#Biopsychosocial

[sysmedsaresexist]

Best model for CDDs?

My favorite model for CDDs is a very open-ended, all-inclusive, trauma-focused and informed biopsychosocial theory

In my opinion, it's basically all the theories, all at once, in unique combinations for every single individual

Of course, with the underlying understanding that it's trauma and negative experiences that cause the most disruption and pathological and maladaptive behaviors.

BPS was originally known as the vulnerability-stress model because it suggests that mental distress is a triggered response to stressful life events in people who are genetically vulnerable.

Today, though, and imo, anything is possible in combination, every theory has a grain of truth that intertwines with other factors in a wonderfully unique soup that is purely you and you alone, the product of static and variable experiences that began the moment you were conceived, with your genetic makeup

The biopsychosocial model is both a philosophy of clinical care and a practical clinical guide. Philosophically, it is a way of understanding how suffering, disease, and illness are affected by multiple levels of organization, from the societal to the molecular. At the practical level, it is a way of understanding the patient’s subjective experience as an essential contributor to accurate diagnosis, health outcomes, and humane care.

The Biopsychosocial Model 25 Years Later: Principles, Practice, and Scientific Inquiry

Specifically in regards to DID, this is my favorite paper on it.

Revisiting the etiological aspects of dissociative identity disorder: a biopsychosocial perspective

The abstract is a word salad that can be boiled down to, "everything about you, and everything that happened, matters."

And in the final sentence, they sum it up so well.

As such, DID may be seen as an exemplary disease model of the biopsychosocial paradigm in psychiatry.

From brain chemistry and pattern to the subconscious, every experience stored in your brain (whether you know it's there or not) played a unique part in shaping who you are, at this very moment.

The biopsychosocial model seems to be the most adequate for the study of trauma-related disorders.

Biopsychosocial approach to psychological trauma and possible health consequences

Something about... recognizing the story behind the health... it resonates with me. It makes sense, accounting for why no two cases are the same.

Why we are each our own unique brand of Fucked Up™️

Why no two people heal the same, why people have such wildly different thresholds

Another good article!

Unveiling the Impact of Trauma: A Psychoneuroimmunological & Biopsychosocial Perspective

[healingwgabs]

I've always been pro self-diagnosis... unless you're a hypochondriac, in which case DO NOT self-diagnose, u DO NOT have that thing!!!

[beyond-mogai-pride-flags]

Cisandrogynous Pride Flag

[ID: 5 horizontal stripes of violet, grey, lighter gray, grey, and indigo. En ID.]

Cisandrogyny or cisdrogyny: ascribing cisgender androgyny; individuals experiencing ones assigned gender and an androgynous identity (cisandrogyne/cisdrogyne) and/or presentation (cisdrogynous).

It could be psychological, biological, cultural or social androgyny.

[healingwgabs]

Therapy is also really unaffordable for many people. I think in circumstances where you aren't able to really afford therapy and r attending, it can create the conditions where you wind up resenting it n begin presenting with other symptoms that arise from financial strain (which mimic depression and anxiety) as a direct result of it

if only our government viewed and prioritized mental health care the same as our physical health care and extended/funded health care to include both in the same way.. you know rather than spending 4.6 on oil thats destroying our planet, the one we all share

[eiretearoa]

Brief thoughts on good preparation for surgery

Readers might have noticed a brief break in my usual posting: (1) I have had covid with an extended time needed to recovery (moral of that story: keep your vaccinations current! I did and I still ended up with post-covid fatigue); and (2) last week I had bilateral cataract surgery and yes, it’s good and yes it’s still weird. Whatever, I have had a break from my series on trauma and I promise…

[wellandable]

Neurocentric Approach to Mechanical Pain - DNM in Vancouver, BC April 4-6, 2025

It is a two-and-a-half-day workshop that will teach the philosophy, methods and techniques of DNM, which stands for Dermoneuromodulating. The course aims to help people understand pain and the nervous system and includes a hands-on, practical application.

Introducing DNM: Unlocking the Potential of Dermoneuromodulation. Are you an RMT looking to expand your skills, enhance your practice, and deliver exceptional results to your clients? Look no further; we are thrilled to present an exclusive opportunity for RMTs in beautiful Golden, BC, at 806 10th Ave S! DNM: The Complete Integration of Philosophy, Method, and Techniques We are excited to introduce DNM, Dermoneuromodulation, a groundbreaking approach that can revolutionize how you treat your clients. Led by the esteemed Michael Reoch, RMT, our course will take you through the philosophy, method, and techniques of DNM, empowering you to achieve remarkable outcomes for your clients. Why DNM? Unleash Your Full Potential DNM is not just another technique; it's a comprehensive system that allows you to go beyond the ordinary and create profound changes in your client's well-being. Whether you are a seasoned practitioner or a fresh face in the industry, DNM has something unique to offer: 1. Holistic Philosophy: By understanding the intricate connections between the person, the dermis, the nervous system, and the musculoskeletal system, DNM gives you a holistic perspective that can lead to lasting results. 2. Effective Method: DNM revolves around the concept of gentle, intentional touch. This helps you establish a deep connection with your clients and facilitates the body's natural healing mechanisms. It also ensures that each treatment is uniquely designed for your client's needs. 3. Incorporate your already established Techniques: From myofascial release to neural mobilization, positional release, and sensory integration, DNM equips you with a robust philosophy of care that you can apply to your favourite techniques. This allows you to address a wide range of conditions and deliver exceptional outcomes that resonate with your clients. About Michael Reoch, RMT: You Instructor Leading this transformative course is none other than Michael Reoch, an RMT with extensive experience in DNM. Michael's passion for teaching and commitment to excellence have made him a trusted name in the industry. His expertise and dedication will ensure you receive the highest quality education and guidance throughout the course. Join Us in Vancouver, BC: Beautiful Surroundings for a Transformative Experience

Don't Miss Out - Secure Your Spot Today: Click the link below!

In the field of Manual Therapy, there are many techniques used to treat people in pain. These techniques involve pushing, pulling, and twisting skin and soft tissue. DNM uses techniques that change the state of the nervous system in the skin, spinal cord and brain to make it less painful and reactive.

Studies have demonstrated that touch has significant psychological and physiological impacts, with the nervous system regulating these effects. To effectively use Manual Therapy as a pain treatment, it's important to comprehend pain physiology through a social, biological, and psychological perspective. Research has indicated that establishing a non-threatening treatment environment for the patient is vital.

The skin is closely tied to the nervous system, which makes up around 2% of our body weight but uses 20% of our O2 and glucose at all times. Nerves do not respond well to sustained mechanical deformation, specifically compression and stretch. Dermoneuromodulating is a method that considers the nervous system of the patient to treat from "skin cell to sense of self." Techniques are usually light, and holds are slow.

DNM is a form of personalized manual care that targets nervous system signals to reduce discomfort and pain. This approach involves collaboration between therapist and patient to alleviate tenderness and improve well-being. Regardless of the damage in the affected area, DNM can effectively reduce pain.

The term DNM Stands for Dermo (skin), Neuro (nervous system) Modulation (a change from one state to another). It is a method of manual therapy/massage therapy used to change the state of the nervous system from a painful hyperactive state to a less painful and reactive one through receptors in the skin.

In Manual Therapy (MT), hundreds of techniques and methods attempt to approach treating people in pain. These maneuvers' speed, duration and force may differ, but the underlying mechanistic effects all follow the same rules. They can all agree that we push, pull and twist skin directly and soft tissue indirectly.

Lately, there has been considerable growth in research around the mechanisms of massage and other manual therapies, with a drift into the neuroscience involved in pain.

Two processes seem to be apparent when we look at the research: 

First, the effects of touch have strong psychological and physiological effects. 

The nervous system controls these effects. 

If we use Manual Therapy as a treatment for pain resolution, we should look at understanding pain physiology within a social, biological and psychological framework. 

What we know from studying the non-specific effects of physical medicine is that we should strive for a treatment environment that creates the least amount of threat to the person being treated; therefore, We should act, dress and keep the treatment space in a way that won’t put the patient on the defensive. 

We know that we touch the skin primarily in manual therapy and that the skin is intimately tied into the nervous system embryologically as both arrive from the ectoderm. 

We know that the Nervous System makes up around 2% of our body by weight but uses 20% of our O2 and Glucose at all times.

The nervous system carries impulses from the peripheral (and from within), which are processed in the spinal cord and Brain to create an output response. If the impulses are deemed dangerous enough, the output is pain. 

We know that pain is a complex process that depends on contextual, psychological and biological factors that mostly happen without our conscious perception and that pain can’t happen without a nervous system. 

The human body has 72 kilometres of nerves, intimately connected to the vascular system millimetre by millimetre.

Nerves do not respond well to sustained mechanical deformation, specifically, compression more than stretch.

Dermoneuromodulating is a method that attempts to take these facts as an underlying framework for an interactive, hands-on approach to treating the experience of pain. It considers the nervous system of the patient to treat from “skin cell to sense of self.” Techniques are usually light, and holds are slow. Limbs and trunk are positioned to affect deeper nerve structures in combination with skin stretch. This is done to potentially shorten and widen a nerve's container, thus reducing mechanical deformation of the nerve. 

DNM is a method of manual care that puts the patient and their needs first. Instead of operating a recipe treatment, the treatment is an interaction between the patient and the therapist. The therapist and patient work together to find the areas that need attention and remove the tenderness and pain felt in that area. The focus is on changing the signalling within the nervous system to decrease discomfort. Pain does not happen in the muscles and other tissue but in the nervous system itself; therefore, whether or not the area of pain is damaged, we can reduce that pain with DNM.

[healingwgabs]

I find this notion to be harmful if it's done in the absence of advocating for transformational change n government policies (ie safety nets). How you vote and viewing others more holistically really matters. It's important that while we do pull on and acknowledge ppl's strengths and resilience (ie. post-traumatic growth) we also acknowledge that we live in a society, with government systems and structures (the "isms"). While I do understand that the latter is contentious, it is a vital component of each and every human...

Inspired by @revelatori on Instagram ✨

[nursingucgconferences]

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[socialmediaqueenz]

The Bio-psychosocial

The Biopsychosocial model is a comprehensive approach to understanding health and illness that takes into account biological, psychological, and social factors.

Biological factors: Biological factors refer to physiological and genetic makeup.

. Psychological factors: Psychological factors involve emotional and cognitive state.

. Social factors: Social factors encompass environment, relationships, and cultural background.

[unofficialchronicle]

On the Biopsychosocial Model

The Biopsychosocial model was first conceptualised by George Engel in 1977, suggesting that to understand a person's medical condition it is not simply the biological factors to consider, but also the psychological and social factors [1].

Bio (physiological pathology)

Psycho (thoughts emotions and behaviours such as psychological distress, fear/avoidance beliefs, current coping methods and attribution)

Social (socio-economical, socio-environmental, and cultural factors suchs as work issues, family circumstances and benefits/economics)

This model is commonly used in chronic pain,[2] with the view that the pain is a psychophysiological behaviour pattern that cannot be categorised into biological, psychological, or social factors alone. There are suggestions that physiotherapy should integrate psychological treatment to address all components comprising the experience of chronic pain.  

link: https://www.physio-pedia.com/Biopsychosocial_Model

[extreamemusicalchairs]

The lesser known slipknot song bioosychosocial

[storyvoice]

Why We Get Addicted

Think about an experience that makes you feel good. It could be successfully completing a project at work, eating a warm chocolate chip cookie or taking a swig of whiskey. It could be a puff of a cigarette or a shopping trip. A dose of Vicodin or a hit of heroin. Those experiences don’t automatically lead to addiction. So, what makes a particular habit or substance an addiction? What propels…

[drsixto]

Check out the new blog post! You will always find useful information from the House of Holistic Wellness!

[healingwgabs]

Reactive Abuse and Medical gaslighting

pathologizing someone’s reaction to abuse is called reactive abuse… calling someone “crazy” or being labelled as having anger issues when the reality is that you're having appropriate expected normal reactions that make sense given the circumstance ... or getting misdiagnosed or being labelled w an externalizing style of BPD (petulant/impulsive) as a response to abuse (ie. narcissistic abuse) is one of many ways reactive abuse can manifest

Clinical discernment is so important in these cases, is it your environment thats creates these "symptoms" or is it pathology?? If a person is taken out of an environment (a toxic one), which ppl who are often diagnosed with BPD are from and currently still in, would they still be exhibiting these symptoms if placed in a healthier environment... its for these reasons thats transformative social justice is so important too.. the personal is always political. The stance that one's environment creates disability (in this case mental health pathology) can not only be applied to encourage critical thinking towards bpd diagnosis but to other mental health disabilities too like depression but to also advocate for necessary changes in broader society within policies n our government (broader safety nets) we also see this a lot with right-wing ppl calling ppl on the "left" unhinged for having justified appropriate reactions when those more vulnerable to them r being abused, disrespected, and having their rights and protections taken away

[bellshazes]

ok but biopsychosocial does deserve to be hated on as a term

you're very correct but the problem isn't so much with the term itself as the entire ideological project of reducing the complex systems of oppression and inequality which lead to health disparities to a catchy bit of jargon. the psychosocial to biopsychosocial to social determinants of health to social drivers of health to health related social needs pipeline fail because they are primarily developed and used by modern industries which are key perpetuators of the structural inequalities and oppression they seek to describe.

more concretely, i genuinely believe the reduction of SDOH to an initialism is far more insidious as it plays to the healthcare industry's tendency to create the largest amount of distance between sign and signifier possible in their jargon. (if you have never heard the blithe tone only made possible by reducing "termination of parental rights" to the pithy "TPR" count yourself very lucky!) deeply absurd that the "atm machine" inclination has real consequences - we speak commonly of "SDOH needs," which is sensible if you are using SDOH as a proxy for gesturing at the facile immaterialist loose concept which SDOH and biopsychosocial terms wish to not think too hard about. but a "social determinant of health need" is ideologically empty. and so CMS goes for the softer "social drivers" language and suggests "health related social needs" which is more semantically sound in individual sentences but strays further from the actual, material truth that "health" (a label already loaded with problematic assumptions) is very minimally dependent on individual action but a product of power structures and capitalist economic incentives which have extremely disproportionate impacts depending on what categories you're using.

ironically none of these frameworks are capable of addressing the production of categories which we collectively pretend are ontologically real, or pretend have identifiable etiologies. of course even the most enlightened practicing psychiatrist, for example, would jeopardize their own profession if they reckoned with the true social construction of illness and health and disorder. it's rotten all the way down and while these tools may be useful in leveraging what little individual power we have to decrease human suffering around us, they are not sufficient and will always rot and be replaced, and rot, and be replaced....

[eiretearoa]

Trauma: where do we go with it? (1)

It’s hard to go anywhere on the interwebs without encountering something about ‘trauma-informed’ care/therapy/treatment and chronic/persisting pain management is no exception. This is the first of a series on my thoughts (based on research!) about trauma and chronic pain. Today I’ll very briefly define trauma as it’s typically used in this context, and touch on some of what research suggests is…