Signs and symptoms responsive to polyvagal informed interventions

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Signs and symptoms responsive to polyvagal informed interventions by Mind Map: Signs and symptoms responsive to polyvagal informed interventions

1. Respiratory System

1.1. Dyspnea

1.2. breathholding

1.3. shallow breathing

1.3.1. COPD

1.4. rapid breathing

1.5. temperature regulation

1.6. blood pH

1.7. immunity

2. Circulatory System

2.1. blood pressure

2.2. heart rate variability

2.3. vasoconstriction

2.4. vascular inflammation

2.4.1. vascular neuropathy

3. Renal/Urinary System

3.1. frequent urination

3.2. interstitial cystitis

3.3. toileting problems

3.4. incontinence

4. Skeletal System

4.1. arthritic process

5. Nervous System

5.1. Central Nervous System (Brain)

5.1.1. Brain

5.1.1.1. Forebrain

5.1.1.2. Brainstem

5.1.1.2.1. colliculi

5.1.1.3. Midbrain

5.1.1.3.1. periacqueductal gray (PAG)

5.1.1.3.2. hypothalamus

5.1.1.3.3. pituitary gland

5.1.1.4. Migraines

5.1.2. Spinal cord/nerves

5.2. Sensory system (sense organs and sensory nerves)

5.2.1. skin  sensations

5.2.1.1. tactile

5.2.1.1.1. eating/feeding disorders

5.2.1.2. pain

5.2.1.2.1. hypersensitivity

5.2.1.3. itching

5.2.2. hearing

5.2.2.1. hypersensitivity

5.2.2.2. muffling/inability to hear voice

5.2.2.3. misphonia

5.2.2.4. tinnitus

5.2.2.5. auditory processing disorder

5.2.3. gustatory

5.2.3.1. distortions

5.2.3.2. reduced range of tastes

5.2.4. olfactory

5.2.4.1. distortions/loss of smell sense

5.2.4.2. hypersensitivity to smells

5.2.5. vision

5.2.5.1. sneezing reflex

5.2.5.2. light sensitivities

5.2.5.3. problems with focus/tracking

5.2.5.4. strabismus

5.2.6. Interoceptive

5.2.6.1. Pain, touch and temperature from larynx, lower pharynx, concha and skin of the external ear and ear canal, external surface of tympanic membrane, meninges of the posterior cranial fossa

5.2.6.2. Visceral sensory afferent esophagus, larynx, pharynx, cardiac, pulmonary, gastrointestinal viscera

5.3. Peripheral Nervous System (includes sensory motor)

5.3.1. Circadian rhythms

5.3.2. Sympathetic Nervous System

5.3.2.1. stress hormones

5.3.2.1.1. metabolic rate in cells

5.3.2.1.2. bronchodilation

5.3.2.1.3. breath rate

5.3.2.1.4. heart rate

5.3.2.1.5. redirection of blood flow to skeletal muscles

5.3.2.1.6. inhibition of digestion

5.3.2.1.7. skin tightening

5.3.2.1.8. blood pressure

5.3.2.2. regulation of homeostasis

5.3.2.2.1. Circadian Rhythm

5.3.2.3. Skeletal muscle system/Motor nerves

5.3.2.3.1. Reflex driven

5.3.2.3.2. Intention driven

5.3.3. Parasympathetic Nervous System (includes VAGUS nerve)

5.3.3.1. feeding

5.3.3.2. breeding

5.3.3.3. heart rate variability

5.3.3.4. bronchoconstriction

5.3.3.5. Smooth muscle systems

5.3.3.5.1. stretch receptors

5.3.3.6. Social Engagement system

5.3.3.6.1. muscles of neck

5.3.3.6.2. eyes

5.3.3.6.3. face

5.3.3.6.4. ears

5.3.3.6.5. pharnyx/larnyx

5.3.3.6.6. mouth/tongue/lips

6. Psycholgocial/cognitive/meaning system

6.1. anxiety

6.1.1. specific fears and phobias

6.1.2. obsessions

6.1.3. reactive movements

6.1.3.1. rocking

6.1.3.2. picking

6.1.3.3. flapping

6.1.3.4. spinning

6.1.4. rumination

6.1.5. distorted self-sense

6.1.5.1. disrupted  interoception/chronic neuroception

6.1.5.2. anorexia

6.1.5.3. body dysmorphias

6.1.5.4. numbing

6.2. trauma sequela

6.2.1. flashbacks

6.2.2. nightmares

6.2.3. triggers/sensitivities

6.2.4. avoidance

6.2.5. disorganization

6.2.6. hypervigilance/reacitivity

6.2.7. sleep disruption

6.3. dissociation

6.3.1. defensive exclusion

6.3.2. numbing

6.3.3. blocking

6.4. reactive aggression

6.4.1. bullying (psychological-chronic)

6.4.2. peer conflict

6.4.3. physical attacks

6.4.3.1. kicking

6.4.3.2. hitting

6.4.3.3. biting

6.4.4. destruction of property

6.4.5. self injury

6.4.5.1. biting

6.4.5.2. cutting

6.4.5.3. headbanging

6.5. relationship/attachment disruption

6.5.1. anxious preoccupied

6.5.2. avoidant

6.5.3. disorganized

6.5.4. reactive

6.6. depression

6.6.1. isolating

6.6.2. anhedonia

6.6.3. irritability

6.6.4. reduced expressiveness

6.6.5. flat expression

6.6.6. disrupted sleep

6.6.7. psychomotor slowing

6.7. 'learned helplessnes'/negative expectations

6.8. behavioral reactivity (can include sensory)

6.8.1. hyperactivity

6.8.2. low frustration tolerance

6.8.3. meltdowns

6.8.4. low stress tolerance

6.8.5. irritability/mood lability

6.8.6. mania

6.9. cravings

6.10. perseveration

6.11. reduced emotional control/difficulty with self-soothing

6.12. language difficulty

6.12.1. following directions

6.12.2. coherency of narrative

6.12.3. absract language

6.12.4. vocabulary

6.12.5. pragmatics

6.13. poor memory skills

6.13.1. working memory

6.13.2. episodic memory

6.13.3. autobiographical memory

6.14. poor sequencing

6.15. disrupted social cognition

6.15.1. social reciprocity impairment

6.15.2. lack of attunement

6.15.3. impaired synchrony of interactions

6.15.4. low social motivation

6.15.5. lack of empathy

6.15.6. limited social thinking

6.16. difficulties with executive function

6.16.1. rigid rule-bound functioning

6.16.2. impulsivity

6.16.3. organization

6.16.3.1. thoughts

6.16.3.2. materials

6.16.4. decreased self-awareness/metacognition

6.16.5. difficulties with problem solving

6.16.6. time management

6.17. disorientation

6.18. illogical thinking

6.19. delayed processing speed

6.20. inattention

6.21. poor judgement and reasoning

7. Lympahtic/Immune System

7.1. lymph nodes/ducts

7.2. tonsils

7.3. thymus

7.4. spleen

7.5. bone marrow

8. Reproductive system

9. Digestive/Excretory  System

9.1. gastric reflux

9.2. constipation

9.3. diarrhea

9.4. pediatric acute-onset neuropsychiatric syndrome (PANS)

9.5. pediatric autoimmune neuropsychiatric d/o associated with streptococcal infections (PANDAS)

9.6. toileting problems

9.7. yeast overgrowth

10. Endocrine System

10.1. Pineal Gland

10.1.1. Melatonin

10.2. Pituitary gland and hypthalamus

10.2.1. Growth Hormone

10.2.2. Oxytocin

10.2.2.1. prosocial behavior

10.3. Thyroid/Parathyroid Glands

10.4. Adrenal Glands

10.4.1. Noradrenaline

10.4.2. Adrenaline

10.4.2.1. low startle threshhold

10.4.2.2. flashbacks

10.4.2.3. hypervigilance

10.4.2.4. fight/flight behavior

10.4.2.5. alert behavior

10.4.2.6. adrenal fatigue

10.5. Pancreas

10.5.1. Insulin

10.5.2. Digestive enzymes

10.6. Ovaries

10.6.1. Estrogen

10.7. Testes

10.7.1. testosterone

11. Integumentary/Exocrine System

11.1. acne

11.2. allergies

11.3. skin sensitivities

11.3.1. itching

11.3.2. pain

11.3.3. aversive sensation

11.4. inflammation

11.4.1. Fibromyaligia

11.5. Skin

11.6. Nails

11.7. Glands

11.7.1. Sweat

11.7.2. Sebaceous

11.8. Hair