Showing posts with label Neurophysiological Aspects of Grief. Show all posts
Showing posts with label Neurophysiological Aspects of Grief. Show all posts

Thursday, April 1, 2010

Thursday’s Therapy - Our Traumatized Brain~An Over-Saturated Sponge




Thursday’s Therapy

Our Traumatized Brain

~

An Over-Saturated Sponge


Stress and Memory

Chronic over-secretion of stress hormones adversely affects brain function, especially memory.

Too much cortisol can prevent the brain from laying down a new memory, or from accessing already existing memories.

{No Wonder We Thought We Were Losing Our Minds!}

The renowned brain researcher, Robert M. Sapolsky, has shown that sustained stress can damage the hippocampus, the part of the limbic brain which is central to learning and memory. The culprits are "glucocorticoids," a class of steroid hormones secreted from the adrenal glands during stress. They are more commonly known as corticosteroids or cortisol.

During a perceived threat, the adrenal glands immediately release adrenalin. If the threat is severe or still persists after a couple of minutes, the adrenals then release cortisol.

Once in the brain, cortisol remains much longer than adrenalin, where it continues to affect brain cells.

Cortisol Affects Memory Formation and Retrieval

Have you ever forgotten something during a stressful situation that you should have remembered? Cortisol also interferes with the function of neurotransmitters, the chemicals that brain cells use to communicate with each other.

Excessive cortisol can make it difficult to think or retrieve long-term memories. That's why people get befuddled and confused in a severe crisis. Their mind goes blank because "the lines are down."

They can't remember where the fire exit is, for example.


Why We Lose Our Memory

Stress hormones divert blood glucose to exercising muscles, therefore the amount of glucose--hence energy--that reaches the brain's hippocampus is diminished. This creates an energy crisis in the hippocampus which compromises its ability to create new memories.

That may be why some people can't remember a very traumatic event, and why short-term memory is usually the first casualty of age-related memory loss resulting from a lifetime of stress.


Cortisol and Temporary Memory Loss-Study

In an animal study, rats were stressed by an electrical shock, and then made to go through a maze that they were already familiar with. When the shock was given either four hours before or two minutes before navigating the maze, the rats had no problem. But, when they were stressed by a shock 30 minutes before, the rats were unable to remember their way through the maze.

This time-dependent effect on memory performance correlates with the levels of circulating cortisol, which are highest at 30 minutes. The same thing happened when non-stressed rats were injected with cortisol. In contrast, when cortisol production was chemically suppressed, then there were no stress-induced effects on memory retrieval.

According to James McGaugh, director of the Center for the Neurobiology of Learning and Memory at the University of California, Irvine. "This effect only lasts for a couple of hours, so that the impairing effect in this case is a temporary impairment of retrieval. The memory is not lost. It is just inaccessible or less accessible for a period of time."


Cortisol and the Degenerative Cascade

Normally, in response to stress, the brain's hypothalamus secretes a hormone that causes the pituitary gland to secrete another hormone that causes the adrenals to secrete cortisol.

When levels of cortisol rise to a certain level, several areas of the brain -- especially the hippocampus -- tell the hypothalamus to turn off the cortisol-producing mechanism. This is the proper feedback response.

The hippocampus, however, is the area most damaged by cortisol.

In his book, Brain Longevity, Dharma Singh Khalsa, M.D., describes how older people often have lost 20-25% of the cells in their hippocampus {and Dr. Bessel A. van der Kolk reminds us that for a time the traumatized victim – in our case, of traumatic grief – also has a shrunken hippocampus}, so it cannot provide proper feedback to the hypothalamus, so cortisol continues to be secreted.


{Boy, does this explain a lot of the traumatic episodes I have been through where I thought I was absolutely losing my mind – that when I most needed it, my mind seemed the least able to function for me so that

I Was Afraid To Trust My Own Mind!

This neurophysiological explanation of what is going on in our traumatized brains explains SO MUCH to me that was otherwise downright CRAZY-MAKING!}


This, in turn, causes more damage to the hippocampus, and even more cortisol production.

Thus, a Catch-22 "degenerative {And/Or Traumatic} cascade" begins, which can be very difficult to stop.

{You can say that again!}


Cortisol and Brain Degeneration-Study

Studies done by Dr. Robert M. Sapolsky, Professor of Neurology and Neurological Sciences at Stanford University, showed that lots of stress or exposure to cortisol accelerates the degeneration of the aging hippocampus.

And, because the hippocampus is part of the feedback mechanism that signals when to stop cortisol production, a damaged hippocampus causes cortisol levels to get out of control - further compromising memory and cognitive function.

The cycle of degeneration then continues. (Perhaps similar to the deterioration of the pancreas-insulin feedback system.


Building Memories-Neurogenesis-Study

The growth of new brain cells – a process called neurogenesis – is involved in new memory formation. Researchers at Princeton University report that, even in adulthood, thousands of hippocampal neurons were being generated per day.

In animal studies, the number of adult-generated neurons in the hippocampi of rats doubled after they performed specific behavioral tasks and training that involved associative learning. In contrast, tasks that did not require the hippocampus did not stimulate new cell growth.

"All of the species we examined showed evidence of substantial neurogenesis in adulthood," Princeton's Elizabeth Gould said. "These findings indicate that adult-generated hippocampal neurons are specifically affected by, and potentially involved in, associative memory formation."

{Parenthetical comments throughout this article are my own.}


All in all, our over-loaded, traumatized brains are like an over-saturated sponge~There's just not a lot more we can take in; we have quite enough already to process without adding any more! And the Cortisol hormone keeps putting us into fight-or-flight so that our verbal processes and cognitive functioning (i.e., planning what we must do to help ourselves) get pushed aside for us to get-in-touch-with at a later time, like it or not...

Thank you to The Franklin Institute, Research for Science Learning for this excellent and enlightening article! Next week, I hope to talk about some RELIEF we can find from the cortisol streaming through our grieving bodies! So please, stay tuned...










http://www.fi.edu/learn/brain/stress.html

Thursday, March 25, 2010

Thursday's Therapy - Your Brain and Stress





Thursday's Therapy


Your Brain and Stress




This article explains so much of what I see going on in my body amidst my traumatic and complicated grief! Let me know what you think in regard to what your own physiological responses to grief have been...


Those aggravating things that go wrong in the day and those irritating things that go bump in the night – disrupting routines and interrupting sleep – all have a cumulative effect on your brain, especially its ability to remember and learn.

As science gains greater insight into the consequences of stress on the brain, the picture that emerges is not a pretty one. A chronic overreaction to stress overloads the brain with powerful hormones that are intended only for short-term duty in emergency situations. Their cumulative effect damages and kills brain cells.



How Your Brain Responds to Stress

Did you know that the emotional and physical responses you have to stress are set in motion by a series of chemical releases and reactions? Find out what is really going on inside your body and why not all stress is bad.


"Attack of the Adrenals" – A Metabolic Story

The ambulance siren screams its warning to get out of the way. You can't move your car because you're stuck in a bumper-to-bumper traffic jam that reaches as far as the eye can see. There must be an accident up ahead. Meanwhile the road construction crew a few feet from your car is jack-hammering the pavement. You are about to enter the stress zone.

Inside your body the alert goes out.

"Attention all parasympathetic forces. Urgent. Adrenal gland missile silos mounted atop kidneys have just released chemical cortisol weapons of brain destruction. Mobilize all internal defenses. Launch immediate counter-calm hormones before hippocampus is hammered by cortisol."

Hormones rush to your adrenal glands to suppress the streaming cortisol on its way to your brain. Other hormones rush to your brain to round up all the remnants of cortisol missiles that made it to your hippocampus. These hormones escort the cortisol remnants back to Kidneyland for a one-way ride on the Bladderhorn. You have now reached metabolic equilibrium, also known as homeostasis.


Inside Homeostasis

When a danger finally passes or the perceived threat is over, your brain initiates a reverse course of action that releases a different bevy of biochemicals throughout your body.

Attempting to bring you back into balance, your brain seeks the holy grail of "homeostasis," that elusive state of metabolic equilibrium between the stimulating and the tranquilizing chemical forces in your body.

If either one of the stimulating or tranquilizing chemical forces dominates the other without relief, then you will experience an on-going state of internal imbalance. This condition is known as stress.

And it can have serious consequences for your brain cells.



Parasympathetic and Sympathetic Nervous System

The sympathetic nervous system (SNS) turns on the fight or flight response. In contrast, the parasympathetic nervous system (PNS) promotes the relaxation response.


Like two tug-of-war teams skillfully supporting their rope with a minimum of tensions, the SNS and PNS carefully maintain metabolic equilibrium by making adjustments whenever something disturbs this balance.


The strongmen on these teams are hormones, the chemical messengers produced by endocrine glands. Named after a Greek word meaning "to set in motion," hormones travel through the bloodstream to accelerate or suppress metabolic functions.


The trouble is that some stress hormones don't know when to quit pulling.


They remain active in the brain for too long - injuring and even killing cells in the hippocampus, the area of your brain needed for memory and learning.


Because of this hierarchical dominance of the SNS over the PNS, it often requires conscious effort to initiate your relaxation response and reestablish metabolic equilibrium.




The Emotional Brain – Limbic System


The primary area of the brain that deals with stress is its limbic system. Because of its enormous influence on emotions and memory, the limbic system is often referred to as the emotional brain....


Whenever you perceive a threat, imminent or imagined, your limbic system immediately responds via your autonomic nervous system – the complex network of endocrine glands that automatically regulates metabolism.


The term "stress" is short for distress, a word evolved from Latin that means "to draw or pull apart." The Romans even used the term districtia to describe "a being torn asunder." When stressed-out, most of us can probably relate to this description.




Distress Signals from Your Brain


Your sympathetic nervous system does an excellent job of rapidly preparing you to deal with what is perceived as a threat to your safety. Its hormones initiate several metabolic processes that best allow you to cope with sudden danger.


Your adrenal glands release adrenaline (also known as epinephrine) and other hormones that increase breathing, heart rate, and blood pressure. This moves more oxygen-rich blood faster to the brain and to the muscles needed for fighting or fleeing. And, you have plenty of energy to do either, because adrenaline causes a rapid release of glucose and fatty acids into your bloodstream. Also, your senses become keener, your memory sharper, and you are less sensitive to pain.


Other hormones shut down functions unnecessary during the emergency. Growth, reproduction, and the immune system all go on hold. Blood flow to the skin is reduced. That's why chronic stress leads to sexual dysfunction, increases your chances of getting sick, and often manifests as skin ailments. With your mind and body in this temporary state of metabolic overdrive, you are now prepared to respond to a life-threatening situation.




Getting Back to Normal


After a perceived danger has passed, your body then tries to return to normal. But this may not be so easy, and becomes even more difficult with age.


Although the hyperactivating sympathetic nervous system jumps into action immediately, it is very slow to shut down and allow the tranquilizing parasympathetic nervous system to calm things down.


Once your stress response has been activated, the system wisely keeps you in a state of readiness.




Stress is Not All Bad


Bear in mind that an appropriate stress response is a healthy and necessary part of life. One of the things it does is to release norepinephrine, one of the principal excitatory neurotransmitters. Norepinephrine is needed to create new memories. It improves mood. Problems feel more like challenges, which encourages creative thinking that stimulates your brain to grow new connections within itself.


Stress management is the key, not stress elimination. The challenge in this day and age is to not let the sympathetic nervous system stay chronically aroused.


This may require knowledge of techniques that work to activate your relaxation response.





Next week, we will see how this out-of-control, run-amuck cortisol affects our memory amidst our grief.

Meanwhile, I hope you have a relatively stress-free week!










http://www.fi.edu/learn/brain/stress.html