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Boot Camp SampleSession One right & left cerebral hemispheres are not paired have different functionsSpecializedLeftSpeechReasoningMath and scientific skillsBRODMANNS AREAS TO SPINE TO MENTAL HEALTH CORRELATES WILL BE PRESENTED

Hemispheric Lateralization1Human PhysiologyThe Central Nervous SystemThe Blood-Brain Barrier (BBB)Function - protectionBrain capillaries much less permeable than othersProtects the brain from blood composition fluctuationsCan transport nutrients into the ISFExceptions - posterior pituitary and vomiting center

Path of CerebroSpinal Fluid

The Central Nervous System

Brain Based ChiropracticCaudal Linear Image

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Brain Based ChiropracticRaphe Magnus Nucleus

5A system in homeostasis needs SensorPerturbation in the internal environment Return to normal internal environment EffectorComparatorSensorNegative feedback

Tariq Faridi ( c ) 2013Hormone pathways impacted by an adjustmentHormone secreted into the blood streamEndocrine cellHormone stored in vesiclesHormone precursorsHormone synthesisStimulus acts on receptor site or directly inside cellChemicals stimulating the release of the hormone 2008 Paul Billiet ODWSNeuroscience Integrating BiomechanicsORIGINAL FARIDI ALGORITHM ROUGH DRAFTMentalDistressRoot Causes

Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins8Neuroscience Integrating BiomechanicsORIGINAL FARIDI ALGORITHM ROUGH DRAFTMentalDistressRoot Causes

Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins9Common Reservoir of Bodily Distress

Normal physiologySelf-limited, minor, benign ailmentsPreviously diagnosed medical diseaseAutonomic concomitants of emotionStress response10Symptom Amplification ModelCommon Reservoirof Distress3 Causes

ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,ExacerbateNeuroscience Integrating BiomechanicsORIGINAL FARIDI ALGORITHM ROUGH DRAFTPLEASE DISREGARD - INCOMPLETE11Neuroscience Integrating BiomechanicsMentalDistressRoot Causes

Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins123 Causes

Onset of psychiatric disorder (e.g., panic attack)

Medical threat

Personally meaningful event/stressor

13Symptom Amplification ModelCommon Reservoirof Distress3 Causes

ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,ExacerbateNeuroscience Integrating BiomechanicsORIGINAL FARIDI ALGORITHM ROUGH DRAFTPLEASE DISREGARD - INCOMPLETE14Neuroscience Integrating BiomechanicsMentalDistressRoot Causes

Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins15Provisional Disease Attribution

Provisional reattributionof symptom to disease16Symptom Amplification ModelCommon Reservoirof Distress3 Causes

ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate Spinal Cord Physiology & Anatomy 17Neuroscience Integrating BiomechanicsMentalDistressRoot Causes

Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins18Cognitive and Perceptual Processing

Bodily hypervigilance

Selective attention

Confirmatory bias

Health-related anxiety

19Symptom Amplification ModelCommon Reservoirof Distress3 Causes

ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate20Neuroscience Integrating BiomechanicsMentalDistressRoot Causes

Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins21Symptom Amplification

Symptoms become more intense, noxious,intrusive, alarming22Symptom Amplification ModelCommon Reservoirof Distress3 Causes

ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate23Neuroscienc Integrating BiomechanicsMentalDistressRoot Causes

Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins24Medical Care

Seek medical attention25Symptom Amplification ModelCommon Reservoirof Distress3 Causes

ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate26Neuroscienc Integrating BiomechanicsMentalDistressRoot Causes

Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins27Reassurance

Explanation

Education

Symptomatic treatment

Tincture of time

28Symptom Amplification ModelCommon Reservoirof Distress3 Causes

ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate29Neuroscience Integrating BiomechanicsMentalDistressRoot Causes

Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins30Normal Transient Somatization

Resolution of symptom and concern31Symptom Amplification Model Common Reservoirof Distress3 Causes

ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate32Neuroscience Integrating BiomechanicsMentalDistressRoot Causes

Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins33Psychiatric and Psychosocial Factors Perpetuate, Maintain, Exacerbate

Secondary gain

Situation/stressor does not resolve

Illness behaviors reinforce symptoms

Iatrogenesis

Major psychiatric comorbidity

34Symptom Amplification ModelCommon Reservoirof Distress3 Causes

ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate35Neuroscienc Integrating BiomechanicsMentalDistressRoot Causes

Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins36Chronic, Severe, Disabling, Refractory

? Somatoform disorder ?37Symptom Amplification ModelCommon Reservoirof Distress3 Causes

ProvisionalDiseaseAttributionCognitive andPerceptual ProcessingSymptomAmplificationMedical CareNormalTransientSomatizationChronic,Severe,Disabling,RefractoryReassurancePsychiatric andPsychosocial FactorsPerpetuate,Maintain,Exacerbate38Neuroscienc Integrating BiomechanicsMentalDistressRoot Causes

Muti SymptomDiagnosisCognitive andPerceptual ProcessingSymptomAmplificationBiomechanicalCareSuccessfulResponseTo BiomechanicalCareNeed forMultidisciplinaryCareReassuranceThoughtsTraumaToxins39SummaryGood health is not symptom-free and therefore is a reservoir of distress available for misattribution, somatization

Multiple psychological, interpersonal and situational forces can precipitate symptom amplification and misattribution of these symptoms to disease

This process not necessarily psychopathological

Psychopathological forces may be more important in maintaining and perpetuating symptoms, and in producing intractability and refractoriness to medical management, than in initiating the symptoms

Treatment focus should be on coping with symptoms and an impairment and disability than on symptomatic cure

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