Recreational Therapy for Mental Health

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Recreational Therapy is a type of medical treatment or modality that uses leisure education, recreation and other resources in order to help the patient achieve their social, emotional, physiological, spiritual and physical goals.

For patients with mental health disorders, recreational therapy can be of great benefit. Therapy begins with leisure education and determining what the patient’s specific goals are. Oftentimes the patient with a mental illness has become socially isolated and they have forgotten or have never learned what kind of activities they’d like to be involved with.  The therapist may engage in recreational activities with the patient to bridge the gap from isolation to a social setting.

Once the patient has acquired basic communication and interaction skills, the recreational therapist will help the patient find community activities that they may be interested in. Activities such as volunteer work, social groups and classes can provide daily structure and help to establish independent support systems. They can also provide a sense of worth and meaning and help strengthen the patients sense of self and help they develop their identity.

Recreational Therapists also motivate patients to participate in physical activity. It is well known that exercise can help improve mood but it also gives patients a sense of accomplishment.  Exercise boosts the sense of well-being which always has positive effects on mental illness patients. Exercise may come from a simple walk in the park to more vigorous activities such as cycling or anything else the patient may be interested in.

In teaching patients the importance of leisure and recreation they will hopefully gradually become self sufficient and be able to source out their own outlets for social interaction. Recreational therapy is slowly becoming a widely accepted form of non-drug based therapy and it is showing great results with patients.

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Bipolar Disorder in Teenagers

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Bipolar disorder is a serious mental illness that usually only affects adults. Sometimes, however, this disorder can be seen in teenagers. Oftentimes the symptoms of bipolar disorder will begin in childhood and will manifest as manic or depressive behavior. Diagnosing bipolar disorder in teenagers is imperative in order that they begin immediate treatment.

Bipolar disorder is non-discriminating. It can be found in teenagers in wealthy homes or poor ones. It can be found in seemingly well adjusted teenagers or those who are having social difficulties. One thing is consistent, however. Families with a history of drug or alcohol abuse results in a higher percentage of teens with bipolar disorder.

Some of the symptoms of bipolar disorder in teenagers include severe changes in mood. Their mood will go from being silly or very happy and can plummet in a second to aggressiveness or agitation. Teenagers with early symptoms can believe that they are invincible or develop the ability to go for days on end without sleep. They can be distracted very easily and move from task to task very quickly without completing any of them.

Bipolar disorder in teens is difficult to diagnose due to the sheer number of possible symptoms, and differentiating between normal teenage behavior and bipolar disorder can be difficult.  However difficult the diagnosis may be, bipolar in teens can be successfully treated. Treatment includes education for the family and patient and mood-stabilizing drugs as well as psychotherapy. Drugs are necessary at first to ensure that there are  no more episodes while the patient begins therapy.

It is imperative that parents remain vigilant if they suspect their teenager is suffering from abnormal mood behaviors, and if there is any doubt they should consult a physician. Early diagnosis can lead to a completely stable adult, not to mention the resumption of normal teenage behavior and activities.

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Mental Health in Nursing Home Patients

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Geriatrics usually suffer from such a huge host of medical problems, that taking care of their physical issues usually supplants their mental health needs. When in a nursing home, resources are not often available to maintain the patient’s optimal mental health.

Depression is the leading mental health issue among nursing home patients. They know they’re there to die, and that it is only a matter of time before they succumb to either age or their maladies. Their lifestyle may have radically changed over a short period of time making adjustment difficult. Furthermore, for many elderly patients, discussing their mental health state is difficult and embarrassing.

Many nursing home facilities are not equipped with sufficient resources to improve the mental health of the patients. If mental health issues do get diagnosed, then all too often the treatment involves drug therapy. Such drugs may exacerbate the depression or other mental disorders rather than cure the problem.
While most nursing homes do include some recreational activities, these programs do not sufficiently address the individual needs of the patients. And, if the patients are hampered by limited mobility or articulation then their sense of depression, isolation and despair may intensify, despite the use of drug therapy.

There are no easy answers to this problem. If fortunate, the elderly patient may have observant family members who can act as their advocate to receive proper geriatric therapy instead of just over medicating. The problem with this is that many families just expect their aged parents or grandparents to have mental issues; but this is never normal.

There is help available for elderly patients suffering from mental health disorders. The key is to articulate the need in such a way as to receive this help. Communicating with family members and doctors is one way to receive needed help. Always encourage your elderly family members to talk about how they’re feeling, and act on their behalf if necessary.

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Insurance and Therapy Costs

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One of the things that can happen to someone who is involved in mental health therapy is there can be an issue with continuing the therapy due to cost. In short, often times the money runs out during the therapy process, leaving patients to back track on the progress they have made. So if you are concerned that you too could be hung out to dry by your insurance company, here are some sound ways for you to ensure your therapy continues.

The first thing to do is call them before you decide to even see someone. Knowing what your insurance will do for you is a big key in getting the right amount of therapy. For instance, let them know you are looking into out patient mental health and see what they can tell you.

They should be able to let you know the amount of visits they will allow under your health plan. They will also be able to tell you the co-pay, and the difference between the therapists that are covered in network and those that would be considered out of network. If you know this information, you can ask them to give you the name and number of someone in your area who is a preferred physician.  You can also look on TheCyn.com for further treatment information.

If they give you a certain number of visits, ask them what they will do to continue therapy after the max is allowed. Many times the insurance company will just need further documentation from your doctor in order to continue therapy. Knowing these things will help you to better deal with your doctors visits and not put you in the poor house. Once you have the information, you can discuss with the therapist and then you both can work on a plan of treatment.

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Mindfulness Meditation

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Mindfulness is a practice for improving mental health that is becoming more and more common. It is related to the Buddhist practice of meditation and awareness, but this form of meditation focuses more on being aware while in the present. It also involves having a non-judgmental attitude while holding your attention and concentration on the moment. This results in becoming more accepting of events in one’s life, thereby reducing the stress and anxiety that may result.

Mindfulness can be practiced by anybody, at any age. And, regularly practicing it has shown remarkable benefits in the reduction of stress, anxiety and even depression. By meditating and focusing on the moment one can slowly change the pattern of negative thought and even harmful behaviors.

Actually practicing mindfulness is simple, and begins in a quiet and comfortable place. Simple sit on the floor or in a chair and breathe regularly. With your eyes closed, try to set aside all thoughts of the past and future, and concentrate only on the present, the moment you are in at that time. This can be done by focusing on your breathing, on the sensation of air flowing through your body. Concentrate on your breath to the exclusion of all else. If thoughts to threaten to break your concentration simply acknowledge them but don’t think about them, just focus once again on your breathing. After a few moments get up and resume your activities.
A key element to successful mindfulness meditation is to not judge yourself if you fail, or if your concentration is broken. This practice takes a while to master and you need to be forgiving of yourself in the duration.

While more scientific studies need to be completed in order to catalog the benefits of this form of meditation, one thing is certain: no harm comes from it and it does result in a sense of inner peace which can only bolster one’s mental health.

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The Three Most Common Mental Health Disorders

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Millions of people suffer from a variety of mental disorders. These disorders are non-discriminating. They can affect people of all ages and from all walks of life. The prompt diagnosis and treatment of psychiatric disorders is essential for recovery, but realizing that there is a problem is the first, and most commonly missed, step. The following are the three most common psychiatric disorders and some of their common symptoms.

Attention Deficiency Hyper-Active Disorder (ADHD)

Contrary to popular belief, ADHD can strike anybody and not just children. It has been estimated that nearly 5 percent of all adults and 4 percent of all children suffer from ADHD, many of whom go undiagnosed. ADHD is easily treatable through drug and talk therapy. Some of the common symptoms vary from adults to children but included in both age groups are: difficulty paying attention, disorganization, procrastination, easily distracted and excessive energy.

Bipolar Disorder

Bipolar diagnosis is the most difficult part of this disorder. Once diagnosed, treatment is relatively easy and is usually a combination of drug and psychotherapy. Once only seen in adults, bipolar disorder is now being diagnosed among teenagers and even children. Some of the symptoms of bipolar disorder include: severe mood swings, acting recklessly or believing to be invincible, delusions or hallucinations and racing thoughts.

Schizo-Affective Disorder

Schizo-affective disorder is a disorder that is found in patients who suffer from both schizophrenia and bipolar disorder. Patients exhibit symptoms of both these disorders, and while it can be difficult to diagnose, more and more occurrences of it are being diagnosed each year. Some of the common symptoms of schizo-affective disorder include: suspicion, hostility, withdrawing from society, extreme reactions and irrational speaking or thought patterns.

In nearly all cases, prompt diagnosis of mental disorders is essential to treatment and recovery. Always seek the advice of a professional and closely follow their recommendations.

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Coping with Anxiety

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Many people find themselves from time to time, dealing with anxiety. For those with anxiety disorder, they suffer from constant, recurring anxiety. Anxiety that is present on a daily basis can have a negative impact.

People with debilitating anxiety should seek professional help, but for those with naturally occurring and short lived anxiety, can learn to cope and overcome its affects. When first recognizing the signs of anxiety such as trembling, sweating or the nauseous feeling in the stomach, it is important to recognize that you’re dealing with anxiety and then implement some of the following strategies to deal with it.

Breathe

When in the grasp of anxiety, the best thing to do to shorten its course is to breathe. Breathing deeply through the nose and out through the mouth, concentrating on each breath, is the simplest and most effective thing you can do. Focusing on regulating your breath will slow your heart rate and calm your nerves. Once you have your breathing under control you can be objective about your situation.

Objectivity

When you’ve attained a measure of calm, you can begin to analyze your situation and be objective about it. You need to recognize the problem or issue and then form a plan in order to rectify the situation. Sometimes all that means is leaving the room or moving on to another task.

Consideration

Once you’ve removed the source and symptoms of your anxiety, consider what caused it in the first place. It is important to fully understand your reaction from start to finish so that you can learn to more quickly recognize the onset of anxiety and so that you can resolve the situation more quickly.

Anxiety is a mental health issue that should not be trifled with. It is serious and if left unchallenged it can become an even more dire issue. Always consult with you physician if you think that you’re experiencing more than normal anxiety.

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Steps Towards Mental Health Reform

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Mental health practices have come a long way since the terrible tradition of putting “mad” people on ships and casting them off into the ocean. Readers of the Cormac McCarthy American Epic “Blood Meridian” will remember the portrayal of the character “the fool”. In the novel he is displayed for entertainment purposes and treated no better than a circus act animal.

McCarthy’s account is not made for shock value. Using mentally disturbed people as entertainment was a regular act in colonial America. In 1760s Philadelphia it was a regular practice for guests to visit insane asylums on Sundays as if visiting a zoo. Guests would often entertain themselves by taunting the patients, particularly those restrained by chains. The problem became so bad that at one Philadelphia hospital administrators erected a fence to keep tourists out. This failed as the public pushed past the barrier. Rather than attempt to keep the public out, staff began to charge admission.

Perhaps others would have come to similar conclusions, but the terrible practice of using mental patients as spectacle came to an end due to the efforts of Benjamin Rush. Rush was a devote Quaker and a leader in the Philadelphia community. By the turn of the nineteenth century his reforms were giving Pennsylvania Hospital the appearance of a place were actual treatment was taking place rather than just confinement.

Prior to Rush’s arrival it the usual sight was neglected prisoners restricted to cold dingy cells. Of the first changes Rush made was providing patients with a stove to ease the cold and an occasional warm bath. The effects of even these simple pleasures were enough to cause major positive changes in several patients.  Rush knew that the body want connected to the brain, and that for patients that struggled to express themselves through conversation providing for basic human needs was one of the portals into a patient’s mind. This simple step was the first of many reforms.

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Dawn of Eugenics

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Due to the efforts of visionary doctors the field of treating mental illness grew from an ugly practice filled with quacks to a respectable science by the later part of the 18th century. For all of the advances in the field of mental health made in that era, treatment for the mentally ill would regress around the dawn of the 20th century. Just as a generation of doctors had been influenced by medical studies that stated physically dominating patients was part of the treatment in the 1700s, the doctors of the 1900s would be influenced by the concept of eugenics.

The prevailing attitude that all men were created equal went away in part due to the influence of Sir Francis Galton. Galton, a cousin of Charles Darwin, helped to push the notion that mentally ill people were carries of defective genetic material. Galton portrayed the mentally ill as putting a strain on society, and his writings were used as justification to deny people with a history of mental illness the rights to marry. Some states even went as far as force sterilization.

Galton used some of the concepts made famous by Darwin to form his theories. Since evolution was an ongoing process, he reasoned that the future of mankind could be shaped to produce “prize stock” similar to farmers who breed superior crops or domestic animals.

Galton made a critical assumption in his work “Hereditary Genius”. He conclude it was natural selection rather than a nurturing environment that created the best traits in humans. He based his work on tracking the familial relations among dozens of prominent English leaders. Galton’s ultimate conclusion was that humans were not equal. In 1883, he invented the world eugenics, which translates to the science of improving the genetic composition of a population. The entire world took notice of his findings, with the more dire consequence to occur generations later in Germany.

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The Madness of King George

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The historical episode known as the “Madness of King George III” has become an important anecdote in the history of the mental health profession. While some in popular culture have used the occurrence to champion the cause of early mental health experts, the treatments doled out to even the King of England are part of the sordid history of establishing effective mental health standards.

King George III was a villain in the American colonies, but by 1788 his majesty was in the midst of a worst personal tragedy than losing a part of the British Empire. George was in the middle of was described as a “bout of madness”. The 1774 Act for Regulating Madhouse, Licensing and Inspection had made physicians the sole arbiters of deciding who was or was not insane. This legal authority would not be put to the test at the highest levels.

Francis Willis was a prominent London physician who was called upon by George’s wife to treat the ailing king. True to the medical opinion of the day, Willis arrived with at straight waistcoat and a belief that mental patients had to be broken like a horse. Even King George III had to suffer the humiliation of being restrained. He was repeatedly bled and forced to eat potions that left him ill and weak.

King George III made a miraculous recovery in 1789 from what medical historian now believe was a bought of porphyria, a rare disorder that causes delirium due to high levels of toxins in the body. Modern doctors reviewing the case are certain that the methods used by Willis turned the king’s condition even more serious and hindered his recovery.

Without the medical knowledge to verify this, physicians at the time used the case of King George III as verification that there methods were working. The “mad” trade in London so flourished as doctors prescribed terrible and expensive treatments to a growing percentage of the population.

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