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500 Hour Program Class Outline Form Class Title: 80a Special Populations #1 – Working with Psychological Conditions Course(s) and Hours: Class Description Learning Objectives - Students hear about and discuss Psychiatric Disorders and Relevance of Massage (plus whatever additional relevant details we have time for). Class Outline Time 9:00 Description Assignment/Resources Opening meditation/ Roll 9:05- Quiz #8 9:20 9:20- Psychiatric Disorders – 9:25- Conditions and Relevance of Massage (plus whatever additional relevant details we have time for). Addiction – Use, Abuse, Dependency Etiology – dependency can be psychological or physiological . Changes in neurotransmitters, sedative effect on CNS – With dependency – it takes more and more and stopping will create daunting physical and psychological challenges. Risk factors Genetic predisposition Other mental illness Environmental factors – peer pressure, low self-esteem, history of physical and/or sexual abuse June 27, 2017 Suggested – MTGP: pp. 170-187 Age Medical reasons Complications – mental illness, impaired judgement. Gastrointestinal, cardiovascular, nervous system, immune system Treatment – recognize problem Abstinence, detox, rehab, prevent relapses Massage? Adjust if person suffering physiological dis-ease as a result of the addiction. Can help ameliorate withdrawal symptoms, speed detox, reduce need for drugs (it’s a healthy high!) Do not work with person under the influence. * 9:25- Anxiety disorders 9:30 Irrational fears and excessive efforts to avoid or control them. How is it recognized? – sympathetic reactions and frightening feelings and thoughts General anxiety disorder Panic disorder PTSD OCD Phobias – social and specific Massage? Person may be hypersensitive to touch and boundaries – esp. if anxiety is related to physical and/or sexual abuse. Positive effects – feeling calmer, more able to cope with everyday stresses (through positive touch impact on limbic and autonomic nervous system.) Segue into brief review of ANS and add in a little more info on limbic system amygdala – centrally involved in fear and anxiety also central role in aggression also “ “ in male sexual aggression interconnected with hippocampus June 27, 2017 1 synapse away from hypothalamus gets bigger in people with PTSD – more metabolically reactive hippocampus (sea horse - jelly roll) – memory & learning people with long-term major depression – hippocampus gets smaller pivotal role in turning off the stress response ************* Attend carefully to factors such as clothing, draping, working with open door, be understanding and patient – while honoring your own boundaries. 9:30- Attention Deficit Hyperactivity Disorder in Brief 9:35 Not really deficit – person pays attention to too many things. Neurochemical disorder (which can have genetic as well as familial or environmental causes) Symptoms: Inattentiveness, hyperactivity, impulsivity Treatments – medications and psychotherapy Massage? Indicated unless person has inability to tolerate stillness. Can improve anger control, sleep quality, school behavior, mood, interpersonal relationships. Identify their preferences – vigorous or more stillness. 9:35- Autism Spectrum Disorder – appears to be genetic (usually 9:40 diagnosed by age 3) Deficits in verbal & nonverbal communication, problems with social interactions, repetitive behaviors/memory Locked into their own perspective/world Behavorial treatment most common. Autism – more severe Asperger – much more mild (commonly lack of empathy) Massage? Often will be hypersensitive to touch. Get to know the individual – if they like touch, it may be very helpful in helping them connect to world in positive way. June 27, 2017 9:40- Depression 9:50 Genetic and/or familial origin. Or related to other problem – such as physical illness. Ranging from chronically low or “negative” energy (persistent feelings of sadness, gullt and/or hopelessness) to bi-polar disorder to suicidal inclinations. Treatments – medications and psychotherapy SSRI’s, etc. Massage? Massage will either have little effectiveness or a very helpful impact on depression. It can help release bodily tension that may “hold” the depression in place. It can release physical and psychological tensions that may sustain the depression. It can stimulate endorphins, amplifying pleasure (do not allow this to effect their use of appropriately prescribed medication). With severe depression with suicidal thoughts, you may want to refer them to a psychiatrist first if they are not seeing one already and then get their permission to communicate with their psychiatrist and get their advice re massage (or not). Make sure you assure yourself that they are seeing a therapist/psychiatrist. 9:50- Eating Disorders – compulsions about food and weight gain or 9:55 loss. Anorexia, bulima and binge eating. Usually women, possibly with overly high expectations of self. Can lead to serious health problems. Treatment – medication if useful and counseling program. Massage? Anorexia/bulimia can result in various psychological, anatomic and physiological frailties – be careful in your treatment design. Massage can help people with distorted, negative self-image experience their bodies as safe, strong and healthy – improving their body image. It can also lower anxiety levels. 9:55- General concerns re working with people who have severe June 27, 2017 10:00 psychological problems – When in doubt, don’t and refer. Have good list of psychiatrists and psychotherapists to refer to. June 27, 2017