Mental health is health. Too many stigmas exist that prevent individuals from seeking help when signs of mental illness occur. Unlike physical symptoms of sickness that are addressed immediately, mental illness falls to the side due to stigmas and embarrassment. It is important to notice changes in emotional and mental health that persists longer than 2 weeks. Many minor things as OCD, ADHD, or minor stress and depression issues can be resolved through professional care.
Please also review AIHCP’s numerous mental health certifications within Grief Counseling, Crisis Counseling Spiritual/Christian Counseling, Anger Management and Stress Management Programs. The programs are online and independent study and open to qualified professionals. Remember only those within the clinical side of Human Services can treat mental illness. Pastoral counselors can refer or help others in non pathological issues.
When clients experience stress, grief or loss, sometimes meaning is critical to understand. The emotions and feelings need to find meaning in relation to the issue. Counselors need to have the helping skills to aid the client in finding meaning again. This is essential especially in Grief Counseling. In grief and loss, the individual needs to find meaning in the loss and be able to connect the past with the present to move forward to the future. New meanings in relationship to the loss help the person connect the dots and knit together the chapters of life into a logical story. When meaning is not found and emotions rage without direction, then the stressor or loss can lead to grief pathologies of depression or prolonged grief. Hence it is important for the counselor to be able to navigate the person through the emotion and find meaning. This is more than understanding the process of grief and loss, or dealing with stress, but also being able to help the client find meaning through good counseling techniques that help the client find meaning.
In previous blogs, we discussed the importance of meaning re-construction, as well as Cognitive Behavioral Therapy or CBT, as key ways to help clients tie together pass loss or trauma to the present to move forward. In this blog we will focus more on the micro skills and probing that is necessary to help clients find meaning via interaction, reframing and interpretation skills, and how to relate to the client. Obviously, many of the other micro skills of attending the client, observation, focusing, responding, challenging and confronting are all implied within this blog and found in other previous blogs.
Please also review AIHCP’s multiple counseling blogs as well as certification programs in Grief Counseling, Stress Management, Crisis Intervention or Christian and Spiritual Counseling.
The Importance of Meaning
Finding meaning is critical to life. When bad things happen, counselors can help clients discover meaning
Meaning is essential to human existence. This is why it is so important for individuals suffering from trauma, or abuse, or loss, or any situation to find meaning in their situation. Sometimes it involves regaining it because it has been taken away, other times, it is discovering it for the first time.
Logotherapy is a type psychotherapy that helps individuals find meaning. It is based off Victor Frankl, the famous Holocaust survivor, who utilized meaning in life, even in its darkest hours, as a prisoner in a Nazi camp, to find hope. Frankly administered to many of his fellow prisoners and helped them find also meaning despite the evil and trauma and abuse that surrounded them under Nazi rule.
Frankly believed everyone had a will to meaning. This meaning is what pushes all in will and action and even helps one endure suffering and pain. These beliefs persist in the value and uniqueness of each human person. It also is a platform for a person to move forward in life. This has numerous applications in counseling and helping others. It involves understanding purpose in life despite pain, but the importance to define and push forward. It involves understanding that life is far from fair but one can still find meaning through it. Purpose is beyond bad things (Waters, E., 2019).
Frankly summarized his philosophy in six basic tenets. Humanity is comprised of mind, body and soul but it is through the soul that we experience and find meaning. He continued that life has meaning in all circumstances, good or bad. He stated as well that humans have a will to meaning that pushes them. He also listed humans also have freedom to access this meaning no matter the situation. He stated in addition that true meaning is not merely an statement but something concrete that correlates with life and one’s values and beliefs. Finally, he emphasized that all human beings are unique (Waters, E., 2019).
From Frankl and his classic work, “Man’s Search for Meaning”, counselors, but especially grief counselors have an excellent way to help reconstruct meaning to clients and cultivate true change in a client’s life.
Obviously, much of the work associated with David Neimeyer and meaning reconstruction are found from the ideas of Frankl.. Meaning helps tie together past, present and future into something that matters to the individual. It helps make sense of the loss and allows the chapters of one’s life, even the bad ones, to have meaning to the overall story and book. Obviously, counselors play a key role in helping clients evolve the story told initially into telling the right story that correlates with reality. This involves intense counseling and sorting out feelings, but eventually these feelings can lead to a true meaning. Reflecting and reframing are keys in achieving this for a client.
Reflection
When individuals are discussing feelings and emotions, it is essential eventually, not initially, to guide them to meaning. In the very beginning, it is important to allow raw emotion to be expressed, felt and processed, but it needs to eventually find meaning within the grieving process. Counselors can help clients reflect on the emotion. Ivey refers to the term “reflection on meaning” as a way to help clients find deeper understanding regarding issues, purpose, feelings and behaviors (2018, p. 258). Ivey also points to the importance of interpreting and reframing these feelings. Interpretation helps the clients understand their feelings and add meaning to them through a variety of perspectives or multicultural or psychodynamic ways. The client is able to find new meaning, while the counselor provides the necessary reframing to explore new interpretations (2018, p. 258).
The counselor through reframing, can with empathy begin to offer different interpretations of the event itself, One skill a counselor can utilize is linking. Linking helps the client tie together two or more things that enables them to find new insight (Ivey, 2018, P. 265). A counselor can tie family history, values and talents to the client in relationship to the issue, or tie the event to psychodynamic issues that exist within the client. The linking helps the client find new perspectives on the issue at hand.
Counselors can help clients link and find self discovery through a variety of approaches. Some counselors may utilize decisional theory that presents outcomes and alternatives for action. Decisions need to be understood and made with the client understanding outcomes (Ivey, 2018, p. 268). Another approach is person centered. Linking is utilized to tie the problem together with the person’s strengths. CBT is another way to help individuals review old ways of thinking, acting and behaviors and re-interpret them. Reframing and linking can also be utilized with psycho-dynamic theories that help the person understand the person’s deeper subconscious past. Finally, multicultural therapy can help a person link to and also reframe an issue with ones’ own ethnic and cultural backgrounds
Reframing
A counselor’s response is key in helping one reframe and interpret meaning. In previous blogs, we discussed first attending the client, with basic responses, such as paraphrasing or summaries. How one reflects how one feels helps open new dialogue and understanding. Other ways to help discuss emotions and help build meaning and cultivation to change involves disclosures, feedback and consequences.
Counselors can help clients reframe and reinterpret events and emotions and help them find new meanings moving forward
Disclosures are excellent ways to involve oneself by sharing an appropriate story of one’s own life, but usually it involves oneself utilizing the phrase ” I think or I feel” in relationship to one’s issue or feeling or intended action. Feedback is also critical in cultivating change. It can be confirmatory or corrective. When corrective, it looks to help align a person back on track. It involves empathy and nonjudgment when being applied but helps the client again find the proper perspective and route. Remember, the client remains in charge and review how the client responds. Empathetic confrontational approaches should be utilized. Finally, logical consequences can be employed to help a client. It summarizes the possible positive and negative consequences of a particular action. The common phase includes “If you do…then…will possible result” (Ivey, 2018. p. 302).
Employing psychoeducation and instruction is also a key way to help push individuals to change and reframing. By making the client understand the science and philosophy of their feelings, one can better take ownership to change.
Whatever link the counselor can utilize through whichever therapy, or phrasing is good. Each individual is different. The key is to help the person find a new perspective on the emotion, situation, stressor or loss. This enables the person to form a new meaning which can help them tie the past with the present and into the future.
Fostering Resiliency
Through any change and new discovery, counselors need to foster resiliency. This helps the person emotionally and physically push forward into the new change and maintain the new meaning he/she has found. This can be accomplished through a multitude of stress management techniques that involves multicultural approaches, psychoeducation, social skill training, assertiveness training, conflict resolution, bio or neurofeedback, positive reframing, CBT, time management, relaxation management and active planning techniques (Ivey, 2018, p. 288). Ivey also lists the importance of Seven Therapeutic Lifestyle Changes. He includes exercise, nutrition, sleep, social relations, cognitive challenges, meditation and cultural health. Within these, he also lists the importance of prayer, hobbies, positive thinking, social outreach and avoidance of negative substances (2019, p. 288).
Egan, emphasizes that in cultivating change, counselors need to help client discover their own resilience. Egan points out the difference between process resilience and outcome resilience. In counseling, the counselor should be able to encourage clients to change in face of challenges, but also note outcomes. With outcome resilience, the counselor comments on the change and how one has returned to one’s own self (Egan, 2019, p. 263). Like a coach, the counselor hence cheers the person’s progress and ability to overcome. Counselors need to also help clients identify resources for resiliency, within family, friends or other social support systems. A counselor should help a client find ways to make better connections with families and friends as well. In pushing forward, a counselor can help a person reframe issues, such as challenges or crisis as ways to grow and to understand that change is part of life (Egan, 2019, p. 265). A client must continue, especially after loss, or trauma, to continue to keep things in perspective, maintain a healthy outlook, find new ways for self discovery and maintain care of oneself (Egan, 2019, p.265). A counselor can help a person maintain this progress.
Recall also, the previous blog which discusses the change scale in clients and how it is essential that the counselor discovers the level of acknowledgement and commitment to change a client may possess, as well as helping the client implement first order or second order changes depending on their situation. The counselor can help the client with goals to implement the change and also be aware of possible setbacks and pitfalls.
Conclusion
Please also review AIHCP’s multiple mental health certifications, including AIHCP’s Grief Counseling Certification
In helping clients change, reflection and reframing are key in helping the client link and find meaning in the trauma or loss. As time progresses, the client will be able to find meaning and connect the incident into one’s life narrative. Counselors can help this transition through a variety of skills mentioned in this blog and throughout other blogs written for AIHCP. These skills help the client understand the emotion and find linking to it. This helps them discover new meaning and ways to reinterpret the event. Furthermore the counselor helps the client move forward by fostering resiliency and helping the client continue to move forward.
Please also review AIHCP’s various mental health certifications. These certifications are granted to professionals in the health care field and human service field. Some may be licensed professionals while others may be pastoral in nature. Obviously such licensures or lack of, grant or prohibit the extent of certain counseling therapies and techniques.
AIHCP’s programs include Grief Counseling, Crisis Counseling, Stress Management Consulting, Anger Management Consulting and also Christian Counseling and Spiritual Counseling. The programs are online and independent study.
References
Egan, G. & Reese. R. (2019).”The Skilled Helper: A Problem Management and Opportunity-Development Approach to Helping” (11th Ed). Cengage
Ivey, A. et, al. “Intentional Interviewing and Counseling: Facilitating Client Development in a Multicultural Society” (9th Ed( (2018). Cengage.
Additional Resources
Morin, A. (2023). “How Cognitive Reframing Works”. Very Well Mind. Access here
Caraballo, J. (2018). “Reframing is Therapy’s Most Effective Tool, Here’s Why”. TalkSpace. Access here
Ackerman, C. (2018). “Cognitive Restructuring Techniques for Reframing Thoughts”. Positive Psychology. Access here
Waters, E. (2019). “Logotherapy: How to Find More Meaning in Your Life”. PsychCentral. Access here
In an era where wellness and mental health increasingly intersect with medical care, integrative medicine emerges as a beacon of holistic healing, addressing the full spectrum of individuals’ physical, emotional, and spiritual wellbeing. This approach combines the best of conventional medical practices with a broader understanding of the natural healing processes of the body, making it a pivotal aspect of self-care and wellness strategies. With a growing recognition of its benefits, integrative medicine is reshaping how healthcare is perceived and delivered, marking a significant shift towards a more comprehensive, patient-centered approach to health and healing.
This comprehensive guide delves into the essence of integrative medicine, exploring its core principles and how it diverges from and complements traditional healthcare models. It addresses common modalities employed in integrative care, such as functional medicine, and the importance of evidence-based practice and research in validating these approaches. Additionally, the article examines integrative medicine’s role in managing chronic conditions, its rising popularity, and how individuals can navigate and select suitable integrative health treatments. Through this exploration, readers will gain a deeper understanding of how integrative medicine contributes to a more robust and personalized healthcare paradigm, fostering greater health and wellness outcomes.
Key Takeaways
Integrative medicine treats the whole person, addressing physical, mental, emotional, and spiritual needs.
The approach combines conventional medical practices with complementary therapies like acupuncture and yoga.
A strong patient-practitioner partnership is essential for effective integrative medicine.
Evidence-based practice is a cornerstone, ensuring that all treatments are scientifically validated.
Integrative medicine aims to improve quality of life, reduce side effects, and enhance patient satisfaction.
Defining Integrative Health Care
Integrative health care combines conventional medical practices with complementary approaches in a coordinated manner, focusing on treating the whole person rather than isolated symptoms or diseases. This holistic approach includes a variety of interventions such as medications, physical rehabilitation, psychotherapy, alongside complementary methods like acupuncture, yoga, and probiotics.
Distinction between Conventional, Complementary, and Integrative Health
Conventional medicine, also known as Western medicine, primarily involves scientifically validated methods such as pharmaceutical medications, surgery, and psychotherapy. In contrast, complementary medicine includes treatments like herbal medicine, massage therapy, and acupuncture, which may not always be part of mainstream healthcare but have historical roots and are increasingly used alongside conventional treatments.
Integrative health care is distinct in that it intentionally combines both conventional and complementary approaches to address all aspects of an individual’s health. This coordinated approach aims to enhance the overall quality of life by mitigating the side effects of conventional treatments and emphasizing a comprehensive view of health.
Evolution and Recognition of Integrative Health
The concept of integrative health has evolved significantly over the years, gaining more recognition and implementation within various healthcare settings across the United States. Research into integrative health continues to explore its benefits in diverse contexts, such as pain management for military personnel and symptom relief for cancer patients.
Historically, integrative medicine has roots in “drugless healing” practices from the early 20th century, contrasting sharply with the allopathic focus on pharmaceuticals. The licensing and educational structures of conventional medicine have aimed at establishing dominance in healthcare, often overshadowing alternative practices. However, the growing acknowledgment of the limitations of a purely scientific approach to health has led to a broader acceptance and integration of holistic and complementary methods.
Integrative medicine’s development is marked by significant milestones such as the establishment of the Academic Consortium for Integrative Medicine and Health, which includes numerous North American medical institutions that educate about integrative therapies. These institutions play a crucial role in blending conventional medical education with integrative health principles.
Integrative medicine prioritizes a patient-centered approach, respecting and responding to individual patient preferences, needs, and values. This model ensures that patient values guide all clinical decisions, creating a partnership where patients and their families are actively involved in the decision-making process. The integrative model is healing-oriented, embracing both conventional and complementary therapies to focus on the whole person and lifestyle, not just the physical body.
Incorporation of Mental, Physical, and Spiritual Well-being
The core of integrative medicine is the belief that human beings possess emotional, mental, and spiritual dimensions that are essential in the diagnosis and treatment of disease and the cultivation of wellness. It addresses these dimensions by integrating a variety of therapies and lifestyle changes to treat the whole person—mind, body, and spirit. This approach includes the use of evidence-based practices such as medication, psychotherapy, acupuncture, and yoga, ensuring well-coordinated care among different providers and specialists.
Integrative medicine places a strong emphasis on preventive care and wellness, aiming to improve health outcomes by preventing and managing chronic diseases through lifestyle intervention. This approach supports long-term health by encouraging lifestyle changes, such as personalized dietary plans and exercise programs, tailored to individual health needs. It also integrates various therapies to best meet each person’s unique health needs, thereby optimizing health and ensuring that patients receive the care they want and need.
Common Modalities in Integrative Health Care
Acupuncture
Acupuncture, a key component of Traditional Chinese Medicine (TCM), is predicated on the belief that the body’s vital energy, qi, flows through specific pathways. Imbalances or blockages in this flow are thought to cause disease. By inserting thin needles at various acupuncture points along these meridians, acupuncturists aim to restore balance and health. Studies have confirmed acupuncture’s efficacy for various conditions such as nausea, dental pain, addiction, and more, making it a valuable modality in integrative health care.
Massage Therapy
Massage therapy is increasingly recognized within integrative health care for its effectiveness across a spectrum of conditions, including chronic pain, anxiety, depression, and post-surgical recovery. By manipulating soft tissues, massage helps relieve pain, reduce stress, and enhance overall well-being. It is not only a method for relaxation but also a therapeutic intervention widely used in various medical settings to complement other treatments.
Herbal Medicines and Supplements
Herbal supplements, derived from plant sources, are utilized both for treatment and health maintenance. Unlike pharmaceuticals, these supplements are categorized as food by the FDA and are not subject to the same rigorous testing. Consumers are advised to exercise caution, seek professional advice, and opt for reputable brands to ensure safety and efficacy. Herbal remedies can interact with conventional medications, highlighting the need for guided integration into health care.
Mind-body Practices
Mind-body practices such as yoga, tai chi, and meditation are integral to integrative medicine, offering significant benefits for both mental and physical health. These practices help manage stress, improve heart health, and enhance quality of life in those with chronic illnesses. By focusing on the interconnections between mind and body, these modalities promote healing and well-being across various populations and conditions.
The Role of Mental and Emotional Health
Stress Management
Stress management is a crucial aspect of integrative medicine. Techniques such as mindfulness, meditation, and yoga are commonly used to help patients manage stress effectively. These practices not only reduce stress but also promote overall well-being.
Emotional Well-being
Emotional well-being is integral to a person’s overall health. Integrative medicine emphasizes the importance of addressing emotional health through therapies like counseling, cognitive behavioral therapy, and biofeedback. These therapies aim to improve mental resilience and emotional stability.
Mind-Body Techniques
Mind-body techniques are central to integrative medicine. Practices such as guided imagery, progressive muscle relaxation, and biofeedback are used to create a harmonious balance between the mind and body. These techniques help patients achieve inner peace and rejuvenation.
Spirituality in Integrative Medicine
Spiritual Needs
Integrative medicine recognizes that spiritual needs are a vital component of overall health and well-being. Addressing these needs can help patients find meaning, purpose, and connection, which are essential for healing. Practitioners often explore patients’ beliefs and values to tailor treatments that resonate on a deeper level.
Meditation and Mindfulness
Meditation and mindfulness practices are commonly used in integrative medicine to enhance spiritual well-being. These techniques help patients cultivate a sense of inner peace and awareness, which can positively impact their physical and emotional health. Regular practice can lead to reduced stress, improved focus, and a greater sense of balance.
Healing Environments
Creating healing environments is another key aspect of spirituality in integrative medicine. These environments are designed to promote relaxation, comfort, and a sense of safety. Elements such as natural light, soothing colors, and quiet spaces can significantly enhance the healing process. The goal is to create a space where patients feel supported and nurtured.
In integrative medicine, the spiritual dimension is not overlooked but rather embraced as a crucial element of holistic care. This approach ensures that all aspects of a patient’s well-being are addressed, leading to more comprehensive and effective treatment plans.
Evidence-Based Practice and Research
Evidence-based medicine (EBM) is defined as the conscientious, explicit, and prudent application of the best available evidence in making decisions about the care of individual patients. It emphasizes utilizing data from rigorously conducted studies to inform clinical decision-making, thereby enhancing patient care by allowing individuals to choose their preferred healthcare methods while being informed about their safety and efficacy. This approach helps reduce reliance on less reliable, experience-based practices and supports a more scientifically sound basis for medicine.
The Role of Scientific Research in Validating Treatments
Scientific research plays a pivotal role in validating treatments within integrative medicine, ensuring that therapies are both safe and effective. Conventional medicine relies heavily on evidence gathered through rigorous trials and research to substantiate the efficacy of treatments. In contrast, many complementary and alternative treatments lack this level of scrutiny, which can lead to uncertainties about their effectiveness. The integration of complementary and alternative medicine (CAM) with mainstream systems has shown a synergistic effect, improving overall health outcomes through the exchange of evidence-based knowledge.
Examples of Evidence-Supported Modalities
Several modalities within integrative health care have garnered support through scientific research. For instance, acupuncture has been validated for its effectiveness in treating conditions such as nausea and chronic pain, with studies highlighting its role in balancing the body’s vital energy. Similarly, the effectiveness of massage therapy in alleviating pain and reducing stress has been well-documented, making it a valuable component of integrative health care. Additionally, the use of herbal medicines requires careful integration and oversight due to potential interactions with conventional medications, underscoring the importance of evidence-based practice in ensuring safety and efficacy.
The Cochrane Collaboration and researchers like Edzard Ernst emphasize that all medical treatments, whether mainstream or alternative, should adhere to the standards of the scientific method. This rigorous approach is crucial for maintaining the integrity of medical practice and ensuring that all therapeutic practices, regardless of their cultural origin or popularity, are subjected to the same level of scrutiny to protect patient health and safety.
Research and training in traditional medicines are being encouraged globally, reflecting a growing acknowledgment of their potential benefits when integrated properly into medical practice. This has led to an increase in educational initiatives, such as the inclusion of CAM in medical curricula, to equip healthcare professionals with the necessary knowledge to effectively integrate these practices into their treatment protocols.
Integrative vs. Alternative Health Care
Understanding the Differences
Integrative medicine combines mainstream Western medicine with complementary and alternative therapies, focusing on holistic treatment that considers physical, mental, emotional, and spiritual well-being. This approach is distinct from alternative medicine, which is used in place of conventional medicine and often lacks the same level of rigorous scientific validation. Integrative medicine is characterized by its emphasis on patient-centered care, integrating evidence-based complementary therapies to optimize health outcomes. It acknowledges the complex nature of the human body and aims to treat all aspects of an individual’s health, fostering a collaborative relationship between patient and practitioner.
Why Integrative Care is Not a Substitute for Conventional Medicine
Integrative medicine does not advocate substituting proven conventional interventions with unproven therapies. Instead, it aims to complement and enhance conventional medicine by incorporating a variety of evidence-supported modalities such as diet, exercise, and stress management into the treatment plan. This approach ensures that patients benefit from the best of both worlds: the efficacy of conventional medicine and the holistic benefits of complementary therapies. Integrative medicine strives for well-coordinated care among different providers and institutions, ensuring that therapies are not only effective but also tailored to the individual’s needs and preferences.
By maintaining a strong foundation in evidence-based practice, integrative medicine supports the use of complementary therapies that have been scientifically validated, thus avoiding the risks associated with alternative treatments that may lack empirical support. This careful integration of complementary and conventional medicine ensures patient safety and enhances health outcomes, distinguishing integrative care from alternative approaches that might rely on less reliable, anecdotal evidence.
Integrative Health Care for Chronic Conditions
Integrative health care offers a multifaceted approach to managing chronic conditions, emphasizing the need for treatments that address the whole person rather than just symptoms. Chronic pain, a prevalent chronic condition, often leads individuals to seek complementary therapies. A study in JAMA revealed that many people choose these therapies to align with a mind-body-spirit philosophy and to play an active role in their own healing process.
Managing Chronic Pain
Chronic pain management benefits significantly from integrative therapies. Techniques such as acupuncture have shown efficacy in reducing pain associated with conditions like osteoarthritis and migraine headaches. Additionally, mind-body therapies, including mindfulness-based stress reduction (MBSR), have demonstrated clinical effectiveness for various chronic conditions, notably in improving pain management and enhancing quality of life. These therapies are often integrated into comprehensive management programs that may include cognitive behavioral methods, relaxation, and biofeedback, providing a holistic approach to pain relief.
Mental Health and Stress Reduction
The impact of chronic conditions on mental health can be profound, making stress reduction an essential component of integrative care. Cognitive behavior therapy (CBT) and mindfulness-based interventions are effective in reducing symptoms of anxiety, depression, and stress associated with chronic illnesses. Techniques like deep breathing, tai chi, and guided imagery are also employed to help individuals manage stress and improve mental health outcomes.
In summary, integrative health care for chronic conditions involves a range of therapies that support physical, mental, and emotional health. By incorporating evidence-based practices and focusing on the patient’s overall well-being, this approach enhances the effectiveness of chronic condition management.
The Growing Trend of Integrative Health Care
Increased Patient Demand
The demand for integrative medicine has seen a significant rise, particularly for managing conditions such as pain, cancer, and more recently, COVID-19. This growing interest is mirrored globally, with substantial portions of populations in both developed and developing nations turning to traditional, complementary, and integrative medicine (TCIM). For instance, in the United States, 42% of the population utilizes some form of TCIM, with similar figures reported across other nations like Australia, France, Canada, and even higher in countries like India and China.
Incorporation in Mainstream Medical Institutions
Integrative health care is increasingly being recognized and incorporated into mainstream medical institutions across the world. This trend is driven by a rising acknowledgment of the limitations of conventional medicine alone to address chronic diseases, which now account for approximately 75% of the US aggregate health care spending. In response, more healthcare settings are integrating TCIM practices into their services, reflecting a shift towards more holistic health approaches that emphasize patient-centered care and multimodal interventions. Additionally, major medical organizations are beginning to include CAM practices in their clinical guidelines, which is a testament to the growing integration of these approaches in conventional healthcare.
Future Prospects and Challenges
The future of integrative health care looks promising but is not without challenges. The field has witnessed a doubling in research publications over the past decade, indicating a surge in scientific interest and validation efforts. However, the quality, safety, and efficacy of TCIM products remain a concern, necessitating continued research and stringent evaluations to ensure their responsible integration into healthcare. Furthermore, the growing trend has stimulated the scientific community and policy organizations globally to delve deeper into the clinical efficacy and policy implications of these therapies.
Simultaneously, the landscape of integrative medicine is evolving with more physicians adopting integrative concepts in their practices. This change is driven by a combination of factors including the holistic approach of treating the root causes of illness, focusing on optimal health and healing, and enhancing the physician-patient relationship. The American Board of Physician Specialties® has also responded by offering board certification in integrative medicine, underscoring the formal recognition and institutional support for this field.
In conclusion, the trend towards integrative health care is supported by both increased patient demand and the incorporation into mainstream medical practices, with future prospects looking towards expanding this approach amidst challenges that require careful navigation.
How to Choose Integrative Health Treatments
Consulting with Healthcare Professionals
When considering integrative health treatments, it is crucial to consult with healthcare professionals who are knowledgeable in both conventional and complementary medicine. This ensures that all aspects of the patient’s health are considered and that treatments are tailored to individual needs. Healthcare professionals can provide valuable guidance on integrating conventional medical treatments with complementary therapies such as acupuncture, yoga, or herbal supplements, ensuring a coordinated approach that enhances overall health outcomes.
Safety and Potential Interactions
One of the primary concerns when choosing integrative health treatments is the safety and potential interactions between different therapies. Patients should be aware that many complementary therapies, like herbal medicines and dietary supplements, can interact with conventional medications, potentially leading to adverse effects. Therefore, it is important to discuss all current treatments with a healthcare provider to safely incorporate new therapies and avoid harmful interactions.
Finding Credible Resources and Practitioners
Selecting the right practitioner is essential for effective integrative health treatment. Patients should seek professionals who are licensed and have a solid educational background in their field. It is advisable to consult resources like professional organizations, which often provide directories of qualified practitioners. Additionally, when researching health information or treatments, patients should rely on credible sources such as government health agencies or recognized medical institutions to ensure the information is accurate and up-to-date. This approach helps in making informed health decisions and finding reliable practitioners who can deliver high-quality care.
Conclusion
Through the exploration of integrative medicine, it becomes clear that this approach offers a sophisticated blend of conventional and complementary therapies geared towards treating the whole person—body, mind, and spirit. By emphasizing a patient-centered approach, evidence-supported modalities, and the significance of preventive care, integrative health care promises a more holistic and personalized healthcare experience. This comprehensive guide has illustrated how integrative medicine not only complements traditional medical practices but stands as a pivotal force in reshaping the future of healthcare, emphasizing wellness, and the nuanced needs of individuals.
The growing trend toward integrative health care, underscored by a patient-centric philosophy and increasing incorporation into mainstream medical settings, highlights the evolving landscape of healthcare. As the demand for such holistic treatments rises, so does the need for knowledgeable professionals in the field. For those inspired by the principles and practice of integrative medicine and looking to make a difference, becoming a certified holistic nurse could be your next step toward contributing to this transformative approach to health and healing. This path not only enriches your professional life but also empowers patients to embark on a journey toward comprehensive wellness.
If you’re a registered nurse with a valid RN license to practice then you already meet our prerequisite qualifications to become a certified Holistic Nurse with our organization. We offer a 6-course program, which after completing, leads to becoming a Holistic and Integrative Healthcare Certified Specialist. If you’re interested your next step would be to register for our Holistic Nursing Certification Courses here
FAQs
What Exactly is Integrative Medicine?
Integrative medicine is a medical approach that blends the best of conventional medicine with complementary and alternative therapies. This approach is characterized by the use of a wide range of evidence-based treatments, including those outside of mainstream medicine, to create comprehensive care plans for patients.
Can You Break Down the Five Main Areas of Integrative Medicine?
According to the National Center for Complementary and Integrative Health (NCCIH), integrative medicine encompasses five key domains: 1) manipulative and body-based methods, 2) mind-body medicine, 3) alternative medical systems, 4) energy therapies, and 5) biologically based therapies.
How Credible is Integrative Medicine?
Integrative medicine is a credible field of medicine that combines the most reliable and scientifically supported aspects of conventional and complementary therapies. This approach is tailored to provide the best possible care for each individual, ensuring treatments are both effective and evidence-based.
Is Integrative Medicine Recognized as a Medical Specialty?
Yes, integrative medicine is recognized as a distinct medical specialty. For further details on its evolution as a specialty, or for more information about the American Board of Integrative Medicine (ABOIM), interested parties are encouraged to contact the American Board of Physician Specialties (ABPS), the certifying body responsible for the specialty.
How important is the patient-practitioner relationship in integrative medicine?
In integrative medicine, the relationships between you and your healthcare providers are very important. You are equal partners in your healing process, and maintaining open communication with all your providers helps you get the most out of treatment.
Can integrative medicine help with mental and emotional health?
Yes, integrative medicine believes that your physical, mental, emotional, and spiritual needs affect your health. It uses a combination of therapies and lifestyle changes to address these aspects and improve your overall well-being.
Resources:
Ning Zhang, Xiao-he Xiao. Integrative medicine in the era of cancer immunotherapy: Challenges and opportunities. Journal of Integrative Medicine, Volume 19, Issue 4, 2021, Pages 291-294, ISSN 2095-4964,
MONTOPOLI, Et Al. Ageing and osteoarticular system for healthy ageing on behalf of Integrative Medicine Research Group (IMRG). European Review for Medical and Pharmacological Sciences 2021; 25: 2348-2360
Shinjyo N, Waddell G, Green J. Valerian Root in Treating Sleep Problems and Associated Disorders—A Systematic Review and Meta-Analysis. Journal of Evidence-Based Integrative Medicine. 2020;25.
Treatment Resistant Depression can make one lose hope. Please also review AIHCP’s Grief Counseling Certification
Depression, a debilitating mental health condition, significantly impacts the lives of millions worldwide. Among its most challenging forms is resistant treatment depression, where patients do not respond to traditional therapies. This complexity underscores the critical need for a deeper understanding of treatment resistant depression treatment options, guiding patients towards improved mental health outcomes. As the prevalence of this condition poses significant challenges to both patients and healthcare providers, exploring innovative methods and therapies becomes imperative.
The subsequent discussion in this article aims to shed light on various facets of resistant treatment depression, starting with a thorough understanding of what characterizes treatment-resistant depression and how it can be identified. It will delve into the risk factors associated with the development of this form of depression and examine both medication options and non-medication therapies and interventions. Furthermore, the role of psychotherapy in managing resistant treatment depression will be highlighted, alongside innovative and experimental treatments that hold promise for those affected. Lastly, the creation of personalized treatment plans will be discussed, emphasizing the tailored approach required to address the unique needs of each individual facing resistant treatment depression. This comprehensive exploration aims to equip readers with the knowledge to navigate the complexities of treatment-resistant depression treatment, advocating for a proactive and informed approach to mental health care.
Key Takeaways
Treatment-resistant depression (TRD) occurs when at least two different antidepressants fail to improve symptoms.
TRD affects about 30% of individuals with major depressive disorder.
There are multiple treatment strategies for TRD, including optimization, switching, combination, augmentation, and somatic therapies.
Non-pharmacological treatments such as psychotherapy, electroconvulsive therapy (ECT), and transcranial magnetic stimulation (TMS) can be effective.
Early diagnosis and personalized treatment plans are crucial for managing TRD effectively.
Also, please feel free to review AIHCP’s Grief Counseling Certification and see if it meets your academic and professional goals.
Understanding Treatment-Resistant Depression
Definition and Overview
Treatment-resistant depression (TRD) is a subtype of major depressive disorder (MDD) characterized by inadequate response to standard antidepressant therapies. Patients with TRD have undergone at least two different first-line antidepressant treatments without sufficient relief during a depressive episode. This condition is not only prevalent but also poses significant challenges in mental health care, affecting approximately 30% of individuals diagnosed with MDD. TRD often requires a comprehensive evaluation to understand the underlying factors contributing to its persistence. This may include reviewing the patient’s medical history, current medications, and adherence to prescribed treatments. Specialists might also explore other mental health conditions that could influence the depression’s responsiveness to treatment, such as bipolar disorder or personality disorders.
There are several misconceptions about TRD, including the belief that it is synonymous with “no hope.” In reality, there are multiple treatment options available, including medications and procedures like electroconvulsive therapy (ECT). Understanding these options can help dispel myths and encourage patients to seek comprehensive care.
The complexity of treatment-resistant depression requires a nuanced understanding and a personalized approach to treatment.
Prevalence and Impact on Individuals
The prevalence of treatment-resistant depression is alarmingly high, with estimates suggesting that at least 30% of persons with depression are affected by this condition. In some populations, such as those covered by Medicaid, the prevalence can be as high as 44.2%. The impact of TRD extends beyond the individual, affecting societal costs and healthcare utilization significantly. Individuals with TRD often experience more severe symptoms, longer depressive episodes, and a greater number of lifetime depressive episodes compared to those with non-resistant MDD. Additionally, TRD is associated with higher indirect costs due to increased disability benefits, workplace absenteeism, and the burden on caregivers. The healthcare costs and unemployment costs attributable to TRD are disproportionately high, reflecting the intensive treatment and support required for managing this condition. Furthermore, the rate of suicidality, including completed suicides, is markedly higher among populations with TRD, underscoring the urgent need for effective interventions and support systems.
Identifying Signs of Treatment-Resistant Depression
The biggest sign of treatment resistant depression is not feeling better
Lack of Improvement despite Treatment
Individuals experiencing treatment-resistant depression often find that standard treatments such as antidepressants or psychotherapy do not alleviate their symptoms effectively. Despite undergoing multiple treatments, their symptoms might not improve, or they may experience only temporary relief before their symptoms return. This persistent lack of response to conventional treatments is a hallmark of treatment-resistant depression, necessitating the exploration of alternative therapeutic approaches.
Persistent Symptoms and their Severity
Treatment-resistant depression is characterized by more severe symptoms compared to typical major depressive disorder. Individuals may suffer from prolonged depressive episodes and exhibit symptoms such as anhedonia, which is a reduced ability to experience pleasure. The severity of these symptoms often leads to significant impairment in daily functioning and quality of life. Additionally, individuals with treatment-resistant depression are more likely to experience increased anxiety and have a higher risk of suicidal ideation and behavior. These persistent and severe symptoms underscore the critical need for effective management strategies tailored to this challenging condition.
Clinical Evaluation
Treatment-resistant depression can be hard to diagnose. Sometimes, other conditions or problems can cause similar symptoms. So when you meet with your doctor, they will want to:
Review your experience with psychotherapy (talk therapy) and if it has helped manage depression.
Assess physical health conditions that can sometimes cause or worsen depression, like thyroid disease and chronic pain.
Assess issues like substance use problems.
Consider if a different mental health condition more accurately describes your symptoms, like bipolar disorder or a personality disorder.
Diagnostic Tools
Depression is a clinical diagnosis, based on the history and physical findings. No diagnostic laboratory tests are available to diagnose major depressive disorder. However, healthcare providers may use various screening tools and questionnaires to aid in the assessment.
Challenges in Diagnosis
The diagnosis of treatment-resistant depression isn’t clearly defined. But most healthcare providers diagnose TRD if your depression symptoms haven’t improved after trying at least two first-line antidepressant medications. Most providers consider the following to be first-line depression medications:
SSRIs
SNRIs
Bupropion
Mirtazapine
Accurate diagnosis is crucial for effective treatment planning and management of treatment-resistant depression.
Risk Factors for Developing Treatment-Resistant Depression
Genetic Predispositions
Genetic factors play a significant role in the development of treatment-resistant depression (TRD). Research indicates that first-degree relatives of individuals with TRD are at an increased risk for developing the condition themselves. This familial tendency suggests that genetic predispositions are influential in the resistance to antidepressant treatments. Furthermore, specific genetic polymorphisms, such as those found in the serotonin transporter (5-HTT) and the brain-derived neurotrophic factor (BDNF), have been linked to variations in treatment response. Polymorphisms in the 5-HTT promoter region and BDNF gene affect neurogenesis and the serotonergic system, which are crucial in the pathophysiology of depression and its treatment. Genetic predisposition plays a significant role in the development of treatment-resistant depression (TRD). Studies have shown that individuals with a family history of depression are at a higher risk of developing TRD. Specific genetic markers and variations can influence how patients respond to antidepressant medications, making it crucial to consider genetic factors in treatment planning.
Environmental and Lifestyle Factors
Environmental and lifestyle factors also contribute significantly to the risk of developing TRD. Patients with TRD often report a higher number of stressful life events, such as severe health conditions, financial stress, or significant interpersonal relationship problems. Additionally, lifestyle choices, such as moderate to heavy alcohol consumption, have been associated with poorer responses to treatment. Adverse childhood experiences, including trauma and bullying, have also been reported frequently among those with TRD, indicating that early life stressors can increase vulnerability to later life stressors and potentially lead to treatment resistance.
Patients with depression who have some medical illnesses—such as thyroid disease and chronic pain—are at greater risk for TRD. Other conditions associated with TRD include substance abuse and eating and sleep disorders, which have the potential to make you more prone to being resistant to treatment with antidepressants.
A depressed person’s overall health can also play a role. Addressing these comorbid conditions is essential for improving treatment outcomes in TRD.
By understanding the complex interplay between genetic predispositions and environmental factors, healthcare providers can better identify individuals at risk for TRD and tailor interventions that address these specific risk factors.
Exploring Medication Options
Switching Antidepressants
When patients exhibit poor response or intolerable side effects to an initial antidepressant, switching to another may be necessary. It is crucial for clinicians to be well-versed in the pharmacodynamics of each drug, aware of potential drug-drug interactions, and the expected timeline for the onset of the new medication’s effectiveness. Studies have shown that approximately 9% of patients undergoing antidepressant monotherapy switch to another antidepressant during treatment.
Pharmacological treatment strategies for treatment-resistant depression (TRD) involve a multi-faceted approach to manage symptoms effectively. Different antidepressants work in different ways to affect specific chemicals (neurotransmitters) that send information along brain circuits that regulate mood. If a current medication isn’t helping enough, other drugs might be considered.
First-Line Medications
First-line medications typically include selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs). These medications are often the initial choice due to their efficacy and safety profile. However, if these medications do not yield the desired results, other classes of antidepressants may be explored.
Combination Therapy
Combining antidepressants can offer a synergistic effect, enhancing efficacy or tolerability. For example, combining SSRIs, which extensively inhibit serotonin reuptake, with agents like trazodone or nefazodone that block 5-HT2A receptors can reduce agitation and insomnia, allowing for higher dosages and increased efficacy. Moreover, combinations like SSRIs with bupropion, which also targets noradrenaline and dopamine reuptake, have shown greater improvement in treatment-resistant depression. The use of lithium as an adjunct to antidepressants like TCAs, MAOIs, and SSRIs has been shown to enhance response rates and prevent early relapse by affecting various neurotransmitter systems and neuroplastic changes.
Novel Medications and Approaches
Esketamine, a component of ketamine, represents a novel approach in treating resistant depression. Approved as a nasal spray, it must be administered under clinical supervision due to potential side effects such as dissociation and extreme relaxation. Esketamine acts on the glutamate neurotransmitter system, differing from traditional antidepressants that primarily affect serotonin. This allows for the formation of new neural pathways, potentially preventing the recurrence of depression. Patients may notice rapid improvements, often within days, especially when esketamine is used in conjunction with traditional antidepressants.
Innovative combination therapies have also shown promise. For instance, the combination of the SSRI fluoxetine with olanzapine has been superior in treating resistant depression compared to either treatment alone. Similarly, augmentation strategies like adding triiodothyronine (T3) to TCAs have accelerated response times and have been particularly effective in women. The β-adrenergic/5-HT1A receptor antagonist pindolol has been used to enhance the effects of SSRIs by binding to 5-HT1A receptors, although results have been mixed.
Through a deeper understanding of these medication options and their mechanisms, clinicians can better tailor treatments to meet the unique needs of individuals with treatment-resistant depression.
Non-Medication Therapies and Interventions
Grief therapists can help individuals with a variety of therapies to help the person through the depression when medications fail to work
Psychotherapy Techniques
Psychotherapy remains a cornerstone in the management of treatment-resistant depression, offering various techniques tailored to individual needs. Cognitive-behavioral therapy (CBT) and interpersonal psychotherapy (IPT) have shown efficacy in treating mild to severe nonpsychotic major depression and, based on limited research, offer comparable benefits to medications in treatment-resistant cases. The integration of psychotherapy with usual treatment has been found to moderately improve outcomes compared to usual treatment alone, with effect sizes similar to those seen in adjunctive pharmacotherapies. Psychotherapies provide unique advantages, particularly for patients whose depressive episodes are linked to specific outlooks, symptoms, or stressors. Unlike medications, psychotherapies help patients structure their lives, enhance self-understanding, and improve interpersonal functioning.
Electroconvulsive Therapy (ECT) and Other Neuromodulation Therapies
Electroconvulsive therapy (ECT) is highly effective for severe depression and has a significant advantage over antidepressant medications in treatment-resistant cases. ECT involves administering electrical currents to induce a controlled seizure, significantly reducing depressive symptoms and enhancing response rates. The procedure’s safety has improved with the use of general anesthesia, muscle relaxants, and modern monitoring techniques. Other neuromodulation therapies such as repetitive transcranial magnetic stimulation (TMS) and deep brain stimulation (DBS) also offer promising results. TMS has consistently outperformed sham treatments in major depressive disorder, providing a non-invasive option with minimal side effects like transient headaches. DBS, though more invasive, targets specific brain areas with electrical impulses to alter neural activity and alleviate depression.
Lifestyle Changes and Complementary Therapies
Addressing lifestyle factors plays a critical role in managing treatment-resistant depression. Regular physical activity, adherence to a Mediterranean diet, maintaining good sleep hygiene, and ensuring sufficient sunlight exposure are recommended as part of a comprehensive treatment plan. These interventions not only support overall health but also directly impact depression symptoms by reducing stress, improving sleep, and enhancing mood. Complementary approaches such as acupuncture, although less effective in treating depression directly, may offer additional health benefits. The use of supplements like omega-3 fatty acids, and St. John’s wort has shown mixed results, necessitating careful consideration of potential interactions and benefits. Moreover, light therapy can be particularly beneficial for those experiencing seasonal exacerbations of depression.
The Role of Psychotherapy in Managing Treatment-Resistant Depression
Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy (CBT) is a prevalent form of psychotherapy that addresses the interconnections between thoughts, feelings, and behaviors that affect mood. It is specifically designed to identify and modify distorted or negative thinking patterns and teaches individuals skills to respond positively to life’s challenges. This therapy is particularly effective for those suffering from treatment-resistant depression, as it provides them with tools to manage their depressive symptoms actively. The therapy focuses on altering negative thought patterns, improving interpersonal relationships, and developing coping strategies.
Other Therapeutic Approaches
Several other psychotherapeutic approaches play crucial roles in managing treatment-resistant depression. Acceptance and Commitment Therapy (ACT), a branch of CBT, encourages patients to accept their thoughts and feelings rather than fighting them, promoting positive behavioral changes even in the presence of negative thoughts. Interpersonal Psychotherapy (IPT) focuses on resolving interpersonal issues contributing to depression, helping patients improve their relationship dynamics.
Family or marital therapy involves the patient’s family members or partners in the therapeutic process. This approach is beneficial as it addresses and works through relationship stress that may be impacting the patient’s depression. Dialectical Behavioral Therapy (DBT) is another effective method, particularly for those with chronic suicidal thoughts or behaviors associated with treatment-resistant depression, as it combines acceptance strategies with problem-solving skills.
Group psychotherapy offers a unique environment where individuals with depression can interact with others facing similar challenges, facilitated by a psychotherapist. This setting can enhance support and sharing of coping strategies among participants.
Mindfulness and Behavioral Activation are also valuable in the treatment arsenal against resistant depression. Mindfulness encourages individuals to be present and non-judgmental about their thoughts and feelings, which can help manage stress and depressive symptoms. Behavioral Activation helps patients engage in activities that improve mood and reduce isolation, gradually reversing the withdrawal that often accompanies depression.
Each of these therapies provides distinct benefits and can be tailored to meet the specific needs of individuals dealing with treatment-resistant depression, underscoring the importance of a personalized approach in psychotherapeutic interventions.
Innovative and Experimental Treatments
Ketamine and Esketamine
Esketamine, approved by the US Food and Drug Administration (FDA) and European Medicines Agency (EMA) in 2019, is a novel pharmacological agent recognized for its glutamatergic neuromodulatory properties. It functions through non-selective, non-competitive antagonism of N-methyl-D-aspartate (NMDA) receptors, which are crucial for mood regulation and emotional behavior. This antagonism results in a transient increase in glutamate release, stimulating further neurotransmitter activity that is vital for combating depressive symptoms. Esketamine’s rapid onset is linked to its ability to stimulate the mammalian target of rapamycin complex 1 (mTORC1), promoting synaptogenesis and enhancing brain-derived neurotrophic factor production, which are essential for effective treatment outcomes in treatment-resistant depression (TRD).
The intranasal form of esketamine is particularly noted for its quick action, often showing antidepressant effects shortly after administration, which is critical for patients with severe depression or those at imminent risk of suicide. However, its use must be carefully monitored due to potential psychotomimetic effects, and it is generally administered in a clinical setting to manage these risks effectively.
Psychedelic-Assisted Therapy
In recent years, there has been a significant resurgence of interest in the use of psychedelic compounds, such as psilocybin, for treating mental disorders like TRD. Psilocybin, found in magic mushrooms, has been studied in various clinical settings, often in conjunction with supportive psychotherapy. It has demonstrated substantial antidepressant effects in both open-label and randomized controlled trials, although these studies often face limitations such as small sample sizes and lack of rigorous control conditions.
Psilocybin’s effects are believed to stem from its activation of serotonin 2A (5-HT2A) receptors, leading to altered states of consciousness, or the ‘psychedelic trip,’ which is central to its therapeutic potential. Current research is exploring whether these effects can be separated from the psychedelic experience, with studies like the proof-of-concept randomized controlled trial combining psilocybin with risperidone to block the psychedelic effects and assess the antidepressant potential in isolation.
Moreover, patient feedback suggests the need for more personalized approaches in psychedelic-assisted therapy, emphasizing trust-building, individualized preparation, and the possibility of multiple treatment sessions to optimize the therapeutic outcomes for TRD. This patient-centered feedback is crucial for refining treatment protocols and enhancing the adaptability of psychedelic therapies in clinical practice.
The future of treating depression lies in the continuous exploration of new therapies and the rigorous testing of their effectiveness and safety.
Creating a Personalized Treatment Plan
Working with a Specialist
When experiencing persistent symptoms of depression despite ongoing treatment, it is crucial to consult a specialist who can provide a comprehensive review and adjustment of the current treatment plan. Specialists, such as psychiatrists or psychiatric nurse practitioners, are equipped to assess the effectiveness of current treatments and make necessary changes. They may review the patient’s medical history, inquire about life situations impacting the depression, and consider any physical health conditions that could influence symptoms. Additionally, they might adjust medications, suggest different therapeutic approaches, or recommend advanced treatments like repetitive transcranial magnetic stimulation (rTMS) or electroconvulsive therapy (ECT) if standard therapies are ineffective.
Evaluating and Adjusting the Treatment Plan
Creating an effective treatment plan for depression involves continuous evaluation and flexibility to adapt to the patient’s evolving needs. This may include altering the treatment setting, the types of medications used, and the psychological treatments applied. Patients and caregivers should be actively involved in this process to ensure that the plan remains practical and applicable to the patient’s specific circumstances. Regular follow-ups with the healthcare provider are essential to assess the treatment’s effectiveness and to make timely adjustments. This collaborative approach helps in maintaining a strong therapeutic alliance, which is vital for encouraging patient adherence and ultimately improving treatment outcomes.
Support Systems and Self-Care Strategies
Incorporating support systems and self-care strategies into the treatment plan is fundamental for individuals with treatment-resistant depression. Engaging in regular physical activity, maintaining a balanced diet, and ensuring adequate sleep are critical components that enhance the overall effectiveness of medical treatments. Patients are encouraged to manage stress through mindfulness and relaxation techniques, which can significantly alleviate symptoms of depression. Support from family, friends, and community resources also plays a crucial role in recovery. Educational programs about depression can help patients and caregivers recognize early signs of relapse and seek prompt treatment, reducing the risk of complications.
By integrating these approaches, a personalized treatment plan for depression not only addresses the medical and psychological aspects of the condition but also empowers individuals to take proactive steps towards their mental health and well-being.
Management and Long-Term Care
Long term care is sometimes required to help someone with treatment resistant depression
Personalized Treatment Plans
Management of treatment-resistant depression (TRD) requires personalized treatment plans tailored to the individual needs of each patient. These plans often involve a combination of pharmacological and non-pharmacological strategies to address the complex nature of TRD. Regular assessment and adjustment of the treatment plan are crucial to ensure its effectiveness and to minimize side effects.
Monitoring and Follow-Up
Continuous monitoring and follow-up are essential components of managing TRD. This includes regular appointments with healthcare providers to evaluate the patient’s progress and to make necessary adjustments to the treatment plan. Monitoring should also involve tracking any side effects and the overall impact of the treatment on the patient’s quality of life.
Patient and Family Support
Support from family and caregivers plays a significant role in the long-term management of TRD. Providing education about the condition and involving family members in the treatment process can enhance the effectiveness of the treatment plan. Additionally, support groups and resources can offer emotional and practical assistance to both patients and their families.
Effective management of treatment-resistant depression requires a comprehensive approach that includes personalized treatment plans, continuous monitoring, and robust support systems.
Living with Treatment-Resistant Depression
Living with treatment-resistant depression (TRD) presents unique challenges that require a multifaceted approach to manage effectively. Arriving at the right treatment can take some trial and error. However, persistence and a comprehensive, patient-centered approach can lead to significant improvements in quality of life.
Ethical and Societal Considerations
Access to care for individuals with treatment-resistant depression is a significant ethical concern. Disparities in healthcare access can exacerbate the condition, particularly in low- and middle-income countries. Ensuring equitable access to innovative treatments is crucial for global health equity.
Stigma surrounding mental health remains a pervasive issue. It can deter individuals from seeking help and contribute to the worsening of symptoms. Combatting stigma requires a multifaceted approach, including public education and policy changes.
Effective policy and advocacy are essential for addressing the needs of those with treatment-resistant depression. This includes advocating for responsible supply bases and supplier-enabled innovation to ensure that new treatments are both ethical and accessible. Policymakers must consider the psychiatric and legal considerations for novel treatments to ensure they are implemented responsibly.
Addressing ethical and societal considerations is not just a medical challenge but a moral imperative. It requires collaboration across sectors to create a supportive environment for those affected by treatment-resistant depression.
Prevention and Early Intervention
Identifying early warning signs of treatment-resistant depression is crucial for timely intervention. Early detection can significantly improve treatment outcomes and reduce the disease recurrence rate. Common early warning signs include persistent sadness, loss of interest in activities, and changes in sleep patterns.
Preventive strategies play a vital role in managing treatment-resistant depression. These strategies include:
Regular mental health screenings
Stress management techniques
Healthy lifestyle choices, such as regular exercise and a balanced diet
Building strong social support networks
Primary care providers are often the first point of contact for individuals experiencing depressive symptoms. They play a critical role in early intervention by:
Conducting thorough clinical evaluations
Utilizing diagnostic tools to assess the severity of depression
Referring patients to mental health specialists when necessary
Effective collaboration between primary care providers and mental health specialists is essential for comprehensive care.
By implementing these preventive strategies and recognizing early warning signs, healthcare professionals can better manage and treat treatment-resistant depre
Conclusion
Please also review AIHCP’s Grief Counseling Certification and see if it meets your academic and professional goals
Throughout this exploration of resistant treatment depression, we’ve traversed a vast landscape of innovative methods and therapies that spotlight the pressing need for personalized and comprehensive approaches. From the nuances of identifying treatment-resistant depression, understanding its risk factors, to the meticulously discussed medication options and non-medication therapies, the article offers a beacon of hope for those navigating this challenging condition. It underscores the crucial role of psychotherapy, alongside the promising horizon of experimental treatments like esketamine and psychedelics, in crafting a tailored treatment plan that resonates with the unique experiences and needs of each individual.
The journey towards conquering treatment-resistant depression is a testament to the resilience of both patients and healthcare providers in the face of adversity. It is a reminder of the importance of continuing research, patient-centered care, and the amalgamation of traditional and novel therapies to enhance mental health outcomes. By fostering a deeper comprehension of this condition and advocating for a multifaceted approach to treatment, we pave the way for more effective management strategies and a future where the shadows of resistant treatment depression are illuminated by the light of hope and healing.
Please also review AIHCP’s Grief Counseling Certification. Licensed counselors as well as pastoral counselors can both earn a Grief Counseling Certification to aid in their pastoral ministry or in licensed field of counseling. Remember, grief counseling outside the licensing arena cannot go beyond pathology. Hence pastoral counselors cannot help clients with depression and need to refer them to clinical and licensed counselors. AIHCP’s program covers numerous aspects of grief as well as depression but the certification itself is not a licensure and does not provide the rights that correspond with a licensed counselor. So when dealing with depression issues, pastoral counselors need to be careful not to treat but to refer.
AIHCP’s program in Grief Counseling is online and independent study and leads to a four year certification.
Frequently Asked Questions
What is treatment-resistant depression?
Treatment-resistant depression (TRD) is a type of major depressive disorder that does not respond to at least two different antidepressant treatments of adequate dosage and duration. The most effective management strategy for treatment-resistant depression often involves a combination of psychotherapy and medication. This approach not only addresses the chemical imbalances in the brain but also helps uncover and tackle underlying issues contributing to the depression. Through therapy, individuals can learn practical behaviors and strategies to combat their depression.
How common is treatment-resistant depression?
Treatment-resistant depression affects about 30% of people diagnosed with major depressive disorder.
What are the primary symptoms of treatment-resistant depression?
The primary symptoms include persistent feelings of sadness, loss of interest in activities, and difficulty concentrating, despite treatment efforts.
What are the treatment options for treatment-resistant depression?
Treatment options include optimizing current medications, switching medications, combination therapies, augmentation strategies, and non-pharmacological treatments like psychotherapy and electroconvulsive therapy (ECT). The latest advancement in treating treatment-resistant depression is Transcranial Magnetic Stimulation (TMS). This innovative, non-invasive method involves using gentle pulses of magnetic fields to stimulate nerve cells in the brain. It offers a different mechanism of action compared to traditional antidepressants like serotonin reuptake inhibitors (SSRIs) and does not come with their common side effects, including weight changes and sexual dysfunction.
What are the risk factors for developing treatment-resistant depression?
Risk factors include genetic predisposition, environmental influences, and comorbid conditions such as anxiety or substance abuse.
How is treatment-resistant depression diagnosed?
Diagnosis typically occurs after a patient has not responded to two different first-line antidepressant medications taken for a sufficient duration, usually six to eight weeks.
Are there non-medication options for treating treatment-resistant depression?
Yes, non-medication options include psychotherapy approaches, electroconvulsive therapy (ECT), and transcranial magnetic stimulation (TMS).
What should I do if I suspect I have treatment-resistant depression?
Consult with a healthcare provider who can perform a thorough evaluation and work with you to develop a personalized treatment plan. There is new hope for individuals struggling with treatment-resistant depression. The Treatment-Resistant Depression (TRD) Neuromodulation Clinic is at the forefront of offering innovative treatments such as repetitive Transcranial Magnetic Stimulation (rTMS) and esketamine. These treatments are specifically designed for veterans and others whose depression has not improved after several attempts with traditional antidepressant medications.
Additional Resources
“Treatment-Resistant Depression: What We Know and How To Manage It”. (2022). Cleveland Health Essentials. Cleveland Clinic. Access here
Bruce, D. (2023). “Treatment-Resistant Depression” WEBMD. Access here
Meissner, M. (2021). “What To Do When Your Antidepressant Isn’t Helping Enough”. PsychCentral. Access here
“How to Manage Treatment-Resistant Depression” (2023). Healthline Medical Network. Healthline. Access here
EFT can help remove negative energy. Please also review AIHCP’s EFT Practitioner Certification and see if it meets your professional and academic goals
In an age where mental health and mindfulness are at the forefront of public consciousness, the Emotional Freedom Technique (EFT), alternatively known as tapping, emerges as a powerful tool in managing negative energy and enhancing overall well-being. This method, grounded in the ancient knowledge of meridians, combines elements of cognitive therapy with finger tapping on specific eft tapping points, aiming to restore energy flow and foster emotional healing. Its rising popularity among healthcare professionals and individuals alike underscores its significance in contemporary practices of health and mindfulness, highlighting EFT’s role in addressing the ubiquitous challenge of maintaining mental health in a fast-paced world.
The ensuing article delves into the essence of EFT, elucidating its principles and the scientific rationales underpinning its efficacy. A comprehensive exploration of negative energy and its impacts sets the stage for understanding why EFT tapping is an invaluable resource in the toolkit for mental health care. Following a detailed exposition on the benefits of EFT for removing negative energy, the text offers a step-by-step guide to EFT tapping, including a detailed EFT tapping sequence that readers can employ. Addressing common challenges and providing tips for effective EFT tapping enhances the utility of this piece. To inspire and motivate, real-life success stories demonstrating the transformative power of EFT in overcoming eft tapping for anxiety and other mental health challenges are shared. This article aims to furnish readers with insights and practical knowledge to master EFT, empowering them to navigate their journey toward emotional freedom and improved mental health with confidence.
Also if interested in training others to utilize EFT, please review AIHCP’s EFT Practitioner Certification and see if it matches your academic and professional goals.
The process of EFT begins with identifying the issue, followed by tapping on designated meridian points while focusing on the emotional or physical pain. This tapping aims to balance the energy system of the body, which, according to its proponents, can alleviate symptoms caused by negative experiences or emotions. The technique is grounded in the principles of Chinese medicine, which asserts that these meridian points are pathways through which energy flows, affecting overall health. Imbalances in this flow are believed to contribute to disease and discomfort.
Despite its growing popularity and use in treating conditions like anxiety and post-traumatic stress disorder (PTSD), the effectiveness of EFT is still a subject of research. It is vital to note that while EFT can be a valuable tool for emotional and physical relief, it should not replace professional medical advice for serious health issues. Proponents of EFT argue that tapping helps to access the body’s energy and send signals to the brain that control stress, thereby restoring balance to disrupted energy and reducing negative emotions.
In practice, EFT combines elements of cognitive therapy with physical stimulation of acupressure points. The method involves a setup statement that acknowledges the problem while promoting self-acceptance, followed by tapping on key acupressure points. This combination aims to reduce stress and anxiety effectively, providing a non-pharmacological and cost-effective approach to managing symptoms.
EFT is easy to learn and can be applied as a self-help technique, making it accessible to a wide range of individuals seeking relief from various psychological and physiological challenges.
Understanding Negative Energy
Negative energy, though immeasurable, is commonly felt and can originate from various sources such as people, environments, or one’s own thoughts. This type of energy is known to cause both mental and physical exhaustion, perpetuating itself and thereby breeding more negativity. It is crucial to recognize and address negative energy as it impacts health and happiness significantly.
Individuals often experience negative energy through interactions with certain types of people. For instance, attention seekers, who may appear charming, often dominate conversations and focus primarily on themselves or engage in gossip, leaving others feeling drained and overwhelmed. This exhaustion is due to the mental energy these individuals consume, making it essential to manage interactions with such personalities to preserve one’s mental well-being.
EFT can remove negative energy in our systems. Please also review AIHCP’s EFT Practitioner Certification
Environmental factors also play a significant role in influencing one’s mood and energy. Cluttered or unwelcoming spaces can induce stress and disrupt sleep, contributing to the accumulation of negative energy. Additionally, the physical characteristics of a place, such as a dentist’s office versus a friend’s home, can evoke different emotional responses, often described in terms of the energy perceived in these environments.
Self-talk, or the internal dialogue that continuously flows through one’s mind, significantly affects one’s emotional state. Negative self-talk can deteriorate mental and physical health, whereas positive thinkers tend to experience better overall well-being and longevity. Understanding and transforming one’s self-talk from negative to positive is a powerful tool for combating negative energy.
For those sensitive to energy, such as empaths, the presence of negative energy can be particularly impactful. Empaths are highly attuned to the energies around them, which can sometimes result in absorbing these energies, affecting their emotional and physical state. Learning to manage how one interacts with and responds to these energies is crucial for maintaining personal health and energy balance.
In conclusion, addressing negative energy involves identifying its sources—be it people, environments, or personal thoughts—and implementing strategies to mitigate or transform its effects. By understanding the manifestations and impacts of negative energy, individuals can take proactive steps to enhance their emotional and physical well-being.
The Science Behind EFT
Energy Systems and Meridians
The concept of meridians, integral to the Emotional Freedom Technique (EFT), originates from ancient Chinese medicine, which describes these as invisible pathways in the human body through which vital energy, or Chi, flows. This network includes 12 primary meridians and eight additional pathways, linking various organs and body systems. These meridians carry not just energy but also information essential for the sustenance and growth of living beings. Disruptions in this energy flow, often caused by intense emotions or traumatic events, can lead to physical and emotional health issues. EFT, by tapping on these meridians, aims to unblock these pathways, thereby restoring balance and promoting health.
How EFT Interacts with the Brain
EFT’s interaction with the brain is particularly notable. Tapping on meridian points sends signals directly to the mid-brain’s stress centers, reducing the stress or negative emotions associated with specific issues. This process can alter neural connectivity, as shown in studies where decreases in neural connectivity between areas of the brain associated with pain modulation have been observed following EFT sessions. Furthermore, EFT can reconstruct neural circuits that maintain maladaptive mental models, thus facilitating significant psychological shifts and improvements in mental health.
Scientific Studies and Evidence Supporting EFT
EFT’s effectiveness is supported by a robust body of research. Studies have demonstrated its benefits across various conditions, including anxiety, depression, and PTSD. For instance, a large-scale study involving 5000 patients found that 90% of those who received acupoint tapping reported improvement, compared to 63% undergoing traditional cognitive behavioral therapy. Moreover, meta-analyses have shown significant treatment effects of EFT for anxiety and depression, with effect sizes indicating substantial improvements compared to control treatments.
Research into the physiological impacts of EFT reveals changes in biological markers of stress, such as blood pressure and cortisol levels, after EFT sessions. Additionally, epigenetic studies have shown that EFT can regulate genes associated with inflammation and immunity, suggesting its potential in addressing long-term physiological stressors.
These findings not only validate the therapeutic potential of EFT but also highlight its role as a non-invasive, cost-effective treatment option for emotional and physical ailments, making it a valuable tool in both clinical and self-help contexts.
Benefits of Using EFT for Removing Negative Energy
Emotional Benefits
Emotional Freedom Technique (EFT) has demonstrated significant reductions in emotional distress markers such as anxiety, depression, and post-traumatic stress disorder. Studies show a reduction in anxiety by 40%, depression by 35%, and PTSD by 32% following EFT sessions. Additionally, EFT has been effective in reducing cravings by 74%, which indicates its powerful impact on emotional regulation and impulse control. These benefits are maintained over time, suggesting that EFT provides lasting emotional relief.
Physical Benefits
EFT also offers considerable physical health benefits. Significant improvements have been observed in resting heart rate and blood pressure, with reductions of 8% and 6-8% respectively, which are both clinically and statistically significant. Additionally, cortisol levels, a biomarker of stress, were reduced by 37%, indicating a substantial decrease in stress. Such physiological changes not only demonstrate EFT’s effectiveness in enhancing physical health but also suggest potential reductions in healthcare utilization and costs.
Psychological Benefits
The profound psychological changes induced by EFT include increased happiness and improved mental well-being, with happiness scores increasing by 31%. The technique’s ability to foster significant psychological shifts is further evidenced by its impact on salivary immunoglobulin A (SigA), which increased by 113%, reflecting enhanced immune functioning and psychological resilience. Moreover, EFT’s non-invasive and non-pharmaceutical nature makes it a valuable tool for diverse populations, providing a safe and effective method for reducing psychological distress across various settings.
Step-by-Step Guide to EFT Tapping
Step 1: Identifying the Issue
To begin the Emotional Freedom Technique (EFT), one should first pinpoint the problem they want to address. It is crucial to focus on one specific issue at a time to ensure the effectiveness of the tapping process. This could be a troubling thought, a negative feeling, a behavior one wishes to change, or a physical discomfort localized in a specific part of the body.
Step 2: Setting the Intensity Level
Once the issue is identified, the next step is to assess the initial intensity of the distress. This is done by rating the discomfort on a scale from 0 to 10, with 10 representing the highest level of distress. This rating not only helps in measuring the effectiveness of the tapping but also provides a benchmark to gauge progress throughout the session.
Step 3: Formulating the Setup Statement
The setup statement is a crucial component of EFT, consisting of two parts: an acknowledgment of the problem and a phrase of self-acceptance. Commonly, this can be phrased as, “Even though I have this [issue], I deeply and completely accept myself.” This statement is repeated while tapping on the karate chop point, which is located on the side of the hand.
Step 4: Tapping Sequence and Points
The tapping sequence involves using the fingertips to tap on specific meridian points on the body. These points include the top of the head, beginning of the eyebrow, side of the eye, under the eye, under the nose, chin, beginning of the collarbone, and under the arm. Each point should be tapped approximately five to seven times. During this process, one should repeat a reminder phrase related to the issue at hand to maintain focus.
Step 5: Measuring the Intensity Again
After completing the tapping sequence, it is important to reassess the intensity level of the distress using the same 0-10 scale. This step determines whether the issue’s intensity has decreased and whether further rounds of tapping are needed. The goal is to continue until the intensity level is significantly reduced or reaches zero.
Step 6: Repeating the Process
If the intensity of the distress has not sufficiently decreased after the first round, the process should be repeated. This includes revisiting the setup statement and moving through the tapping points again. Each round should help in progressively reducing the distress level until the desired relief is achieved.
Detailed EFT Tapping Sequence
EFT has numerous steps but they help one through a process of removing negative energy
Begin with the Karate Chop Point
The Emotional Freedom Technique (EFT) begins with tapping on the Karate Chop point, located on the side of the hand. This initial step involves using the opposite hand to tap this point while repeating a setup statement that addresses the specific issue being targeted. The Karate Chop point is crucial for setting the intention and starting the energy flow necessary for the session.
Move Through All Major Meridian Points
After the Karate Chop point, the sequence progresses through major meridian points on the body. These include:
Eyebrow Point: Located at the beginning of the eyebrow, this point helps release trauma and emotional pain.
Side of the Eye: This point can alleviate feelings of resentment and anger and is found at the end of the eyebrow on the bone.
Under the Eye: Situated under the eye, tapping here aims to reduce fear and anxiety.
Under the Nose: This point helps in releasing feelings of shame and powerlessness.
Chin Point: Located below the lip and above the chin, it aids in clearing confusion and uncertainty.
Collarbone Point: Just below the collarbone, this point helps in releasing feelings of being stuck and promotes clarity.
Under the Arm: About a hand’s width from the armpit, this point can help release guilt and worry.
Top of the Head: Tapping here can enhance spiritual connection and complete the energy circuit for the session.
Each point should be tapped approximately five to seven times to stimulate the energy flow and work on clearing the negative emotions associated with each specific area.
Repeat the Sequence
The tapping sequence is typically repeated to reinforce the positive effects and deepen the emotional and energetic release. Depending on the intensity of the issue, multiple rounds may be necessary. It is recommended to reassess the emotional intensity after each round to measure progress and determine if additional rounds are needed.
Incorporate Affirmations and Positive Statements
During the tapping process, it is beneficial to incorporate affirmations and positive statements. This practice helps reframe negative thoughts and beliefs into positive ones, enhancing the effectiveness of the tapping. Affirmations should be specific, positive, and present tense, focusing on desired outcomes and feelings.
By following these steps, individuals can perform a comprehensive EFT tapping sequence that addresses both emotional and physical issues, promoting overall well-being and emotional freedom.
Common Challenges and Tips for Effective EFT Tapping
Overcoming Skepticism
Skepticism towards Emotional Freedom Technique (EFT) often arises due to its unconventional approach, which may seem too simplistic to effectively address complex emotional and physical issues. Individuals may be hesitant to embrace EFT due to preconceived notions about alternative therapies or a lack of understanding about how tapping can influence the body’s energy systems and emotional responses. To overcome this skepticism, it is crucial to educate individuals about the scientific basis of EFT and the evidence supporting its efficacy, such as its ability to interrupt the body’s fight or flight response and facilitate emotional and cognitive shifts. Encouraging skeptics to try EFT with an open mind and experience its benefits firsthand can also be a powerful way to reduce doubts and increase acceptance.
Staying Focused During Tapping
One common challenge faced by individuals practicing EFT is maintaining focus during the tapping process. It is essential to stay tuned into one’s emotions and physical sensations rather than getting overly caught up in the specific words used during tapping. Describing what one is experiencing, whether it is a visual image, a memory, or simply the physical sensations associated with the emotion, can help keep the brain engaged and enhance the effectiveness of the tapping session. Practitioners recommend using personalized scripts or modifying pre-scripted sessions to better reflect personal experiences and emotions, which can help maintain focus and ensure a more impactful tapping experience.
Customizing EFT to Suit Personal Needs
EFT offers flexibility to be adapted according to individual needs and specific issues. The generic setup phrase used in EFT can be customized to address personal beliefs and barriers that may hinder healing, such as feelings of unworthiness or fears related to overcoming a particular issue. By creating personalized setup statements that confront and neutralize these limiting beliefs, individuals can enhance the effectiveness of EFT and experience more profound emotional relief. Additionally, incorporating positive affirmations and choices into the tapping sequence can further empower individuals to take control of their healing process and achieve greater emotional freedom.
Real-Life Success Stories
Personal Experiences
Emotional Freedom Technique (EFT) has been transformative for many individuals dealing with a variety of emotional and physical challenges. One compelling testimony comes from a person who, after being bullied in childhood, experienced a significant change in their response to confrontation as an adult after practicing EFT. This individual reported a spontaneous, relaxed reaction in a potentially threatening situation, which was a stark contrast to their previous response of freezing in fear. The change was so profound that the problem seemed to have dissipated entirely, as if it had never been there.
Another individual shared their journey of overcoming severe panic attacks and chronic anxiety through EFT. After a few tapping sessions, they experienced the best three weeks they had had in 18 months. This led them to explore Matrix Reimprinting using EFT, which they described as EFT on steroids. Ten years later, they reported being a completely different person, equipped with tools for handling life’s challenges.
Clinical Case Studies
In clinical settings, EFT has shown remarkable results. A detailed case study involving a 51-year-old woman treated for severe Traumatic Brain Injury (TBI) symptoms with EFT reported resolution of her symptoms in just one session. The intervention focused on tapping techniques developed specifically for her condition.
Another case involved a woman diagnosed with stage four non-Hodgkin’s lymphoma. Her treatment integrated Thought Field Therapy® (TFT) alongside conventional treatments, focusing on eliminating the trauma and anxiety associated with cancer. This approach is believed to promote greater bioenergy healing flow, contributing to her recovery.
EFT in Medical Settings
EFT’s integration into medical settings has also been documented. A study on treating Post Traumatic Stress Disorder (PTSD) with EFT in combination with Eye Movement Desensitization and Reprocessing (EMDR) showed positive outcomes. This approach was used in treating a survivor of the World Trade Center attacks, demonstrating its effectiveness in a high-stress context.
Moreover, EFT has been applied to patients with panic disorders in conjunction with oriental medical treatments like acupuncture and herbal medications. The results indicated significant improvements in patients’ symptoms, showcasing EFT’s compatibility and effectiveness with other treatment modalities.
These real-life success stories and clinical case studies not only highlight the versatility of EFT in treating a range of conditions but also underscore its potential as a powerful tool for emotional and physical healing across various settings.
Conclusion
Learn how to teach others the power of EFT in removing negative energy. Please also review AIHCP’s EFT Practitioner Certification
The exploration of Emotional Freedom Technique (EFT) reveals its potency as a multifaceted tool capable of addressing a broad spectrum of emotional and physical discomforts. By delving into the science behind EFT, the technique’s foundational principles, and its application, this article has highlighted EFT’s potential to transform negative energy into an empowered state of mental and physical well-being. The real-life success stories further underscore the significant, positive impact that mastering EFT can have on individuals’ lives, offering a beacon of hope for those seeking relief from various psychological stresses and ailments.
As we conclude our journey through the realms of EFT, it’s evident that this technique stands as a valuable asset in the contemporary landscape of mental health and holistic healing. The implications of its broad applicability not only enhance individual well-being but also point towards a future where integrative approaches to health care are more readily embraced. Readers are encouraged to explore EFT further, integrating its practices into their lives as a step towards achieving emotional freedom and fostering an overall enhancement of life quality.
Please also review AIHCP’s EFT Practitioner Certification. The program is online and independent study and open to qualified professionals seeking a four year certification as an EFT Practitioner.
FAQs
What is EFT tapping and how does it help release negative energy? EFT (Emotional Freedom Techniques) tapping is a mind-body technique developed in the 1990s by engineer Gary Craig. It aims to help individuals connect with their emotions and release negative energy. This method involves tapping on specific acupressure points using your fingertips.
Are there any reasons to avoid using the tapping technique? Yes, tapping should be approached with caution as it can sometimes increase pain or discomfort. There is also a risk that it could exacerbate existing mental health issues or potentially trigger new ones. Therefore, it is advised to avoid using tapping as a standalone treatment for mental health conditions.
Has EFT tapping been scientifically validated? EFT tapping has been recognized as an “evidence-based” practice according to the standards of the American Psychological Association’s Division 12 Task Force on Empirically Validated Treatments. It is considered effective for treating conditions such as anxiety, depression, phobias, and posttraumatic stress disorder (PTSD).
Can EFT tapping be used for manifestation? Yes, EFT tapping can be a potent tool for manifestation. It helps individuals to identify and release limiting beliefs, clear emotional blocks, and foster a positive mindset. When combined with manifestation techniques, EFT can enhance the alignment of one’s thoughts, emotions, and actions with their desired outcomes.
Additional Resources
Barkley, S. (2023). “Understanding EFT Tapping”. PsychCentral. Access here
Laurence, E. “EFT Tapping: What You Need To Know”. Forbes Health. Access here
Baron, M. (2019). “10 Reasons You Have Negative Energy & How To Reverse It STAT”. MGBMindfulness. Access here
Ferraro, K. (2022). “6 Simple Ways to Clear Negative Energy”. Yoga Journal. Access here
Religious decline is tied to its own internal struggles of organized religion as well as external sources.
Within religious institutions, a lack of trust exists. Abuse and scandals, as well as financial manipulation have pushed many away from organized religion. In addition, many individuals see more spiritual connections and dislike the dogmatic codes of a more social religion.
Externally, religion has been at odds with secularism and atheism for over 3 centuries since the modern era. Humanistic, evolutionary, and secular morals have become stronger and stronger. The appeal of moral freedom from a dogmatic code, coupled with internal strife of institutions has created a spiritual decline at the start of the 21st Century. No doubt, the faith has always risen and fallen over periods, with ages of corruption and reform, but religion itself finds itself in decline, especially in the Western world.
Will a pride in religious culture, help awaken the faith? Will reforms against abuses and extremism help attract people back to the faith? Time will tell but as we exist today in the first part of the 21st Century, we are definitely experiencing a time of decline awaiting a reform and spiritual awakening in Christ.
Please also review AIHCP’s Christian Counseling Training Program. Christian Counselors can play a role in re-lighting the flame for Christ in the world with one person at a time.
Like in previous blogs, attending to the client, empathetically listening and observing, properly responding and encouraging are key elements in basic counseling. Like a coach training a player or athlete, challenging and encouraging a client to change is like coaching. It involves the counselor helping the client push forward, and like in coaching, this sometimes involves more than just challenging, but to also focus on the issue that needs addressed and then properly fix it. A good coach will focus and see a flaw in the mechanics of a player and then challenge and confront the player and help guide the player to fixing it. Counselors focus on the client’s story and then discover the core issues. After finding the core issues, they offer empathetic confrontations to help push forward. These skills represent later measures after basic attending, listening, observing and responding and look in later sessions to help the client find real and true change. In this blog, we will first look at focusing and then conclude with empathetic confrontation.
Focusing in Counseling
According to Ivey, the skill of focusing is a form of attending of the client that enables a counselor to discover multiple views of the client’s story (2018, p. 221). It helps the client think of new possibilities during the restory and call to action (Ivey, 2019, p. 221). A counselor goes well beyond merely the “I” in the story but looks to broaden the story beyond merely the client but into other aspects of the client’s life. How the counselor responds to the client hence can play a key role in where the story proceeds in the counseling sessions. Counselors who direct the conversation through selective attention skills can take the “I” conversation into other social and cultural spheres of the client. These other spheres of influence can be key clues into the client’s mindset. Ultimately, focusing is about helping the client address emotional issues. It is client based and humanistic in approach.
How a counselor focuses on the multiple aspects of a client’s story is key to understanding the whole story. Please also review AIHCP’s Grief Counseling Certification
Ivey lists seven focus dimensions that counselors can utilize in responding and discussing issues. The first is to focus on the client him/herself. This involves direct questions regarding the client’s feelings. The second involves focusing on the theme . It involves asking the client about the issue itself and discovering details regarding the theme of the issue and how the client feels in the immediate moment. The third dimension shifts focus to others within the client’s life. It delves into questions about significant others, family members, friends or others involved in the issue. The fourth dimension of focusing looks at mutual aspects of how the client and counselor can work together. It emphasizes “we” and how the counselor and client can find ways to deal with the issue. The fifth dimension focuses on the counselor. It involves how the counselor can paraphrase and share appropriate and similar experiences with solutions. The sixth focus puts into perspective the issue in regards to the client’s cultural or environmental background and how they may play into the current issue. Finally, focusing on the here and now delves into identifying how the client feels at the moment itself (Ivey, 2018, p. 221).
Focusing on a client’s cultural/religious/ethnic background can play a key in discovering issues that exist in the person. It can help explain why a particular client responds and reacts a certain way. It can also be used to find strengths for the person. Ivey illustrates the importance of Community and Family Genograms that help map out the client’s background (2018, p.212). A good family genogram will help clients identify issues from a cultural standpoint and understand better their relationship to their surrounding environment and its stressors. In addition, it can also help clients discover new hidden strengths that exist within their family and culture. Helping the diverse client take pride in their past and heritage can help build resiliency. When stressors or issues occur, a client can utilize a term referred to as “body anchoring” where the client reflects upon a voice of a relative, famous individual, or cultural icon to help him/herself find confidence and strength to face the issue (Ivey, 2018, p. 220). This also helps multicultural clients have the power to name issues that are effecting them. Using focus on culture can be a very helpful tool when utilized correctly during a counsel session. This type of focusing helps many diverse populations deal more effectively against microaggressions (Ivey, 2018, p. 248).
Ways to help find a client’s particular cultural awareness during focusing is through the Cross five stage model, named after William Cross (Ivey, 2018, p. 244). Also referred to as the five stages of cultural identity, Cross identified how diverse populations recognize themselves and respond to confrontation. Focusing on the stage of a particular client hence can be very beneficial. The first stage involves the conformity stage. The individual may be unaware of racial identity and merely conforms to societal expectations. The second stage involves dissonance where the individual realizes that something does not match or fit. This can lead to self-appreciation or self doubt. The third stage results in resistance or emersion. An individual may become more angry at the injustice or immerse oneself more in one’s own culture. The fourth phase involves introspection where the individual sees oneself as an individual and part of the cultural group. The final phase of integrative awareness is the full sense of caring for oneself and one’s cultural heritage. This leads to appreciation and action but more so due to pride and awareness (Ivey, 2018, p. 245). Through identification of these phases or stages, counselors can help clients better utilize the client’s heritage and culture to empower the client in various interventions.
Empathetic Confrontation
Empathetic Confrontation looks to help someone understand negative behaviors in a nonjudgmental and empathetic way
A counselor, like a coach, uses a variety of encouragement and challenging strategies to help a client find change. Within the Problem Management Model, a client is shown the present, perceived view and ways to find the new view. This involves identifying internal as well as external conflicts. Sometimes, clients may become stuck in a way of thinking. They lack intentionality to change or lack creativity (Ivey, 2018, p. 229). Within this state, the client becomes immobile, experiences blocks, cannot achieve goals, lacks motivation and has reached an impasse (Ivey, 2018, p. 229). In these, cases, like a coach, the counselor needs to help the client face these issues and move forward. This involves a type of confrontation but this confrontation is not meant to imply aggression or hostile or argumentative behavior but is an engagement for change. According to Ivey, Carl Rogers pushed for the ideal of Empathetic Confrontation, which espouses a gentle listening to the client and then encouraging the client to examine oneself more fully (2018, p. 2029). Summaries are an excellent way to help confront a client with empathy. In this way, the counselor can present a two-part summary which states both positions with the connecting phrase “but on the other hand” (Ivey, 2018, p. 229-230). This presents both views of feelings and allows the client to digest the statement and see any discrepancies or issues of conflict within his/her logic.
Carl Rogers points out that even when presented in these terms, sometimes, the client may feel attacked or confronted. In these cases, he suggests to also hold tight to nonjudgmental attitudes, keeping one’s own beliefs to the side. Rogers emphasized that individuals with issues who come to counseling do not need judged or evaluated but guided (Ivey, 2018, p. 230). Within any issue, the counselor confronts but also supports. This involves first a relationship that must exist. Without a relationship of trust, the client will not accept any advice from a sterile stranger who he/she may merely see as a paid listener. When confronting, it is essential when summarizing to state the client’s point of view first, before comparing the opposing view. In addition, the client must remain in charge of outcomes. The counselor when confronting is not telling the client what to do but offering suggestions (Ivey, 2018, p. 232). In conclusion, the counselor must listen and observe for mixed messages and then respond with empathy in a summary that clarifies any internal or external issues. This should resolve with actions towards resolution of the issue (Ivey, 2018, p. 235).
Egan points out that are multiple ways to challenge and confront clients to life enhancing actions. Egan differentiates between goals but also strong intention and commitments to a course of action. The importance of understanding the value of action intentions is key in helping a client carry out a particular again (2019, p, 234-235). Implementing these instructions, with strong phrases such as “I strongly intend to do x when y occurs” can help clients find tools necessary to incorporate the necessary change (Egan, 2019, p. 235). Sometimes, a self contract to do a certain thing can be a powerful tool in helping clients galvanize towards change (Egan, 2019, p. 239).
Egan also points out that counselors need to help their clients overcome procrastination. Egan lists numerous excuses that can include competing daily agendas or short term pains (2019, p. 236). It is important to guide one’s client between conscious deliberation and procrastination that prevents true change.
Egan reminds counselors to also help clients identify unused resources that can help facilitate change. Replace “I can’t” with “I can” phrases by helping the client discover unused talents and resources to help one overcome negative thoughts of failure. (Egan, 2019, p.237).
When aiding clients with life enhancing actions, it is important to provide sometimes confirmatory feedback as well as corrective feedback. Obviously, confirmatory feedback acknowledges progress, but corrective feedback looks to help clients who wandered off from the course of action (Egan, 2019, p. 244). The spirit of empathy and nonjudgment are again essential in how this is accomplished. In many ways, it is confronting but in a non hostile way. Counselors can help clients stay on track through multiple ways via checklists, identification of possible obstacles and helping them identify damaging attitudes. Such attitudes can be due to a passivity not to take responsibility, a learned helplessness, disabling self talk, or disorganization (Egan, 2019, p. 245-248). Egan also warns that while helping clients, be aware of entropy and how initial change can gradually break down. Egan lists false hopes and the natural decay curve as two things that can occur in clients (2019, p.249-250). Within each, clients may have too high of expectations, or consider mistakes to destroy the entire process. Give clients the power to make mistakes throughout the process.
Sometimes, as noted, some clients are more resistant to confrontation and change. Some may become visibly upset if confronted with a discrepancy in life. Different clients respond to different challenges in different ways. The Client Change Scale or CCS is a way to measure a client’s reaction to empathetic confrontation (Ivey, 2018, p. 237). Level 1 involves denial of the issue. Within this level, the story is distorted and the client will look to blame others unfairly. Level 2 consists of bargaining and partial acceptance of the story. In this reality, the story is finally changing in a more true direction. Level 3 involves acceptance of the reality. The truth is recognized and the story is finally complete. Level 4 incorporates new solutions to make the story better and finally Level 5 refers to transcendence and the incorporation of the new story into the client’s life (Ivey, 2018, p. 246). The CCS helps the counselor track each session and see if progress or regression occurs from one session to the next in regards to change.
Egan points out that many individuals are reluctant to change due to variety of issues including fear of intensity of it, lack of trust in the process, extreme shame, loss of hope, or even the cost of the change itself (2019, p. 253-255). In dealing with these things, counselors need to be realistic and flexible and look to push the client beyond resistance by examining incentives of change (Egan, 2019, 259). In some cases, when change is identified and the need for it accepted, clients may need time in adjusting or implementing it. Egan points out that change can exist on two levels. He refers to these types of changes as first order changes and second order changes. First order change is operational and a short term solution, while second order change is more strategic and long term. Egan compares the two with first and second as being compared in these ways. First order utilizes adjustments to the current situation, while second is systematic, first monitors, while second creates new, first creates temporary, while second creates to endure. First changes look sometimes to deal with the symptoms while second attacks the causes (Egan, 2019, p. 308).
In some clients, the situation to change may not permit a new paradigm but may requires coping skills. For instance, a stressed employee may be forced to keep a stressful job but may need to tinker with it due to the financial a loss of finding a new job would incur with a more lasting change, while a battered spouse would require a permanent change and would not be able to cope with the existing abuse.
An interesting model is the GROW model. John Whitmore, creator of the model utilized the acronym to produce change and to assess one’s willingness to change. G represents goal or what one wishes to accomplish. R stands for reality and where the client currently exists. O stands for options and what one can possibly do. Finally W stands for will, or what one is willing to do.
This model as well the Problem Management Model are ways to help move the sessions and help identify issues and assess how to empathetically confront and challenge individuals to productive change.
Conclusion
How a counselor attends to a client also involves sometimes more than listening but also focusing on particular aspects of the client’s life. This involves the other aspects of the clients life and in many cases includes cultural and social issues that affect the client. This can be merely family but also take upon the broader cultural aspect of a person. Someone of European descent may react quite differently than someone of Asian descent to the same issue. Hence focusing in on these issues is an essential attending skill. It is also important to understand where one cultural exists within oneself. The Cross model can help counselors better gauge one’s cultural awareness and how that plays in one’s particular situation.
Please also review AIHCP’s Grief Counseling Certification as well its Christian Counseling Program.
In addition, this blog discussed the importance of Empathetic Confrontation. Carl Rogers understood the importance of helping individuals identify problems that were internal or external but he also understood that is was critical to approach confrontation with nonjudgment and empathy. Employing a two part summary with “on the other hand” can help expose issues and offer good solutions but different individuals react to confrontation to change differently. The Client Change Scale is an excellent way to gauge and monitor a client’s willingness to change. Through Empathetic Confrontation, the counselor looks to challenge past themes or schemas of a client’s life and help them find new ways to correct negative behaviors.
Please also review AIHCP’s many mental health certification programs. AIHCP offers a Grief Counseling Certification, as well as a Christian Counseling Certification. In addition, AIHCP offers programs in Crisis Intervention, Healthcare Life Coaching, Stress Management and Anger Management Consulting. The programs are online and independent study and open to qualified professionals seeking a four year certification.
Reference
Ivey, A. et, al. “Intentional Interviewing and Counseling: Facilitating Client Development in a Multicultural Society” (9th Ed( (2018). Cengage.
Additional Resources
Williams, M. (2018). “Ethnic and Racial Identity and the Therapeutic Alliance”. Psychology Today. Access here
Sutton, J. (2022). “How to Assess and Improve Readiness for Change”, PositivePsychology.com. Access here
In an era where stress and anxiety pervade daily life, mindfulness meditation emerges as a beacon of relief and tranquility. This ancient practice, rooted in the recognition and acceptance of the present moment, holds profound implications for emotional and physical well-being. Despite its historical origins, mindfulness meditation has gained recognition in the modern world as a valuable tool for stress reduction and the management of anxiety. Through facilitating a state of calm awareness, individuals are empowered to navigate the complexities of life with a greater sense of ease and stability. By creating a space between your thoughts and your reactions, meditation allows you to witness the happenings in your mind without judgment, leading to a calmer and more focused state of being. Regular practice can not only make you feel better and more refreshed but also equip you with the skills to face daily challenges with a healthier attitude. Scientific research supports these claims, showing that meditation can improve symptoms of stress-related conditions and promote overall emotional and physical well-being.
Meditation is tied to stress reduction. Please also review AIHCP’s Meditation Instructor and Stress Management Consultant programs
The subsequent sections of this article will delve into a comprehensive exploration of mindfulness meditation, illuminating its connection to stress reduction and its myriad benefits to mental and physical health. Readers will gain insights into various meditation techniques, practical steps to initiate a meditation practice, and strategies to overcome common challenges encountered along the journey. Additionally, the discussion will extend to advanced meditation practices, offering pathways for further growth and exploration. The culmination of this discussion seeks to equip individuals with the knowledge and tools necessary to harness the power sunlocking a more serene and mindful existence.
Also if a professional and seeking certification as a Meditation Instructor or as a Stress Management Consultant, then please review and click the links at the end of the article with information about the programs.
Key Takeaways
Meditation helps create a mental space between thoughts and reactions, fostering a calmer state of mind.
Regular meditation practice can offer significant emotional and physical benefits, including improved sleep and reduced anxiety.
Scientific studies have shown that meditation can alleviate symptoms of stress-related conditions like irritable bowel syndrome and PTSD.
Various meditation techniques, such as mindfulness and loving-kindness meditation, are effective for stress relief.
Incorporating meditation into daily life can be facilitated by setting up a dedicated space, choosing the right time, and using guided meditations.
Understanding Meditation
Mindfulness meditation is a mental training practice that focuses on slowing down racing thoughts, letting go of negativity, and calming both the mind and body. It involves being fully focused on the present moment, acknowledging and accepting thoughts, feelings, and sensations without judgment. This practice can be straightforward enough to learn on one’s own, but a teacher or program may be beneficial, especially if meditation is pursued for specific health reasons.
During mindfulness meditation, individuals become aware of their breath, noting the sensation of air moving in and out of their body and the temperature changes associated with breathing. The primary goal is not to stop thoughts but to become more comfortable observing them without reaction, using the breath as a stable point of focus.
Clinical studies have supported the effectiveness of meditation for various conditions including stress, anxiety, pain, depression, and insomnia. Mindfulness helps individuals experience thoughts and emotions with greater balance and acceptance, improving overall mental health and attention.
Structured mindfulness exercises such as body scan meditation, sitting meditation, and walking meditation are also effective. These practices involve focusing attention on different parts of the body or the act of walking, helping to cultivate a deeper awareness of the present moment. Practicing mindfulness can be simple and integrated into daily routines, enhancing one’s ability to live in the moment and engage with the world with an open and accepting attitude.
Mindfulness meditation encourages a non-judgmental attitude towards one’s thoughts and feelings, fostering a sense of curiosity and kindness towards oneself and others. This approach helps in exploring the present moment as it is, enhancing the capacity to manage life’s challenges with grace and resilience.
The Connection Between Meditation and Stress Reduction
If stressed out, try meditation. Please review AIHCP’s Meditation Instructor Program
Meditation has long been recognized for its ability to reduce stress, offering practitioners a sense of calm, peace, and balance that extends beyond the meditation session into daily life. By focusing on the present and engaging in mindfulness practices, individuals can clear away the information overload that contributes significantly to daily stress. This process not only helps in managing stress but also enhances overall emotional and physical well-being.
Meditation offers us a way to mitigate the effects of stress by influencing how our brains respond to stress triggers. It helps us temper our reactions, cultivate a more balanced response to stressors, and even befriend stress. Meditation gives us a helping hand in managing our stress levels, not by eliminating stress but by changing our relationship with it.
How Mindfulness Reduces Stress
Mindfulness meditation facilitates a unique mental state where one becomes more aware of their thoughts, allowing them to step back and not take these thoughts so literally, which prevents the stress response from initiating in the first place. This form of meditation encourages individuals to not immediately react to situations but instead, pause, use their “wise mind” to assess the situation, and then respond in the most appropriate manner. The practice switches the mind from a “doing” mode, associated with action and stress responses, to a “being” mode, which is linked to relaxation and a reduced stress response.
The Stress Breath Practice
A practical application of mindfulness in managing stress is the Stress Breath Practice, introduced by Andres Gonzalez. This technique involves a specific breathing practice that can be utilized in any stressful or anxious situation, helping to reset the brain and shift the body from a state of stress to one of calm. By using everyday objects as cues for the practice, such as car keys in Gonzalez’s example, individuals can create habitual responses that facilitate stress management throughout the day.
Guided Meditations for Stress
Guided meditations, like the body scan meditation, have been scientifically shown to reduce stress markers such as cortisol levels. Participants in these guided sessions report significant reductions in stress, evidenced by biological markers and personal reports of increased calm and reduced anxiety. These practices are particularly beneficial as they provide structured pathways for individuals to follow, potentially leading to more consistent and effective meditation practices.
Through these methods, mindfulness meditation not only helps individuals manage existing stress but also builds resilience against future stressors, enhancing both mental and physical health in the process. By incorporating mindfulness practices into daily routines, individuals can maintain a more balanced and stress-reduced lifestyle.
Scientific Studies on Meditation and Stress Reduction
Meta-Analyses and Systematic Reviews
Meta-analyses and systematic reviews have provided comprehensive insights into the efficacy of meditation for stress reduction. A meta-analysis including nearly 1,300 adults found that meditation may decrease anxiety. Notably, this effect was strongest in those with the highest levels of anxiety. These reviews often highlight the role of mindfulness-based interventions in reducing perceived stress and anxiety.
Longitudinal Studies
Longitudinal studies have shown that regular meditation practice can lead to sustained reductions in stress levels over time. For instance, an 8-week study on mindfulness meditation revealed a significant reduction in the inflammation response caused by stress. These findings suggest that the benefits of meditation extend beyond immediate stress relief to long-term health improvements.
Randomized Controlled Trials
Randomized controlled trials (RCTs) are considered the gold standard in clinical research. RCTs on meditation have demonstrated its effectiveness in managing stress-related conditions. For example, a study titled “The Neuroscience of Mindfulness Meditation” found that mindfulness meditation can improve both mental and physical health. Another RCT comparing meditation and exercise for preventing acute respiratory infection showed that meditation could be a viable alternative to traditional medical interventions.
The effect of conscious mindfulness-based informative approaches decreased the perceived stress and anxiety of the patients in the experimental group, highlighting the practical benefits of meditation in clinical settings.
Benefits of Meditation on Mental Health
Meditation offers a multitude of benefits for mental health, primarily by instilling a sense of calm, peace, and balance that enhances overall emotional well-being. By fostering a new perspective on stress-inducing situations, meditation builds skills that help individuals manage stress more effectively. This practice increases self-awareness, focuses attention on the present, and reduces negative emotions, which collectively contribute to improved mental health.
Meditation has numerous health benefits beyond merely stress reduction
Reduction in Anxiety and Depression
Meditation has been consistently linked to lower rates of anxiety and depression. The practice helps by altering brain function; it reduces the activity in the amygdala, known for its role in processing fear and stress, and it disengages the prefrontal cortex that often exacerbates stress and anxiety. Regular meditation leads to changes in these brain areas, which are particularly relevant in the context of depression and anxiety. Studies have shown that mindfulness, whether innate or cultivated through meditation, correlates strongly with reduced symptoms of these mental health conditions. Additionally, meditation practices like mindfulness-based cognitive therapy blend cognitive behavioral techniques with meditative practices, effectively reducing anxiety and depression by altering negative thought patterns.
Improvement in Emotional Well-being
Mindfulness meditation enhances emotional well-being by teaching individuals to engage with the present moment in a non-judgmental and accepting manner. This increased mindfulness leads to better emotional regulation and reduces tendencies toward anger and negative mood states. The practice of mindfulness can significantly increase self-awareness, allowing individuals to recognize and manage negative thoughts and mood patterns more effectively. Moreover, various forms of meditation, including guided imagery and walking meditation, contribute to an enhanced state of mental clarity and emotional tranquility. The ability to maintain focus on the present and to manage one’s reactions to stress and anxiety not only alleviates current symptoms but also contributes to long-term emotional resilience.
Physical Health Benefits of Meditation
Reducing Blood Pressure
Meditation techniques such as Transcendental Meditation and mindfulness-based stress reduction have been shown to produce clinically significant reductions in both systolic and diastolic blood pressure. These techniques can be effective as standalone treatments or alongside traditional pharmacotherapy, offering small yet meaningful reductions in blood pressure. Studies suggest that the efficacy of meditation in reducing blood pressure is comparable to that achieved with single-agent drug therapy, highlighting its potential as a valuable tool in managing hypertension. Furthermore, meditation can be efficiently and effectively delivered, potentially reducing the need for laboratory monitoring or frequent prescription refills, and generally exhibits few and rare side effects.
Research also indicates that various meditation practices can modestly lower blood pressure, as affirmed by an American Heart Association scientific statement. Techniques designed to evoke the relaxation response, developed by Dr. Herbert Benson, have been particularly helpful in managing high blood blood pressure and other stress-related disorders. This relaxation response counters the stress-induced fight-or-flight response, promoting a state of restful alertness that beneficially impacts cardiovascular health. Heart Rate Variability (HRV) is a key indicator of autonomic nervous system function and overall cardiovascular health. Regular meditation practice has been linked to improved HRV, which reflects a better balance between the sympathetic and parasympathetic nervous systems. This balance is essential for maintaining a calm state and preventing new damage from the physical effects of stress.
Meditation has been shown to significantly reduce cortisol levels, the primary hormone associated with stress. Cortisol reduction is crucial as elevated levels can disrupt sleep, promote depression and anxiety, increase blood pressure, and contribute to fatigue and cloudy thinking.
Boosting Immune Function
Meditation has been found to robustly activate the immune system, with studies showing increased activity in genes related to the immune response following meditation practices. Notably, meditation led to heightened activity in genes associated with interferon signaling, which plays a crucial role in the body’s defense against viruses and potentially severe illnesses like COVID-19. This suggests that meditation can enhance the body’s natural defense mechanisms, contributing to improved overall health and resilience against infections.
Additionally, mindfulness meditation has been shown to influence several key aspects of the immune system, including reducing markers of inflammation and increasing the number of CD-4 cells, which are vital for orchestrating the immune response to infections. Regular meditation practice has also been associated with increased telomerase activity, which helps maintain chromosome stability and prevents premature cellular aging. This can lead to better immune function and reduced susceptibility to a variety of age-related diseases.
In summary, mindfulness meditation not only helps in reducing blood pressure but also enhances immune function, providing a holistic benefit to physical health. These interventions can be integrated into daily routines, offering a sustainable approach to managing and improving overall health.
Enhanced Emotional Stability
Meditation has been shown to offer many benefits. Although it’s well known as a technique to reduce stress and anxiety, research shows that it may also help enhance your mood, promote healthy sleep patterns, and boost cognitive skills. Meditation can give you a sense of calm, peace, and balance that can benefit your emotional well-being and your overall health.
Reduction in Anxiety Symptoms
Meditation is the habitual process of training your mind to focus and redirect your thoughts. The popularity of meditation is increasing as more people discover its many health benefits. You can use it to increase awareness of yourself and your surroundings. Many people think of it as a way to reduce stress and develop concentration.
Improvement in Sleep Quality
People also use the practice to develop other beneficial habits and feelings, such as a positive mood and outlook, self-discipline, healthy sleep patterns, and even increased pain tolerance. Meditation can help you learn to stay centered and keep inner peace.
The emotional and physical benefits of meditation can include: giving you a new way to look at things that cause stress, building skills to manage your stress, making you more self-aware, focusing on the present, reducing negative feelings, helping you be more creative,
Different Techniques of Meditation
There are numerous types of meditation. Please also review AIHCP’s Meditation Instructor Certification
Mindfulness Meditation
Mindfulness meditation focuses on being present and fully engaged with whatever one is doing at the moment, free from distraction or judgment. Individuals practicing mindfulness learn to pay attention to their breath as it goes in and out and acknowledge when the mind wanders from this task. This practice helps in returning to and remaining in the present moment, anchoring oneself without judgment. Mindfulness can be simple yet requires patience, as it involves continually bringing one’s attention back to the breath or chosen object of focus. This technique fosters a deep engagement with the present moment and enhances personal awareness and acceptance.
Transcendental Meditation
Transcendental Meditation (TM) is a form of meditation that involves silently repeating a mantra to settle the mind and achieve a state of profound relaxation and balance. This technique, derived from the Vedic tradition, does not involve concentration or contemplation, making it distinct from mindfulness meditation. TM allows individuals to transcend thought, reaching a state of ‘pure awareness’ or restful alertness. The practice is usually taught by certified instructors through a standardized course, ensuring that each participant learns the technique properly to achieve optimal results.
Guided Meditation
Guided meditation is another effective technique, particularly beneficial for beginners who may require more structure in their practice. It involves following the spoken instructions of a guide or teacher, which can be delivered through audio recordings or in-person sessions. These meditations utilize visualizations and are often designed to target specific areas such as stress reduction, emotional healing, or personal growth. They help practitioners to focus their attention and achieve deeper levels of relaxation. Guided meditations are versatile and can include various elements such as mindful breathing, body scans, or visual imagery to enhance the meditation experience.
Each of these techniques offers unique benefits and can be chosen based on individual preferences and goals. Whether one seeks to improve concentration and presence through mindfulness, achieve deep relaxation with Transcendental Meditation, or explore structured pathways through guided sessions, these practices provide valuable tools for enhancing mental and physical well-being.
Loving-Kindness Meditation
Loving-Kindness Meditation (LKM) focuses on developing feelings of compassion and love towards oneself and others. This practice can help in reducing negative emotions and fostering a positive outlook, which is essential for stress relief.
Exploring different meditation techniques can help you find the one that best suits your needs. Regular practice is key to experiencing the full benefits of meditation.
Cultural and Historical Perspectives on Meditation
Meditation in Eastern Traditions
Meditation has been around for thousands of years, deeply rooted in Eastern traditions such as Buddhism, Hinduism, and Taoism. Mindfulness’ roots reach deep into Buddhism, where it was originally practiced to deepen understanding of the sacred and mystical forces of life. In Hinduism, meditation is a key component of yoga, aimed at achieving spiritual enlightenment. Taoist meditation focuses on harmonizing the body, mind, and spirit with the Tao, or the fundamental nature of the universe.
Western Adoption of Meditation
In more recent years, mindfulness has become a popular way to help people manage their stress and improve their overall well-being. The Western adoption of meditation began in the 20th century, influenced by Eastern philosophies and practices. Psychologists have found that mindfulness meditation changes our brain and biology in positive ways, improving mental and physical health. This has led to the integration of meditation into various therapeutic practices and wellness programs.
Evolution of Meditation Practices
Meditation practices have evolved over time, adapting to the cultural and societal needs of different eras. Initially, meditation was primarily a spiritual practice, but it has since expanded to include secular applications. Today, there are two major styles of meditation: focused-attention meditation and open-monitoring meditation. Focused-attention meditation concentrates on a single object, thought, or sound, while open-monitoring meditation encourages awareness of all aspects of one’s environment and self.
Meditation is a type of mind-body complementary medicine that can help you relax deeply and calm your mind. There is no wrong way to meditate, making it accessible to people from all walks of life.
Steps to Start Your Meditation Practice
Once you decide to meditate for health and better quality of life, you will need to find a place to maximize its benefits.
Find a Quiet Place
To begin your meditation practice, it is crucial to find a quiet and comfortable place where distractions are minimal. This could be a dedicated space in your home or any area where you feel at ease and can relax without interruptions. It is also beneficial to sit in a calm and quiet area that feels peaceful, as this setting helps in focusing and maintaining the tranquility necessary for effective meditation.
Set a Time
Consistency is key in meditation, so setting aside a specific time each day for this practice is essential. Many find it helpful to meditate early in the morning or just before bedtime, as these times are generally quieter and less prone to disturbances. Starting with a manageable time limit, such as five or ten minutes, can be effective, especially for beginners. As you grow more accustomed to the practice, you can gradually increase the duration.
Focus on Your Breathing
Focusing on your breath is a fundamental aspect of meditation. Start by breathing naturally and paying attention to the air moving in and out of your body, without attempting to control or alter your breathing pattern. This focus helps anchor your mind in the present moment. Whether you choose to sit on a chair with your feet flat on the ground or on a cushion on the floor, ensure your back is straight but not tense. Let your hands rest comfortably, and gently close your eyes to help maintain focus. When thoughts or physical sensations interrupt your focus, simply acknowledge them and return your attention to your breath.
Guided meditations can be particularly helpful for beginners. There are many apps and online resources available that offer guided sessions, ranging from a few minutes to an hour. These can provide structure and help you stay focused, especially when you’re just starting out.
Everyday ways to practice meditation include integrating it into your daily routine. You can meditate while eating, showering, walking, or even listening mindfully. The key is to find what works best for you and stick with it.
By incorporating these steps into your daily routine, you can establish a solid foundation for your meditation practice, enhancing both mental and physical well-being.
Overcoming Common Challenges in Meditation
Handling Distractions
Distractions are a natural part of the meditation process, and learning to manage them effectively is crucial for a productive practice. One common method to handle distractions is to let them pass without giving them new energy, which naturally strengthens concentration. When distractions arise, such as a stray thought or external noise, acknowledging them without engagement can help maintain focus on the meditation practice. It is beneficial to treat distractions as opportunities to cultivate patience and improve focus by gently bringing attention back to the meditation object, whether it’s the breath, a mantra, or bodily sensations.
Another effective strategy is to develop a mindset of non-craving and non-resistance. This involves accepting the present moment and whatever experiences it brings without wishing for a different reality. By embracing distractions with self-compassion and returning to the present moment, meditators can transform these interruptions into moments of mindfulness.
Overcoming Initial Discomfort
It does often take some practice, however, and some people find it difficult to “get it” in the beginning. Meditation also requires a little patience and may be difficult for people with little free time. However, the time and effort it takes to learn and practice is well worth it in terms of the benefits it provides.
Maintaining Consistency
Consistency is the backbone of a successful meditation practice, yet it is often where many practitioners encounter challenges. To enhance consistency, it is helpful to meditate at the same time and place each day, creating a ritual that anchors the practice. This could involve setting up a specific area in your home as a dedicated meditation space, which can help in forming a habit.
Tracking one’s meditation sessions can also significantly improve consistency. Using a simple method like marking a calendar for each completed meditation session provides visual progress and can motivate continued practice. Additionally, starting with short meditation sessions and gradually increasing the duration as comfort with the practice grows can prevent feelings of overwhelm and build confidence in one’s ability to meditate regularly.
Implementing a routine is another key aspect. Setting aside a consistent time and space for meditation and committing to show up can make it easier to integrate the practice into daily life. Building rituals, such as lighting candles or saying a prayer before meditating, can also enhance the meditation experience and make it more enjoyable, which supports regular practice.
For those struggling with motivation, it is important to remember the long-term benefits of meditation and to write an implementation intention. This helps in staying committed to the practice even when inspiration wanes, by reinforcing the values and discipline rather than fleeting feelings.
By addressing these common challenges with practical strategies, individuals can enjoy a more consistent and rewarding meditation practice, leading to significant improvements in mental and physical well-being.
Meditation research is still relatively new, but promising. Numerous studies have found that, in diverse populations, meditation can minimize stress and build resilience.
Advanced Meditation Practices
Deepening Your Meditation
In the Hindu tradition, advanced stages of meditation are known as savikalpa samadhi and nirvikalpa samadhi. Savikalpa samadhi represents a state where concentration continues with subtle effort, akin to a continuous flow of green dots in concentration. This stage is contrasted by nirvikalpa samadhi, or seed-less absorption, where there is no effort, no meditator, and no object of meditation, symbolized by empty dots. Achieving these states is rare and marks a significant milestone in one’s meditative journey.
True meditation involves letting go of any effort to change, improve, or deepen the practice. If a desire to go ‘deeper’ arises, it should simply be observed without reaction. This non-reactive observation allows the meditation to deepen naturally, leading to profound silence and freedom.
Incorporating Mantras
Mantra meditation can significantly illuminate and transform the mind. Mantras, often encapsulated in sacred texts like the Shiva Sutras, are said to transfigure the mind through deep identification with the Self enshrined in the mantra. A systematic approach to integrating mantra and consciousness is through purashcharana, where a mantra is repeated a specific number of times each day for a set period, potentially lasting months or years. This practice magnifies the mantra’s energy, purifies the mind, and removes spiritual impediments.
The practice of japa, or the repetition of a mantra, is foundational in mantra meditation. Initially, the mantra is linked with the breath to stabilize concentration. As familiarity with the mantra increases, it begins to pulse more rapidly and effortlessly in a phase called ajapa japa, where the mantra reverberates continuously without conscious effort. This advanced stage of mantra meditation not only deepens the meditative experience but also integrates the mantra into daily consciousness, making it a constant source of peace and calm.
In conclusion, advanced meditation practices like savikalpa samadhi and nirvikalpa samadhi represent profound depths of meditation that few achieve. Incorporating mantras through practices like purashcharana and japa can significantly enhance and deepen one’s meditation, leading to transformative spiritual growth.
Future Directions in Meditation Research
Emerging Technologies
The integration of emerging technologies into meditation practices is a promising area of research. Virtual reality (VR) and augmented reality (AR) are being explored to create immersive meditation experiences. These technologies can provide guided sessions that adapt to the user’s progress, potentially enhancing the effectiveness of meditation.
Interdisciplinary Approaches
Interdisciplinary approaches are crucial for advancing our understanding of meditation. Combining insights from psychology, neuroscience, and even artificial intelligence can lead to more comprehensive studies. This holistic view can help in identifying the specific mechanisms through which meditation impacts mental and physical health.
Potential for Personalized Meditation Programs
The potential for personalized meditation programs is another exciting direction. By using data from wearable devices and self-reports, customized meditation routines can be developed to meet individual needs. This approach can make meditation more accessible and effective for a broader audience.
Recent evidence has shown that mindfulness meditation training can decrease loneliness and increase daily positive emotion in novices. Moreover, these personalized programs can adapt to changes in the user’s mental state, providing a more tailored experience.
Conclusion
Throughout this article, we explored the nuanced world of mindfulness meditation, unveiling its quintessential role in stress reduction and its broader implications on mental, emotional, and physical health. We delved into various techniques and practical steps for integrating meditation into daily life, overcoming common challenges along the way. The journey through mindfulness meditation not only highlights its efficacy in managing stress and enhancing well-being but also emphasizes its transformative potential on overall quality of life. By embracing mindfulness, individuals gain access to a powerful tool that fosters resilience, emotional balance, and a deeper connection to the present moment.
Meditation reduces stress! Please also review AIHCP’s Meditation Instructor and Stress Management Consultant certification programs and see if they meet your academic and professional goals
The practice of meditation, particularly mindfulness meditation, has been shown to be an effective tool for stress reduction. By creating a space between our thoughts and our reactions to those thoughts, meditation allows us to witness our mental activity without judgment, thereby reducing the emotional and physical impacts of stress. Regular practice can lead to significant improvements in overall well-being, including better sleep, lower blood pressure, and reduced symptoms of stress-related conditions such as anxiety, depression, and irritable bowel syndrome. The academic and clinical evidence supporting these benefits underscores the importance of incorporating meditation into daily routines for those seeking to manage stress more effectively. As we continue to explore the depths of meditation’s impact on stress, it becomes increasingly clear that this ancient practice holds substantial promise for enhancing modern mental health and well-being.
The significance of mindfulness meditation extends beyond the individual, potentially influencing broader societal health and well-being. As we conclude, it’s clear that mindfulness meditation offers a pathway to a more mindful existence, characterized by increased awareness, acceptance, and a profound understanding of the interconnectedness of all aspects of life. This exploration sparks a call to action for further research and widespread adoption of mindfulness practices, promising a future where mindfulness meditation is not just a personal endeavor but a collective journey towards a more balanced, peaceful, and mindful society.
Please also review AIHCP’s Meditation Instructor Program and its Stress Management Consulting Program. Both programs are online and independent study and open to qualified professionals seeking a four year certification in stress management or meditation instruction.
FAQs
How does meditating relieve stress?
Meditation, particularly mindfulness meditation, creates a space between your thoughts and your reaction to those thoughts. Instead of being swept away by mental activity, the practice of meditation simply invites you to witness what’s happening in your mind without judgment.
What is meditation?
Meditation is a practice where an individual uses a technique, such as mindfulness, or focusing the mind on a particular object, thought, or activity, to train attention and awareness, and achieve a mentally clear and emotionally calm and stable state.
What are the benefits of meditation for stress management?
The benefits of meditation for stress management include reducing stress, controlling anxiety, promoting emotional health, enhancing self-awareness, lengthening attention span, and improving sleep.
How long does it take to see the benefits of meditation?
With regular practice over weeks or months, you can experience significant benefits from meditation, including reduced stress and anxiety, improved emotional health, and better sleep.
Can meditation help with stress-related medical conditions?
Yes, research has shown that meditation may improve symptoms of stress-related conditions, including irritable bowel syndrome, post-traumatic stress disorder, and fibromyalgia.
How does meditation affect the body physically?
Meditation can lower resting heart rate, reduce blood pressure, and improve heart rate variability. It can also help in reducing cortisol levels, which is a stress hormone.
What types of meditation are best for stress relief?
Some of the best types of meditation for stress relief include mindfulness meditation, transcendental meditation, and loving-kindness meditation.
Is it normal to feel discomfort when starting meditation?
Yes, it is common to feel some initial discomfort when starting meditation. This can include physical discomfort from sitting still or mental discomfort from facing your thoughts. With consistent practice, these discomforts often diminish.
Additional Resources
“How to Manage Stress with Mindfulness and Meditation”. Mindful Staff. Mindful. Access here
Nash, J. (2022). “13 Ways Meditation Can Help You Relieve Stress (+ 3 Scripts)”. Positive Psychology. Access here
Howlett, K. (2018). “With mindfulness, life’s in the moment”. The Harvard Gazette. Access here
“Breath meditation: A great way to relieve stress” (2014). Harvard Health Publishing. Access here
To help transform a person to change, attending, listening and responding are key, but the skilled counselor needs to be able to help instigate change or water the seeds of the healing process within a client. Whether loss and grief, or merely more daily stressors or emotional issues that are holding the client back from living life productively, the counselor needs to know how to coach the client and help the client find that preferred outcome. This involves not only identifying the goals and actively pushing towards them but also motivating and challenging them. Like a coach who is able to abstract the best out of their players on the field, a counselor needs to be able to encourage and challenge his/her clients to produce meaningful change. Some clients respond better, others may be still facing inner turmoil and self esteem issues. Some clients may be more resilient naturally, while others may need more prodding and gentle and empathetic guidance. Each client is unique and different but the general ideas within this short blog complement the previous blogs on attending the client and responding to the client.
Challenging and encouraging a client to change is much like a coach trying to get the best of a player on the field
Some clients may have zero motivation to be challenged. They may possess some world view or bias that prevents this change. Some may be forced to attend counseling and feel no need to change. This can occur with state mandated counseling or clients forced to attend because of family or spouses. Some clients may feel motivated simply because of guilt and look to foster a positive change. Some may simply have an interest in the counseling process and wish to see what happens. In the best case, one will find a client who understands the critical importance of counseling and the changes that need made. Regardless of the clients motivation level, it is the purpose of the counselor to help bring the best out of the client. This can be easier said then done.
The Counselor as Coach?
Life coaching in itself is a newer field within the Human Service Field. It is not clinical or requiring of various licensing but it does promote the idea of healthy change and life styles. It involves a professional who is trained to motivate, direct and help clients meet end goals. This involves both encouraging and challenging the client. Whether it is a weight goal, training goal, dieting goal, or health and life style change, life coaches are inherently trained to help produce change through motivation, encouragement and challenging of their clients. Counselors, whether pastoral or clinical, working in grief counseling or other mental counseling disciplines, through empathetic listening and responding, should have a vested interest in helping their clients meet change, but some may lack the skills to help motivate the client to change. As counselors, the client is directed and given options, but is never commanded or forced to change, instead, the client is invited to change through an array of options. Many times, clients need motivated and encouraged and even challenged to push forward through these options. Many times they may fall and need help getting up. Again, like a coach in sports, it is the counselor’s profession to not only direct, but also to help the client emotionally and mentally push towards that direction.
Challenging for New Behaviors
According to Egan, it is important to challenge clients to change. He states,
“Help clients, challenge themselves to change ways of thinking, expressing emotions, and acting them mired in problem situations and prevent them from identifying and developing opportunities…become partners with your clients in helping them challenge themselves to find opportunities in their problems, to discover unused strengths and resources, both internal and external, and to commit themselves to the actions needed to make opportunity development happen (2019, p. 190).
In challenging, Egan emphasizes the importance of the counselor and client relationship which is based on trust and partnership. A counselor, in the eyes of the client, needs to earn the right to challenge. Once this is established, the counselor needs to ensure that challenges are presented tentatively but not apologetically, with a balance between not being too harsh but not also too passive. In addition, counselors need to ensure the challenges are clear and specific. Challenges also should not make demands or be forceful in nature but provide a structural system of choices. As the term challenge indicates, it is never easy, so help clients utilize unused strengths to help meet the challenges and the ability to build on successful challenges to meet new ones (2019, p. 220-225). As Egan points out, the counselor should be a “catalyst for a better future (2019, p. 190)”.
Many times, a counselor has to identify what is preventing the person from being able to face a challenge in life
In challenging clients, many times, they have many inherent issues that are already hampering them with the problem and maybe life in general. To help clients become more resilient and able to create new behaviors, counselors sometimes need to identify blocks and issues within the client. Egan lists a variety of target areas that negatively affect a client’s ability to respond to challenges and delay productive and healthy change. Through attending, listening and responding, a counselor is able to identify certain issues that may restrict the ability of a client to respond effectively to challenges.
The first issue Egan lists are what he refers to as self defeating mindsets that include “assumptions, attitudes, beliefs, values, bias, convictions, inclinations, norms, points of view, perceptions of self and the world, preconceptions and prejudices (2019, p. 190-191)”. Albert Ellis looked at facing irrational beliefs head on with interventions that would challenge irrational mindsets. According to Ellis, many individuals have flawed misconceptions on life. Egan lists a few of these ideals.
I must only be liked and loved in life
I must always be in control in life
I must always have my things done my way or no way
I should never have any problems
I am a victim and not responsible for any of my issues
I will avoid things that are difficult
I believe my past dictates what I do in the future
I do not need happiness in anything or anyone else
(Egan, 2019, p.191)
Ellis considered these mindsets as impediments to change because when something did happen that was bad, the person would tend to “catastrophize” it and become unable to adjust to the problem or even be remotely open to challenges to face it. In addition to these mindsets, Egan points out that some individuals embrace in four fallacies that hamper change, as according to Sternberg. Among those listed by Sternberg were egocentrism and taking into account only one’s own interests, omniscience and thinking one knows everything about the issue, omnipotence and feeling one can do whatever one desires and invulnerability and one will never face true consequences (2019, p.192). Obviously these four fallacies are undesirable characteristics and whether naive or part of a greater personality disorder, they are issues that can prevent true change in the client.
In addition to mindsets, some individuals may have self defeating emotions and feelings that prevent them from achieving goals. They may possess low self esteem or poor self image. They may have fears that prevent them doing greater things. Others may possess various dysfunctional behaviors that are external in nature. In essence, the person cannot get out of their own way in life. Their behavior, unknown to them sometimes, continues to create the issues they are trying to escape. Others may possess discrepancies in what they feel and think in regards to what they say and do and how they view themselves versus how they are truly viewed by others. Other times, individuals can be hampered in making true change or answering challenges because of unused strengths or resources (Egan, 2019, p. 194-197).
Other “Blind Spots” within the client preventing and hampering change can include various levels of unawareness. This can include being blind to one’s own talents and strengths seen by others but not perceived by the self. Some individuals may be unaware due to self deception itself, or choosing ignorance. Some individuals will avoid issues and problems because they simply would rather not know because the truth may be too terrifying. In helping clients challenge themselves to new behaviors, counselors can open clients to new areas of awareness with simple self questions.
What problem am I avoiding?
What opportunities am I ignoring?
What am I overlooking?
What do I refuse to see?
How am I being dishonest with myself?
(Egan, 2019, p. 204)
As the counselor, but also a coach, it is important to help clients identify these issues and understand why they are unable to move forward.
Helping Clients Identify These Issues and Healthy Challenging
Carl Rogers promoted a empathetic approach. In helping others face hard realities, a fact based empathetic approach is key. Showing patience and empathy and carefully presenting the issue with assertiveness but compassion is key in helping the client awaken to certain issues. Of course, timing, tone, and words all play a key role in helping the client become acceptive. The counselor cannot come across as afraid to address issues but not confrontational. Sometimes, certain words, may offset a client or labels, and the counselor will need to navigate why and how to discuss the issue. Also within this process, the counselor cannot simply give a set of directions but present options. Finally, again, the counselor needs to present the new awareness and challenge to the client without judgment but in a way that creates self awareness and pushes forward change.
Counselors help motivate clients to change through empathy and supplying the client with appropriate level challenges and options to meet
When discovering hindering blind spots and issues, the counselor needs to become a detective in some respects before he/she can truly become a coach. What is the client truly trying to say, or hinting at, or half saying (Egan, 2019, p.206)? Counselors need to help clients understand their implicit thoughts and words and make them become more explicit. In doing so, counselors can help clients understand themes in their stories, make connections with what may be missing and share educated hunches in feedback (Egan, 2019, p. 207-210). Counselors can through their hunches, help clients see the bigger picture, dig deeper in the story, draw conclusions, open up more, see overlooked aspects, or even own their own story (Egan, 2019, p. 210-211).
Of course how these opinions and disclosures are presented to the client are critical. They are part of the art of counseling and also the product of good coaching. A good coach is able to present a deficiency in a player’s form or approach and help turn into change and better performance. This however involves not tearing down the player, but building the player up and giving the player the tools necessary to improve. As an teacher and encourager, a coach is able to transform the problem and help the player have success on the field. Likewise, an counselor needs to be able to coach his/her client through approaching a weakness and being able to challenge the person to overcome it and make it a strength in the field of life. Strength Based Therapies as proposed by Pattoni, (2012) help clients label their strengths and identify them and utilize them in variety of goal setting environments. The process looks to expand hope but also create autonomy in facing issues.
When providing factful information and options to a client, a counselor needs to remain empathetic and tactful in delivering the news. Some news can be shocking to a client and the client may need time or understanding in the process (Egan, 2019, p. 213). Hence Egan recommends sometimes sharing one’s disclosures and challenges, but he recommends it to be used with caution. He recommends being sure to use it sparingly, appropriately and culturally aware. Timing can be key. One does not wish to have one’s own disclosure to become a distraction (2019, p.215).
As a counselor and coach, how one gives suggestions and recommendations for better improvements are critical. Inspired first with empathy and secondly aware of internal issues of the client, a counselor needs to approach and challenge the client without confronting but at the same time presenting clear and factual options to promote change. These challenges are not easy, so like a good coach, a counselor needs to find ways to provide encouragement during the change process. Counselors should invite clients to challenge themselves and help them identify specific challenges that will make the best changes. Like a sports coach, while identifying any issue, the counselor needs to encourage and identify strengths to overcome a particular challenge. Furthermore, the challenge needs to be evaluated as not to be too intense to be self-demeaning to the client. Sometimes, success is built upon. So when identifying challenges, the counselor needs to present them in a fashion that leads to success (Egan, 2019, p. 220).
As a counselor-coach, a counselor identifies changes that are essential and helps the client identify change. Some clients are more resistant to change. In another blog, we discuss the Client Change Scale which lists the levels of difficulty for a client to accept change or implement it based on their stage. It is the counselor’s job to help the client see the necessity of change and help the client find it through encouragement and help. Some changes will be first order, or deal with the current situation, or others may be second order and more long term or permanent. This depends on the nature of the issue and the needs of the client. The counselor like a coach, helps the client implement goals, strategies and plans to implement the change. The counselor helps the client see his/her possible self, delve into creativity, and think differently (Egan, 2019, p. 315-318). In essence, the counselor helps the client see a better future, set goals to attain it and help them put it into action (Egan, 2019, p. 314).
Conclusion
Counselors are like coaches. They need to challenge their clients by identifying weaknesses and help clients overcome them with appropriate challenges. This involves active attending and responding to the client and understanding the inner challenges the client faces. The counselor then is able to better become a catalyst of change in the clients life with setting appropriate challenges to make the client a better person in the field of life.
Please also review AIHCP’s multiple counseling certifications in Grief Counseling, Christian Counseling, Life Coaching, Anger Management, Stress Management and Crisis Intervention Counseling
Please also review AIHCP’s Grief Counseling Certification, as well as its Christian Counseling Certification. Other mental health certifications for both pastoral and clinical counselors, or those engaged in the Human Service Fields, include Stress Management, Life Coaching, Anger Management, and Crisis Intervention. The programs are online and self study and open to qualified professionals seeking a four year certification in any of these fields.
Reference
Egan, G. & Reese. R. (2019).”The Skilled Helper: A Problem Management and Opportunity-Development Approach to Helping” (11th Ed). Cengage
Additional Resources
Sutton, J. (2022). “Motivation in Counseling: 9 Steps to Engage Your Clients”. Positive Psychology. Access here
Sutton, J. (2022). “How to Perform Strengths-Based Therapy and Counseling”. Positive Psychology. Access here
“The Skill of Challenge in Counselling”(2019). Counseling Tutor. Access here
Voitilainen, L. et, al. (2018). “Empathy, Challenge, and Psychophysiological Activation in Therapist–Client Interaction”. Front Psychol. 2018; 9: 530. National Library of Medicine. Access here
Hypnosis is becoming more common of a therapy for a variety of cases involving trauma, bad habits and phobias. Individuals may have poor understanding of what hypnosis is as it becomes more available. It is important for individuals to see how safe it is and how it can be utilized for mental and emotional health.
Trained professionals are the key and finding the right professional makes all the difference. The American College of Hypnotherapy trains qualified professionals to utilize hypnotherapy in a safe and productive way. Please review AIHCP’s Clinical Hypnotherapy Program and see if it meets your academic and professional goals. Also, please review the video below that looks into the safety of hypnotherapy.
