitate awareness and set aside. EBT Training with Certified EBT Provider • Co-regulation with provider to get to Brain State 1, then instruct on use 10 Step Survival Circuit Technology.
  • 15. CYCLE TOOL FOR PREVENTION OF Secondary Traumatic Stress (STS) • Do a Cycle a Day (“whether you need it or not”). • Train colleagues to use the Cycle Tool & Connecting Messages • Train family members to use the Cycle Tool & Connecting Messages.
  • 16. The Cycle Tool Activities • Use the Cycle Tool Test to score your Cycle to evaluate your skill in using the tool. • Check to determine your reconsolidation success based on attaining the 4-3-1 Pattern. • Experiment with co-regulating with another as you use the Cycle Tool. • Receive a Connecting Message after the Cycle, noticing the change in Brain State that it evokes.

Hinweis der Redaktion

  1. Presence of PTSD in the caregiver. California study of 67 nurses in Emergency Departments showed that Secondary Traumatic Stress (STS) 85% had 1 or more of the criteria, and 33% had all.IntrusionAvoidance –- encoding of a Survival CircuitArousal – the activation of a Survival CircuitIntrusion – stress symptoms from the activation of the Survival Circuit and decline in Set Point (avoidance, numbing, burnout)