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Returning to seeing clients in person (COVID)

Eager to be sitting in the same room with people again!!
Enjoys in person work
Misses people
Waiting for guidelines
Follow the rules
Do 'what's right'
Research, follow the news
Wants to keep everyone safe and comfortable.
Services to be accessible to all.
I'm just deciding. Fed up. Throws hands in air
Scared of being criticized by others or letting them down
Cut costs if move online 100%. More efficient
Procrastinate
Avoid making a decision
Sets future deadlines to decide
Enjoys flexibility of seeing clients online.
Can work from home or office depending on mood
The
Responsible
One
The Social Butterfly
Caretaker
The Ostrich
Little girl
The Accountant
Free Spirit
The F#$K it! Part
Eager to be sitting in the same room with people again!!
Eager to be sitting in the same room with people again!!
Eager to be sitting in the same room with people again!!
Eager to be sitting in the same room with people again!!

The Critic
Positive Intention (what it wants for you):
How it tries to do that:
What's it afraid would happen if didn't do what it does:
Spend a lot of time making sure things are done perfectly
Review conversations had through the day to see if screwed up
Be harsh about errors so I don't repeat them ever again
Set high standards for myself
Compare my work, appearance, success etc to others
To be accepted and respected
Rejection, external criticism, being abandoned
Sounds like my dad's voice
Manager
NERVOUS SYSTEM
3 Circuits & examples of mixed states
as vagal brake adjusts amount of activation
Ventral
Sympathetic
Connected
Safe
Mobilized
Fight-Flight
Dorsal
Immobilized
Collapsed
Sympathetic
"I must now"
Seeking safety through action
Dorsal
"I can't"
Seeking safety through
disconnection
Ventral
"I can"
Safety, Connection, Presence
Freeze
Combination of
Sympathetic and Dorsal
Stillness
Ventral dominant
with a splash of Dorsal
Play
Ventral dominant
with a splash of Sympathetic
Clinical Considerations
IFS
Insight work through Self to part connection
Structural dissociation
Not aware that in state (trait)
Blunted, not responsive
Dorsal Sympathetic Ventral
Blended with a part
Not able to say "I'm in a part" but can name ANS state
Vagal brake
"What do you need from me to feel safe and connected right now?"
In a dorsal state, and less able to connect with therapist
Therapist helps to coregulate to resolve dissociation
What movement can you do? (can’t move often because immobilized)
What movement do you need from me?
Safe Danger
Not Connected Connected to therapist
Adapted from Francois Le Doze' Relational Intelligence Model

Lower Brain
Upper Brain
Prefrontal Cortex
Amygadala
Hippocampus
Thalamus
Top
Down
Bottom Up
Body
ANS
Brain Stem
Common Threat & Safety Cues
Internal Cues
Danger
Safety
Environmental Cues
Ventral
Sympathetic
Dorsal
Connected
Safe
Mobilized
Fight-Flight
Immobilized
Collapsed
critical self-talk
shame stories
pain
suffering
Danger Cues
Safety Cues
move us down the ladder
move us up
the ladder
Relational
supportive self-talk
stories of belonging
pleasure
extreme weather, overwork, food and housing insecurity, climate stress, systemic oppression, fire, death
clean air and water, safe housing, food security, meaningful work, body autonomy, equal rights
interpersonal violence, shaming, unfair criticism, bullying, gaslighting, rejection, loneliness
acceptance, presumption of competence, emotional validation, compassionate touch, genuine care
All Parts Welcome

