I was fortunate enough to receive a massage this week. The masseuse started on my back, which was tight. Once it loosened, I noticed pain in my neck which was later rubbed out.
When clients come to therapy, they often know what needs to be done, where they want to start, where it is tight, so to speak. Once we massage that area and the original item is loosened, sometimes there is a noticing of a pain elsewhere. Removing one problem does not create any other, but allows us to see where it was tight, but not as necessary to fix as something else. Continue reading “Emotional Pain and Returning to Therapy”→
One morning, I covered for a colleague who does talk therapy while that therapist was out on vacation. The clients cannot be rescheduled as they are court mandated to attend. I had an hour with a client whom I had never met, and thus had no rapport to begin with; we were starting as strangers. Having covered this population for the colleague previously, I expected that she would merely want to chat the hour down and get her credit for being where she needed to be; but I was wrong.
I introduced myself and asked if she had anything she wanted to get done or just wanted to kill down the clock. She said “actually, there is something.” “Oh, great! What’s up?” She discussed her feelings of guilt and shame over having been away from her children while incarcerated and feeling somewhat removed from them now that she was back in their lives. Continue reading “40 Minute Guilt Session”→
HIPAA is the Health Insurance Portability and Accountability Act and is what is in place to keep mental health professionals from discussing cases.
Ethical therapists like myself take this seriously. Things that are private:
The fact that you are a client.
Particulars of a case.
Particulars of a client.
Length or type of services.
Identifying information such as name, location, or details that may identify a client.
Ethical therapist can discuss a case with their peers without their peers having any clue as to whom the case is about. The less details given, the better. Only the details needed to get help with a case are discussed, and a clear goal in the consultation is established.
Therapy is best served in a model like that of chiropractors.
Imagine you’ve strained your neck.
When you are in acute physical pain, you come in for several sessions close together until relief is gained, usually over a week or two. Let’s say this is 3 times the first week and 2 times the second week.
Now that your pain is moderate, but no longer limiting your range of movement, you come once a week for a few weeks until the pain is minimal. Let’s say this is 3 sessions over 3 weeks.
Once that neck pain is minimal, but still present, you come less often until it is gone. Maybe this is a visit every 2 weeks twice and then every 3 weeks once.
Once the pain is gone, the injury may still be present in the form of swelling or a ligament out of place or some misalignment in the vertebrae, so you come once a month twice and then every 3 months twice to finish the adjustment.
The body is adjusted, and you follow up every 6-12 months just to check that all is well, provided nothing new is hurting the neck. Of course, if you have a new injury, you begin again on that area of the body.