Orient Move Ground for self regulation when feeling activated
\nOMG is a mneumonic to help remember responses to contain feelings of activation. OMG works as a set of principles for therapists and individuals.<\/p>\n
Probably best to avoid going ‘Oh My God’, try Orient, Move and Ground
\nIt’s scary when we get activated. Catastrophic thoughts can take over.
\nActivation, as used here, means increasing arousal is triggered by our threat detection systems. We all have an inner guard dog, networks that are part of our nervous system that are always checking ‘Am I Safe’?
\nThreat detection leads to protective reflexes. Stephen Porges teaches there is a progressive action of the autonomic nervous system (ANS): social engagement (we seek safety in others, change in new vagal complex), mobilisation (we seek safety by speeding up; ‘fight-or-flight’, activate sympathetic nervous system), immobilisation (we seek safety by withdrawing; ‘freeze’, dissociation, activate old vagal complex)<\/p>\n
Focus on the principles<\/p>\n
Creating safety by balancing the ANS: down regulate the sympathetics, increase activity in the new vagus
\nPresent time sensations is the goal
\nSafety via embodiment
\nTitration: A little and often is the best way to work with overwhelm
\nPut the brakes on anything going to quick or any sense of disappearing
\nPrinciples not protocols\u00a0– be creative<\/p>\n
O Orient\u00a0<\/p>\n
Go Slow:\u00a0Pause and give time.\u00a0Acknowledge what is happening: ‘I notice there is a big charge here’ or ‘I notice there is an urge to go quick’ or ‘I notice it seems hard for to be here, it is easy to drift away’
\nOrient to a safe person. Find someone you trust (a supporter) to help you come in to safety. For therapists\/ supporters; you need to be the safest thing in the room, the therapist needs to be present. Skills for the therapist\/supporter include; use a low, slow voice, lots of eye contact and authentic facial expression, hand holding can be really useful.
\nOrient to the environment: Can you hear the rain or wind?\u00a0How many lights can you see above you?\u00a0Do you like the pictures on the wall? Do you like the earrings\/ jumper of the person you are with. Distract yourself away from the edge of fear.<\/p>\n
M Move\u00a0<\/p>\n
Mobilise out of immobilisation
\nCan you wiggle your toes, tense legs, tense arms?
\nUse new strong movements to generate sense of power in the limbs. Push your feet into the floor, push your hands together.
\nVisualise slowly completing frozen movements
\nSit up and walk around if needed
\nTake control and stop cycling processes, instead of pausing you may need to be nimble and quick to break the cycling overwhelm<\/p>\n
G Ground\u00a0<\/p>\n
Body:\u00a0Orient to body sensations.\u00a0Out of thinking and emoting into safe sensations.\u00a0How does that feel in your body right now?\u00a0Simple descriptive words, avoid interpretation
\nCan you feel your feet?\u00a0Downward focus away from hot, active, busy head.\u00a0Can you feel your belly? Can you feel the back of your body?
\nCheck the weight, size and shape of limbs
\nAnything that helps you come into the present moment
\nChange your \u00a0breathing pattern – make long slow out breaths to stimulate the new vagus, hold your breath.
\nSelf Touch:\u00a0Hand on belly, hand on heart, rubbing hands, self squeezing down limbs<\/p>\n
\nHaines S (2015) Touch Is Really Strange. Singing Dragon JKP. https:\/\/bodycollege.net\/trauma\/
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