Mental Health Monday: Expressive Therapies

Today I want to talk about expressive therapies.

Some examples of expressive therapies are art therapy, music therapy, dance therapy, and sand tray. However, pretty much any expressive activity can be used  - by a trained professional - in a therapeutic manner.

Art therapy can take the form of drawing, painting, creating collages, and working with clay. A subset might be arts and crafts (beading, knitting, painting bird houses, coloring pages, etc). Now, I'm not going to look at someone's drawing and say, "Oh, you used red, which symbolizes ______, so you must be feeling ______." Instead, I'd ask about the colors a person used and what they mean to the person. The whole point is for the person to get something out in a way that doesn't necessarily involve a lot of words.

Music therapy can be a lot of fun. I've done groups where we listen to a song and then talk about how it made people feel and what it brought up for them. 

Pretty much the only limit is a therapist's imagination. See? Therapy isn't necessarily all talking!

Mental Health Monday: Boundaries, Relationships, and Loss

Today's topic is a Mental Health Monday topic.

Therapists are taught the importance of boundaries when we develop therapeutic relationships. A therapeutic relationships is not like any other. We share in the joys and sorrows of the individuals with whom we work, but it's fairly one-sided. Our role is to reflect empathy and provide an environment of validation and provide a framework within which the person is able to build on his or her own strengths. Typically, that means very little of our own experiences are shared with these individuals, unless it provides a therapeutic benefit.

Having said all of that, we become attached to these individuals. We are gifted with the opportunity to see them grow - through their own strength and choices - and we are fortunate enough to support them in these endeavors. So when one of these individuals passes, we mourn.

Last week, an individual with whom I was fortunate to work, over the course of multiple stays over many years, passed away. She had a sweet disposition, a quiet smile, and a strong love for animals. She was tormented by her illness, but had a good support network. Her primary treatment team had worked for a very long time to get her into a group home and, after a week there, she passed away from medical complications.

We grieve when one of these individuals, who has left their own indelible stamp on our lives and experiences, leaves this world. Whether by natural causes or by an individual's choice, the passing of a former client leaves a different kind of mark. There is a sadness that we won't see them again, hear how they've accomplished something else or tried something new. There's, in some cases, a sense of quiet acceptance or even relief that the individual is no longer in pain (whether physical, emotional, or mental, or some combination of the three). And there's a reflection on the gifts that the individual gave us through the therapeutic relationship, which we'll cherish always.

I hope you find peace. I hope there was little pain. I hope you know that your loved ones will be supported. I hope you know that you will be missed. Thank you for the opportunity to work with you. Bright Blessings.

Mental Health Monday

Today's Mental Health Monday post is about getting help if you need it. Often, people find themselves in a crisis and they don't know where to start. There are tons of resources out there for finding treatment providers, or just finding someone to talk to about what's going on in your life.

SAMHSA, the Substance Abuse and Mental Health Services Administration, is a national agency whose purpose is to "target effectively substance abuse and mental health services to the people most in need and to translate research in these areas more effectively and more rapidly into the general health care system. Over the years SAMHSA has demonstrated that - prevention works, treatment is effective, and people recover from mental and substance use disorders. Behavioral health services improve health status and reduce health care and other costs to society. Continued improvement in the delivery and financing of prevention, treatment and recovery support services provides a cost effective opportunity to advance and protect the Nation's health." (SAMHSA website)

SAMHSA has several tools to help individuals in need. One is their Behavioral Health Treatment Services Locator. This website's sole function is to help a person find mental health or substance abuse treatment programs throughout the country. SAMHSA also has a toll-free, confidential Treatment Finder hotline, available 24/7 in English and Spanish: 1-800-662-HELP (4357), 1-800-487-4889 (TDD).

Another tool is their Disaster Distress Hotline at 1-800-985-5990. You can also reach them via SMS by texting 'TalkWithUs' to 66746. This hotline provides 24/7, multilingual crisis counseling and intervention for individuals who have experienced a disaster (think Hurricane Sandy). Know someone who has been impacted by a disaster? There's a great list of warning signs that the person may need some extra support.

Well, that's all the SAMHSA links.

Next up is the National Suicide Prevention Lifeline (see the badge over on the right?) This is another 24/7, toll-free, and confidential helpline. You call 1-800-273-8255 (TALK) and you are connected to the nearest crisis call center in their network (which spans more than 150 centers). This hotline provides crisis counseling and mental health referrals.

For the Northern Virginia area, there's the more local Crisis Link (which is our regional provider for National Suicide Prevention Lifeline). Their number is (703) 527-4077. Crisis Link started as a teen hotline and quickly expanded the services it provides. They have a great flyer for how to help someone in a suicidal crisis and another one about suicide warning signs.

Need support? NAMI, the National Alliance on Mental Illness often has lists of support groups in your area. This agency is a huge advocate for individuals experiencing mental illness. There's also DBSA, the Depression Bipolar Support Alliance. They run support groups all over the country. Having a substance abuse crisis? You can try to find an AA meeting close to you, you can call the Coalition against Drug Abuse's hotline at 1-800-943-0566, or you can look into SMART Recovery (866-951-5357).

Hopefully these links will help you, or someone you know, get the help that you or they need. The hardest part is asking for help!