Schizophrenia Awareness Day

Schiz01Hello everyone.

First off, “thank you” to the person whose response on finding Neurolations was: “It’s very green, isn’t it?” That put a grin on my face.

A bit of an early post this month. 9th May is Schizophrenia Awareness Day.

Definitition

To have a “schizo” (split) “phrenia” (the mind). N.B: A split personality it is NOT!

Historically, the mind also includes the heart – as the home of the emotions. And as we all know, it is the emotions (and sometimes the lack of them) that drive thought. No, I’m not saying schizophrenics don’t have a heart! I’m saying, their ways of thinking are disjointed because of how their emotional systems function.

Let’s Shred Some Myths
  • It is a collection of various symptoms; not a single condition.
  • Symptoms described as “postive” & “negative” are neither good nor bad; it’s “positive” & “negative” in the sense of plus and minus. A psychological delusion is an example of an additional symptom because it is not an every day experience. A negative example might be that the syndrome has taken away a passion a person once had for say, architecture.
  • Schizophrenic symptoms are normal human experiences. It’s just that sufferers experience of them are extreme and intense. For example, and this is just a general example of being human, every one of us has an average body temperature (37 ºc). But we also experience a hot sweat after exercising. And we shiver to raise our temperature back to normal after a cold swim.
  • People living with schizophrenia do not need to be institutionalised. With the right balance of the right medication and counselling, they can live reasonably normal lives.

FeltSense1

Click here to learn more of what it can be really like living with schizophrenia. Courtesy of the charity, Mind, it’s a group having a chat over a cuppa. (6½ min’s approx.)

Why 9th May?

On 9 May 1970, “The Times” published an article by retired university professor, John Pringle. His son had been diagnosed with schizophrenia. The article asked for action to be taken to improve support for those living with schizophrenia themselves, and the advice available to those caring for them.

More than 400 readers answered the call, and in 1972, the National Schizophrenia Fellowship was born. Today though the Fellowship has evolved into four charities across the UK. In alphabetical order, they are:-

Please take a look.

That’s it for another month. Take care.

Keeping Things Together

IMPORTANT:

Until further notice, I am not taking new clients. I am continuing to counsel and mentor current clients. Current sessions are by telephone. Normal service will resume as soon as possible.

This may come as a surprise to some. All the anxiety and fear that is being passed around right now, you’d think this is the time when people will want counselling more than ever.

The thing is, it’s my responsibility to take care of myself as well you. I need to be “fit for purpose”. For the time being, I don’t feel it would be ethical of me to invite more work than I can manage right now. I hope you understand. As I say, normal service will resume as soon as possible.

Meantime, I can still provide help and support via this here blog. If anyone out there wants to comment, share your experiences, please do.

Sorry to write this off the cuff. There’s a lot I’ve had to get my head around in the last fortnight. And I’ve had to do it fast. Haven’t we all?

In the coming days and weeks we’re all going to cope as best we can. For those whose immune systems are less effective, it’s going to be harder. The advice to stay indoors should be taken seriously.

A lot of people are learning what it is living life in isolation. We are all having to take extra care of our wellbeing. Keeping active, keeping a sense of routine and purpose is more important than ever. Anything that takes your mind off things will help keep us calm.

Here are a few links back to some helpful posts I’ve given you before:-

pacingMaintaining achievable goals & a rouine: SMART pacing

Art Therapy

Being creative: Expressive Art & Brain Injury

Journal keeping: Writing Therapy (Part One)

Writing Therapy

Writing stories: Writing Therapy (Part Two)

Take good care, all of you.

Sean

 

Cognitive Rehabilitation Therapy – Companionship & Competition

Two Pronged Brain

Last month I talked of the two ways in which C.R.T. can be given – “Comprehensive” and “Modular”. My personal opinion is that a combination of both helps individuals most. This was following a conversation with someone wanting to help their family member directly.

I hope the link to Dr. Judd’s expertise was useful.

Nowthen, as it’s Christmas, I thought it might be an idea to look at some of the online resources available. There’s stuff out there, some even quite fun, that everyone can challenge each other at.

(“Restorative”)

It’s best to see this often used term as an intention, not a promise. It is used to describe exercises designed to improve precise areas of brain function. For an idea of the different options available online, click here for Phone Arena.Com’s view of their “Top 5” brain training sites. (Just under 4 minutes.) (As always, you may want to skip the ad’.)

(Neuronation)

Not saying it’s the best. Neuronation is the site I’ve most experience with. You can find your own favourite.

The first thing to do is register an email address and password to log on with. The first thing that will greet you will be three choices of subscription: 1. £11 for three months; 2. £5 for twelve months or 3. £299 for a lifetime access to all the games. But as with most things of this nature, you’ll get a free sample of tasters.

To gain access to these free samples, click the “Training” header at the top of the page. The next gives the options of “Daily Training” or “Exercises”.

On your first visit, I suggest you go straight to the exercises. These include a free exercise or two in the following catagories: “Numeracy”; “Language”; “Reasoning”; “Memory” and “Perception”.

Have a practice at each. You can time yourself, but I’d suggest building your confidence by having a go in “Learning Mode”. Pick a catagory; pick an exercise; choose the “Tutorial”; click the “Learning Mode”.

Neuronation monitors and charts your level of performance. At any time, when fatigue or boredom strike, you can come out of your chosen exercise.

Whether you’re wanting something to do yourself, or get to know and help your familiar-cum-new member of your family, these online products are a good way of doing it.

Wishing you progress throughout 2020. And a Christmas as best as best can be.

Sean

Xmas2020

Cognitive Rehabilitation Therapy – The Two Pronged Way

Two Pronged Brain

Here at last! I thought I was never going to get this uploaded. And still in November too.

Let’s turn our attention back to Cognitive Rehabilitation Therapy (C.R.T.)

Why?

  1. We haven’t talked about C.R.T. for a long time.
  2. Someone recently asked what they could do at home to help their loved-one themselves. (I’ve found a Youtube post that should help. See below.)
(Definition)

There are many. It seems every organisation the world over has its own description of what CRT is. Here’s my “in a nutshell” definition:-

Cognitive Rehabilitation Therapy is a collaborative series of tasks and discussions between therapist(s) and patient(s) / client(s) aimed at helping those patient(s) / client(s) cope with themselves and the wider world after a brain injury.

The implication for Cognitive Rehabilitation Therapists, be they grounded in classical Cognitive therapies or Person-centred therapies, is that C.R.T. involves both active listening and active thinking.

What do I mean by “active thinking”? I mean empathically thinking as the client thinks.

Art of cinversation

(Comprehensive)

Cognitive Rehab’ Therapy takes a two pronged approach. The Person-centred or “Multi-modal” (“Comprehensive”) prong takes account of emotions, behaviour and perceptions altogether.  Active listening flags up the patient’s / client’s motivation or lack of it – gauges what stimulates by whatever degree and how. A therapist can then intuit techniques and interventions to best aid the patient’s / client’s understanding and skills.

The relationship is one of observation – reflection or open question – reaction – observation – response. Such in-the-moment to-ing and fro’-ing between therapist and patient / client can result in unforeseen recognitions. I’m talking about immeasurable and surprising reconnections and new connections within the “neuro-person”, if I may call them that.

(Modular)

The Modular prong is more targeted. Its focus is on areas of damaged brain, not always the holistic person. Formulated exercises are aimed at improving attention, memory, visual and information processing, language or executive functions.

Single modules can be used for an isolated or overriding impairment. Selected modules can be used in group settings or tailored to individual patients / clients. Though less precise in delivery, modular, task orientated group therapy helps in the following ways:-

  • By facilitating peer support.
  • Problem solving by discussion gives greater chance to strengthen confidence, co-operation, as well as some empathy.
  • Less rigid, more flexible problem solving skills – “thinking sideways” also has greater chances to develop.
(Family Involvement)

How about that Youtube link? Clinical neuropsychologist, Tedd Judd, PhD. offers family members advice on how to approach helping a brain injured loved-one. (8.5 minutes.) Click here to watch. (Skip the advert.)

There is every reason to include family members in therapy when and where appropriate and possible.

When couple counselling I find it helps the couple best if we view their relationship as the client. Thinking sideways, it’s not difficult to shift this way of working to a wider family context. After all, it’s the relationship with and around a loved one with the acquired brain injury that needs to readjustment as much as A.B.I. survivor themselves.

More next month. Take care for now.

The Power of Zen (Part Two)

Spaceballs02

Hello all. I hope you’re as well as can be.

Thank you to the couple of you who’ve emailed and commented on last month’s post.

To answer the question posed by one of you (What is “The Power of Zen” about?) it is about that thing we have that says: “I am”. It’s about that sense we have of being ourselves whatever the state of our brain.

In Part One I explain Zen is an interface – not the whole computer. Those of you who clicked on Zen’s picture may have noted that it gives a running commentry for its / the ship’s systems as they happen. And it is in this way, the ship acquires an ego-like quality.

Here’s a favourite “Blake’s 7” quote:-

BlakeBlake:  Seven of us can run this ship properly.Vila

Vila:  Six, surely.

Blake:  You forgot Zen.

Avon:  You’re not counting that machine as a member of the crew.Avon

Blake:  Oh, what do you say to that, Zen?

Zen:  Please state course and speed.

Blake:  Very diplomatic. Set a course for Centero, speed standard by two.

Zen:  Confirmed.

We have our identity and we know we exist. But how much power over our brain injury does our identity give us if our identity is influenced by that injury?

When we actively own our personality as something more than our brain injury,  to whatever measure possible, we can increase the likelihood of change. Zen’s power is will power.

Existing with a Brain Injury

Another thing I did in Part One of this article is put us in the passenger seat of our spaceship. Why? I’m going to answer with a case example. The clent is fictional. The circumstances are real. Some of you might relate to this example straight-away.

(Justine)

Justine takes medication for her epilepsy. She often needs reminding to drink fluids because when she forgets, she gets really bad headaches. She easilly gets fatigued and doesn’t show much emotion. Although she can hold a conversation much of the time, she gets frustrated when her voice doesn’t produce the words she tells it to. Also, she has difficulty reading and writing.

She says: “I know what I want to write but it’s frustrating. I know where I want to put my pencil’s lines – how to do them – but my brain changes them while I’m writing.”

She goes on to describe both sides of her brain arguing. Justine finds it “fascinating”, “scary…” and “…not really scary… more frustrating”. She is eager to improve.

The extent to which this is possible for Justine is unknown. Coping with the unknown is hard. What Justine is showing us for sure is that she is able to make real-time observations of what she perceieves her brain to be doing. She is frustrated by her lack of control over how her writing looks.

In other words, getting back to the good ship Personality, she is eager to move from her passenger seat to her pilot seat.

How Existential Therapy (E.T.) Might Help

How about we look at Justine’s case in light of the E.T. goals I ended with last month?

(Understand Unconscious Conflict)

Justine has a sense of one half of her brain arguing with the other half. Given the opportunity via therapy, her strength of personality – that bit of her that’s feeling frustrated might get to the bottom of what it is those halves are arguing about.

(Identify Unhelful Defensive / Coping Mechanisms & Discover their Destructive Influence)

I’m unsure how this goal applies to Justine. Perhaps a more applicable goal would be to focus on something practical. With her therapist’s support, she could experiment with aids and techniques to improve letter and word recognition and hand-eye co-ordination for writing.

(Diminish Secondary Anxiety)

If and as her communication skills improve – more and more of her intended words coming out right, her confidence might grow. Getting anxious about being anxious (panicking) could happen less often.

(Righten Restrictive Ways of Dealing with Self & Others)

With better communication and her own creative ways of getting around problems, Justine might help others wanting to help her improve.

(Develop other ways of coping with primary anxiety)

Always, each new achievement raises new unknowns, new possibilities. Fearing the unknown is healthy. Quality “me time” helps. Justine might later develop a new passtime that helps her chill out when she needs to. Who knows?

 

Now for a demonstration. For a quarter hour example of an E.T. session with an ABI client, click here. N.B: You’ll probably want to turn the volume up a tad; the sound quality is rubbish.

That’s all for now. Cheery-oh.

Sean