Boot Camp Sample

Session One

Hemispheric Lateralization

right & left cerebral hemispheres are not paired

have different functions
Specialized
Left
Speech
Reasoning
Math and scientific skills
BRODMANNS AREAS TO SPINE TO MENTAL HEALTH
CORRELATES WILL BE PRESENTED

Human
Physiology
The Central Nervous System

The

Blood-Brain Barrier (BBB)

Function
Brain

capillaries much less permeable than others

Protects
Can

- protection
the brain from blood composition fluctuations

transport nutrients into the ISF

Exceptions

- posterior pituitary and vomiting center

Path of CerebroSpinal
Fluid

The Central Nervous System

BrainBasedChiropractic

CaudalLinearImage

BrainBasedChiropractic

RapheMagnusNucleus

A system in homeostasis
needs

Perturbation
in the internal
environment

Sensor

Comparator

Effector

Sensor
Negative
feedback

Tariq Faridi ( c ) 2013

Return to
normal
internal
environment

Hormone pathways
impacted by an
adjustment
Endocrine cell
Hormone
synthesis
Hormone
precursors
Stimulus acts on
receptor site or
directly inside cell

Chemicals stimulating the

release of the hormone

Hormone stored
in vesicles
Hormone secreted
into the blood
stream

2008 Paul Billiet ODWS

Neuroscience Integrating Biomechanics

ORIGINAL
FARIDI ALGORITHM
ROUGH DRAFT
Reassurance

Successful
Response
To Biomechanical
Care

Mental
Distress

Muti Symptom
Diagnosis

Root Causes

Symptom
Amplification

Cognitive and
Perceptual Processing

Biomechanical
Care
Need for
Multidisciplinary
Care
Thoughts
Trauma
Toxins

Neuroscience Integrating Biomechanics

ORIGINAL
FARIDI ALGORITHM
ROUGH DRAFT
Reassurance

Successful
Response
To Biomechanical
Care

Mental
Distress

Muti Symptom
Diagnosis

Root Causes

Symptom
Amplification

Cognitive and
Perceptual Processing

Biomechanical
Care
Need for
Multidisciplinary
Care
Thoughts
Trauma
Toxins

Common Reservoir
of Bodily Distress

Normal physiology
Self-limited, minor, benign ailments
Previously diagnosed medical disease
Autonomic concomitants of emotion
Stress response

Symptom Amplification Model

Reassurance

Common Reservoir
of Distress

Provisional
Disease
Attribution

Normal
Transient
Somatization

cs
i
n
cha

meSymptom
o
i
B

g
Amplification
n
i
t
gra AL HM
e
t
In GIN RIT
e
nc ORI GO FT
e
i
c
L
A
s
D
o
A
R
R
I Cognitive
ur
D
3eCauses
A
and
D
I
G
H
N
E E
R U
G
Perceptual
A
F RO DISRProcessing
T
E
L
S E MP
A
O
E
PL INC

Medical Care
Chronic,
Severe,
Disabling,
Refractory
Psychiatric and
Psychosocial Factors
Perpetuate,
Maintain,
Exacerbate

Neuroscience Integrating Biomechanics

Reassurance
Successful
Response
To Biomechanical
Care

Mental
Distress

Muti Symptom
Diagnosis

Symptom
Amplification

Biomechanical
Care
Need for
Multidisciplinary
Care

Root Causes

Cognitive and
Perceptual Processing

Thoughts
Trauma
Toxins

3 Causes

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

Medical threat
Personally meaningful event/stressor

Symptom Amplification Model

Neuroscience Integrating Biomechanics
ORIGINAL
FARIDI ALGORITHM
ROUGH DRAFT
PLEASE DISREGARD
Provisional
Symptom
Common Reservoir INCOMPLETE
Disease
Amplification
of Distress

Attribution

3 Causes

Cognitive and
Perceptual Processing

Reassurance
Normal
Transient
Somatization
Medical Care
Chronic,
Severe,
Disabling,
Refractory
Psychiatric and
Psychosocial Factors
Perpetuate,
Maintain,
Exacerbate

Neuroscience Integrating Biomechanics

Reassurance
Successful
Response
To Biomechanical
Care

Mental
Distress

Muti Symptom
Diagnosis

Symptom
Amplification

Biomechanical
Care
Need for
Multidisciplinary
Care

Root Causes

Cognitive and
Perceptual Processing

Thoughts
Trauma
Toxins

Provisional Disease Attribution

Provisional reattribution
of symptom to disease

Symptom Amplification Model

Reassurance
Normal
Transient
Somatization
Provisional
Disease
Attribution

Common Reservoir
of Distress

Symptom
Amplification

Medical Care

Spinal Cord Physiology & Anatomy

3 Causes

Cognitive and
Perceptual Processing

Psychiatric and
Psychosocial Factors
Perpetuate,
Maintain,
Exacerbate

Chronic,
Severe,
Disabling,
Refractory

Neuroscience Integrating Biomechanics

Reassurance
Successful
Response
To Biomechanical
Care

Mental
Distress

Muti Symptom
Diagnosis

Symptom
Amplification

Biomechanical
Care
Need for
Multidisciplinary
Care

Root Causes

Cognitive and
Perceptual Processing

Thoughts
Trauma
Toxins

Cognitive and Perceptual Processing

Bodily hypervigilance

Selective attention
Confirmatory bias
Health-related anxiety

Symptom Amplification Model

Reassurance
Normal
Transient
Somatization
Provisional
Disease
Attribution

Common Reservoir
of Distress

3 Causes

Symptom
Amplification

Cognitive and
Perceptual Processing

Medical Care
Chronic,
Severe,
Disabling,
Refractory
Psychiatric and
Psychosocial Factors
Perpetuate,
Maintain,
Exacerbate

Neuroscience Integrating Biomechanics

Reassurance
Successful
Response
To Biomechanical
Care

Mental
Distress

Muti Symptom
Diagnosis

Symptom
Amplification

Biomechanical
Care
Need for
Multidisciplinary
Care

Root Causes

Cognitive and
Perceptual Processing

Thoughts
Trauma
Toxins

Symptom Amplification
Symptoms become more intense, noxious,
intrusive, alarming

Symptom Amplification Model

Reassurance
Normal
Transient
Somatization
Provisional
Disease
Attribution

Common Reservoir
of Distress

3 Causes

Symptom
Amplification

Cognitive and
Perceptual Processing

Medical Care
Chronic,
Severe,
Disabling,
Refractory
Psychiatric and
Psychosocial Factors
Perpetuate,
Maintain,
Exacerbate

Neuroscienc Integrating Biomechanics

Reassurance
Successful
Response
To Biomechanical
Care

Mental
Distress

Muti Symptom
Diagnosis

Symptom
Amplification

Biomechanical
Care
Need for
Multidisciplinary
Care

Root Causes

Cognitive and
Perceptual Processing

Thoughts
Trauma
Toxins

Medical Care
Seek medical attention

Symptom Amplification Model

Reassurance
Normal
Transient
Somatization
Provisional
Disease
Attribution

Common Reservoir
of Distress

3 Causes

Symptom
Amplification

Cognitive and
Perceptual Processing

Medical Care
Chronic,
Severe,
Disabling,
Refractory
Psychiatric and
Psychosocial Factors
Perpetuate,
Maintain,
Exacerbate

Neuroscienc Integrating Biomechanics

Reassurance
Successful
Response
To Biomechanical
Care

Mental
Distress

Muti Symptom
Diagnosis

Symptom
Amplification

Biomechanical
Care
Need for
Multidisciplinary
Care

Root Causes

Cognitive and
Perceptual Processing

Thoughts
Trauma
Toxins

Reassurance

Explanation
Education
Symptomatic treatment
Tincture of time

Symptom Amplification Model

Reassurance
Normal
Transient
Somatization
Provisional
Disease
Attribution

Common Reservoir
of Distress

3 Causes

Symptom
Amplification

Cognitive and
Perceptual Processing

Medical Care
Chronic,
Severe,
Disabling,
Refractory
Psychiatric and
Psychosocial Factors
Perpetuate,
Maintain,
Exacerbate

Neuroscience Integrating Biomechanics

Reassurance
Successful
Response
To Biomechanical
Care

Mental
Distress

Muti Symptom
Diagnosis

Symptom
Amplification

Biomechanical
Care
Need for
Multidisciplinary
Care

Root Causes

Cognitive and
Perceptual Processing

Thoughts
Trauma
Toxins

Normal Transient Somatization

Resolution of symptom and concern

Symptom Amplification Model

Reassurance
Normal
Transient
Somatization
Provisional
Disease
Attribution

Common Reservoir
of Distress

3 Causes

Symptom
Amplification

Cognitive and
Perceptual Processing

Medical Care
Chronic,
Severe,
Disabling,
Refractory
Psychiatric and
Psychosocial Factors
Perpetuate,
Maintain,
Exacerbate

Neuroscience Integrating Biomechanics

Reassurance
Successful
Response
To Biomechanical
Care

Mental
Distress

Muti Symptom
Diagnosis

Symptom
Amplification

Biomechanical
Care
Need for
Multidisciplinary
Care

Root Causes

Cognitive and
Perceptual Processing

Thoughts
Trauma
Toxins

Psychiatric and Psychosocial Factors Perpetuate, Maintain, Exacerbate

Secondary gain
Situation/stressor does not resolve
Illness behaviors reinforce symptoms
Iatrogenesis
Major psychiatric comorbidity

Symptom Amplification Model

Reassurance
Normal
Transient
Somatization
Provisional
Disease
Attribution

Common Reservoir
of Distress

3 Causes

Symptom
Amplification

Cognitive and
Perceptual Processing

Medical Care
Chronic,
Severe,
Disabling,
Refractory
Psychiatric and
Psychosocial Factors
Perpetuate,
Maintain,
Exacerbate

Neuroscienc Integrating Biomechanics

Reassurance
Successful
Response
To Biomechanical
Care

Mental
Distress

Muti Symptom
Diagnosis

Symptom
Amplification

Biomechanical
Care
Need for
Multidisciplinary
Care

Root Causes

Cognitive and
Perceptual Processing

Thoughts
Trauma
Toxins

Chronic, Severe, Disabling, Refractory

? Somatoform disorder ?

Symptom Amplification Model

Reassurance
Normal
Transient
Somatization
Provisional
Disease
Attribution

Common Reservoir
of Distress

3 Causes

Symptom
Amplification

Cognitive and
Perceptual Processing

Medical Care
Chronic,
Severe,
Disabling,
Refractory
Psychiatric and
Psychosocial Factors
Perpetuate,
Maintain,
Exacerbate

Neuroscienc Integrating Biomechanics

Reassurance
Successful
Response
To Biomechanical
Care

Mental
Distress

Muti Symptom
Diagnosis

Symptom
Amplification

Biomechanical
Care
Need for
Multidisciplinary
Care

Root Causes

Cognitive and
Perceptual Processing

Thoughts
Trauma
Toxins

Summary

Good 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