Nervous System Dysregulation: Tips and Tools Every Parent Needs to Support Emotions and Learning

Nervous System Dysregulation Tips and Tools Every Parent Needs to Support Emotions and Learning
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Dr. Roseann Capanna-Hodge

Nervous system dysregulation happens when the nervous system struggles to regulate itself effectively, often leading to emotional and physical challenges for children and teens. It's like their little systems are on a constant rollercoaster ride, making it tough for them to handle stress and emotions smoothly.

As parents, we see our kids dealing with heightened anxiety, tummy troubles, and even more meltdowns than usual. It's not just about the stress they face, but also how their bodies react to it, sometimes making them feel overwhelmed and out of balance.

Regulated vs. Dysregulated Nervous System

Understanding Nervous System Dysregulation

The regulation of the nervous system involves the central nervous system’s ability to maintain a balanced state, which is crucial for kids to navigate their world smoothly. When this balance is disrupted, it can lead to responses that seem out of proportion to the situation at hand, affecting both decision-making and mental health. 

For our kids and teens, this often shows up as heightened emotional challenges—like being extra sensitive or feeling powerless—and can even lead to physical issues such as autoimmune disorders or mental health conditions.

A key player in this imbalance is the limbic system, which is responsible for detecting threats. When it goes into overdrive, almost everything can seem like a threat, keeping the nervous system in a constant state of high alert. 

Understanding these dynamics is vital for parents who want to spot the early signs and help their children achieve a regulated nervous system. By being proactive, we can guide our kids toward a path of emotional stability and physical health.

What Constitutes a Healthy Nervous System?

The central nervous system (CNS), which includes the brain and spinal cord, teams up with the peripheral nervous system (PNS) to create a healthy nervous system. Think of the PNS as the bridge that connects the CNS to the rest of your child’s body. 

Within this setup, we find the autonomic nervous system (ANS), a vital part of the PNS that manages those involuntary bodily functions like digestion, heart rate, breathing, and blood pressure—key players in keeping the nervous system well-regulated. The ANS is made up of the sympathetic and parasympathetic systems, which need to work in harmony for everything to run smoothly.

For parents aiming to support their child’s nervous system health, it’s crucial to encourage balance through nutritious meals, regular physical activity, consistent sleep routines, and even good posture. Building strong stress-busting strategies and resilient coping skills is like giving your child a toolkit for maintaining a healthy nervous system.

A well-tuned ANS can gracefully shift between states of alertness and relaxation, managed by its sympathetic and parasympathetic branches—this balance is essential for both emotional stability and physical vitality. When your child’s nervous system is regulated, they can adapt more easily to the ups and downs of life, leading to a greater sense of well-being.

Neuroinflammation and Sensory Overload

For children and teens, the world can sometimes feel like a sensory overload buffet—bright lights, loud noises, and crowded spaces can overwhelm their nervous systems, leading to symptoms like fatigue and anxiety. This sensory bombardment can escalate stress reactions and contribute to nervous system dysregulation, making it feel like their little bodies are always on high alert.

Neuroinflammation can lead to heightened sensory issues. There are many items that contribute to neuroinflammation including infections and toxins such as in PANS/PANDAS, poor food quality, sluggish detoxification, stress, etc. As parents, recognizing these triggers is crucial. By creating environments that support proper sensory processing, we can help our children maintain a healthy nervous system.

This means understanding what overwhelms them and adjusting their surroundings to promote calm and balance. It's about giving them the tools to navigate the world with a regulated nervous system, ensuring their emotional and physical well-being.

Understanding the Autonomic Nervous System

The Role of the Autonomic Nervous System (ANS)

The autonomic nervous system (ANS) is like the unsung hero of your child's body, managing those behind-the-scenes operations that keep everything running smoothly. It controls involuntary functions related to internal organs, ensuring balance within the body. Think of it as the conductor of an orchestra, keeping the heart rate, digestion, and breathing patterns in harmony. For our kids, the ANS is crucial in shaping how they respond to stress and perceive stressful situations—key factors for their overall well-being.

When the ANS is out of balance, it's like having a conductor who’s lost their sheet music, leading to chaos and confusion. This imbalance can result in significant physical and psychological disturbances. As parents, understanding the role of the ANS helps us better support our children, guiding them toward a regulated nervous system and a healthier, happier life.

Sympathetic vs. Parasympathetic Branches

The autonomic nervous system is made up of two main parts: the sympathetic and parasympathetic branches. Think of the sympathetic nervous system as your child’s superhero cape, swooping in to save the day when they perceive any danger, activating that “fight or flight” response. On the other hand, the parasympathetic nervous system is like their favorite cozy blanket, helping them relax and recharge by promoting “rest and digest” activities.

When our kiddos face constant stress, it’s like they're always geared up with that superhero cape, ready to tackle every little challenge. This leaves them feeling tense and jittery, with their sympathetic responses running the show. It’s vital for them to discover ways to manage, cope with, and adapt to stressors. 

By learning to activate their parasympathetic branch, they can achieve a regulated nervous system, paving the way for overall well-being and a sense of calm. As I often remind my families in our Dysregulation Solution Program, it’s all about equipping our children with the right tools to find balance and resilience, helping them navigate their world with confidence and ease.

The Role of the Vagus Nerve in Calmness

Vagus Nerve: The Key to Balance

The vagus nerve is a key player in the parasympathetic nervous system, and its role in managing stress is crucial for your child's well-being. Think of it as the body's communication superhighway, influencing everything from heart rate and breathing to facial expressions and digestion. This nerve acts as a bridge between the brain and gut, impacting both mental and physical health.

When your child's vagus nerve is gently stimulated, it helps rebalance their autonomic nervous system, leading to better regulation of bodily functions and overall improved health. Imagine it as pressing the reset button, giving your child a chance to find calm amidst the chaos. 

By understanding and supporting the vagus nerve, you're helping your child build a strong foundation for a regulated nervous system and a happier, healthier life.

7 Symptoms of Nervous System Dysregulation

Signs and Symptoms of a Dysregulated Nervous System

Recognizing the indicators of a dysregulated nervous system is crucial for parents who want to support their kids effectively. It's like being a detective, spotting those little clues that can make a big difference. Physically, you might notice your child dealing with tummy troubles, body tension, lingering pain, or having a tough time catching those Z's. Emotionally, it can feel like a rollercoaster with mood swings, irritability, intense anxiety, or just feeling overwhelmed by the world.

These signals are your roadmap to understanding where your child needs a helping hand. In the upcoming sections, we'll dive deeper into the specific physical and emotional signs of nervous system dysregulation, giving you the tools to guide your child towards a regulated nervous system and improved well-being.

Physical Symptoms

Children experiencing chronic nervous system dysregulation often show a wide range of physical symptoms. Prolonged stress or trauma can manifest as chronic pain, making it challenging for them to engage in daily activities. Sleep disruptions are also common, impacting their overall health and ability to function well during the day.

You might notice your child dealing with tummy troubles, like stomach pains or nausea, which can lead to restrictive eating patterns. The activation of the sympathetic nervous system can cause an elevated heart rate, muscle tension, and anxiety, even when there's no real threat present.

Emotional Symptoms

Emotionally, a dysregulated nervous system can turn your child's world upside down. Frequent irritability, heightened anxiety, and feeling constantly overwhelmed are typical signs. Emotional dysregulation makes it tough for them to cope with stress, leading to persistent worry and trouble concentrating.

When children are stuck in a state of sympathetic dominance, they might show anger, tension, and an inability to relax. As parents, guiding them with mindfulness and breathwork can boost their self-awareness and help regulate their nervous system responses. These tools are vital for emotional regulation and can make a significant difference in their daily lives.

The Impact of Stress on the Nervous System

Causes and Risk Factors of Nervous System Dysregulation: “The Perfect Storm”

Understanding the root causes and risk factors of nervous system dysregulation is like piecing together a puzzle that can help parents unlock the mystery behind their child's emotional and physical challenges. Imagine chronic stress, infections, exposure to toxins, physical trauma, and those tough early childhood experiences (often referred to as ACEs) all coming together to create a “perfect storm” that impacts the nervous system. Add in genetic factors and lifestyle influences, and you have a recipe for disruption that can lead to nervous system dysregulation.

For our kiddos, persistent health conditions such as autoimmune disorders or chronic fatigue syndrome can further stir the pot, making it even harder for their nervous systems to function smoothly. 

Some kids might be more sensitive due to genetic differences, making them feel stress and anxiety more intensely, which can increase the likelihood of nervous system regulation issues. When children don’t have the tools to manage stress effectively, it can amplify these challenges, leaving them feeling like they’re constantly in overdrive.

As parents, it’s crucial to recognize these contributing factors so we can guide our children toward a path of healing and balance. By understanding what’s at play, we can better support our kids in building resilience and achieving a regulated nervous system, paving the way for greater emotional stability and physical health.

Chronic Stress and Trauma

In today’s fast-paced world, chronic stress can keep our kids’ nervous systems stuck in overdrive, making them feel like they're constantly on edge. As parents, we often see the impact of overwhelming school demands, the constant buzz of social media, and challenging life events on our children's well-being. 

When stress becomes a regular part of life, especially during those critical prenatal and early childhood phases, it can set the stage for nervous system dysregulation down the road.

Think of cortisol as the body's stress alarm bell. When it rings too often, it can affect everything from fetal development to long-term nervous system health. By understanding these stress triggers, we can create a calmer environment that supports our children's neurological health and overall well-being, ensuring they have the tools to navigate life's ups and downs with resilience.

Environmental Factors and Lifestyle

In our modern world, environmental factors and lifestyle choices play a significant role in our children's nervous system health. The constant exposure to technology can sometimes feel like an assault on their senses, while environmental toxins and chemicals can have a lasting impact. As parents, it's crucial to be mindful of these influences and make conscious choices to protect their developing nervous systems.

Simple changes like reducing screen time and minimizing exposure to harmful chemicals can make a world of difference. By creating a nurturing environment, we can help our children maintain a healthy nervous system, allowing them to thrive emotionally and physically. It's all about making small, mindful adjustments that lead to big improvements in their overall well-being.

Effects on Learning and Health

A dysregulated nervous system can significantly impact both a child's health and their ability to learn, creating challenges that many parents face daily. In America, it's estimated that half of the children encounter mental or physical health issues, increasing their vulnerability to problems arising from nervous system dysregulation. This often shows up as cognitive impairments, such as trouble with attention and concentration, memory lapses, and heightened sensitivity to environmental stimuli.

Let's dive into how disturbances in the nervous system can affect cognitive abilities, as well as emotional and physical well-being, on a broader scale.

Impact on Cognitive Function

The central nervous system, which includes the brain and spinal cord, is like the control center of your child's body, managing various functions like thought, movement, emotion, breathing, heart rate, and body temperature. When dysregulation occurs, common cognitive symptoms include racing thoughts, difficulty concentrating, and forgetfulness.

These cognitive issues can lead to challenges in the classroom, such as forgotten assignments and difficulty grasping new material. Addressing these symptoms is crucial for improving a child’s academic performance and overall daily functioning.

Implications for Emotional and Physical Well-being

Persistent stress may lead to hormonal fluctuations, notably elevating cortisol levels, which can affect both mental and physical well-being. Continuous exposure to stress can interfere with the body's primary system for responding to stress, heightening susceptibility to psychological disorders. Over time, this dysregulation might lead to conditions like chronic pain syndromes, gastrointestinal issues, and a weakened immune system.

To help children whose nervous systems are out of balance due to prolonged disruptions, additional measures might be required. One effective approach is neurofeedback therapy, which can help in restructuring neural pathways and fostering improved function within their nervous systems.

What Happens When the Nervous System Dysregulates

Manifestations of Dysregulation

Nervous system dysregulation can manifest in a variety of physical and emotional symptoms, making it a challenge for both kids and their parents. When the sympathetic nervous system is overactive, it often triggers the classic fight or flight responses, leading to a racing heart, overwhelming anxiety, and a sense of being constantly swamped by stress.

Conversely, when the parasympathetic nervous system isn't kicking in as it should, it can result in freeze or fawn reactions. This might look like your child zoning out, feeling drained of energy, or struggling with social interactions. Recognizing these signs is crucial for parents, as it helps in identifying the core issues and addressing them more effectively.

Over-activation: Fight or Flight Responses

When your child perceives danger, their body might react with a fight or flight response, causing them to feel hyper-alert and ready to tackle any threat. This sympathetic nervous system overdrive, known as sympathetic dominance, can lead to intense stress reactions.

For our kiddos, this might show up as sudden bursts of anger, heightened sensitivity to sensory input, or repetitive behaviors. By recognizing these signs, parents can step in with strategies to help reduce stress and bring about calm, providing their child with the tools to manage these overwhelming feelings.

Under-activation: Freeze and Fawn Responses

On the flip side, when the parasympathetic nervous system isn't sufficiently activated, it can lead to freeze or fawn responses—those trauma reactions that affect both emotional and physical health. The freeze response might make your child seem emotionally detached or dissociated, often accompanied by low energy and a lack of focus.

Meanwhile, the fawn response is all about putting others' needs first to avoid conflict or abandonment, which can result in anxious avoidance and difficulty asserting themselves. Recognizing these patterns is key for parents who want to offer the right support and help their children navigate these challenges effectively.

Steps to Reset Your Child’s Nervous System

Tools and Techniques to Stop Nervous System Dysregulation

Recognizing and addressing the symptoms of a dysregulated nervous system is essential for parents who want to support their children effectively. It's like being a detective, piecing together clues to help your child find balance and calm. To tackle the emotional manifestations of this imbalance, you can employ relaxation strategies, seek assistance, and engage in activities that help reset the nervous system daily. Techniques such as progressive muscle relaxation, guided imagery, mindfulness practices, and deep breathing exercises are invaluable in re-establishing equilibrium within the autonomic nervous system.

Imagine your child learning to use mind-body techniques like yoga and meditation alongside deep breathing exercises. These practices can soothe an agitated nervous system while enhancing their overall well-being. As parents, guiding your child to incorporate these tools into their routine is like giving them a superhero toolkit for managing stress and promoting a regulated nervous system.

Next, we'll explore various tools and approaches designed to facilitate nervous system regulation, helping your child achieve emotional stability and physical health.

Deep Breathing Exercises

Utilizing deep breathing exercises is a powerful way to help regulate your child's nervous system. By increasing oxygen supply, these exercises can quickly ease tension and reduce stress levels. One technique that's especially helpful is the 4-7-8 method. It involves inhaling for four seconds, holding the breath for seven seconds, and then exhaling for eight seconds.

Incorporating regular deep breathing practices into your child's routine empowers them to better manage stress while enhancing both their emotional and physical well-being. These exercises are simple to learn, making them easy to integrate into daily life, offering lasting benefits. Imagine your child feeling more grounded and calm, ready to take on the world with a regulated nervous system.

Progressive Muscle Relaxation

Progressive muscle relaxation is a powerful tool for easing muscle tension and promoting a relaxed state, which is especially helpful for our kids dealing with nervous system dysregulation. This technique involves focusing on different muscle groups, deliberately tensing them for a brief moment, and then releasing that tension while taking deep breaths.

By tuning into their body's tension and using controlled breathing, children can recalibrate their nervous system, helping to reduce stress and anxiety. Regular practice of progressive muscle relaxation enhances nervous system regulation, contributing significantly to your child's overall well-being. It's like giving them a secret weapon to combat stress, allowing them to feel more at ease and in control of their emotions. As I often share with families, these small, mindful practices can make a big difference in helping our children navigate their world with a regulated nervous system.

Mindfulness and Meditation

Mindfulness and meditation practices are incredibly beneficial in helping children maintain control over their nervous systems and manage stress. By encouraging kids to stay present and accept their emotions without judgment, these techniques can significantly reduce stress levels and improve emotional regulation.

Integrating methods like mindfulness-based stress reduction (MBSR) into your child's daily routine can activate the parasympathetic nervous system, soothing both their mind and body. Consistent practice of these techniques can lead to remarkable improvements for children experiencing nervous system dysregulation, supporting their overall mental and physical well-being. 

As parents, guiding our kids to embrace these practices is like handing them a magical toolkit for navigating life's challenges with a calm and regulated nervous system.well-being.

Long-term Strategies for Nervous System Health

Preserving the health of the nervous system is like giving your child a solid foundation for both emotional and physical well-being. As a parent, you know it's not just about quick fixes but about creating lasting habits that tackle root causes and support overall health. 

Implementing a nutritious diet, ensuring regular physical activity, and sticking to good sleep routines are essential lifestyle modifications that can help rectify a dysregulated nervous system. One simple yet powerful practice is the 4-7-8 breathing technique, which, when done three times a day, can help maintain regulation and decrease reactivity within the nervous system.

Think of this journey as building your child's capacity to handle life's ups and downs with resilience. It's about addressing core issues that lead to imbalance and setting them up for long-term success. Moving forward, we'll explore how lifestyle changes combined with professional support can form an integral part of a comprehensive strategy dedicated to nurturing your child's nervous system health.

Lifestyle Changes

Supporting your child's nervous system health means making some key lifestyle adjustments, such as:

  • Ensuring they get enough sleep
  • Encouraging regular physical activity
  • Providing a nutritious diet
  • Reducing exposure to stress-inducing elements
  • Helping them set appropriate personal boundaries

These changes are like giving your child a toolkit to mend dysregulation within the nervous system and foster overall well-being. By incorporating these habits into daily life, you not only bolster their nervous system health but also help alleviate symptoms of dysregulation, enhancing both their physical and mental welfare. 

Even small tweaks in everyday routines can have a profound impact on your child's ability to cope with stressors and maintain balance within their nervous system.

Top 5 Therapies for Nervous System Regulation

Professional Support and Therapy

When it comes to managing a dysregulated nervous system, getting the right professional support can make all the difference for your child. Think of it like assembling a team of experts who are there to coach, guide, and cheer your child on every step of the way. From counseling and therapy sessions to hands-on bodywork therapies, these professionals bring the expertise needed to tackle nervous system dysregulation head-on.

One standout option is neurofeedback therapy, which is like giving your child a roadmap to better understand and control their brain's activity. It’s a powerful tool that helps them learn how to regulate their neural oscillations, leading to a more balanced nervous system. And all without medication.

At The Dysregulation Solution program, we offer a treasure trove of resources specifically designed to support your child’s journey toward a regulated nervous system. With the right guidance, your child can develop resilient coping strategies that promote long-term nervous system health. As parents, it's about giving them the right tools and support to navigate their world with confidence and ease.

Your Next Steps to Address Nervous System Dysregulation

As parents, we all strive to support our children’s emotional and cognitive development, and understanding nervous system dysregulation is a key part of that journey. When our kids face challenges like heightened anxiety or difficulty focusing, it’s often linked to how their nervous system is responding to stressors.

Recognizing the signs of a dysregulated nervous system—such as mood swings, tummy troubles, or trouble sleeping—helps us step in early and make a difference. We can start by identifying potential causes and risk factors, like chronic stress or sensory overload, and then apply strategies that foster emotional regulation and enhance their learning experiences.

To support long-term nervous system health, consider making lifestyle changes that promote balance, such as ensuring good sleep hygiene, encouraging regular physical activity, and integrating mindfulness practices like deep breathing exercises into daily routines. Seeking professional support can also be a game-changer, providing tailored guidance to help your child achieve a regulated nervous system.

Remember, you’re not alone in this journey. Together, we can equip our children with the tools they need to thrive emotionally and academically, setting them up for a future filled with well-being and success. Let’s work hand-in-hand to ensure our children’s nervous systems are not just surviving but thriving and being part of our Dysregulation Solution™ is a part of that.

 

What are the primary signs of a dysregulated nervous system in children?

You’ll want to look out for signs like chronic pain, sleep troubles, mood swings, anxiety, and irritability in kids—it could indicate a dysregulated nervous system.

Addressing these symptoms early can really help them find balance again.

How does chronic stress contribute to nervous system dysregulation?

Chronic stress keeps your body in a constant state of high alert, which can cause hypervigilance and overwhelm. This ongoing tension disrupts the normal functioning of your nervous system, making it harder to cope with daily challenges.

What role does the vagus nerve play in nervous system regulation?

The vagus nerve is essential for calming the body’s stress response and helps control heart rate, breathing, and digestion. It plays a key role in keeping us relaxed and balanced.

What are some effective tools for managing nervous system dysregulation?

Deep breathing exercises, progressive muscle relaxation, mindfulness, and meditation are great tools for managing nervous system dysregulation. They can help restore balance and promote your overall well-being.

Why is professional support important for addressing nervous system dysregulation?

Expert assistance plays an essential role in the effective management of nervous system dysregulation, providing personalized techniques and proficient advice to facilitate healing. Utilizing therapies and dedicated programs can greatly enhance your path toward recuperation.

Key Takeaways

  • Nervous system dysregulation can lead to emotional and physical challenges in children, including heightened anxiety and stomach issues, due to factors like stress and sensory overload.
  • The autonomic nervous system, consisting of sympathetic and parasympathetic branches, plays a crucial role in regulating responses to stress; maintaining a balance is essential for emotional well-being.
  • To support nervous system health, parents can implement lifestyle changes such as promoting good sleep practices, regular physical activity, and mindfulness techniques like deep breathing and progressive muscle relaxation.

Citations

Elbers, J., Jaradeh, S., Yeh, A. M., & Golianu, B. (2018). Wired for Threat: Clinical Features of Nervous System Dysregulation in 80 Children. Pediatric neurology, 89, 39–48. https://doi.org/10.1016/j.pediatrneurol.2018.07.007

Elbers, J., Rovnaghi, C. R., Golianu, B., & Anand, K. J. S. (2017). Clinical Profile Associated with Adverse Childhood Experiences: The Advent of Nervous System Dysregulation. Children (Basel, Switzerland), 4(11), 98. https://doi.org/10.3390/children4110098

Qian, M., Jin, R., Lu, C., & Zhao, M. (2024). Parental emotional support, self-efficacy, and mental health problems among adolescents in Hong Kong: a moderated mediation approach. Frontiers in psychiatry, 15, 1458275. https://doi.org/10.3389/fpsyt.2024.1458275

Santoro J. D. (2019). Long-term Sequelae of Pediatric Bickerstaff Brainstem Encephalitis Includes Autonomic and Sleep Dysregulation. Journal of child neurology, 34(3), 153–160. https://doi.org/10.1177/0883073818820488

Dr. Roseann is a mental health expert in Self-Regulation who frequently is in the media:

  • Healthline Understanding Self-Regulation Skills
  • Scary Mommy What Is Self-Regulation In Children, And How Can You Help Improve It?
  • The Warrior Parent Podcast It's Gonna Be OK! Changing Behaviors and Responses (And The Magic of Magnesium)In Your Family with Dr. Roseann Capanna-Hodge

Always remember… “Calm Brain, Happy Family™”

Disclaimer: This article is not intended to give health advice and it is recommended to consult with a physician before beginning any new wellness regime. *The effectiveness of diagnosis and treatment vary by patient and condition. Dr. Roseann Capanna-Hodge, LLC does not guarantee certain results.

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Dr. Roseann is a Children’s Mental Health Expert and Licensed Therapist who has been featured in/on hundreds of media outlets including The Mel Robbins Show, CBS, NBC, PIX11 NYC, Today, FORBES, CNN, The New York Times, The Washington Post, Business Insider, Women’s Day, Healthline, CNET, Parade Magazine and PARENTS. FORBES called her, “A thought leader in children’s mental health.

Dr. Roseann - Brain Behavior Reset Parent Toolkit

She coined the terms, “Re-entry panic syndrome” and “eco-anxiety” and is a frequent contributor to media on mental health. 

Dr. Roseann Capanna-Hodge has three decades of experience in working with children, teens and their families with attention-deficit hyperactivity disorder (ADHD), autism, concussion, dyslexia and learning disability, anxiety, Obsessive Compulsive Disorder (OCD), depression and mood disorder, Lyme Disease, and PANS/PANDAS using science-backed natural mental health solutions such as supplements, magnesium, nutrition, QEEG Brain maps, neurofeedback, PEMF, psychotherapy and other non-medication approaches. 

She is the author of three bestselling books, It’s Gonna Be OK!: Proven Ways to Improve Your Child's Mental Health, The Teletherapy Toolkit, and Brain Under Attack. Dr. Roseann is known for offering a message of hope through science-endorsed methods that promote a calm brain. 

Her trademarked BrainBehaviorResetⓇ Program and It’s Gonna be OK!Ⓡ Podcast has been a cornerstone for thousands of parents facing mental health, behavioral or neurodevelopmental challenges.

She is the founder and director of The Global Institute of Children’s Mental Health, Neurotastic™Brain Formulas and Dr. Roseann Capanna-Hodge, LLC. Dr. Roseann is a Board Certified Neurofeedback (BCN) Practitioner, a Board Member of the Northeast Region Biofeedback Society (NRBS), Certified Integrative Mental Health Professional (CIMHP) and an Amen Clinic Certified Brain Health Coach.  She is also a member of The International Lyme Disease and Associated Disease Society (ILADS), The American Psychological Association (APA), Anxiety and Depression Association of America (ADAA) National Association of School Psychologists (NASP), International OCD Foundation (IOCDF).

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