Making the MindBody Connection in Mental Health PRESENTER: RENEE PRIMEAU, CMHA-MIDDLESEX ADULT EATING DISORDERS MENTAL HEALTH WORKER PREPARATION AND RESEARCH ASSISTANCE: WENDY PEARSON, REGISTERED PSYCHOTHERAPIST AND EATING DISORDER SPECIALIST Presentation Objectives We all have a story. Why are we here? Why Mental Health and Addictions as a career choice? My story and background Introduction of Program Explanation of Mind-Body/Body Movement Group concept “Neck Up Society” most of the time- some may have more difficulty with connection Potential Mind-Body Disconnect after Trauma How this can impact our relationships with our bodies and selves How “reconnecting” through mindful movement and/or physical activity can help Various activities demonstrated and practiced to help promote reconnection and awareness Partner/group practice Questions Presenter Information Renee Primeau Mental Health Worker, Adult Eating Disorders Treatment Program with Canadian Mental Health Association-Middlesex The Mental Health Worker performs duties and responsibilities consistent with providing a psychosocial environment to assist with the treatment, rehabilitation, and community integration of London Health Sciences Centre (LHSC) Adult Eating Disorder Service (AEDS) clients 18 years of age and older who have eating disorders and other co-morbid mental health difficulties. Mental Health Workers also participate in various components of delivery that may include meal support and assistance with group treatment. Research and presentation assistance: Wendy Pearson, Registered Psychotherapist and Eating Disorder Specialist Why this conference, this topic, and why this career choice? Why are we here: Most of us may have our own reasons for working in the mental health and addiction sectors. My interest stems from personal experience as well as with those I love and care about. Became fascinated with understanding the “why” behind so many things (my own behaviours and experiences and those I saw with others) from childhood all the way to now. Why This topic: Sensing this disconnect within myself and learning to work with and change it A desire to help others do the same (if this is what they want) A desire to help other social service providers understand and learn to assist in this way Adult Eating Disorder Treatment Program Information Collaborative effort between Canadian Mental Health Workers and London Health Sciences Center Clinical Team 24 hour eating disorder support Clinical Dietitian Designed Meal Plans, Psychiatrist appointments and medication oversight, Clinical Social Workers, Psychotherapists, and support staff (mental health workers) group programming and Mental Health Worker Supported meals Education groups focusing on CBT Concepts for recovery and support, Nutrition education, Body-Movement, and Body Image focused groups “Neck Up Society” We often live “in our heads” and, unless time is taken, can forget to listen to our bodies or to be in the moment. Example: Having a bruised knee (or elsewhere) and not remembering what happened for us to form a bruise. Or sitting down to eat and not realizing we were so hungry or eating mindlessly until over-stuffed (being out of touch with body cues) Our thinking, or being “in our heads” can take us out of reality while bringing our attention back to our bodies can reconnect us with the present moment and with our present experience. Some of us, and the people we work with and care for, may have experiences that can make this more likely and perhaps with more extreme impacts. Potential Mind-Body Disconnect After Trauma (focus on childhood traumatic experience) Childhood trauma (and repeated trauma) can make this sense of disconnect more likely or severe. And the outcomes can be very impactful. Definition of Trauma: “An exceptional experience in which powerful and dangerous stimulus overwhelms the infant/child’s capacity to regulate his affects.” (Osolfsky, 1997) How can Psychological Trauma impact the Mind-Body Connection (directly or indirectly)? Hypervigilance (fight or flight response may be chronically activated) Substance Abuse Eating disorders Insomnia Feeling unreal or out of body Self-destructive behaviour Loss of sense of “who I am” Chronic Pain Head aches (Fisher, 2007 adapted from Bremner & Marmer, 1998) How can Mind-body practices and Mindful Physical Movement help? A variety of calming and empowering mind-body exercises have been proven to help people: Decrease anxiety Decrease pain Enhance sleep Decrease the use of medication Decrease side effects of medical procedures Reduce recovery time and shorten hospital stays Strengthen the immune system and enhance the ability to heal Increase sense of control and well-being (Cleveland clinic, 2016) Samples of Potentially Helpful Practices and Activities LHSC AEDS Body Movement Group Concept: Practices/explorative exercises given and explained by staff Demonstrated where needed/helpful Goal: To provide a supportive environment for body movement/exploration and to discuss client’s experience during and after practices. 24 hour support allows for clients to discuss any difficulties or challenges experienced in the time following (including memories, emotions, and/or worries) Activities and Practices to help support Mind-Body Connection Yoga Tai chi and other classical martial art forms Body Scans Mind-body Scan Dance Walking meditation Various other meditative practices Likely, any movement/physical activity done mindfully could be helpful and supportive Practical Exercises (with a partner) Let’s explore some individual and partner exercises that can be used with others (or ourselves) in an individual or group setting: Body Scan (feet to head)– allows client to explore body (internal and external experience) in a relaxed manner Body Space- (eyes open) with a partner test boundaries/spatial experience from front, back and side Body Space- (eyes closed) with same partner and guage/notice any differences Questions? Resources and Further Reading How Trauma Affects Children & the Benefits of EMDR Processing, Jan Yordy Children in a Violent Society edited by Joy D. Osofsky, 1997 The Guilford Press, New York, NY Psychoeducational Aids for Working with Psychological Trauma 8th edition by Janina Fisher, Ph.D., 2009 Center for Integrative Healing, Watertown, MA The Mindful Brain by Dr. Daniel J. Siegel, 2007 W.W. Norton & Company, Inc., New York, NY Mind-Body Exercises, Cleveland Clinic Web-site, http://my.clevelandclinic.org/services/heart/prevention/emotionalhealth/stress-relaxation/mind-body-exercises Affect Regulation & the Repair of the Self by Dr. Allan N. Schore, 2003 W.W. Norton & Company, Inc., New York, NY The Upside of Stress by Kelly McGonigal, Ph. D., 2015 Penguin Random House, New York, NY Sexual Anorexia by Patrick Carnes, Ph. D., 1997 Hazeldon, Center City, Minnesota Thank you so much for being here and for having me! Please feel free to reach out with any questions, concerns, or comments: [email protected] For more information about programs, services, opportunities to be involved, and more visit: CMHA-Middlesex web-site: http://www.cmhamiddlesex.ca
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