Disorders Articles

Arts & Crafts in Psychiatric Occupational Therapy

Sunday, April 21st, 2013

Arts & Crafts in Psychiatric Occupational TherapyThe profession of occupational therapy (OT) has many of its roots in the Arts and Crafts Movement, a response to the industrialized production at the end of the nineteenth century which promoted a return to handcrafting (Hussey, Sabonis-Chafee, & O’Brien, 2007). Its origins also were strongly influenced by the earlier Moral Treatment Movement, which sought to improve the treatment of the institutionalized mentally ill population (Hussey et al., 2007).

Therefore, the use of art and crafts in psychiatric settings has played a significant role in OT from the beginning. Furthermore, a core idea in the development of OT is that “occupation, or doing with the hands, can be seen as an integral part of experiencing a meaningful life” (Harris, 2008, p. 133).

Crafts have many potential therapeutic applications: motor control, sensory and perceptual stimulation, cognitive challenges, and enhanced self-esteem and sense of efficacy (Drake, 1999; Harris, 2008).

Taking an Antidepressant: Sanity and Vanity

Sunday, April 21st, 2013

Taking an Antidepressant: Sanity and VanityAt first the weight gain from my new antidepressant didn’t bother me. All I cared about was that this medicine was working. I felt myself coming into my body again; I could experience emotions and enjoy the present; I wanted to do things again.

One of those things was eat ice cream. A lot. So I gained a few pounds. It was time to buy new pants anyway. The only important thing was that my medicine was working and I was feeling good. I felt like participating in my life again. Feeling good and eating ice cream were natural.

But then I broke the couch.

How Trauma Can Affect Your Body & Mind

Thursday, April 18th, 2013

How Trauma Can Affect Your Body & MindAs I write this, our thoughts are with those in Boston who were affected by the bombings at the 2013 Boston Marathon.

In my 20 years living in the Boston area, I cheered on the runners on many occasions and now, even from far way, these events feel close to home.

Experiencing trauma can have a dramatic effect on our bodies and our minds.  And although it’s a different experience to witness a trauma on television, it still can affect us.

When you perceive a threat, the body activates the stress response. The stress response occurs in both your body and brain.

The body’s response to acute stress is a preparation for emergency.  Adrenaline and other hormones are released.  The body shuts down processes associated with long-term care.  When under immediate threat, digestion, reproduction, cell repair and other body tasks related to long-term functioning are unimportant.

Tips for Supporting a Friend Who’s Sick

Thursday, April 18th, 2013

Tips for Supporting a Friend Who's SickThere’s a disconnect between how we treat sick people and how they want to be treated, according to Letty Cottin Pogrebin, author of the new book How to Be a Friend to a Friend Who’s Sick.

We stay silent. We say stupid things. We go from being sensitive, sensible, kind adults to rambling niceties or making downright rude remarks.

Illness, understandably, makes us nervous.

Fortunately, Pogrebin’s book helps us navigate the muddied waters of illness and mortality. It’s packed with practical tips and valuable insights.

Pogrebin was inspired to write the book after observing the varied reactions from her own friends to her breast cancer diagnosis. Some friends misunderstood her needs and acted awkwardly. Others were supportive and compassionate.

In the book, she shares these personal experiences, along with powerful accounts of people offering support to others. She also shares the words of almost 80 of her fellow patients at Memorial Sloan Kettering Cancer Center. She interviewed these individuals to find out how they really wanted to be treated.

Self-Sabotage When You Can’t Sleep

Monday, April 15th, 2013

Self-Sabatoge When You Can't SleepIt’s 3 a.m. and I’m awake. Ordinarily I’d be asleep but right now I’m awake and I don’t like it. Strangely this happens at least once every couple of weeks for me. I just wake up early. No real rhyme or reason, it just happens.

At one time in my life, this used to bug me. I would look at the clock and think, “oh no, I must get back to sleep or I’ll be so tired in the morning.” And then I’d spend the next hour or two willing myself to go back to sleep: tossing and turning, demanding that I slip back into unconsciousness; huffing and puffing that I wasn’t sleeping. I’d even check the clock every 10 minutes to see if I’d slept.

But the reality was, and still is, the more that I demand something of myself, the less likely I am to achieve that goal — and that really is the principle of living an unhappy life.

Meditation as an Adjunct Therapy in Treating Mental Illness

Monday, April 15th, 2013

Meditation as an Adjunct Therapy in Treating Mental IllnessWhile I believe mindfulness meditation has been the keystone to my recovery, I still think of it as an adjunct therapy. I couldn’t manage mental illness as well as I do now if I did not meditate. But I acknowledge that the medication my doctor prescribes and the therapy visits I have with him are crucial as well. Only through the consistent application of all three therapies am I well.

Mindfulness meditation is currently all the rage, and it works. But I am wary of its proponents who claim it can treat (or even cure) mental illness by itself.

Meditation is a powerful tool when used to decrease stress and increase well-being. But if we are to maintain that mental illnesses are biochemical malfunctions of the brain and nervous system, then we must allow room in treatment for medicine. Therapy also has a long history of positive impact on the lives of those challenged by psychiatric disease. Meditation, when added to more traditional and well-tested methods of treatment, can help a patient successfully manage a challenging life. I, and so many others like me, am proof of that.

The Negative Impact of a Doctor’s Poor Bedside Manner

Saturday, April 13th, 2013

The Negative Impact of a Doctor's Poor Bedside MannerI’m sitting down for my yearly physical with the blood pressure machine in view. From the displeased expression on the nurse’s face, I gather it wasn’t a perfect reading. Instead of jotting the numbers down in her notes, realizing that I’m probably just nervous (because I do have “white coat syndrome”), she sighs and expresses the urgency to take my blood pressure again and again, until she’s satisfied with the result.

Then, I walk into the lab next door for a blood test and the line I hear is: “Oh, your blood pressure was high, let me see if I can draw your blood now.”

Wait, what? Do they actually think that these comments will make me feel more relaxed?

Managing Depression While You’re Getting Treatment

Friday, April 12th, 2013

Managing Depression While You're Getting TreatmentClinical depression is debilitating. But it’s also highly treatable.

And while you’re getting treatment — whether through medication, psychotherapy or both — there are many ways you can manage your symptoms in the meantime.

In his valuable book Depression: A Guide for the Newly Diagnosed, clinical psychologist Lee H. Coleman, Ph.D, ABPP, provides tips on minimizing symptoms and getting better while you’re receiving professional help.

Here are five of his suggestions.

Depression Means No Health Insurance: Sorry About That

Thursday, April 11th, 2013

Depression Means No Health Insurance: Sorry About ThatI fall into the category of the “uninsurable.”

It doesn’t matter that I wake up most mornings to swim 160 laps, am borderline obsessed with eating salads and whole grains, and that I haven’t drank a drop of alcohol in 24 years; that I do yoga twice a week, keep a mood journal, engage in cognitive behavioral therapy, and have a rich spiritual life; that I take omega-3 fish oil capsules, vitamin D, calcium, and other supplements with my extra-pulp juice in the morning; or that I work really hard at communicating anger, frustration, and disappointment so that the repression of feelings doesn’t end up as a tumor somewhere inside my body.

I can’t get an individual or family plan short of signing up for a $10,000 deductible.

Because I have a history of depression.

ADHD Tip: How to Stop Losing Your Stuff

Thursday, April 11th, 2013

ADHD Tip: How to Stop Losing Your Stuff“A common trait of people with ADD is the uncanny ability to lose things,” writes psychotherapist Stephanie Sarkis, Ph.D, in her helpful book 10 Simple Solutions for Adults with ADD: How to Overcome Chronic Distraction & Accomplish Your Goals.

For instance, you might lose everything from your keys to your phone to important papers. And this can cost you both time and money, Sarkis says.

In her book she offers a variety of valuable tips to stop losing your things along with advice on what to do if you do lose something. Here’s a selection of her suggestions.

Top 4 Alternative Treatments: Are They Right For You?

Sunday, April 7th, 2013

Top 4 Alternative Treatments: Are They Right For You?Psychologists are increasingly integrating alternative and complementary treatments into their work with clients, according to a recent article in Monitor on Psychology.

So what is alternative treatment? You may already have some experience with the most popular, according to the Monitor on Psychology. Meditation, biofeedback, hypnosis and progressive muscle relaxation are all popular complementary or alternative psychological treatments. 

Although you may be familiar with the most popular, there are dozens of alternative and complementary treatments, which typically fall into four categories:  mind-body medicine, biologically-based practices, manipulative and body-based practices and energy medicine.

Surprising Myths & Facts About Antisocial Personality Disorder

Saturday, April 6th, 2013

Surprising Myths & Facts About Antisocial Personality DisorderAntisocial personality disorder is thought of as an uncommon …

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