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Primitive Reflexes

Co-Regulation and Whole Brain Approach in Primitive Reflex Integration

In the years I’ve been working with neuroplasticity and primitive reflex integration, I’ve lost count of the number of parents who want to know the % their child’s reflexes are retained, as well as EXACTLY which reflexes are retained.

Primitive reflex integration

It is really important to know that we are not JUST looking at an exact percentage! We’re looking at the full picture. In fact, I do not even NEED to test a child’s (or their parent’s) reflexes in order to start working with them – I can see what I need to do by the time they’ve sat down in the room. The reflex tests are really only for the benefit of watching progress – but we also do that by watching behaviour, emotions and cognition from the time a child heads off with a new set of movements to work with.

Additionally, it’s important to understand that if we do not see a reflex reaction when we test, it doesn’t mean it’s not there: we also look at whether a body is compensating and trying to hide the presence of a reflex (very common in children with a strong fear paralysis reflex). It’s also possible that a reflex has not even emerged yet, which is why I rarely test for a huge range of reflexes initially.

Also, while a programme of movements is important, it is useful for parents to know that by co-regulating with and working WITH your child, you’ll almost certainly see the best results. If you push your child through a programme of movements that are impossible for them to grasp, all you’ll do is stress yourself and your child.

A few years back, I was contacted by someone who was concerned their child wasn’t making progress with another practitioner. After doing some delving, I discovered that this parent was putting their child through around half an hour of movements every single day. Rather than progressing, this child had “regressed” significantly – massive meltdowns and zoning out at school – due to the parent working ON rather than WITH.

Obviously, we all want quick fixes, but neuroplasticity is NEVER a quick fix, and it really isn’t something you can force on someone without attuning to their nervous system.

I love it when parents are fascinated by my work and want to give it a go too. By jumping onto my mat and experiencing passive movements for themselves, they are learning how it feels, which in turn helps them to deliver those movements more effectively for their child – asking for feedback while working with.

There are some children who simply cannot go through a primitive reflex assessment. That is fine! As I mentioned above, I do not need to test reflexes to know what we need to do. Very often, I have my gym ball with me. This is a great piece of equipment because children instinctively know how to use it to integrate their own reflexes. Sometimes they’ll sit on it and bounce, and other times they’ll use it to propell themselves around. This gives me a lot more information than merely getting a child to go through reflex tests: it gives me important information on how to calm their nervous systems.

My 55cm gym ball – the most popular activity in my clinic!

The point of me writing this post is that in order to make the very best progress, the following factors need to be in place:

  • Parents need to invest in the process
  • This is about working WITH your child, not ON them – co-regulation is at the heart of safety
  • Do not fixate on reflexes – this is a whole brain/body approach, and your connection with your child is fundamental for their progress
  • Allow your child to lead you – watch for signs of them trying to integrate their own reflexes.
  • Consistency is key. You cannot stop/start or only contact your therapist when it suits you – you need to make a commitment to do movements 5-7 times a week with your child and visit your therapist every 4-6 weeks on average

To find your nearest neurodevelopmental therapist, you can use this directory

Primitive reflexes: emotional and mental health and the highly sensitive person

In this article, I’m going to look at the basics of some of the primitive reflexes that I test for. This post looks at the Fear Paralysis Reflex (FPR), Moro Reflex and Babkin reflex, and how these impact on our emotional and mental health.

Highly sensitive people

Highly Sensitive People” tend to have ALL these reflexes active, as do those with autism spectrum conditions, ADHD/ADD, anxiety, depression and dyspraxia, as well as having incredibly sensitive nervous systems that are constantly on alert for threat. It is important to mention at this point that I do not even look at a person’s medical diagnosis – I purely look at their combination of reflexes and how this affects behaviour, emotions and their unique nervous system.

These particular reflexes must be matured and integrated for a person to feel safe in the world. They are completely involuntary, governed by the brainstem. When babies are born, their little movements are not random… they are all reflexive, not voluntary, controlled movement.

In order for a baby to develop and move to the next little milestone, they involuntarily repeat these movement patterns over and over again until neural pathways are myelinated, at which point, the reflex matures and they move onto the next set of movement patterns.

Cell Danger Response

The cellular reaction is known as the “Cell Danger Response“, a term coined by Robert Naviaux. The theory is mitochondria are affected by environmental threat/injury, affecting behaviour, health, fertility, resilience and susceptibility to disease.

Fear Paralysis Reflex (FPR)

This cellular response, in reflex terms, goes on to become known as the fear paralysis reflex at around five weeks post conception. The fear paralysis reflex is at its peak at around nine weeks post conception and should merge with the emerging Moro reflex and integrate before thirty-two weeks.

The most effective way to address trauma at a cellular and autonomic nervous system level is by using the Safe and Sound Protocol, followed by skilled and trauma-informed bodywork, using a carefully designed programme of movement, which is designed to help reset the central nervous system.

 highly sensitive person

If the fear paralysis reflex does not integrate fully, it will prevent other primitive and postural reflexes from emerging and integrating effectively.

Someone with an active FPR will not feel safe outside their close, familiar surroundings.

Characteristics of a retained FPR reflex are:

  • Finds it hard to express opinions
  • Does not like to draw attention to self
  • Issues with eye contact – either can’t make appropriate eye contact, or will stare inappropriately
  • Prefers to withdraw from social situations
  • Tactile defensiveness
  • Selective mutism
  • Panic attacks and anxiety
  • Phobias
  • Hypochondria
  • Inflexible outlook
  • Cannot take criticism
  • Has to always be right
  • Demand avoidance

If you think you or your child has an active FPR reflex, it is well worth seeking the help of a professional reflex integration therapist, as it may block later primitive and postural reflexes from emerging and integrating properly, so it is wise to have some help to unravel the puzzle,

It is worth mentioning that some people need to work with FPR, Babkin and Moro for many months or even years in order to integrate them.

Further reading on the FPR reflex

If you would like to read more about FPR and anxiety, I’ve written the blog post Why baby reflexes may be at the root of your anxiety. For how FPR affects sleep, you might find Sleep, anxiety, night terrors – and neuroscience useful. For opinion on social media and working in isolation, you might find Connection, isolation, social media, mental health and primitive reflexes useful.

Moro Reflex

At around nine weeks of age, the Moro reflex starts to emerge. It is responsible for filling a baby’s lungs with air when it is first born. It should mature and become the Strauss (startle) reflex at around 4-6 months post birth.

If a baby requires artificial resuscitation at birth, the Moro reflex will not have a chance to emerge properly.

If the Moro reflex remains in the system. a person will not have a well-modulated fight or flight response.

Characteristics of a retained Moro reflex are:

  • Sensory processing difficulties, shutting off sensory input that they cannot handle (overwhelm)
  • Problems socialising with peers
  • Over-reactions, anxiety and emotional outbursts
  • Easily tired
  • Finds it hard to switch off
  • Argumentative and has to have the last word

If you think you may have an active Moro and/or FPR reflex, it is well worth going for an assessment if you can, as a qualified therapist will be able to help you work through a programme and learn movements that will help you manage yourself for life.

It is also worth mentioning that in order to develop and mature postural reflexes effectively, you will need to work with FPR and Moro first if they are present. This is because a person needs well-functioning connections between the brainstem and higher brain levels in order to progress with the postural reflexes.

Things you can do for an active Moro reflex:

  • Snow angel movements
  • Balance on a Bosu ball/air cushion
  • Row, row, row your boat
  • Kneel on a skateboard and scoot around

Further reading on the Moro reflex

For an insight into the Moro reflex, you may enjoy reading my article Why are some people just so ANGRY? You may also find my blog post on Sensory Processing Disorder useful. Although it does not specifically mention Moro, as I have explained it is the Moro reflex that is at the root of sensory modulation.

Babkin Reflex

The Babkin reflex emerges at around 13 weeks in utero and should mature and integrate to become the Bonding reflex by around four months post birth. It plays a major role in bonding and attachment.

In order for the Babkin to integrate, the clinging part of the Moro reflex must integrate too. Skin contact and cuddles with the mother, eye contact, movement (being carried and rocked) and proper nourishment are all essential to help a Babkin reflex integrate in a timely manner in an infant.

Characteristics of a retained Babkin reflex are:

  • Speech difficulties (articulation)
  • Makes movements with mouth when concentrating or drawing
  • Prone to dribbling
  • Cannot read body language effectively
  • Problems with pencil grip (too firm/too slack)
  • May appear to be thick skinned when talking to others, but over-sensitive when people are talking about them
  • Does not like being cuddled/unaffectionate
  • Eye contact issues
  • Difficulty with peer relationships
  • Hoarders/compulsive collectors/kleptomaniacs
  • Lies about the obvious
  • Appears detached, cold and unfeeling
  • Trust issues with self and others

Things you can do for an active Babkin reflex:

  • Press-ups against a wall
  • Winding wool around fingers
  • Picking marbles out of Theraputty
  • Scrunching paper as fast as possible

Further reading on the Babkin reflex

My review of Rocketman entitled Rocketman: alcoholism, drug addiction and eating disorders is about the Babkin reflex.

Be patient when attempting to integrate these reflexes with a therapist.

Reflexes can take a while to integrate, and you may see “regressive” behaviours as this starts to happen. Or you may see nothing at all, and question whether your hard work is doing anything.

One problem that I see is that people with various combinations of these reflexes tend to think it’s not going to work, and therefore avoid doing the movements I give them, making every excuse under the sun. I’ve even known of people who see a neuro-developmental therapist, don’t do the movements consistently and then tell everyone it doesn’t work…

Typical Moro!

If you would like to book an appointment in Horsham, Cranleigh or Dorking, please send me an e-mail.

Sleep, anxiety, night terrors – and neuroscience

Some of our children – indeed, some of us – find it extremely hard to switch off. Our brains work overtime, processing what’s happened that day, worrying about what might happen… Some of us wake up at 3am and can’t get back to sleep. Some of us are almost asleep when we suddenly jolt ourselves back to wakefulness, having had a sort of dream that we are about to fall off a cliff or down stairs or similar. And worst of all, some of our poor children suffer from night terrors: episodes of extreme night-time distress, thrashing about screaming and crying, eyes open, but fast asleep.

What causes all these disturbances?

When we are in a constant state of fight/flight or freeze, we are living in survival mode: our brains are on alert for perceived threat. Our primitive lizard brains are active, rather than our rational upper brain (cerebellum). This means it’s very hard to switch off a racing mind and fall asleep.

This fight/flight and freeze cycle (think rabbit in headlights freezing with terror and then racing away to avoid danger) is caused by unintegrated Fear Paralysis and Moro reflexes.

The Fear Paralysis reflex is the first reflex that a foetus develops. It is thought to develop at around 5 weeks in utero, but there is research to show that it may even develop earlier than that, given that Fear Paralysis is a reaction at a cellular level rather than a neurological reaction involving the central nervous system. A foetus will react to threats, such as loud noises, by shrinking and withdrawing in order to protect itself.

The Fear Paralysis causes the foetus to stop moving, restricts peripheral blood flow, lowers the heart rate, reduces exposure to adrenaline and reduces the absorption of cortisol (the stress hormone).This is similar to a mouse feigning death when caught by a cat: heart rate and breathing slow right down so it can protect itself and zoom off and hopefully escape when dropped.

The Moro reflex starts to develop in the second trimester, and gradually takes over from the Fear Paralysis reflex. However, if something stops the Fear Paralysis reflex from integrating effectively, the Moro reflex will also be retained, and a person will live in a constant cycle of fight, flight and freeze. The Moro reflex will cause racing thoughts.

Fear Paralysis is responsible for the emotional well-being of a person, and retaining it means that there are likely to be anxiety, phobias, brain freeze under extreme stress, a lack of adaptability and potentially panic attacks and night terrors. Signs of a retained FPR reflex are:

– anxiety / withdrawn behaviour

– low stress threshold

– rabbit-in-headlights-like freezing when there is a threat

– sensory processing challenges

– hypersensitivity to light/sound

– finds change difficult

– clingy behaviour

– extreme fatigue

– selective mutism (also in adults)

– breath holding when worried/upset/stressed

– obsessive behaviour/OCD

– fear of not being in control

There’s another pesky reflex that I usually find in those with sleep disturbances: the Babkin reflex. This is a reflex associated with separation anxiety.

When I started working to integrate my children’s reflexes, we noticed a dramatic improvement in my son’s ability to switch off at night – it used to take him around two hours to wind down and fall asleep! From a month or so after we started working with his reflexes, he was able to switch off and drift off to sleep within minutes.

I was one of those unfortunately to be jolted awake with a falling-off-a-cliff type dream just as I fell asleep, almost every night, but a couple of weeks after I’d started working with my own reflex integration, I noticed that I had stopped having this experience – and I haven’t experienced this again since, in around 6 years.

If you don’t plan on working with reflex integration to resolve these common sleep issues, here are some other things you can do to calm your autonomic nervous system down:

  • humming
  • take deep breaths in to the count of 4 through your nose, push breaths out through a small “o” (as if you are whistling) through your mouth to the count of 8
  • take deep breaths in to the count of 4 through your nose, push breaths out through a small “o” (as if you are whistling) through your mouth to the count of 8
  • yoga is extremely helpful and will teach you to breathe to help you self regulate
  • take yourself back to your lizard brain, and pretend to be a mermaid, separating upper and lower body as well as you can and rock your lower body from side to side
  • leave mobile phones downstairs, and don’t have a clock by your bed, especially if LED
  • use spray magnesium oil on the soles of your feet
  • use an eye mask to block out light

However, if none of this works, or if you have an inconsolable child with night terrors, reflex integration work – or even the Safe and Sound Protocol, depending on the person – might be a sensible next step, in which case, please do get in touch to find out how I might be able to help.

Understanding your aggressive child

Do you have a child who has unpredictably hit, kicked or even bitten someone else? Are you wondering what on earth is causing this behaviour and what to do about it? Read on…

When you were a tiny little foetus, only around five weeks old, your central nervous system started reacting to external stimuli. When there was a sudden loud noise, you would instinctively shrink to avoid potential danger.

It may come as a surprise, but there is nothing “wrong” with your child. Your child simply lives in a state of fear, and cannot self-regulate in order to feel safe and trust others.

Fear Paralysis Reflex

This instinctive reaction is the Fear Paralysis Reflex (FPR), and is the first of our reflexes to appear. It should disappear in the third trimester, as it finishes doing its job and the Moro reflex takes over ready for birth.

However, excessive stress in pregnancy can cause the FPR to remain active in the system. The result is that we recoil, shrink, tense up and sometimes even feel slow and sluggish when we face a stressful situation, and this, of course, has an effect on emotional development and behaviour, and how we cope with the world around us.

Anxiety is a feeling of the world rushing past you, while you want to curl into a ball – just like the FPR.

Moro Reflex

A few weeks later, a very important reflex that you may have heard of, or even observed, starts to develop. You may know this better as “fight or flight”. This is the Moro reflex, and is responsible for a baby opening it’s entire body up to take a first breath at birth.

If the Moro reflex remains active in the system, which can happen if the FPR interferes with its integration, you’ll have a person who either expresses frustrations by lashing out, being excessively noisy and argumentative (fight) or being excessively demand-avoidant, potentially running away from any demands placed upon them (flight).

Let me add that this is similar to being bitten by an animal when it’s frightened – or in fight/flight… our cats are always bringing voles in, but last week, my husband decided to pick one up (because they are so sweet). He got bitten – badly. Poor little voley was in fear of its life and didn’t want manly hands picking it up.

Babkin Reflex

The Babkin reflex connects the hand and mouth and is closely related to the FPR and Moro reflex. Retaining this reflex will cause a person to be ANGRY with enormous amounts of cortisol and adrenaline in the system. People with an active Babkin find it very difficult to trust anyone, and may suffer from extreme separation anxiety.

The Babkin tends to affect adoptees, children who have been in foster care, or those who were whipped into SCBU/NICU in the first hours of their lives.

Polyvagal Theory

You may have heard of fight/flight/freeze. These are our primitive survival states, and are what we revert to when we do not have strong enough higher brain connections to understand the difference between REAL danger and PERCEIVED danger, which is not in the least bit threatening.

If we do not have strong enough brain connections to the neocortex and a dysregulated autonomic nervous system, we feel under constant threat. The result is either that we lash out (verbally or physically), avoid a situation or go into complete lockdown.

The following video explains.

The good news…

The great news for anxiety sufferers is that by repeating foetal movements, it is possible to reboot and calm the central nervous system with as little as five minutes of gentle movement per day.

An assessment with a neuro-developmental therapist involves careful observation, and, if appropriate, testing for a number of reflexes to see where attention needs to be focussed first. In some cases, it is possible to make immediate gentle shifts – but often, if a child has an extreme Moro and or FPR reflex, it is not possible to test at all – in which case, we try to show you some gentle passive movements to help calm a child down.

The stronger these pre-birth reflexes are, the more sensitive a child is likely to be, so it may be that a few seconds of movement is more than enough.

In cases of extreme anxiety, I tend to give some extremely gentle movements for a few weeks, and then suggest following up with the Safe and Sound Protocol – a five-day listening programme, based on forty years’ research by Dr Stephen Porges.

When working with a very sensitive child, it is important to work around their demand avoidance. Once this starts to diminish, there comes a time that clear boundaries can be enforced – but trying to do this during SSP or while working with Moro/FPR reflex integration can exacerbate behaviours.

The big problem with schools is that teachers and other professionals do not tend to be trauma and anxiety-informed, and can mistake this behaviour as “poor parenting”. Poor parenting rarely causes a child to be aggressive! Aggression is to do with FEAR – it is not for the sake of it. So, to help an aggressive child, we need to make them feel SAFE in their surroundings.

Drug-free help for anxiety

I love my work for Move2Connect, because I like to see people discover that they have the power to transform themselves using very simple movements over a period of a few weeks at a time.

It is important to understand that this is not a talking therapy. This reaches the parts that talking therapies cannot reach.

I have a special interest in adult and adolescent mental health, and practice from my clinics in Horsham, Dorking and Cranleigh.