Page 14 - Boca Club News - November '22
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Page 14, Boca Club News
      Case Studies:

      Navigating the Nervous System

      By  Elyce Kiperman-Gordon, MS,                    promotion. However, he is feeling overwhelmed with the   his phone and computer.
      LCMHC, NCC, owner of The                          pressure and is isolating himself more and more to cope      The goal was to use polyvagal techniques to establish
      Feeling Expert®, an evidence-based                with the outside stressors. He knows his behaviors are   a baseline for Chris to remember how it feels to not be so
      and holistic psychotherapy practice,              impacting his health.                              anxious. Many people who are stressed or dealing with
      located in Boca Raton. She is a                      During our conversations, Chris noted his frustration   anxiety lose sight of their own normal, calm and safe state.
      Board  Certified,  licensed  Clinical             levels would easily go from 0-60 in a minute. He stated      We started him with breathing exercises that work on
      Mental Health Counselor, offering                 that the most important thing to him was being successful   the vagus nerve, which helps regulate stress, to reconnect
      a range of therapeutic approaches                 both at work and at home. High achievers can frequently   him to his natural resting state and allow him to become
      to treat anxiety, depression, trauma,             overwork themselves, and are unaware of the impact it has   aware  of  his  calm  state.  Recognizing  the  physical
      and relationship issues. Elyce is an Internal Family   on their mental and physical health. Chris wasn’t listening   sensations in our bodies aids in the mapping of our nervous
      Systems  Specialist  (IFS)  and  a  Certified  International   to the physical and mental symptoms he was experiencing,   system and the development of new neural pathways for
      Integral Sound Healing Therapist. She can be reached   like digestion issues, racing heart, tightness in the chest,   safety and connection in relationships. Chris learned to
      at (844) CAN-HEAL or  lack of focus, and now bursts of frustration and, most   listen to his body and become more aware of the state of
         Disclaimer: Names and identifying characteristics have   recently, panic attacks.                 being he was in at the time. This allowed him to build the
      been changed to protect the privacy of individuals.     When a person is stressed, the part of the brain often   capacity to regulate his system and prevent such potential
         The Patient: Chris, a 38-year-old male, came to me   called  the  emotional brain sends signals to alert the   risks in the future.
      with  the  intention  of  reducing  his  stress  at  work.  He   sympathetic nervous system to respond to the perceived      When we were able to get Chris back into a safe state, he
      recently received a promotion and now works in a high-  threat. This is the part of the autonomic nervous system that   was able to access higher cortical functions, bring his body
      pressure environment with many new challenges. Since   is designed to prepare you to respond quickly, known as the   back out of the shutdown phase, and refocus his cognitive
      he  took  on  the  role,  he  has  been  constantly  stressed,   “fight or flight or stress response.” Chris’s nervous system   abilities. As  he  gained  more  skills  around  his  nervous
      having panic attacks, and unable to concentrate or focus.   was affected by the acute stress-related symptoms, keeping   system, we then moved into cognitive behavioral therapy
      He is a high achiever and a hard worker, and the new role   him in an aroused state of being and affecting the way he   (CBT) techniques. CBT engages specific techniques to
      makes him question his abilities. He has been anxious and   was responding. If there is no threat, the other part of the   target unhelpful thoughts, feelings and behaviors that are
      frustrated at times, and quickly “flips out” and “checks   autonomic nervous system, the parasympathetic nervous   known to trigger and produce high levels of anxiety.
      out” by scrolling on his phone or computer to distract   system, slows down the stress response to a relaxed state      Chris had some underlying beliefs that were driving
      himself and isolate. Usually, he enjoys being with others,   of being. When one of these systems is working harder   his anxiety and stress symptoms. “I am a failure when I
      but lately he wants to be alone, and it has been affecting   than the other, not allowing the other one to counteract it,   can’t do things perfectly,” for example. This belief may
      his relationship with his wife. His primary objective was   the nervous system can become dysregulated.  then lead to feelings and behaviors that result in negative
      to find a way to better deal with stress and anxiety.     The Treatment:  Chris  was  stressed,  worried  and   outcomes, reinforcing a negative cycle. He was able to
         The Diagnosis: Chris was able to express to me how   panicked. When someone presents with high stress and   challenge his unhelpful thoughts and behavioral patterns
      much he enjoys his new job and recognizes that it is an   anxiety levels, I incorporate a clinical application of the   and  assist  him  in  creating  new,  more  helpful  ways  of
      extremely competitive environment. Chris wants to remain   polyvagal theory to address the nervous system regulation   thinking and behaving.
      in the position. He is exceptionally proud of the fact that   first. Polyvagal theory helps to identify three shifts in the      Results: Chris and I had many sessions together. It
      he is the youngest person to ever be at this level with the   nervous system that produce three states of being: rest and   didn’t take long for him to develop the ability to recognize
      company. He is driven, strives for perfection, and intends   digest (social and safe), fight or flight (mobilization), and   his triggers, address the situation immediately, and use the
      to advance in his career. Ordinarily easy-going, he finds   freeze (immobilization).                 calming techniques before they manifested physically. He
      this new role is much more stressful, which he is then      Despite the fact that Chris was not in a life-threatening   found ways to take ownership of what was happening to
      bringing home with him. He realized his new position was   situation, his sympathetic nervous system perceived his   his body so he could regulate his emotions and responses
      creating reactions that were not healthy, and he didn’t feel   stress and anxiety reactions as dangerous and threatening   to stress. He found he was much more resilient at work
      he was being himself.                             and remained on a heightened alert. If you are constantly   to the daily challenges, and he stayed grounded without
         Growing  up,  Chris  had  parents  who  were  very   in fight-flight, you won’t be able to recognize or detect   having to dissociate from his surroundings to feel relief.
      supportive of his ambitions and encouraged him to succeed   safety any longer. You will continue to find more ways      Once Chris was able to manage his bodily responses,
      at everything he attempted. As an adult, his tendency is   to protect yourself, like becoming anxious, panicking, or   his panic attacks subsided, he wasn’t getting bursts of
      still towards perfectionism in all his pursuits. Hard work   becoming angry and frustrated. Consequently, you shut   anger, and he was calm when he arrived home. He was
      and winning motivate him to do even more. The more   down, and then you can’t concentrate or focus. That is   able to reconnect with his wife and feel safe interacting
      he works, the more he gets the raise, the bonus and the   what was happening to Chris as he approached his work.   with her, instead of connecting with his electronic devices.
                                                        He would shift into the fight or flight response, and he   From there, we were able to progress to the next stages of
                                                        would become stressed, frustrated, anxious and panicked,   working with him on his perfectionism traits and his core
        Legal from page 12                              causing him to become dysregulated. Additionally, his   beliefs around success. These blended approaches helped
                                                        thoughts about failing contributed to the activation of his   him to connect and socialize more with others while also
           To get around the due on sale clause many parties   nervous system shifting into shutdown, explaining why he   deepening  and  expanding  his  connection  to  himself  in
        try  to  use  transfers,  such  as  contracts  for  deed  or   was “checking out” and wanted to be alone or hide away   ways he never knew existed.
        installment sales contracts. In these cases, the title
        states vested in the seller until a certain future event
        occurs. These types of transfers could also trigger a
        due on sale clause though they are more likely to be
        undetected by a lender since title remain of record in
        the seller.
           Since a contract of sale creates a beneficial interest
        in a buyer, even a lease purchase agreement could
        constitute a violation of the due on sale clause, though
        title remains vested in the seller. Under a long-term
        lease  purchase,  the  buyer  obtains  possession  and
        makes  monthly  lease  payments  to  the  seller,  who
        continues to hold legal title to the property and makes
        the mortgage payments to the lender. The parties can
        even agree to a transfer of the mortgage interest tax
        deduction, which would benefit some buyers.
           A  transfer  to  your  own  revocable  trust  is  an
        exception to the due on sale clause. 12 USC §1701j-3
        regulates restrictions on due on sale clauses, including
        a transfer to your trust. Changing beneficiaries of said
        trust could also trigger a potential violation of the due
        on sale clause, but would be difficult for a lender to
        detect as long as the monthly payments continue to
        be made by the original borrower.
           The  risk  for  buyers  in  assuming  mortgages  of
        record is that the lender will foreclose, forcing the
        buyer to have to refinance quickly to save the property.
        In cases where the seller continues to make monthly
        payments, the buyer also runs the risk that they will
        keep the money instead of paying the lender, resulting
        in  a  default.  Careful  consideration  of  all  the  risks
        and having the ability to quickly refinance is key to
        entering into any transaction where a mortgage will
        be assumed as part of the purchase.
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