STRESS RESILIENCE WORKSHOP: POSTPONED

 

 

IF YOU’RE INTERESTED IN A FUTURE DATE FOR THIS WORKSHOP, CONTACT ME

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SOMATIC SKILLS TO BOUNCE BACK FROM STRESS
with Mary Scheib FNP SEP

LOCATION: San Francisco, Noe Valley, WHOLE FAMILY MD, 1286 Sanchez, SuiteA, near 26th Street. 

COST: $109.00

 

 

In this ONE DAY WORKSHOP practice resiliency skills that RESET the stress response and lead to more ease & energy. Experience how safe human connection supports our capacity to bounce back. Become aware of the “Stress Exposure Response” and  how too much stress changes our capacity to cope. Learn how our biology guides us to understand traumatic stress and power STRESS RESILIENCE.
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Paying attention to “what wrong” helped our human species survive. But these days, our culture is attracted to toxic levels of stress. Such TOXIC STRESS dys-regulates our physiology and can lead to physical and emotional symptoms and illness.

When we shift our focus toward and practice “taking in the good” we find our bounce-back ability.

 

  • ESTABLISHING RESILIENCE: Orienting to the present moment, finding a sense of pleasure, your own inner rhythms, and inner & outer resources. Gratitude practice.
  • What is the ”Stress exposure” response, and the “range of resilience”?
  • Tending to basic housekeeping/self care: nourishment, sleep, activity, self touch.
  • Safety and connection with others. Sensing  boundaries, Loving Kindness & compassion practice

 

 

Mary is a Family NP and Somatic Experiencing /Trauma Resolution Practitioner. Her private practice is located on 26th Street near Church in Noe Valley. She is passionate to empower your own resilience.

Her teaching is informed by the practices of Somatic Experiencing (R) Trauma Resolution (Peter Levine), Somatic Resilience & Regulation (Kathy L Kain & Steve Terrell) and Rick Hanson’s Foundations of Wellbeing

 

Cancelation: 50% refund  prior to 3/10/17.

TRAUMA RESILENCE GROUP STARTS 3/9/16

Resilience

Resilience

Trauma Resilience Group in San Francisco’s Noe Valley:
Sustainable Caring for Self & Others
with Mary Scheib NP Somatic Experiencing, Trauma Resolution Practitioner

6 Wednesday evenings, March 9 through April 13, 2016, 6:30-830PM

CONTINUING EDUCATION 10.5 units avaialble for: RN’s, (CABRN & ANCC certified) & Social Workers (ASWB) : $30 onsite. Full credit only.*

Contact me for registration details. Register for free Intro on Meet-Up

Nurses, Nurse Practitioners, Physicians, Social Workers, other Health Practitioners, Educators, Social and Environmental Activists–
Learn how we can be guided by our biology to understand and heal traumatic stress and develop TRAUMA RESILIENCE. In caring for others and being a witness to suffering, we may be exposed to stress that is prolonged, intense, repeated and unaddressed. Such TOXIC STRESS dys-regulates our physiology and can lead to physical and emotional symptoms and illness. Become aware of this “Trauma Exposure Response”, changes in the brain & memory, and practices that support our “range of resilience”
The content of the 6 week Trauma Resilience group will be adapted to the 6-8 participants.  Overall, we’ll be creating a safe, playful space for being together authentically,  learning through information and experience, and practicing in group & during the week.    Using van dernoot Lipsky’s Five Directions, (Trauma Stewardship)  we’ll play with creating a Trauma Resilience Map.

Week 1. Neurobiology part 1: trauma exposure response, window of tolerance, (review & expand).  Centering part 1: present moment awareness, self sensing, building capacity/resource
Week 2. Neurobiology part 2: brain changes and memory.   Centering part 2: tending to “basic housekeeping”, movement, heathy touch.
Week 3. Neurobiology part 3:  safety and connection/social engagement system.  Moving Energy Through: Sensing  boundaries, Gratitude practice
Week 4. What is my  deepest intention and where is my Focus? Deep listening & speaking.
Week 5. Building compassion and community;  Social engagement.  Compassionate action for change.
Week 6. Mapping Resilience;  closing ritual.

* Nurses: As an American Psychological Association (APA) approved provider, CES programs are accepted by the American Nurses Credentialing Center (ANCC). These courses can be utilized by nurses to renew their certification and will be accepted by the ANCC. Every state Board of Nursing accepts ANCC approved programs except California and Iowa, however CES is also an approved Continuing Education provider by the California Board of Registered Nursing (Provider # CEP15567) which is also accepted by the Iowa Board of Nursing. Nurses completing this program will receive 10.5 continuing education hours.
Social Workers: CES, provider #1117, is approved as a Provider for Social Work Continuing Education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. CES maintains responsibility for the program. ASWB approval period: 10/15/15 through 10/15/18. Social Workers should contact their regulatory board to determine course approval. Social Workers participating in this course will receive 10.5 clinical continuing education clock hours.

TRAUMA RESILIENCE IN 2016

Cataract Falls

TRAUMA RESILIENCE  IN 2016
Is the New Year a time when you feel the impulse to start fresh and commit to change in your life? Did you know that trauma and traumatic stress can keep us stuck? Ready to recover  your resilience–the flux, flow and power of your own life energy?

CONTACT ME NOW to schedule an individual session (30” complementary session available) or to participate in a group. On JANUARY 20, 2016, 6:30-8:00 PM, I’ll be leading a Meet-up group on  TRAUMA RESILIENCE: Intro to Sustainable Care for Self and Others.

Read on to learn some of how trauma can hinder life energy and how healing happens

Of course, change is happening all the time. We become aware of change and our own resilience if we pause to notice it in the present moment.

Trauma and traumatic stress, however, can keep us stuck and feeling that change and forward movement is impossible. Indeed, one of the definitions of trauma is a dysfunction in our capacity to be in the here and now. Riveted attention to danger in our environment helped us to survive. But if we are unable to protect ourselves, our physiology can become dysregulated, separating us from our capacity to be present and move forward. On a nervous system level, we are powerfully attracted to a swirl of (subconscious) emotional and muscular memories that are linked to trauma and continue to be replayed. (See Trauma and Memory. Peter A Levine, PhD.)

Somatic Experiencing-Trauma Resolution and Somatic Practice-Touch Skills understand that trauma is in the body and support us to renegotiate whatever didn’t get to happen through the body. First, stabilization and regulation happen as we sense safety in relationship and strengthen our experience of safety, pleasure and well-being in the body. With safety and regulation on-board, we begin to renegotiate bits of traumatic experience (expressed as overwhelm and/or shut down) and find our natural, healthy, resilient range. We rediscover what Somatic Regulation and Resilience teacher and childhood trauma expert Stephen Terrell describes as the “treasure chest” of our own life energy.

PRACTICING GRATITUDE

 

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Gratitude-leaf carpet after the rain

MUSINGS ON GRATITUDE
It’s December, the solstice is here and we’re coming together to celebrate in many traditions. I’m thinking about our human capacity to appreciate. We turn toward things, individuals and communities that support our well-being and resilience (a basis of trauma resolution). A friend and I talked about Hanukkah’s festival of lights where little gifts are given each day—and she spontaneously offered me a Peet’s card for a free drink (Chai tea please!) I notice a pleasant sensation of warmth around my heart and a deep breath. This–the expansive experience of gratitude, gladness, appreciation—feels good, and changes my brain!

Gratitude as a practice grows on you, It can be cultivated, and is a way of inclining the mind toward the good.  Perhaps it’s helpful right now more than ever as we are exposed to so much suffering.
Research from the Greater Good Science Center shows gratitude changes the brain to support physical and emotional well being. As Rick Hanson, PhD teaches,”what we put our attention on shapes the brain the most.” Gratitude inclines the mind and heart toward the good and supports us in responding to difficulty. Steven Porges, PhD, a neuroscientist who studies the neurophysiology of self-regulation, talks about gratitude as an emotion and sensation that shifts our physiology. Feeling appreciation turns down our fight and flight response—where we can be in our “middle range” with opportunities to connect, rest and play.

There’s many ways to practice. Steve Stucky, a San Francisco Zen Center priest and teacher spoke about gratitude as a daily question. Sitting at the side of his bed in the morning, he’d ask…”gratitude” and wait for a response. He continued this practice even as he was approaching his death. As I’m writing this, I received an email of appreciation for my contribution on a panel for small business students. I’m also thinking about my group of friends who practice meditation together. We send each other emails about what we’re grateful for that day. For me, the little things, roses blooming in December, a cup of tea, a carpet of red leaves after the rain, the smile of a neighbor are most accessible. Gratitude can’t be forced though and I remember a few years back when I just wasn’t ready for it. I’m glad I was willing to try again. And I’m struck by the sense of how gratitude is a pausing to receive and respond to what’s here right now with an open heart.
To receive daily email inspiration check out the gratefulness.org project.

Mindfulness Poems: “We Are a River”

For me, reading a poem is a way for my thinking brain to pause and to shift to being in this moment.  Present moment awareness gets hi-jacked in trauma and stress. And yet we reclaim our inherent capacity to be present by practicing. A project called “A Year of being Here. daily mindfulness poetry by wordsmiths of the here & now” publishes beautiful  poems everyday that help us shift our awareness. Check out  and subscribe to the collection which is curated by Phyllis Cole-dai at mindfulness poems.

LAO TSE: WE ARE THE RIVER

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Cataract Falls on Mount Tamalpais

Our life has not been an ascent
up one side of a mountain and down the other.
We did not reach a peak,
only to decline and die.
We have been as drops of water,
born in the ocean and sprinkled on the earth
in a gentle rain.
We became a spring,
and then a stream,
and finally a river flowing deeper and stronger,
nourishing all it touches
as it nears its home once again.

*

Don’t accept the modern myths of aging.
You are not declining.
You are not fading away into uselessness.
You are a sage,
a river at its deepest
and most nourishing.
Sit by a river bank some time
and watch attentively as the river
tells you of your life.

“We Are a River,” from The Sage’s Tao Te Ching: Ancient Advice for the Second Half of Life, William Martin’s free-verse interpretation of the classic work by Lao Tzu (The Experiment, 2010).

Chronic Pain: a symptom of trauma?

IS CHRONIC PAIN A SYMPTOM OF TRAUMA?
How does Trauma dys-regulate the physiology and lead to symptoms like chronic pain?
How does orienting to the present and to pleasant or neutral experience through our senses and building safety in relationship to ourselves and others help us self-regulate and heal “trauma physiology”?
What self-care measures can be part of my healing from pain and trauma?

Trauma has been defined as anything that happens too fast, too much, too soon and that brings us outside of the functional range of the our system. The response to traumatic stress, which releases a physiological response and tremendous amount of energy to complete a sequence of protective impulses , is meant to be life saving and short lived. Activated in the primitive brain, this is our FIGHT, FLIGHT, & FREEZE response. When the system is overwhelmed, the natural completion of the trauma physiology and protective impulses are disrupted. Even though the events are over, there is a continued high levels of energy in the system, as well as an urgent sense of threat and danger.

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Resting in the shade

Chronic pain is now being understood as sensitization of the central nervous system. Sensitization through trauma, where there are high levels of system activation, may have been a part of or even present before a pain inducing event. Kaiser’s study of Adverse Childhood Experience shows a very strong relationship between childhood trauma and conditions such as chronic pain.
Another definition of trauma is a dysfunction in the ability to be in the present moment. With trauma, the ability to process, experience and lay down coherent memory is impaired. Memory fragmentation leads to a sense of disorientation–we’re separated from the present, from our environment, from our emotions, and from clear and flexible thinking.

Somatic Experiencing, a trauma resolution therapy, gently and playfully helps us re-orient to the present moment. Bringing our attention to pleasant and neutral experience in a warm and safe relationship, we gradually begin to process small bits of the trauma physiology and notice and follow our impulses to complete self-protective responses. We reconnect with our emotions, create new meanings.—a sense of “I can”, and recover our own life-force.

Newsletter Launch

Welcome to the launch of the newsletter for my private practice — Integrative Trauma Healing.  SUBSCRIBE
I’m offering individual and group sessions of the body-mind practice of Somatic Experiencing (SE) for trauma resolution, supported with wellness education (mindfulness, nutrition for example).

When we’ve experienced trauma, our body-mind may get dys-regulated. The system needs to complete the physiological stress response and self-protective movements that are naturally set in motion. Even though the event is over, our body still registers threat. Through gently coming into the present moment, and processing small bits of the “trauma physiology”, within a safe relationship, the ‘ system’ starts moving and healing itself.

In the newsletter, I’ll be sharing more on how we heal from trauma, wellness practices that support healing, and inspirations. The first edition reviews James Baraz’s course and book, Awakening Joy, an approach to living mindfully that is aligned with Somatic Experiencing, and the beautiful Rumi Poem Story Water. Next edition will cover the work of Laura van Dermoot-Lipsky who advocates Trauma Stewardship as a model to heal from and prevent the “trauma exposure response” when we are witness to suffering as we care for others. As a nurse myself, her work is particularly compelling.

To SUBSCRIBE  to the newsletter, please complete the Contact Form.  I hope you enjoy it and find it helpful. I invite you to forward this link to anyone who might be interested and benefit. (Know that you may unsubscribe at anytime.)

I will be offering a group information session on Friday, July 17, 6-7:30PM.
May you be well.

With Warm Regards,
Mary

How Toxic Stress affects us

 

Toxic stress–common, preventable, treatable–affects a majority of us.  A dynamic, impassioned talk on the what Kaiser’s & the CDC’s ACE (Adverse Childhood Experiences) Study means for our health and well being over our lifetime. Dr Nadine Burke Harris is a pediatrician and public health advocate. I invite you to watch the TED talk or read the transcript.

In the mid-’90s, the CDC and Kaiser Permanente discovered an exposure that dramatically increased the risk for seven out of 10 of the leading causes of death in the United States. In high doses, it affects brain development, the immune system, hormonal systems, and even the way our DNA is read and transcribed. Folks who are exposed in very high doses have triple the lifetime risk of heart disease and lung cancer and a 20-year difference in life expectancy. And yet, doctors today are not trained in routine screening or treatment. Now, the exposure I’m talking about is not a pesticide or a packaging chemical. It’s childhood trauma.
1:05
Okay. What kind of trauma am I talking about here? I’m not talking about failing a test or losing a basketball game. I am talking about threats that are so severe or pervasive that they literally get under our skin and change our physiology: things like abuse or neglect, or growing up with a parent who struggles with mental illness or substance dependence.
1:30
Now, for a long time, I viewed these things in the way I was trained to view them, either as a social problem — refer to social services — or as a mental health problem — refer to mental health services. And then something happened to make me rethink my entire approach. When I finished my residency, I wanted to go someplace where I felt really needed, someplace where I could make a difference. So I came to work for California Pacific Medical Center, one of the best private hospitals in Northern California, and together, we opened a clinic in Bayview-Hunters Point, one of the poorest, most underserved neighborhoods in San Francisco. Now, prior to that point, there had been only one pediatrician in all of Bayview to serve more than 10,000 children, so we hung a shingle, and we were able to provide top-quality care regardless of ability to pay. It was so cool. We targeted the typical health disparities: access to care, immunization rates, asthma hospitalization rates, and we hit all of our numbers. We felt very proud of ourselves.
2:44
But then I started noticing a disturbing trend. A lot of kids were being referred to me for ADHD, or Attention Deficit Hyperactivity Disorder, but when I actually did a thorough history and physical, what I found was that for most of my patients, I couldn’t make a diagnosis of ADHD. Most of the kids I was seeing had experienced such severe trauma that it felt like something else was going on. Somehow I was missing something important.
3:20
Now, before I did my residency, I did a master’s degree in public health, and one of the things that they teach you in public health school is that if you’re a doctor and you see 100 kids that all drink from the same well, and 98 of them develop diarrhea, you can go ahead and write that prescription for dose after dose after dose of antibiotics, or you can walk over and say, “What the hell is in this well?” So I began reading everything that I could get my hands on about how exposure to adversity affects the developing brains and bodies of children.
3:58
And then one day, my colleague walked into my office, and he said, “Dr. Burke, have you seen this?” In his hand was a copy of a research study called the Adverse Childhood Experiences Study. That day changed my clinical practice and ultimately my career.
4:23
The Adverse Childhood Experiences Study is something that everybody needs to know about. It was done by Dr. Vince Felitti at Kaiser and Dr. Bob Anda at the CDC, and together, they asked 17,500 adults about their history of exposure to what they called “adverse childhood experiences,” or ACEs. Those include physical, emotional, or sexual abuse; physical or emotional neglect; parental mental illness, substance dependence, incarceration; parental separation or divorce; or domestic violence. For every yes, you would get a point on your ACE score. And then what they did was they correlated these ACE scores against health outcomes. What they found was striking. Two things: Number one, ACEs are incredibly common. Sixty-seven percent of the population had at least one ACE, and 12.6 percent, one in eight, had four or more ACEs. The second thing that they found was that there was a dose-response relationship between ACEs and health outcomes: the higher your ACE score, the worse your health outcomes. For a person with an ACE score of four or more, their relative risk of chronic obstructive pulmonary disease was two and a half times that of someone with an ACE score of zero. For hepatitis, it was also two and a half times. For depression, it was four and a half times. For suicidality, it was 12 times. A person with an ACE score of seven or more had triple the lifetime risk of lung cancer and three and a half times the risk of ischemic heart disease, the number one killer in the United States of America.
6:30
Well, of course this makes sense. Some people looked at this data and they said, “Come on. You have a rough childhood, you’re more likely to drink and smoke and do all these things that are going to ruin your health. This isn’t science. This is just bad behavior.”
6:49
It turns out this is exactly where the science comes in. We now understand better than we ever have before how exposure to early adversity affects the developing brains and bodies of children. It affects areas like the nucleus accumbens, the pleasure and reward center of the brain that is implicated in substance dependence. It inhibits the prefrontal cortex, which is necessary for impulse control and executive function, a critical area for learning. And on MRI scans, we see measurable differences in the amygdala, the brain’s fear response center. So there are real neurologic reasons why folks exposed to high doses of adversity are more likely to engage in high-risk behavior, and that’s important to know.
7:43
But it turns out that even if you don’t engage in any high-risk behavior, you’re still more likely to develop heart disease or cancer. The reason for this has to do with the hypothalamic–pituitary–adrenal axis, the brain’s and body’s stress response system that governs our fight-or-flight response. How does it work? Well, imagine you’re walking in the forest and you see a bear. Immediately, your hypothalamus sends a signal to your pituitary, which sends a signal to your adrenal gland that says, “Release stress hormones! Adrenaline! Cortisol!” And so your heart starts to pound, Your pupils dilate, your airways open up, and you are ready to either fight that bear or run from the bear. And that is wonderful if you’re in a forest and there’s a bear. (Laughter) But the problem is what happens when the bear comes home every night, and this system is activated over and over and over again, and it goes from being adaptive, or life-saving, to maladaptive, or health-damaging. Children are especially sensitive to this repeated stress activation, because their brains and bodies are just developing. High doses of adversity not only affect brain structure and function, they affect the developing immune system, developing hormonal systems, and even the way our DNA is read and transcribed.
9:31
So for me, this information threw my old training out the window, because when we understand the mechanism of a disease, when we know not only which pathways are disrupted, but how, then as doctors, it is our job to use this science for prevention and treatment. That’s what we do.
9:53
So in San Francisco, we created the Center for Youth Wellness to prevent, screen and heal the impacts of ACEs and toxic stress. We started simply with routine screening of every one of our kids at their regular physical, because I know that if my patient has an ACE score of 4, she’s two and a half times as likely to develop hepatitis or COPD, she’s four and half times as likely to become depressed, and she’s 12 times as likely to attempt to take her own life as my patient with zero ACEs. I know that when she’s in my exam room. For our patients who do screen positive, we have a multidisciplinary treatment team that works to reduce the dose of adversity and treat symptoms using best practices, including home visits, care coordination, mental health care, nutrition, holistic interventions, and yes, medication when necessary. But we also educate parents about the impacts of ACEs and toxic stress the same way you would for covering electrical outlets, or lead poisoning, and we tailor the care of our asthmatics and our diabetics in a way that recognizes that they may need more aggressive treatment, given the changes to their hormonal and immune systems.
11:16
So the other thing that happens when you understand this science is that you want to shout it from the rooftops, because this isn’t just an issue for kids in Bayview. I figured the minute that everybody else heard about this, it would be routine screening, multi-disciplinary treatment teams, and it would be a race to the most effective clinical treatment protocols. Yeah. That did not happen. And that was a huge learning for me. What I had thought of as simply best clinical practice I now understand to be a movement. In the words of Dr. Robert Block, the former President of the American Academy of Pediatrics, “Adverse childhood experiences are the single greatest unaddressed public health threat facing our nation today.” And for a lot of people, that’s a terrifying prospect. The scope and scale of the problem seems so large that it feels overwhelming to think about how we might approach it. But for me, that’s actually where the hopes lies, because when we have the right framework, when we recognize this to be a public health crisis, then we can begin to use the right tool kit to come up with solutions. From tobacco to lead poisoning to HIV/AIDS, the United States actually has quite a strong track record with addressing public health problems, but replicating those successes with ACEs and toxic stress is going to take determination and commitment, and when I look at what our nation’s response has been so far, I wonder, why haven’t we taken this more seriously?
13:14
You know, at first I thought that we marginalized the issue because it doesn’t apply to us. That’s an issue for those kids in those neighborhoods. Which is weird, because the data doesn’t bear that out. The original ACEs study was done in a population that was 70 percent Caucasian, 70 percent college-educated. But then, the more I talked to folks, I’m beginning to think that maybe I had it completely backwards. If I were to ask how many people in this room grew up with a family member who suffered from mental illness, I bet a few hands would go up. And then if I were to ask how many folks had a parent who maybe drank too much, or who really believed that if you spare the rod, you spoil the child, I bet a few more hands would go up. Even in this room, this is an issue that touches many of us, and I am beginning to believe that we marginalize the issue because it does apply to us. Maybe it’s easier to see in other zip codes because we don’t want to look at it. We’d rather be sick.
14:33
Fortunately, scientific advances and, frankly, economic realities make that option less viable every day. The science is clear: Early adversity dramatically affects health across a lifetime. Today, we are beginning to understand how to interrupt the progression from early adversity to disease and early death, and 30 years from now, the child who has a high ACE score and whose behavioral symptoms go unrecognized, whose asthma management is not connected, and who goes on to develop high blood pressure and early heart disease or cancer will be just as anomalous as a six-month mortality from HIV/AIDS. People will look at that situation and say, “What the heck happened there?” This is treatable. This is beatable. The single most important thing that we need today is the courage to look this problem in the face and say, this is real and this is all of us. I believe that we are the movement.
15:51
Thank you.

Favorite Somatic Experiencing Info Group, February 14, 2-4PM

 

 

 

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SOMATIC EXPERIENCING GROUP SESSION

FEBRUARY 14, 2015

2:00-4:00 PM

Do something SWEET for yourself!

Join Mary for a playful, informative Somatic Experiencing Group session. Learn how toxic stress and trauma dis-regulates your system and how Somatic Experiencing sets conditions for self-regulation and healing. Get a taste of simple, powerful practices for well-being: grounding, orienting to pleasant experience, playful, present moment of awareness of the “felt sense” of your experience. You’ll learn about the nervous system, biological resilience, sensing safety in relationships and the “how” of healing from trauma.

The group is limited to 10 participants in lovely Noe Valley studio space. Donation accepted ($15-20 suggested). Details of location confirmed after registration. Invite a valentine! To register: call 415-294-1077 or email maryscheibfnp@gmail.com.