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Addiction –Effects of Early trauma, Disorganised Attachment and the stress response

8/26/2020

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Addiction – the longing to Connect and to Belong 
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All addiction is unresolved past Trauma
Early Trauma, Disorganised Attachment and the Stress Response
In my clinics I see clients with all kinds of addictions: from alcohol, drugs, sex, gambling, work, shopping, opioids, behavioural, exercise to food, sometimes all combined in one.  Their first port of call is usually for physical pain, as the tip of the iceberg. Once they commence on the Craniosacral Therapy path, they realise that Craniosacral therapy (CST) not only assists with their pains but also with their unregulated nervous system, their physiological stress states and their anxious brainwaves, as they fire in unregulated hyper vigilant and dopamine seeking waves. All those variables often led them to their addiction in the first place, as a means to try and seek a solution for their internal turmoil and emotional stress states. The roots of any addiction go back to childhood experiences, childhood trauma, disorganised attachment and misattunement (physical and emotional needs not been met), as it forms the foundation of our physiology, mental, emotional health and behavioural patterns. These roots often lie deeply and subconsciously in the body but have formed hard-wired grooves and behavioural patterns in the brain and nervous system. 

Trauma in addiction
Current research is showing that childhood trauma and disorganised attachment are a major underlying source of addictive behaviour. The early years of our lives are the most critical development period for the architecture of our physical, mental and emotional well-being. Here, our brain grows at a rapid rate, firing and wiring, laying the foundation of our neural pathways. We also entirely dependent on the relationship with our caregivers. As we have no ability to regulate our own stress or uncomfortable feelings, we depend on healthy, nurturing attachment styles and emotionally responsive caregivers in the development of: a healthy stress response, emotional maturity, how we receive and are able to give love and how we obtain a healthy sense of belonging, connection and self-worth. We need all those ingredients so our nervous system can self-regulate, self soothe, our physiology can remain in balance and most importantly, we feel intrinsically safe inside. 

Addiction is often complex and multivariable. There may have been a history of mental health issues or addiction within the family. Usually the trauma is not caused by one major event but by an accumulation of hurtful events and painful experiences: a cold, harsh, punishing and critical parent, never been made to feel good enough, an emotionally absent or co-dependent parent, bullying amongst siblings, abandonment, unhealthy patterns of physical or emotional abuse between parents (punishment) and then seeing the parents all loved up again (reward), not having been kept safe by other parent from the abuse or not having been able to save the other parent from the abuse. This often all marinated in a deep sense of having felt powerless, shame and unworthiness.

Addiction is an attempt to solve the problem of what is so out of control inside them. It is an attempt to escape the distress, the high inner physiological arousal, overwhelm, thoughts and emotions. It is as an attempt to cope with the trauma by self-medicating, smoothening the nervous system, numbing the emotional pain as the body is not able to do this through self-regulation. It fills false wants:  altering consciousness, filling an inner emptiness and feeling some form of power, control and validation. But of course this is always short-lived and fuels the desire for more false wants above real needs, as the internal state stays unregulated and the search for a solution outside of oneself, continues.

The Stress Response
From an early age, the nervous system is driven into a freeze, fight or flight survival strategy and the imprints of trauma start layering here. When a natural discharge of the intense survival energy of freeze, fight/flight  was not able to come to its complete natural cycle, it will leave the body highly charged. The imprint of the trauma and/or accumulated life experiences stay very much alive in our system, even if we are not aware of it. It is much like a brewing tropical storm - eye of the hurricane - in the background. The internal intense energy and power is still there, as the pressure has not been released. As the nervous system stays stuck on the higher wired side, emotional imprints are stored in the body and behavioural patterns start to emerge. 

Secondly, when as a child something threatens our capacity to feel safe, to function and to develop a healthy sense of being, the body can repress and shut down conscious awareness of overwhelming painful emotions. The body is very clever as it stores these memories below our level of awareness and hides it in the body. This will not only ensure our survival but also our capacity to endure the trauma or ongoing painful experiences. Although stored below our level of awareness, the body still unconsciously experiences it as a sense of danger and this will continuously reactivate the nervous system and the bodily systems remain on high alert. This internal state starts to feel normal and addicts often have no idea how stressed, tense or chaotic their lives really are, as they have normalised it. 

When unprocessed trauma, core attachment wounds and emotional layers, remain stuck in the nervous system, trauma reenactment is a common theme. Through a nervous system survival strategy called: disassociation - they often act their trauma out, as that is their way of remembering by repeating the old wounds. Children from controlling or (emotionally) abusive homes finding themselves married to a controlling, domineering spouse, having a bullying boss or tyrant neighbour. The sex-worker, promiscuous person with a history of sexual abuse. Whatever it is, they often find themselves in situations and relationships that replicates the original trauma/childhood experience sometimes subtlety, sometimes disguised and sometimes overtly. Other stress responses are: hyper-vigilance, hyper aroused, firing on all cylinders, mood swings, sleeping problems, sugar cravings, attracted to danger, the dark side, living on the edge, panic attacks, isolation, avoidance or emotionally numb, often coupled with guilt, remorse, anger and depressive/low moods. 

Addicts starts to rely on the dopamine and serotonin hit as a means to regulate, numb and sooth their inner turmoil so they don’t have to feel the real mental, psychological and emotional pain and in effect, create a split-off persona.
 

How it relates to CST
Addiction is often about past experiences that are still being carried in the present through the biology of stress and cut of body responses. Until you break that pattern, heal the trauma and the core attachment wound – the destructive cycle will continue. CST deals with the primary innate biological forces of trauma, working through the different levels of the nervous system, the emotional brain, allowing for psychological changes to occur, rewiring of fight and flight brain (limbic) patterning and allowing for any physical and emotional releases.
 
My addict clients tell me that in talk therapy they skirt around subjects, cover things up or fluff a few lies, fiercely protecting the persona they have created and believed themselves to be. The beauty of a body-based therapy like CST is that in treatments, the body can’t hide and the body can’t lie. Talk therapy alone is inadequate for Trauma treatment as trauma is stored in one part of the brain (limbic), while talking, listening and understanding accesses a different part of the brain (neocortex). CST allows for the 2 brains to start talking to one and other and by doing so: making the unconscious, conscious.

Addiction fills a need - a need to belong, a need to connect. The closest I ever felt to a deep connection, belonging, oneness, stillness and shredding the emotional and mental layers of my (childhood) experiences was in deeply held CST sessions. In hindsight it was the (re)birth of me. You have to be really complete in your wounding before you can come from a healed place.

 

CST Treatments in working with Trauma and Stress responses in Addiction lead to:​
  • Regulation of the Autonomic Nervous system coming out of freeze (disassociation)/fight and flight response - completing the survival response
  • Regulation of the Central Nervous System – brain.
  • Regulation of physiology, mental and emotional states.
  • Allowing for deep emotional releases stored in the body.
  • Coming into a healing state where self-regulation can start to happen.
  • Lowered stress response – lowered physiological arousal and nerve interference- Deep relaxation.
  • Feeling safe on a bodily and visceral level
  • Psycho-emotional changes.
  • Improvement of body-mind awareness.
  • Working one layer at a time allowing any shock to discharge from the body, bring back all the lost and denied parts of oneself - working with the emotional brain and connecting it to the thinking brain.
  • In order to treat the physical, mental or emotional pain, you will need to treat the Trauma
  • Releasing on a subconscious level, bringing disowned parts into consciousness 
 Part 2. The Addicts Brain – role of CST
Part 3. The Addicts Physiology and bodily symptoms – CST wrap up​
References
  • Craniosacral Therapy – Switzerland – Kiental – Teacher: Friedrich Wolf
  • Mate, Gabor – In the realm of the Hungry Ghosts - close encounters with addiction - 2008 (Highly recommend).
  • Trauma, Attachment and Neurosciene - Workshop Bessel van der Kolk - Sydney February 2020
  • The Guardian (online) – how dealing with past trauma may be key to breaking addiction – November 2018
  • Johann Hari – You tube – Everything you know about addiction is wrong
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Pain in the Head! Causes, symptoms and more

8/11/2020

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​Headaches and Migraines
Headaches and Migraines tend to fall on a continuum — where you can occasionally experience mild headaches or on the total other side of the scale, experience severe migraines, often.
What exactly is a headache?
A headache is a pain sensation anywhere in the head. The pain or pressure is often described as dull and can sit around the temples, forehead, side or back of the head. The intensity can vary from light to very strong and can last from a few hours to days. Headaches often come on more gradual and increase in their intensity. Headaches often occur with muscle aches and pains from the shoulders up to the back of the head.
The 2 most common primary headaches are:
  • Tension headaches. Often described as a feeling of having a tight band or helmet around the head. The pain is dull, on both sides or around the head and can range from light to moderate
  • Cluster headaches. Often located in spot and/or around one eye. The pain is described as sharp or burning.
 
Causes Headaches
Headaches can be triggered by factors like: stress, teeth grinding, TMJ problems, lack of fluids, fatigue, certain foods, alcohol, drugs, low blood sugar, eyestrain, bright lights (Smart Phones), heat and poor posture. Most headaches are tension headaches as a result of muscle tension in the neck and head area. This can lead to a contraction of blood vessels and nerves surrounding your skull – in particular Cranial Nerve 11 – the Accessory Nerve (blog-CranialNerves) which innervates the trapezius shoulder muscle and sternocleidomastoid (SCM) (responsible for movement of the head and neck muscles). If this nerve is not functioning properly than the Traps and SCM are not properly innervated and will lack a proper tonus, causing headaches and stiff necks.
 
What exactly is a Migraine?
Migraines are a disease of the nervous system, causing neurological symptoms. Migraines can lie on a spectrum ranging from mild to severe to debilitating. Migraines are often on one side of the head, throbbing, pounding or sharp pain and symptoms are often more severe. Migraines are often accompanied by a variety of other symptoms caused by autonomic dysfunction like eg: nausea, blurred vision, aura, sensitivity to noise or light, increased thirst, irritability, difficulty concentrating and digestive problems.
A migraine can last from minutes to hours to days and often ranges from moderate to severe throbbing pain.
 
Causes Migraines
  • Vasodilation of the cranial blood vessels – the blood vessels inside the head change and go into expansion.
  • Nervous system dysfunction – migraines can be an issue of sensory processing. When we are (highly) stressed or overly anxious, the nervous system becomes more sensitive and will respond to small or normal stimulation with an exaggerated response. Our sensory information goes haywire, alert and all off a sudden, smells, light, sounds and touch can stimulate migraines (also headaches) as all senses are filtering the information as if they are under threat, like a smoke detector has gone off but there are no real flames 
  • Inflammation that affects blood vessels and blood flow into the brain
  • Dysfunction of Cranial Nerve XI – the accessory nerve – (see above)
  • Electrical signals from a nerve cell in the brain are passed on through neurotransmitters, which act like chemical messengers.  Changes in nerve signals and neurotransmitter levels (low serotonin) can cause pain.
  • Changes in Cranial Nerve 5 - the trigeminal nerve – connected to the reticular activating system (RAS) in brainstem causing fight or flight.
  • Hormonal changes (Estrogen)
  • Dysfunction in the brain due to injury or illness (concussion, Whiplash, Tumour). Brain stem injury– nuclei (cluster of neurons) that receives pain signals and sends out nerve signals to the meninges (connective tissue around the brain) which causes the release of inflammatory substances.
  • Genetics
  • Braces, dental work – tmj and jaw problems also for headaches
 
Treatments
Headaches and migraines are mostly treated with over the counter and prescription medicine like painkillers, beta-blockers, anti-inflammatory drugs or prescription medicine to stimulate serotonin, with the aim to reduce inflammation and constricted blood vessels.
 
Craniosacral Therapy
Does Craniosacral therapy help with headaches and migraines? Yes. Don’t take it just from me – as an ex-headache/migraine suffer – but there are multiple anecdotal and  and scientific studies to prove so as well. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2442042
Craniosacral therapy can have great effects for migraines and headaches that are caused by tension, neck and shoulder problems, jaw problems, sutural immobility in the cranial bones, brainstem injury, trigeminal nerve, nervous system dysfunction. My own personal headaches and migraines came from a strong tension pattern and after a whiplash accident – full blown migraines for months – where – as best as I can describe it - all the Christmas lights in my head were on full blast and flared up, along the nerve pathways in my head. I addressed it with CST and homeopathy (amazing) as nothing else worked.
CST can also address any dysfunctions in the autonomic nervous system, neuro-musculoskeletal level and psycho-emotional level, all of which can be contributing factors to the cause of migraines and headaches. It is however not a quick fix especially if it has been a long-standing pattern and will need a succession of treatments to go through all the layers and adjustments. For such a gentle therapy it does pack a potent punch - CST addresses:

  • Vertebrae’s issues in the Neck (C1/C2/C3) – issues here can attribute to headaches/migraines,dizziness, pain in the eyes. 
  • Structural cranium misalignments like a temporal bone dysfunction or a sphenoid bone dysfunction which can lead to tmj/mandibular dysfunction, neck pain and headaches.
  • Brain injuries - concussion, brainstem - limbic system
  • Any issues intra-orally (mouth work) if migraines and headaches are eg due to oa trigeminal nerve dysfunction, sensory processing issues, teeth clenching or knocks on the head. Working oa with the bones and nerves on the roof of the mouth, the jaw or individual teeth.
  • Teeth grinding. Often a major factor in headaches and implicates the TMJ, the cranial bones, the masseter muscle and the temporalis muscle to name a few, all things addressed in CST.
  • Braces can cause headaches – when they are on or when they come off – as they have held in a tight position for a long time – working on teeth and gums is an excellent craniosacral way to relieve headaches and migraines.
  • the orbit of the eye is often implicated in migraines and headaches and craniosacral therapists can relieve any pressure or compression around this area working with the nerves and cranial bones, in and outside the mouth.
  • helps to reduce pressure surrounding the head by working with any cranial base dysfunction  (ie cranial nerve XI – asseccory nerve).
  • addresses high stress levels and sensory processing issues– calms the nervous system by lower any sympathetic over-arousal. Migraines are often accompanied by autonomic dysfunction like irritability, fatigue – Craniosacral therapy regulates the nervous system as it works with Vagus Nerve - Cranial Nerve X. This nerve regulates our parasympathetic – relaxation rest and digest - nervous system for 75%.
  • Bringing the body back into homeostatic balance​
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