Your understanding determines your solution- Stuart Ablon (CPS, 2010)

It is important to understand mechanisms underlying

current functioning.

All rights reserved © 2007-2016 Bruce D. Perry

Understanding core principles of neuroscience, including neuroplasticity and neurodevelopment, can help us better

understand ourselves and others.

The brain mediates our thoughts, feelings, actions and connections to others

and the world.

All rights reserved © 2007-2015 Bruce D. Perry

All  rights  reserved  ©  2006-­‐2011  Bruce  D.  Perry  and    The  ChildTrauma  Academy

All rights reserved © 2010-2013 Bruce D. Perry !

Cortex

Limbic

Diencephalon Cerebellum

Brainstem

Abstract & Reflective Cognition

Concrete Cognition

Affiliation

Attachment/Reward

Sexual Behavior

Emotional Reactivity

Arousal

Appetite/Satiety

Blood Pressure

Heart Rate

Body Temperature

Sleep

Motor Regulation

NE#DA#

ANS - body

SER#

Efferent Distribution of Primary Regulatory Networks

Complexity Plasticity

Neocortex

Limbic

Diencephalon

Brainstem

All rights reserved © 2007-2015 Bruce D. Perry

All rights reserved © 2007-2015 Bruce D. Perry

All  rights  reserved  ©  2006-­‐2011  Bruce  D.  Perry  and    The  ChildTrauma  Academy

All  rights  reserved  ©  2006-­‐2011  Bruce  D.  Perry  and    The  ChildTrauma  Academy

NA

DA

Positive

Human

Interaction

Stimulation of “Reward” Neural Systems in the Human Brain: Multiple Mediators

Sensation of

pleasure and

safety

Release of

hormones

and “calmer” regulation of

stress response

neural

systems Decrease

physiological

distress

Drugs of Abuse cocaine, opiates, stimulants

EtOH

Sweet,

salty, fatty

foods

Behavior

consistent

with value or

belief system

Cut, pick, pull Sex

Music, rhythm

Bruce D Perry, MD, PhD © 2010-2013 www.ChildTrauma.org

Cognition Abstract Concrete Emotional Reactive Reflexive Mental State CALM ALARM FEAR ALERT TERROR

Primary secondary

Brain Areas

NEOCORTEX Subcortex

SUBCORTEX Limbic

LIMBIC Midbrain

MIDBRAIN Brainstem

BRAINSTEM Autonomic

Sense of Time

Days Hours

Hours Minutes

Extended Future

Minutes Seconds

Loss of Sense of

Time

All  rights  reserved  ©  2006-­2012  Bruce  D.  Perry  and  The  ChildTrauma  Academy    

All  rights  reserved  ©  2006-­2012  Bruce  D.  Perry  and  The  ChildTrauma  Academy    

All rights reserved © 2007-2015 Bruce D. Perry

Reason

Relate

RegulateAll rights reserved © 2007-2015 Bruce D. Perry

• Impulsive• Hyper  vigilant• Hyperactive• Withdrawn• Depressed• Anxious• Regressive  behavior• Sleep  difficulties• Acquire  new  developmental  tasks  at  a  slower  rate

• Often  meet  criteria  for:– ADHD,  Anxiety  Disorder  NOS,  Major  Depressive  Disorder,  Conduct  Disorder/Oppositional  Defiant  Disorder,  Attachment  Disorders

Intimacy Barrier

History of Relational

Interactions

Casual - Routine - Personal - Intimate

All  rights  reserved  ©  2006-­‐2011  Bruce  D.  Perry  and    The  ChildTrauma  Academy