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

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    Om Shahi
    1. The document discusses how the brain and digestive system are linked via the autonomic nervous system and neurotransmitters. Stress can activate the "second brain" in the gut and impact mental health. 2. Therapies like mindfulness, cognitive skills, movement, and breathwork can help regulate the nervous system and reduce stress's negative impacts. Identifying stressors early via diagnoses like PTSD, anxiety disorders, or IBS may help intervene. 3. The goals are to understand how stress impacts the brain-gut connection, recognize signs of stress activation, and learn self-regulation skills to manage stress's effects.

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

    Uploaded by

    Om Shahi
    12 views33 pages
    1. The document discusses how the brain and digestive system are linked via the autonomic nervous system and neurotransmitters. Stress can activate the "second brain" in the gut and impact mental health. 2. Therapies like mindfulness, cognitive skills, movement, and breathwork can help regulate the nervous system and reduce stress's negative impacts. Identifying stressors early via diagnoses like PTSD, anxiety disorders, or IBS may help intervene. 3. The goals are to understand how stress impacts the brain-gut connection, recognize signs of stress activation, and learn self-regulation skills to manage stress's effects.

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    1. The document discusses how the brain and digestive system are linked via the autonomic nervous system and neurotransmitters. Stress can activate the "second brain" in the gut and impact mental health. 2. Therapies like mindfulness, cognitive skills, movement, and breathwork can help regulate the nervous system and reduce stress's negative impacts. Identifying stressors early via diagnoses like PTSD, anxiety disorders, or IBS may help intervene. 3. The goals are to understand how stress impacts the brain-gut connection, recognize signs of stress activation, and learn self-regulation skills to manage stress's effects.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12 views33 pages

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

    Uploaded by

    Om Shahi
    1. The document discusses how the brain and digestive system are linked via the autonomic nervous system and neurotransmitters. Stress can activate the "second brain" in the gut and impact mental health. 2. Therapies like mindfulness, cognitive skills, movement, and breathwork can help regulate the nervous system and reduce stress's negative impacts. Identifying stressors early via diagnoses like PTSD, anxiety disorders, or IBS may help intervene. 3. The goals are to understand how stress impacts the brain-gut connection, recognize signs of stress activation, and learn self-regulation skills to manage stress's effects.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 33

    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.
    Brain and Digestive System
    Link
    https://youtu.be/VzPD009qTN4
    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 Grumpy Gut

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