01/03/2022
Top Down - Bottom Up Approaches
The terms top-down and bottom-up refer to the general areas of the brain and where you start in therapy, from the top or the bottom. Different parts of the brain work together to help us use information to survive and thrive in the world
Trauma therapies are often fall into one of two distinct categories, top-down or bottom-up. These terms refer to the emphasis of a given treatment model in targeting two distinct brain regions.
Top-down approach, focuses on starting therapy with the parts of the brain we associate with thinking, speaking, and current emotional awareness. These are the topmost areas of the brain, and include the neocortex, frontal lobes and prefrontal lobes.
Bottom-up approach, focuses on starting therapy with the parts of the brain located toward the base. These are the brain stem areas responsible for reflexes, memories, and automatic survival responses. This area also has a role in learning.
For anyone interested in my trauma informed practices, I offer Trauma Therapy, Somatic Work, Acceptance and Commitment Therapy, Cognitive Behavioural Therapy, Psychotherapy and Poly Vagal Theapy. I also have trained in and have an understanding of Schema Therapy and Internal Family Systems.