Month: June 2017

Musings on Online Therapy: speaking from their world, their space, in ways which they choose

Musings on Online Therapy: speaking from their world, their space, in ways which they choose

Many people choose online therapy as it fits into their lifestyle – and their way of being in the world. In contrast to traditional therapy, it puts the client much more at the centre of things.
Speaking from their world, their space, in ways which they choose.
This brings so much freedom to the client
– freedom from the the therapist’s space – but more importantly, freedom to be themselves.
Free to speak of the deepest, most private hopes, fears, memories, experiences and feelings.
Free to bring themselves into a therapeutic relationship in new ways.
Which is how it should be!
There is something of great value in going to see a therapist face-to-face (F2F), in a safe, neutral space.
For some, that is crucial to a successful therapy.
But it is also a strange idea that the client has to meet in the therapist’s space, in the therapist’s world.
It can be somewhat intimidating and a barrier to being comfortable and open.
Not to mention that some people cannot get to F2F therapy.
Online therapy is different from F2F therapy.
No. That is wrong.
It is distinct from F2F therapy.
Indeed, in many respects, it is a new expression of therapy.
A distinct discipline within psychotherapy; in the same way that group therapy, or couples therapy, is different.
It has its own insights, opportunities, techniques, dynamics and rules.
It has its own client group – and conditions that it addresses.
It’s not for everyone or for everything.
Nor, indeed, is it something that every therapist should – or can practice.
It is foolish for even experienced therapists to assume they can ‘do’ therapy online.
It requires the therapist to be specially trained:
– not only in the (crucial) issues of how to master the technology and how to ensure total confidentiality etc.
– not only in the legalities and how to give clients their rights if things go awry;
– not only in how to ensure safety for the client when things get sticky.
No, online therapy, in its different forms, requires the therapist to be knowledgeable and skilled
in new – or revised – techniques of therapy.
How to hear ‘the music behind the words’ when done online.
How to ‘bridge the gap’ between the two and use it to advantage…
….and, even better, to tap into the deeper continuity between client and therapist.
How to enable the client to bring themselves into the therapy in new, creative ways.
Indeed, the therapist has to learn to free themselves from the shackles of traditional F2F meeting
– free to meet the client where they are and how they are
– without losing their independence, their skill-set or their crucial role in ‘holding’ the client and the boundaries to the therapy.
The long-established themes of therapy remain
– but they must be reworked, reimagined – and worked with in additional, exciting ways.
Some things may be lost, compared with F2F therapy – but new things add to its effectiveness,
It is a new expression of psychotherapy – not a watered down version of F2F.
And, done well, by a trained and skilled therapist, it offers new (and old!) client groups, new ways of working.
Adrian M. Rhodes,
Psychoanalytic Psychotherapist.

Source: Dr julian

read more
Young People Should Benefit From Early Intervention In Mental Healthcare Provision, But What About The Elderly?

Young People Should Benefit From Early Intervention In Mental Healthcare Provision, But What About The Elderly?

Watching the political television debate last night with representatives of all major political parties a really important point came up. A member of the audience asked the question:
‘As most mental health problems start when you are young what are we going to do about increasing the provision of mental health services for these young people?’
This is a very good point, early life experiences can have a massive impact on your mental well being and being able to deal with issues as they arise when you are younger can really help your emotional state and help prevent you dealing with mental health problems when you are older.
However as we all know there is a limited budget for mental health provision and despite what the political parties say about increasing funding we all know that if one areas funding is increased another’s will probably suffer.
According to recent research from Richard Byng of Plymouth University and published in the British Journal of General Practice, young people aged 20-24 with mental health issues were the group most likely to get help, with 23% of those being referred to talking therapy. This percentage fell steadily with age to only 6% of those aged 70-74 being referred to talking therapy.
Only 13% of 18 year olds who had therapy saw a meaningful improvement in their condition, compared with 21% of those aged between 65-69. Therefore young people may not be the group that most benefit. A possible explanation for this could be due to a lack of engagement in younger people.
According to the Mental Health Foundation 20-28% of the elderly population have been shown to suffer with depression and 85% of these people receive no help. This is in comparison to only 10% of younger people suffering with any mental health condition.
In a continuing ageing population my worry is that by increasing funding in those younger services our provisions for the elderly, who also need our help and are less likely to get it, will decrease.
I have set up the Dr Julian App to try and increase the accessibility of mental healthcare to everyone and anyone in need. An elderly person who may not be able to leave their home can now get access to mental health services by using this App.
www.dr-julian.com
What are your thoughts?

Source: Dr julian

read more