Case Record 03 · Post-Gastrointestinal Bleeding Recovery Support

Overview

This case record documents a 53 year old adult male in the post acute recovery phase following gastrointestinal bleeding. After hospital treatment and discharge, the individual entered a period of ongoing medical recovery.

The record is situated within a regulation informed mindfulness based counselling framework and focuses on observed patterns of nervous system regulation and stress modulation during recovery rather than diagnostic or treatment claims.

Support was non invasive and non contact, oriented toward nervous system stabilisation and reduction of stress related activation. It did not replace or interfere with medical monitoring or follow up care.

Presenting Pattern

Following discharge from medical care, the individual reported a constellation of recovery related challenges, including:

• Digestive instability and gastrointestinal discomfort
• Reduced appetite and digestive efficiency
• Generalised fatigue and low physical stamina
• Slow return of mental clarity and energy

Although acute bleeding risk had resolved, the individual experienced difficulty transitioning from a medical crisis state into a stable recovery rhythm.

Regulation Based Integrative Formulation

Within a regulation informed framework, this presentation was conceptualised as persistent stress activation occurring during post acute recovery.

From a nervous system perspective, patterns were consistent with:

• Prolonged sympathetic activation following medical crisis
• Persistence of stress related signalling affecting digestive motility and secretion
• Reduced parasympathetic engagement supporting digestion repair and absorption

These factors can contribute to delayed recovery even when acute pathology has been medically addressed.

Further observation indicated that the individual had a long standing pattern of:

• High responsibility load and sustained work related stress
• Limited emotional expression and habitual internalisation of tension
• Difficulty transitioning out of coping or defensive states

From a nervous system regulation perspective, this pattern is consistent with reduced access to rest and digest states during periods when physiological repair is required.

Therapeutic Perspective

Within this regulation informed approach, support focused on:

• Down regulation of sustained stress activation
• Expansion of parasympathetic engagement capacity
• Strengthening present time bodily awareness
• Facilitating transition from crisis vigilance toward regulated recovery states

Support did not involve direct digestive or medical intervention and did not aim to modify medical pathology.

Supportive Process and Observed Shifts

Support focused on facilitating nervous system settling and supporting parasympathetic engagement alongside ongoing medical care. The process was gentle, non invasive, and did not replace or interfere with medical follow up.

Observed changes over time included:

• Reduced subjective stress intensity
• Improved capacity to rest
• Increased physical energy and mental clarity
• Greater overall sense of physiological balance

Digestive recovery continued under medical supervision. The individual reported improved overall regulation and reduced stress related exhaustion.

Integrative Summary

From a regulation informed perspective, the observed shift reflected:

• Reduction in prolonged stress driven autonomic activation
• Improved nervous system regulation during medical recovery
• Increased awareness of bodily signals related to rest and repair

Support did not aim to alter medical pathology, but to strengthen regulatory capacity during the recovery phase.

Ethics and Safety Note

This case record is provided for educational and service description purposes only. It does not constitute medical diagnosis, treatment, or outcome claims. All medical decisions remained under appropriate clinical supervision. Individual responses vary and outcomes are not guaranteed.