Chronic Conditions Accepting the hard to accept body ICE BREAKER: - - PowerPoint PPT Presentation

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Chronic Conditions Accepting the hard to accept body ICE BREAKER: - - PowerPoint PPT Presentation

Mar 16, 2024 413 likes •742 views

Acceptance & Commitment Therapy (ACT) with Chronic Conditions Accepting the hard to accept body ICE BREAKER: 1. Pair up with a person you do not know Presenter: Nikita (Nik) Kotlarov General Psychological Practice in QLD: 2. Learn as much

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Acceptance & Commitment Therapy (ACT) with

Chronic Conditions

Accepting the hard to accept body

ICE BREAKER:

  • 1. Pair up with a person you do not know
  • 2. Learn as much as you can about

eachother.

  • 3. Find another pair of people doing this
  • 4. Introduce your pair-mate to the new

pair you just met

Presenter: Nikita (Nik) Kotlarov General Psychological Practice in QLD: Primarily – Private office Enoggera Better Life Centre Kelvin Grove Pine Rivers Neighbourhood Centre – Lawnton Brisbane ACT Centre – Milton Seeing adolescents, adults, couples.

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Why we do this?

Why is this important? Why are you here? Why invest your resources in this? What is important to you about this? Discuss this with the person next to you

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Why we do this?

If this workshop was to succeed PERFECTLY… You would _____________________?

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Why we do this?

If this workshop was to succeed PERFECTLY… You would _____________________? Your Client would _______________? Discuss with the person next to you what PERFECT treatment would look like with a Client with Chronic Illness

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Why we do this?

THIS VALUE That you just talked about is WHY WE DO THIS

Why do this?

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Why do Clients do this?

Why do this?

What is the Client asking us to do? What help is the Client expecting from us? What Values bring them here will guide the Committed Action What Pain brings them here will help us understand their experience

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Informed Consent & Committed Action

What kind of therapy? How is it different? TERMINATION – start working on – “My goal is to help you get to the point where you feel you don’t need me anymore.” PAIN – when talking and working in this area is painful INTERFACE – Medical Model vs ACT DISCOMFORT – what showed up when Values were raised? “It’s hopeless”, “too hard”, “do something that justifies my fee” Worst Case Scenario:

  • Client feels unheard (ACT doesn’t care about suffering, emotions, etc);
  • Client feels pushed (another stick, exposure is too fast, etc);
  • Client feels blamed (in ACT I can do anything, if not, I chose not to);

COMPASSION – Notice pain, Kindly, It’s not crazy, Don’t have to fix EXERCISE – crumpled piece of paper (two sides: receiver’s care/respect AND giver’s courage)

Why do this?

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The ACT Model

Functional Contextualism (CBS) Relational Frame Theory

Why do this?

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The ACT Model

Functional Contextualism (CBS) Uses Relational Frame Theory

Why do this?

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The ACT Model

Functional Contextualism (CBS) Uses Relational Frame Theory

Why do this?

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Image from Dr Kevin Polk: www.drkevinpolk.com

ME NOTICING

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Image from Dr Kevin Polk: www.drkevinpolk.com

Solutions Threats/Pain Values Actions ME NOTICING

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Image from Dr Kevin Polk: www.drkevinpolk.com

Solutions Threats/Pain Values Actions ME NOTICING

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Image from Dr Kevin Polk: www.drkevinpolk.com

Solutions Threats/Pain Values Actions ME NOTICING Things I do to CONTROL Pain My UNWANTED inner experiences DOING what matters/important What I CARE about

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Use ‘artistic licence’ to imagine what Values guide John and what his struggle is. Feel free to consider own Client instead

Conceptualisation

Meet John: Successful, hard-working executive in late 40ies Worked despite industrial noise – hearing loss, tinnitus Tried to ‘push through’ – but found extremely stressful Multiple medical tests and treatments – wears an Aid Could not return to same performance – retired completely Some difficulty engaging in health and social activities Treatment goal – “make sure I’m doing all the right things”

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Conceptualisation

Welcome back! Use the HOMEWORK results to conceptualise what it is like to be you. What are the unwanted fears, insecurities, annoyances, losses, and pain that show up? How do you move away? Who /what do you care about, matters to you, is important, which guides what you do? How do you move toward? How does this help you connect better with your Client?

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Dealing with PAIN

There are ways of dealing with pain Most of us would’ve heard about “… stopping the pain…” vs. “… changing your relationship with …”

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Dealing with PAIN

There are ways of dealing with pain Most of us would’ve heard about “… stopping the pain…” vs. “… changing your relationship with …”

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Dealing with PAIN

Metaphor – TATTOO: Think of a person with a tattoo

  • 1. Do they have more than one? If yes –

why did they go back for more?

  • 2. Tattoos are

1.

Addictive

2.

Meaningful

3.

Exciting

4.

Etc

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Dealing with PAIN

Tattoo facts***:

  • 1. Between 50-3,000 needle strikes a minute
  • 2. Duration varies - >1hr to several hours
  • 3. Approx 4-5mm depth of needle plunge
  • 4. Particularly painful – bones, cartilage
  • 5. US – 38% of 18-40yo have a tattoo
  • 6. Cost - $45(small)-$150/hour(large)

STILL – reportedly a REWARDING experience

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Dealing with PAIN

Lets tweak the circumstances: Instead of willingly receiving a tattoo, the person was to be kidnapped and dragged down a dark alley way to receive a tattoo against their will. Would it be as rewarding? What would our mind do? What would our bodies do? WHY?

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The Struggle Switch

Aversion

Willing Averse

Threat

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The Struggle Switch

Aversion

Willing Averse

Threat

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The Struggle Switch

Aversion

Willing Averse

Threat Aversion

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The Struggle Switch

Aversion

Willing Averse

Threat Aversion

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The Struggle Switch

Aversion

Willing Averse

Threat Aversion

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The Struggle Switch

Aversion

Willing Averse

Threat

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The Struggle Switch

Willing Averse

Willingness to experience INTERNAL events

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PRACTICE

Let’s form TRIADS:

1.

Client –

1.

Share, notice urge to move away, notice unwillingness. Connect with Value. What can be a move toward?

2.

Guess Therapist’s Matrix

2.

Therapist –

1.

Support Client, notice urges to move away, notice

  • unwillingness. Connect with Value. What can be a move

toward?

2.

Guess Client’s Matrix

3.

Observer

1.

Guess Therapist’s and Client’s Matrix

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QUESTIONS?

 Do you have any questions?  Have we done what you were here to do?  Do you have the resources to continue practicing?  What would you need to continue your growth?

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Thank you!

Any questions? Further questions – admin@mindzone.com.au