No Longer Frozen

“Here I stand, and here I’ll stay. The cold never bothered me anyway…”

Sound familiar? The global phenomenon and power ballad from Disney’s 2013 hit Frozentells a powerful tale of a princess learning to accept her past and her powers, letting go of her fear and finding empowerment through self-acceptance. Living authentically is a wonderful theme to introduce to children, yet possible only when a sense of security enables that confidence. 

Consider this lyrical verse: “Conceal, don’t feel. Don’t let them know…”. At the beginning of the movie and the song, Elsa describes a life where she was afraid to act. She hesitated to reveal her capabilities or to even connect with her family. This is actually fear paralysis at work. In her resistance, she’s showing a strong desire to withdraw. Thinking about our Babkin reflex, the ability to truly let go from our embrace (our cling of Moro) is not present. When our defensive reflexes are active, it is hard to feel safe in our connections to others and the world around us. 
 

The song “Let It Go” plays such an important role in the Disney movie, capturing Elsa’s character development from moments of isolation to soaring anthems that can’t help but make viewers cheer. As part of our therapeutic practice at Thrive, we involve our clients in a journey of knowing themselves from the inside out. We foster agency by allowing choices where they make sense. Clients decide their movement plan within the parameters that fit their needs. Through a greater self-awareness comes the ability to regulate feelings, find self-acceptance and a healthy release. Let it Go!

Finding His Voice

Even when Charlie finally broke ground, suddenly speaking dozens of words over the course of a week, his progress would be a rollercoaster of tremendous gains and long plateaus. His parents watched as his developmental progressions always brought him back to a place of silent anxiety and frustration. When he entered school, Charlie would gnaw on everything that he could find. He chewed pens, crayons, even puzzle pieces. He was constantly putting objects in his mouth.

Charlie’s parents sought resources without success. They visited multiple doctors and therapists and no one could offer insight into Charlie’s challenges. Then, the family was introduced to Thrive Therapy. 

Elizabeth explained that we explore the world as a newborn using our mouth to assess and learn, gaining safety along the way. Root/ Suck, one of our grasping reflexes, teaches the tongue through early movement that eventually assists in proper articulation. 

For Charlie, his fear paralysis was still active, which among other forms of withdrawal can cause a shutdown of the larynx. He was unable to draw upon his voice to express himself. Oftentimes, we see babies rely on pacifiers as a behavior that soothes the parasympathetic nervous system in times of distress. Charlie was mouthing throughout the day in an effort to calm himself. 

Elizabeth worked with Charlie in sessions supporting the integration of his defensive reflexes. By helping to bring in the parasympathetic nervous system, the limbic system can approach calm. Charlie’s parents even attended one of Elizabeth’s workshops to learn the foundations for rhythmic movement therapy so they might reinforce his movements at home. 

Recently, Charlie’s gym teacher met with his parents. He was amazed by the changes in Charlie’s patience, attentiveness and most of all, his ability to express himself. When a new skill was introduced, Charlie stepped back before thoughtfully approaching the teacher. He explained that he didn’t quite understand the technique and he wanted to learn more in order to join in. He was asking for help. He was using his voice to participate in his world and he was loving it. 

Charlie adores the adventure of travel and embraces new things with curiosity. Today, he’s asking his mom to sign up for afterschool STEAM programs, swimming and running. He’s approaching new things with confidence.

A child’s speech and language development may be impacted when primitive grasping reflexes remain active, especially those related to the mouth like Root/Suck. Defensive reflexes and fear paralysis in particular may contribute to selective mutism and feeling a lack of safety and security. 

Forming Connections

As connections to the higher parts of the brain form, pathways are established and reinforced. The cerebellum, home to nearly 70% of those neurons, plays a role in organizing those early primitive movements upwards from the brain stem. The better we build on these connections, the more we gain control over our movement. By encouraging exploration through practice, we’re helping children to learn coordination in their movement. Higher connections, like those to the prefrontal cortex and basal ganglia, come later, enabling us to act with more focus and consistency. 

The structures that make up our brain never work in isolation and it’s important to create strong connections that reinforce how each work together. Poor connections to parts of our brain may result in aggressive behavior or the inability to process sensory information effectively. Speech and language, as well the ability to maintain focus and attention, are two areas that are also highly reliant on neural linkages.

Our Babkin Reflex

Have you ever noticed a child deep in concentration, their tongue sticking out as they write their letters? Tongue thrusting and drooling may be early physical signs of a retained Babkin Reflex. Habitual hoarders, those adults who struggle with letting go of possessions big and small, are demonstrating an immature Babkin reflex, which impacts the ability to release, relax and feel comfortable through bonding and secure relationships.

The Babkin Reflex appears during the first few months of infancy in concert with early grasping reflexes. When pressure is applied to the palm of the hand, the mouth will open and the head flexes forward slightly. To a lesser degree, this opening shows up in a similar way with pressure to other parts of the body, including the forearms and upper arms as well as the lower limbs. The Babkin reflex works alongside the Palmar Grasp, Infant Plantar and Root/Suck reflexes to establish a feeling of healthy attachment. The hand and mouth movement in tandem, for example, demonstrates a safe release from clinging to the mother as the infant feeds. The feeling of letting go coincides with a sense of security which then leads to the ability to confidently explore the world.

This reflex has an important role in helping the second stage of Moro to fully integrate, as the hands, mouth and feet open and transition out of the embrace of cling. A unifying reflex that allows for higher level bonding, the integration of the Babkin Reflex is vital to establishing trust.  It is often said that the relationship between the mother and child forms the foundation for future connections, which begins in those vital moments following childbirth. The Babkin Reflex enables our ability to interact with the world and build healthy relationships from a position of stability. When the reflex remains, socialization challenges may emerge later in life.

In the Palm of our Hands

The Infant Palmar reflex is an early grasping reflex where the fingers of an infant curl inward when the inside of the hand is touched. This reflex is closely associated with the Moro’s cling stage, helping find calm through embrace. Infants often hold tight not only to adult fingers but beloved objects to self-sooth. The hands also open and close as an infant’s suck reflex activates, demonstrating a close connection between grasping and our developing articulation and connection with others. Our hands have the power to send signals of safety and security to our brain through their grasping movement. 

Squeezing a soft, pliable ball may be a temporary outlet for nervous energy, the repetitive sensory distraction a helpful resource during brief moments of stress. Fidget spinners emerged as another small, portable device for those dealing with anxiety, ADHD and some autism disorders by providing a focal point along with the pleasing sensory experience. The idea behind calming strips is similar, redirecting focus with new sensory input designed to stimulate nerve endings on the fingers that in turn sends calming signals to the brain. 

While these resources may offer effective soothing tactics for the short-term management of social and emotional challenges, it’s important to identify and work on the root causes for behavioral patterns. At Thrive Therapy, our ultimate goal is always to empower our clients to understand themselves better and unlock practices that not only manage but reinforce positive development. By practicing rhythmic movements that support connections to the brain, we’re training our bodies to deal with stress from within.

The Power of a Hug

Oxytocin is produced in the hypothalamus and stored in the pituitary gland at the base of the brain. As not only a hormone but a neurotransmitter, it’s released by electric signals from parts of our body back and forth to our brain. As one of the few hormones that function off a positive feedback loop, the release of oxytocin stimulates even more to be released from the pituitary gland. Oxytocin has an important physical function in the labor process, as the baby’s downward pressure initiates oxytocin-induced contractions that aid in childbirth. The hormone is also responsible for lactation, signaling the release of milk when an infant begins to suck.
 

The “love hormone” is commonly associated with positive emotions, supporting healthy social interactions in a number of ways. Oxytocin in released with physical touch like hugging and cuddling, which in turn triggers feelings of attraction and attachment. When a parent offers a newborn skin to skin contact, the release of oxytocin triggers powerful feelings of attachment and that bond tell the infant she is safe. Oxytocin has an important behavioral role, helping us build trust through recognition and contributing to our ability to make safe, healthy connections with others. 
 

When we think of our friend Roxy the Sloth and the cling stage of the Moro reflex, we’re reminded that oxytocin helps balance the stress-induced hormone cortisol with calming regulation. It is released as part of relaxation response mechanisms from the parasympathetic nervous system. The feeling of stability and support associated with this oxytocin may also play a role in lowering anxiety and other social and emotional challenges. 

Palmar and Infant Plantar Grasp

A child walks on his toes. A young boy shakes his hand and throws his pencil down, exhausted and frustrated by the exercise of writing letters at school. For older children, it may become hard to enter a conversation with a group friends, choosing observation or isolation rather than navigating a complex social situation. Shifts in routine may be hard for others, finding challenge in unpredictable outcomes. These emotional and physical manifestations are the result of immature grasping reflexes and represent how closely our sense of security is linked with the reflexes around one’s mouth, hands and feet.

The Palmar Grasp reflex integrates during the first year after birth and is thought to be part of early evolutionary development that enables some mammals to cling or grasp on to their mother early in life. The hands and mouth both play a significant role in the baby’s earliest exploration of the world around her. When the inner pads of the fingers or palm are stimulated, fingers curl inward. Oftentimes you’ll see infants grasp tightly to an adult’s finger when placed in their outstretched palm. 

If the reflex remains active, it may impact fine motor skills, muscle tone development and may lead to speech and articulation challenges. Young children often demonstrate a lingering reflex by needing to clutch a beloved toy or object in their hand as they move through their day. A retained Palmer Grasp reflex may result in tightly clenched fists as well, placing tension on the body overall and particularly upward toward the TMJ area. The Palmer Reflex plays a role in the development of facial expressions in directly as well. 

Similar to Palmar Grasp, the Infant Plantar reflex involves curling inward of the toes, and may also demonstrate evidence of early evolutionary cling. This reflex calls upon the longest neurons in the body, traveling down from the brain to the feet and toes. The toes curl in response to pressure applied to the ball of the foot. The reflex gradually integrates with the development of more complex foot movements as an infant’s toes begin to dig into the ground and develop through early crawling stages. These movements prepare the body to stand upright, navigating the world with increasing stability, balance and coordination. 

When the Infant Plantar is retained, there may be challenges moving through stages of crawling to walking. Later in life, challenges with running, jumping and overall balance may occur. This may manifest in stiff legs and sore shins. Children that lead with ‘toe walking’ may also have active Plantar reflexes.

Studies have also shown the relationship between grasping reflexes and language, a concept we’ll explore in a later blog post. Infants open their mouths and babble as toes wiggle, and palms often open and close when the Sucking reflex is at work. Active grasping reflexes may result in delayed speech development as a direct connection.

Root and Suck

The words seem stuck somewhere in the back of her throat, stammering and stuttering as she tries to express herself. His pen cap is crushed, the result of constant absent-minded chewing in the classroom. She soothes herself to sleep with her thumb in her mouth. Overeating patterns, smoking or vaping addictions and other oral fixations are the sign of immature reflexes. Both stimulation seeking and sensitivity in the mouth region is closely associated with grasping reflexes present immediate at birth.

Grasping reflexes originate in utero but peak at birth and play a role in the integration of the second stage of Moro. Infants begin to explore their world with their mouths and hands, responding to stimuli with curling or grasping movements, or with their mouths turning and sucking.

Our Root reflex is present as newborns seek nourishment in an unfamiliar environment. The mother’s breastmilk is a smell that is familiar and grounding to an infant, guiding their movement. When the corner of an infant’s mouth is stimulated, her head turns to the source as her mouth opens. This reflex plays an important role in locating food and is most active in those critical moments after birth. The complimentary reflex, Suck, works in conjunction with the Rooting reflex to obtain that nourishment. When the middle of the top lip is stimulated, the infant seeks to attach to a nipple, pushing her tongue upwards and sucking while breath and swallowing simultaneously.

We frequently speak about the importance of immediate bonding with the mother following delivery and those critical moments when breastfeeding releases the feeling of safety for an infant in a new environment. By feeding and embrace, we’re moving successfully through the stages of Moro from high alert fling to comfort, cling and grasping to the mother’s chest and nipple.

Retained Root/Suck reflexes may contribute to long-term speech and articulation difficulties as well as more complex challenges with connections to others. An active rooting reflex may result in hypersensitivity to touch on the face, while an active suck reflex may result in close talkers and the failure to maintain boundaries in terms of personal space.

Retained Root/Suck reflexes may contribute to long-term speech and articulation difficulties as well as more complex challenges with connections to others. An active rooting reflex may result in hypersensitivity to touch on the face, while an active suck reflex may result in close talkers and the failure to maintain boundaries in terms of personal space.

Calming our Defensive Reflexes

Emma was on edge, taking in the world around her with more than caution. Her eyes were darting, fearful and overwhelmed by everything around her. Noises were too much and she felt everything deeply. 

From 11 months of age, Emma had been shuttled between therapists and appointments. Her weeks were packed with up to ten therapy sessions, many of them a long car ride from home. Still, no one could explain fearful behavior, her tension. Emma’s parents struggled with naps, which were a routine battle for their overstimulated daughter. Her body simply would not relax.

Emma had support in the classroom, but conferences were met with concern. Every morning, she cried at drop off and counted the hours until she returned to her mom. At school, Emma was constantly revved up, prone to outbursts and overstimulation. She required frequent sensory breaks. Then, Emma found Thrive. Her mom was introduced to an acquaintance who suggested she might have delayed primitive reflexes. She was referred to a specialist nearby: Elizabeth Hickman.

“We had literally hundreds of appointments and no one was able to give me anywhere near the comfort and the understanding that Elizabeth has,” says Emma’s mom of discovering Thrive two years ago. “She was the first person to make sense of all of her history. It all started coming together.”

Elizabeth worked with Emma on calming her system and shaped her once weekly sessions around addressing her active defensive reflexes. Emma’s parents practiced rhythmic movement exercises at home, building on her weekly sessions and lessons they learned after attending a Thrive workshop. Slowly but surely, Emma found calm. Her mother watched in amazement as her child’s alert system was able to relax. To see their daughter, comforted to the point of dozing off after a Thrive session was a welcome new milestone.

Last fall, Emma’s mom sat in on a very different parent-teacher conference. Over and over again, her teachers echoed their amazement for this gifted child. She’s doing phenomenally, they said. She asks questions and waits patiently for help. Her problem solving is grade levels ahead. She is comfortable in her own skin.

When a child experiences overstimulation, prone to outbursts and has trouble self-soothing, both fear paralysis and Moro are active. Driven by the over-production of adrenaline, they are literally stuck in ‘fight or flight’ mode, as the body has not yet learned to reset to a place of calm and a feeling of safety. 

MORO

Imagine hearing the inescapable tick of a clock, or voices from the next table so distracting you cannot focus on your meal. Your senses are on high alert. Loud noises and bright lights are exhausting and changes in a routine may feel unbearable. Without relief, an overstimulated system is poised for action at all times, with anxiety and stress manifesting in sudden uncontrollable outbursts or difficulty falling and staying asleep. The body struggles to downshift and relax, which can even lead to physical ailments from digestive issues to infections and motion sickness. 

When Moro is not fully integrated, the body is unable to filter and process sensory information. This may include stimuli coming from one or multiple sensory systems: vestibular, tactile, proprioceptive, visual, auditory and interoceptive.

As an essential defensive reflex, the development of Moro contributes to our ability to safely explore our world independently, identifying true danger. Imagine an infant lying alone in a basinet, waking suddenly to a loud sound. Without its swaddle, the baby cries out, reaching his arms and legs upwards out into the air seeking safety. 

The first stage of Moro emerges in utero but peaks at birth when the infant inhales its first breath in an entirely unknown environment. Most likely, its limbs are flailing as it lets out a cry for help. This stage is the instantaneous activation of the baby’s survival system and a release of cortisol and noradrenaline signals what we refer to as the ‘fight or flight response’. 

In response to stimuli, the reflex begins with an initial movement away from the midline, hands reaching outward. With the second stage, a clinging movement initiates, where the body pulls inward to the center, hands grasp closed and the baby exhales. An infant is naturally seeking a caretaker’s touch, to be hugged, rocked and soothed. With cling comes the downshifting of those fight or flight reactions, a steadying of the heart rate and a relaxing of breath as well as the digestive system. The two stages of Moro might be viewed as complimentary reflexes, like breathing in (first stage) and out (second stage).

Collectively, the Moro reflex integrates between 2 and 4 months of age. If Moro stays active in its first stage, the more mature development of the adult ‘startle’ reflex, known as the ‘Strauss reflex,’ cannot establish itself and the body will continue to struggle with effectively defining real from perceived danger. Through integration, the body is able to process and respond with a higher awareness rather than simply reacting. 

Moro as a reflex is often referred to as the gateway reflex, enabling the effective integration of several other key developmental reflexes. Practicing the cling, or calming movements of early infancy may help the body to react and regulate against stressors in the environment.