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| bottom up approach therapy: Healing Trauma Peter A. Levine, 2008 Medical researchers have known for decades that survivors of accidents, disaster, and childhood trauma often endure life-long symptoms ranging from anxiety and depression to unexplained physical pain and harmful acting out behaviors. Drawing on nature's lessons, Dr. Levine teaches you each of the essential principles of his four-phase process: you will learn how and where you are storing unresolved distress; how to become more aware of your body's physiological responses to danger; and specific methods to free yourself from trauma. |
| bottom up approach therapy: Treating Trauma and Addiction with the Felt Sense Polyvagal Model Jan Winhall, 2021-06-24 In sharp contrast with the current top-down medicalized method to treating addiction, this book presents the felt sense polyvagal model (FSPM), a paradigm-shifting, bottom-up approach that considers addiction as an adaptive attempt to regulate emotional states and trauma. The felt sense polyvagal model draws from Porges' polyvagal theory, Gendelin's felt sense, and Lewis' learning model of addiction to offer a graphically illustrated and deeply embodied way of conceptualizing and treating addiction through supporting autonomic regulation. This model de-pathologizes addiction as it teaches embodied practices through tapping into the felt sense, the body’s inner wisdom. Chapters first present a theoretical framework and demonstrate the graphic model in both clinician and client versions and then teach the clinician how to use the model in practice by providing detailed treatment strategies. This text’s informed, compassionate approach to understanding and treating trauma and addiction is adaptable to any school of psychotherapy and will appeal to addiction experts, trauma specialists, and clinicians in all mental health fields. |
| bottom up approach therapy: Healing Trauma with Guided Drawing Cornelia Elbrecht, 2019-06-04 A body-focused, trauma-informed art therapy that will appeal to art therapists, somatic experiencing practitioners, bodyworkers, artists, and mental health professionals While art therapy traditionally focuses on therapeutic image-making and the cognitive or symbolic interpretation of these creations, Cornelia Elbrecht instructs readers how to facilitate the body-focused approach of guided drawing. Clients draw with both hands and eyes closed as they focus on their felt sense. Physical pain, tension, and emotions are expressed without words through bilateral scribbles. Clients then, with an almost massage-like approach, find movements that soothe their pain, discharge inner tension and emotions, and repair boundary breaches. Archetypal shapes allow therapists to safely structure the experience in a nonverbal way. Sensorimotor art therapy is a unique and self-empowering application of somatic experiencing--it is both body-focused and trauma-informed in approach--and assists clients who have experienced complex traumatic events to actively respond to overwhelming experiences until they feel less helpless and overwhelmed and are then able to repair their memories of the past. Elbrecht provides readers with the context of body-focused, trauma-informed art therapy and walks them through the thinking behind and process of guided drawing--including 100 full-color images from client sessions that serve as helpful examples of the work. |
| bottom up approach therapy: Anxious Joseph LeDoux, 2016-08-23 “A rigorous, in-depth guide to the history, philosophy, and scientific exploration of this widespread emotional state . . . [LeDoux] offers a magisterial review of the role of mind and brain in the generation of unconscious defense responses and consciously expressed anxiety. . . . [His] charming personal asides give an impression of having a conversation with a world expert.” —Nature A comprehensive and accessible exploration of anxiety, from a leading neuroscientist and the author of Synaptic Self Collectively, anxiety disorders are our most prevalent psychiatric problem, affecting about forty million adults in the United States. In Anxious, Joseph LeDoux, whose NYU lab has been at the forefront of research efforts to understand and treat fear and anxiety, explains the range of these disorders, their origins, and discoveries that can restore sufferers to normalcy. LeDoux’s groundbreaking premise is that we’ve been thinking about fear and anxiety in the wrong way. These are not innate states waiting to be unleashed from the brain, but experiences that we assemble cognitively. Treatment of these problems must address both their conscious manifestations and underlying non-conscious processes. While knowledge about how the brain works will help us discover new drugs, LeDoux argues that the greatest breakthroughs may come from using brain research to help reshape psychotherapy. A major work on one of our most pressing mental health issues, Anxious explains the science behind fear and anxiety disorders. Praise for Anxious: “[Anxious] helps to explain and prevent the kinds of debilitating anxieties all of us face in this increasingly stressful world.” —Daniel J. Levitin, author of The Organized Mind and This Is Your Brain on Music “A careful tour through the current neuroscience of fear and anxiety . . . [Anxious] will reward the informed reader.” —The Wall Street Journal “An extraordinarily ambitious, provocative, challenging, and important book. Drawing on the latest research in neuroscience (including work in his own laboratory), LeDoux provides explanations of the origins, nature, and impact of fear and anxiety disorders.” —Psychology Today |
| bottom up approach therapy: Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols Marilyn Luber, PhD, 2009-05-18 This excellent book contains many different scripts, applicable to a number of special populations. It takes a practical approach and walks therapists step-by-step through the EMDR therapeutic process. [Readers] will not be disappointed. Score: 93, 4 stars --Doody's Praise from a practicing EMDR therapist and user of Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: Kudos to...everyone who contributed to this important volume....[It] is an indispensable resource. Thank you, thank you, thank you! --Andrea B. Goldberg, LCSW EMDRIA Certified EMDR Therapist EMDRIA Consultant-in-training Bloomfield and Newark, NJ This book serves as a one-stop resource where therapists can access a wide range of word-for-word scripted protocols for EMDR practice, including the past, present, and future templates. These scripts are conveniently outlined in an easy-to-use, manual style template for therapists, allowing them to have a reliable, consistent form and procedure when using EMDR with clients. The book contains an entire section on the development of resources and on clinician self-care. There is a self-awareness questionnaire to assist clinicians in identifying potential problems that often arise in treatment, allowing for strategies to deal with them. Also included are helpful past memory, current triggers and future template worksheet scripts. Key topics include: Client history taking that will inform the treatment process of patients Resource development to help clients identify and target their problems to regain control when issues appear overwhelming Scripts for the 6 basic EMDR Protocols for traumatic events, current anxieties and behaviors, recent traumatic events, phobias, excessive grief, and illness and somatic disorders Early intervention procedures for man-made and natural catastrophes EMDR and early interventions for groups, including work with children, adolescents, and adults Written workbook format for individual or group EMDR EMDR to enhance performance and positive emotion |
| bottom up approach therapy: Trauma Healing at the Clay Field Cornelia Elbrecht, 2012-09-15 Using clay in therapy taps into the most fundamental of human experiences - touch. This book is a comprehensive step-by-step training manual that covers all aspects of 'Work at the Clay Field', a sensorimotor-based art therapy technique. The book discusses the setting and processes of the approach, provides an overview of the core stages of Gestalt Formation and the Nine Situations model within this context, and demonstrates how this unique focus on the sense of touch and the movement of the hands is particularly effective for trauma healing in adults and children. The intense tactile experience of working with clay allows the therapist to work through early attachment issues, developmental setbacks and traumatic events with the client in a primarily nonverbal way using a body-focused approach. The kinaesthetic motor action of the hands combined with sensory perception can lead to a profound sense of resolution with lasting therapeutic benefits. With photographs and informative case studies throughout, this book will be a valuable resource for art therapists and mental health professionals, and will also be of interest to complementary therapists and bodyworkers. |
| bottom up approach therapy: In an Unspoken Voice Peter A. Levine, Ph.D., 2012-10-30 Unraveling trauma in the body, brain and mind—a revolution in treatment. Now in 17 languages. In this culmination of his life’s work, Peter A. Levine draws on his broad experience as a clinician, a student of comparative brain research, a stress scientist and a keen observer of the naturalistic animal world to explain the nature and transformation of trauma in the body, brain and psyche. In an Unspoken Voice is based on the idea that trauma is neither a disease nor a disorder, but rather an injury caused by fright, helplessness and loss that can be healed by engaging our innate capacity to self-regulate high states of arousal and intense emotions. Enriched with a coherent theoretical framework and compelling case examples, the book elegantly blends the latest findings in biology, neuroscience and body-oriented psychotherapy to show that when we bring together animal instinct and reason, we can become more whole human beings. |
| bottom up approach therapy: Trauma and the Body: A Sensorimotor Approach to Psychotherapy (Norton Series on Interpersonal Neurobiology) Pat Ogden, Kekuni Minton, Clare Pain, 2006-09-19 Psychological trauma profoundly affects the body, often disrupting normal physical functioning when left unresolved. This work provides a review of research in neuroscience, trauma dissociation and attachment theory that points to the need for an integrative mind-body approach to trauma. |
| bottom up approach therapy: The Comprehensive Resource Model Lisa Schwarz, Frank Corrigan, Alastair Hull, Rajiv Raju, 2016-10-04 Traditional methods employed in psychotherapy have limited effectiveness when it comes to healing the psychological effects of trauma, in particular, complex trauma. While a client may seem to make significant breakthroughs in understanding their feelings and experiences on a rational level by talking with a therapist, this will make no difference to their post-traumatic symptoms if the midbrain is unable to modulate its activity in response. The Comprehensive Resource Model argues for a novel therapeutic approach, which uniquely bridges neuroscience and spirituality through a combination of somatic therapy, traditional psychotherapy, and indigenous healing concepts to provide effective relief to survivors of trauma. The Comprehensive Resource Model was developed in response to the need for a streamlined, integrative therapeutic model; one which engages a scaffolding of neurobiological resources in many brain structures simultaneously in order for clients to be fully embodied and conscious in the present moment while processing their traumatic material. All three phases of trauma therapy: resourcing, processing, and integration are done simultaneously. Demonstrating a nested model and employing brain and body-based physiological safety as the foundation of healing, chapters describe three primary categories of targeted processing: implicit and explicit survival terror, ‘Little T Truths’, and ‘Big T Truths’, all of which contribute to thorough healing of complex trauma and an expansion into higher states of consciousness and embodiment of the essential core self. This book describes the development and benefits of this pioneering new approach to trauma therapy. As such, it will be of key interest to academics, researchers and postgraduate students in the fields of psychiatry, psychotherapy, psychology and trauma studies. It will also appeal to practising therapists, psychiatrists, psychologists, psychiatric nurses, and to others involved in the treatment or management of patients with complex trauma disorders. |
| bottom up approach therapy: EMDR Therapy and Somatic Psychology: Interventions to Enhance Embodiment in Trauma Treatment Arielle Schwartz, Barb Maiberger, 2018-08-07 A guide to help EMDR practitioners to integrate somatic therapy into their sessions. Clients who have experienced traumatic events and seek EMDR therapists rely on them as guides through their most vulnerable moments. Trauma leaves an imprint on the body, and if clinicians don't know how to stay embodied in the midst of these powerful relational moments, they risk shutting down with their clients or becoming overwhelmed by the process. If the body is not integrated into EMDR therapy, full and effective trauma treatment is unlikely. This book offers an integrative model of treatment that teaches therapists how to increase the client's capacity to sense and feel the body, helps the client work through traumatic memories in a safe and regulated manner, and facilitates lasting integration. Part I (foundational concepts) offers a broad discussion of theory and science related to trauma treatment. Readers will be introduced to essential components of EMDR therapy and somatic psychology. The discussion then deepens into the science of embodiment through the lens of research on emotion, memory, attachment, interpersonal neurobiology, and the impact of trauma on overall health. This part of the book emphasizes the principles of successful trauma treatment as phase-oriented, mindfulness-based, noninterpretive, experiential, relational, regulation focused, and resilience-informed. Part II (interventions) presents advanced scripted protocols that can be integrated into the eight phases of EMDR therapy. These interventions provide support for therapists and clients who want to build somatic awareness through experiential explorations that incorporate mindfulness of sensations, movement impulses, breath, and boundaries. Other topics discussed include a focus on complex PTSD and attachment trauma, which addresses topics such as working with preverbal memories, identifying ego states, and regulating dissociation; chronic pain or illness; and culturally-based traumatic events. Also included is a focused model of embodied self-care to prevent compassion fatigue and burnout. |
| bottom up approach therapy: Healing Developmental Trauma Laurence Heller, Ph.D., Aline LaPierre, Psy.D., 2012-09-25 This “well-organized, valuable” guide draws from somatic-based psychotherapy and neuroscience to offer “clear guidance” for coping with childhood trauma (Peter Levine, author of Waking the Tiger and In an Unspoken Voice). Although it may seem that people suffer from an endless number of emotional problems and challenges, Laurence Heller and Aline LaPierre maintain that most of these can be traced to five biologically based organizing principles: the need for connection, attunement, trust, autonomy, and love-sexuality. They describe how early trauma impairs the capacity for connection to self and others and how the ensuing diminished aliveness is the hidden dimension that underlies most psychological and many physiological problems. Heller and LaPierre introduce the NeuroAffective Relational Model® (NARM), a method that integrates bottom-up and top-down approaches to regulate the nervous system and resolve distortions of identity such as low self-esteem, shame, and chronic self-judgment that are the outcome of developmental and relational trauma. While not ignoring a person’s past, NARM emphasizes working in the present moment to focus on clients’ strengths, resources, and resiliency in order to integrate the experience of connection that sustains our physiology, psychology, and capacity for relationship. |
| bottom up approach therapy: Bottom Up Dionne H. Shnider, 2018-11-09 “The background information was just what I needed to remind myself enough of the theories and major thoughts out there. The explanation of the biological basis behind certain diagnoses was spot on and very well-explained. The practical piece with tasks at the end of each chapter is beyond excellent. The section in the beginning that explains self-talk and changing language - I find this so useful and efficient as a way to change perspective”. Antonette T. Dulay, MD, Main Line Perinatal Associates Maternal-Fetal Medicine Section, Dept. Ob/Gyn. Main Line Health System and Axia Women’s Health “This book helps to educate, empower and motivate the user to better understand their mental state and provides useful tools for a positive outcome”. Nadine Beiles B.N. GCert Perioperative “This book has the positive power to give anyone in need of guidance, the gift of understanding the brain better and hope with empowerment and healing”. Stroke survivor “As a psychologist seeing a neurological standpoint depicts a bigger picture and better understanding about an individual as a whole. At times it felt like I was learning something new with parts of the brain and how it works and contributes to parts of our being. I love the sections with the different visual and task portions. I am a visual learner so the task worksheets helped my brain soak in the information. The tasks were a good exercise for psychologist to experience and complete, which allows a psychologist better help to assist clients with these tools”. Dr. April M. Colbert, Licensed Clinical Psychologist “A very comprehensive and thorough explanation of the neuroscience principles which link well with Cognitive Behavioural Therapy”. Rita Princi-Hubbard M.Psych(Clin), MAPS, FCCLP, MIACN(Cert) |
| bottom up approach therapy: Functional Somatic Symptoms in Children and Adolescents Kasia Kozlowska, Stephen Scher, Helene Helgeland, 2020-09-30 This open access book sets out the stress-system model for functional somatic symptoms in children and adolescents. The book begins by exploring the initial encounter between the paediatrician, child, and family, moves through the assessment process, including the formulation and the treatment contract, and then describes the various forms of treatment that are designed to settle the child’s dysregulated stress system. This approach both provides a new understanding of how such symptoms emerge – typically, through a history of recurrent or chronic stress, either physical or psychological – and points the way to effective assessment, management, and treatment that put the child (and family) back on the road to health and well-being. |
| bottom up approach therapy: Brainspotting David Grand, Ph.D., 2013-04-01 Brain-based therapy is the fastest-growing area in the field of psychological health because it has proven that it can immediately address issues that talk therapy can take years to heal. Now Dr. David Grand presents the next leap forward in psychological care—combining the strengths of brain-based and talk therapies into a powerful technique he calls Brainspotting. In Brainspotting, Dr. Grand reveals the key insight that allowed him to develop this revolutionary therapeutic tool: that where we look reveals critical information about what's going on in our brain. Join him to learn about: The history of Brainspotting—how it evolved from EMDR practice as a more versatile tool for brain-based therapy • Brainspotting in action—case studies and evidence for the effectiveness of the technique • An overview of the different aspects of Brainspotting and how to use them • Between sessions—how clients can use Brainspotting on their own to reinforce and accelerate healing • Why working simultaneously with the right and left brain can lead to expanded creativity and athletic performance • How Brainspotting can be used to treat PTSD, anxiety, depression, addiction, physical pain, chronic illness, and much more Brainspotting lets the therapist and client participate together in the healing process, explains Dr. Grand. It allows us to harness the brain's natural ability for self-scanning, so we can activate, locate, and process the sources of trauma and distress in the body. With Brainspotting, this pioneering researcher introduces an invaluable tool that can support virtually any form of therapeutic practice—and greatly accelerate our ability to heal. |
| bottom up approach therapy: Trauma-Sensitive Yoga in Therapy: Bringing the Body into Treatment David Emerson, 2015-02-16 This practical guide presents the cutting-edge work of the Trauma Center’s yoga therapy program, teaching all therapists how to incorporate it into their practices. When treating a client who has suffered from interpersonal trauma—whether chronic childhood abuse or domestic violence, for example—talk therapy isn’t always the most effective course. For these individuals, the trauma and its effects are so entrenched, so complex, that reducing their experience to a set of symptoms or suggesting a change in cognitive frame or behavioral pattern ignores a very basic but critical player: the body. In cases of complex trauma, mental health professionals largely agree that the body itself contains and manifests much of the suffering—self hatred, shame, and fear. Take, for example, a woman who experienced years of childhood sexual abuse and, though very successful in her professional life, has periods of not being able to feel her limbs, sensing an overall disconnection from her very physical being. Reorienting clients to their bodies and building their “body sense” can be the very key to unlocking their pain and building a path toward healing. Based on research studies conducted at the renowned Trauma Center in Brookline, Massachusetts, this book presents the successful intervention known as Trauma-Sensitive Yoga (TSY), an evidence-based program for traumatized clients that helps them to reconnect to their bodies in a safe, deliberate way. Synthesized here and presented in a concise, reader-friendly format, all clinicians, regardless of their background or familiarity with yoga, can understand and use these simple techniques as a way to help their clients achieve deeper, more lasting recovery. Unlike traditional, mat-based yoga, TSY can be practiced without one, in a therapist’s chair or on a couch. Emphasis is always placed on the internal experience of the client him- or herself, not on achieving the proper form or pleasing the therapist. As Emerson carefully explains, the therapist guides the client to become accustomed to feeling something in the body—feet on the ground or a muscle contracting—in the present moment, choosing what to do about it in real time, and taking effective action. In this way, everything about the practice is optional, safe, and gentle, geared to helping clients to befriend their bodies. With over 30 photographs depicting the suggested yoga forms and a final chapter that presents a portfolio of step-by-step yoga practices to use with your clients, this practical book makes yoga therapy for trauma survivors accessible to all clinicians. As an adjunct to your current treatment approach or a much-needed tool to break through to your traumatized clients, Trauma-Sensitive Yoga in Therapy will empower you and your clients on the path to healing. |
| bottom up approach therapy: Sensorimotor-Focused EMDR Arthur O'Malley, 2018-12-14 Sensorimotor-Focused EMDR combines two hugely influential and effective therapies, EMDR therapy and sensorimotor psychotherapy, to provide a new approach. In doing so, the book supports the widely held view of psychotherapists that in trauma the primary store of neurological information is somatic rather than cognitive. Many therapists trained in EMDR find that additional resources are needed for patients who present with symptoms of complex trauma and dissociation. This is because EMDR is primarily a top-down approach based on CBT, with the addition of bilateral stimulation (BLS) in visual, tactile and auditory modalities. By contrast, Sensorimotor-Focused EMDR takes a body-based and bottom-up approach that seeks to resolve trauma by reprocessing information at multiple levels – in the gut-brain, the heart-brain and the head-brain, as well as in the endocrine, immune and nervous systems. Fully revised since The Art of BART (2015), the book looks at the latest advances in neuroscience, including research into the effectiveness of psychotherapy and the mysteries of consciousness and the development of mind. It also looks at the role of newly discovered organs, the mesentery and the interstitium, and provides clear anatomical evidence for the communication of biophotons in energy channels known as the primo vascular system. SF-EMDR is the only therapy that fully integrates Western theories of affective neuroscience with Eastern observations on activation of chakras, pranas and energies, and in doing so it offers strong potential for enhanced outcomes and optimized performance for patients. |
| bottom up approach therapy: Principles of Assessment and Outcome Measurement for Occupational Therapists and Physiotherapists Alison Laver Fawcett, 2013-03-15 This textbook on assessment and outcome measurement is written for both occupational therapy and physiotherapy students and qualified therapists. It begins by defining what is meant by assessment, outcome, evaluation and measurement and discussing the complexity of therapy assessment and measurement, including the challenge of measuring human behaviour and the impact of factors such as task demand and context, including the environment. Methods of data collection (e.g. observation, interview, standardised testing) and sources (e.g. self-report, proxy) for collecting information about clients are then reviewed, and the main purposes of assessment (e.g. descriptive, evaluative, predictive, discriminative) presented. The book then addresses the topics of standardisation, levels of measurement, reliability, validity and clinical utility. There is a chapter describing and applying models for categorizing levels of function to aid assessment and measurement. The concept of clinical reasoning and reflective practice is then explored. Application of principles is supported through detailed case studies and worksheets and the criteria for test critique and guidelines for choosing a particular assessment approach are discussed. |
| bottom up approach therapy: Building Resilience to Trauma Elaine Miller-Karas, 2015-02-20 After a traumatic experience, survivors often experience a cascade of physical, emotional, cognitive, behavioral, and spiritual responses that leave them feeling unbalanced and threatened. Building Resilience to Trauma explains these common responses from a biological perspective, reframing the human experience from one of shame and pathology to one of hope and biology. It also presents alternative approaches, the Trauma Resiliency Model (TRM) and the Community Resiliency Model (CRM), which offer concrete and practical skills that resonate with what we know about the biology of trauma. In programs co-sponsored by the World Health Organization, the Unitarian Universalist Service Committee, ADRA International and the department of behavioral health of San Bernardino County, the TRM and the CRM have been used to reduce and in some cases eliminate the symptoms of trauma by helping survivors regain a sense of balance. Clinicians will find that they can use the models with almost anyone who has experienced or witnessed any event that was perceived as life threatening or posed a serious injury to themselves or to others. The models can also be used to treat symptoms of vicarious traumatization and compassion fatigue. |
| bottom up approach therapy: The Practical Guide for Healing Developmental Trauma Laurence Heller, Ph.D., Brad J. Kammer, LMFT, 2022-07-26 A practical step-by-step guide and follow-up companion to Healing Developmental Trauma--presenting one of the first comprehensive models for addressing complex post-traumatic stress disorder (C-PTSD) The NeuroAffective Relational Model (NARM) is an integrated mind-body framework that focuses on relational, attachment, developmental, cultural, and intergenerational trauma. NARM helps clients resolve C-PTSD, recover from adverse childhood experiences (ACEs), and facilitate post-traumatic growth. Inspired by cutting-edge trauma-informed research on attachment, developmental psychology, and interpersonal neurobiology, The Practical Guide for Healing Developmental Trauma provides counselors, psychotherapists, psychologists, social workers, and trauma-sensitive helping professionals with the theoretical background and practical skills they need to help clients transform complex trauma. It explains: The four pillars of the NARM therapeutic model Cultural and transgenerational trauma Shock vs. developmental trauma How to effectively address ACEs and support relational health How to differentiate NARM from other approaches to trauma treatment NARM's organizing principles and how to integrate the program into your clinical practice |
| bottom up approach therapy: Experiential Therapies for Treating Trauma Evan Senreich, Shulamith Lala Ashenberg Straussner, Jordan Dann, 2024-12-16 Experiential Therapies for Treating Trauma offers 17 chapters, with 15 of them focusing on a different experiential psychotherapy for treating trauma, written by clinicians with expertise in that modality. No other book contains descriptions of such a wide array of experiential therapies under one cover. Readers will obtain both a comprehensive overview of the many experiential therapies that are currently utilized and specific knowledge regarding how to utilize each of them in psychotherapy practice. The authors of each chapter emphasize that in working with clients impacted by trauma, there is a need for the use of therapeutic modalities that go beyond the cognitive processes central to talk therapy and incorporate more holistic, sensory approaches that emphasize the building of a strong relationship between the client and therapist. Both experienced clinicians and students will find this book to be an invaluable resource to enhance their knowledge of how to use experiential therapies and to motivate them to obtain advanced training in modalities that spark their interest. |
| bottom up approach therapy: The Body Keeps the Score Bessel A. Van der Kolk, 2015-09-08 Originally published by Viking Penguin, 2014. |
| bottom up approach therapy: Making Play Just Right: Unleashing the Power of Play in Occupational Therapy Heather Kuhaneck, Susan L. Spitzer, 2022-05-19 At the heart of Making Play Just Right: Unleashing the Power of Play in Occupational Therapy is the belief that the most effective way to ensure pediatric occupational therapy is through incorporating play. The Second Edition is a unique resource on pediatric activity and therapy analysis for occupational therapists and students. This text provides the background, history, evidence, and general knowledge needed to use a playful approach to pediatric occupational therapy, as well as the specific examples and recommendations needed to help therapists adopt these strategies. |
| bottom up approach therapy: Skills for Practice in Occupational Therapy E-Book Edward A. S. Duncan, 2022-10-16 Skills for Practice in Occupational Therapy is an essential companion for all students and newly qualified practitioners working in the complicated field of occupational therapy. Written by Edward Duncan of the University of Stirling, the book provides a practical and pragmatic guide to becoming a successful practitioner. It covers everything from thinking and judgement to decision making, evidence-based practice and research skills, and leadership and management. It also guides the reader toward effective career advancement, getting their work noticed, and staying up to date in their field. This book is a companion to Duncan's Foundations for Practice in Occupational Therapy, and provides the practical applications of the theory covered in that text. - Completely updated to align with current practice in occupational therapy - Chapters structured for easy navigation - Practical examples and/or vignettes bring the text to life - Highlight boxes demystify concepts for students new to the area - Easy to read and engaging throughout - Well-referenced, links practice to theory and evidence - New content on goal setting, social media and implementation research |
| bottom up approach therapy: Meeting the Physical Therapy Needs of Children Susan K. Effgen, Alyssa LaForme Fiss, 2020-12-22 Ensure children with disabilities and special healthcare needs achieve their full potential. Noted authorities Susan Effgen, Allyssa LaForme Fiss and a team of scholars and clinical experts explore the role of the physical therapist in meeting the needs of children and their families in a culturally appropriate content using a family-centered, abilities-based model. From the major body systems to assistive technology and intervention support, you’ll develop the clinical knowledge you need to provide a child with the very best care from initial examination to graduation from your services. |
| bottom up approach therapy: Global Mental Health and Psychotherapy Dan J. Stein, Judith K. Bass, Stefan G. Hofmann, 2019-02-15 Global Mental Health and Psychotherapy: Adapting Psychotherapy for Low- and Middle-Income Countries takes a detailed look at how psychotherapies can be adapted and implemented in low- and middle-income countries, while also illuminating the challenges and how to overcome them. The book addresses the conceptual framework underlying global mental health and psychotherapy, focusing on the importance of task-shifting, a common-elements approach, rigorous supervision, and the scaling up of psychotherapies. Specific psychotherapies, such as cognitive-behavioral therapy, interpersonal therapy and collaborative care are given in-depth coverage, as is working with special populations, such as children and adolescents, pregnant women, refugees, and the elderly. In addition, treatment strategies for common disorders, such as depression, anxiety and stress, and substance abuse are covered, as are strategies for more severe mental disorders, such as schizophrenia. |
| bottom up approach therapy: Treating Complex Trauma and Dissociation Lynette S. Danylchuk, Kevin J. Connors, 2016-09-13 Treating Complex Trauma and Dissociation is the ideal guide for the front-line clinician whose clients come in with histories of trauma, abuse, self-injury, flashbacks, suicidal behavior, and more. The book helps clinicians develop their own responses and practical solutions to common questions, including How do I handle this? What do I say? and What can I do? Treating Complex Trauma and Dissociation is the book clinicians will want to pick up when they're stuck and is a handy reference that provides the tools needed to deal with difficult issues in therapy. It is supportive and respectful of both therapist and client, and, most of all, useful in the office. |
| bottom up approach therapy: Trauma Impacts Jessica Stone, Robert J. Grant, Clair Mellenthin, 2024-02-19 A systems-oriented look at how unhealed trauma can prevent optimal functioning—and what to do about it Trauma Impacts: Repercussions of Individual and Collective Trauma explores the many ways that traumatic experiences affect people from diverse backgrounds, as individuals and in groups. In chapters contributed by experts in their fields, this book offers a systemic overview of how trauma impacts all humans, then delves into the manifestations of trauma in specific populations like BIPOC communities, neurodivergent children, and those in helping professions. The book's third and final section looks at emerging modalities for working with trauma and implications for the future of trauma-focused therapy. Ideal for anyone who works closely with individuals who have experienced trauma—therapists, educators, social workers, and beyond—Trauma Impacts will benefit from a thorough understanding on how trauma continues to influence lives, even long after the fact. Trauma can interfere with meeting basic needs, forming healthy relationships, and finding fulfillment in the pursuit of individual and collective goals. When we conceptualize these impacts, we become empowered to help people process their traumatic experiences, integrate the pain they have experienced, and lead more satisfying lives. Understand the intersectional effects of trauma on individuals and systems Discover hope for healing through real-world voices and current research Consider how collective trauma manifests in the lives of individuals Gain insights that can help you work more effectively with clients |
| bottom up approach therapy: Occupational Therapy Essentials for Clinical Competence Karen Sladyk, Karen Jacobs, Nancy MacRae, 2010 This text begins by linking the ACOTE Accreditation Standards with current practice in chapters for students and educators, and sets the stage with two foundational concepts vital to the study of occupation: flow and culture. It presents a summary of interconnected constructs that define and direct occupational therapy practice. Inside are included: Basic tenets of occupational therapy; Occupational therapy theoretical perspectives; Screening, evaluation, and referral; Formulation and implementation of an intervention plan; Context of service delivery; Context of delivery service; Management of occupational therapy services; Professional ethics, values, and responsibilities; Culture and its role in occupational choice and performance. It also includes student activities at the end of each chapter, as well as on-line material that consists of multiple choice questions, chapter objectives, teacher activities, and PowerPoint slides. Some additional features Include: Examples as viewed and analyzed from multiple perspectives; Evidence-based practice reviews that provide a starting point to have each topic explored in depth; Evaluation of the mastery of application and self-assessment exercises; Integration throughout the text of Occupational Therapy Practice Framework: Domain and Process, Second Edition. The text overall incorporates adult learning theory as its basis to assist in establishing cognitive interest, using the organization format of grouping concepts together to reinforce and facilitate learning. |
| bottom up approach therapy: Stories and Analogies in Cognitive Behaviour Therapy Paul Blenkiron, 2010-03-08 An accessible guide to employing stories and metaphors within cognitive behaviour therapy, which will aid clinicians in providing effective treatment for their clients Provides therapists with a range of metaphors that can be employed as a tool to enable clients to gain a new perspective on their problem, and reinforce their clients’ motivation for change CBT (Cognitive Behaviour Therapy) continues to grow in popularity, and is strongly recommended as an effective intervention by the National Institute of Clinical Excellence Written in an engaging style that is accessible to both established practitioners and trainees in clinical psychology |
| bottom up approach therapy: Trauma and Expressive Arts Therapy Cathy A. Malchiodi, 2020-03-27 Psychological trauma can be a life-changing experience that affects multiple facets of health and well-being. The nature of trauma is to impact the mind and body in unpredictable and multidimensional ways. It can be a highly subjective that is difficult or even impossible to explain with words. It also can impact the body in highly individualized ways and result in complex symptoms that affect memory, social engagement, and quality of life. While many people overcome trauma with resilience and without long term effects, many do not. Trauma's impact often requires approaches that address the sensory-based experiences many survivors report. The expressive arts therapy-the purposeful application of art, music, dance/movement, dramatic enactment, creative writing and imaginative play-are largely non-verbal ways of self-expression of feelings and perceptions. More importantly, they are action-oriented and tap implicit, embodied experiences of trauma that can defy expression through verbal therapy or logic. Based on current evidence-based and emerging brain-body practices, there are eight key reasons for including expressive arts in trauma intervention, covered in this book: (1) letting the senses tell the story; (2) self-soothing mind and body; (3) engaging the body; (4) enhancing nonverbal communication; (5) recovering self-efficacy; (6) rescripting the trauma story; (7) making meaning; and (8) restoring aliveness-- |
| bottom up approach therapy: Essential Concepts of Occupation for Occupational Therapy Charles Christiansen, Kristine Haertl, 2023-11-30 Essential Concepts of Occupation for Occupational Therapy is an accessible introduction to vital concepts in occupational science for the occupational therapy practitioner or student. It invites therapists to view and understand their clients differently—by using an “occupational lens” to focus on the lives of their clients as everyday doers. It addresses the key questions at the heart of understanding humans as occupational beings: What do people typically do? And, where, when, how, why, and with whom do they do it? These questions organize the key concepts from occupational science that form the first chapters of this book, enabling therapists to better understand their clients—and enabling their clients to better understand the importance of occupation to their well-being. Additional chapters clearly describe how therapists can use occupation-based models to apply an expanded view of occupation and make evaluation and intervention more relevant and beneficial to their clients. A final chapter examines trends and lifestyle changes occurring in the 21st century to anticipate how these might impact future practice. Through use of engaging and thoughtful cases that illustrate many of the concepts, this guide will help practitioners clearly understand their clients as doers, while also providing enhanced ways for therapist to confidently apply these concepts in practice. |
| bottom up approach therapy: Occupational Therapy Interventions Catherine Meriano, Donna Latella, 2024-06-01 Occupational Therapy Interventions: Functions and Occupations, Second Edition is a unique and comprehensive text intended to provide the essential information required for occupational therapy practice in the physical approach to the intervention process. This practical and user-friendly text offers an entry-level approach to bridging the American Occupational Therapy Association’s Occupational Therapy Practice Framework,Third Edition with everyday practice, specifically concerning interventions. Dr. Catherine Meriano and Dr. Donna Latella focus each chapter of the text on an area of occupation, evidence-based practice, current intervention options, as well as a specific hands-on approach to grading interventions. Although the focus of the text is the intervention process, Occupational Therapy Interventions: Function and Occupations, Second Edition also includes a detailed “Evaluation Grid” which offers a unique approach to choosing occupational therapy evaluations. New in the Second Edition: New evidence-based articles have been added to each of the chapters Some new rewritten and expanded chapters Updated references throughout Includes sample exam questions with each chapter Updated key concepts and incorporated new documents such as: AOTA’s Occupational Therapy Practice Framework,Third Edition AOTA’s Occupational Therapy Code of Ethics AOTA’s Guidelines for Supervision, Roles, and Responsibilities During the Delivery of Occupational Therapy Services Included with the text are online supplemental materials for faculty use in the classroom. With the incorporation of new evidence-based concepts, updates to reflect the AOTA’s newest documents, and new hands-on approaches to interventions, Occupational Therapy Interventions: Functions and Occupations, Second Edition should be by the side of every occupational therapy student and entry-level practitioner. |
| bottom up approach therapy: Navigating Voice Disorders Carolyn Andrews, 2022-12-13 This book comprises 50 tips for speech and language therapy practitioners who are new to, or less experienced in, working with adult voice disorders. It considers the full clinical pathway from assessment to management and on through to discharge. Packed with easily accessible, practical hints about therapy and useful self-development activities for the reader, sections cover: Reflecting on the normal voice ‘Doing’ therapy Assessment Management Specific diagnoses Professional voice users Professional liaison Learning from clients The resource concludes with a handy appendix providing further reading and useful resources. Presenting diagnosis-specific and client group-specific tips alongside widely applicable guidance, this is a go-to book for accessible and practical support for voice newbies. |
| bottom up approach therapy: Art Therapy with Military Veterans Janice Lobban, 2017-10-02 Art Therapy with Military Veterans: Trauma and the Image provides a comprehensive framework for understanding and applying art therapy with former and serving armed forces personnel who have Post-Traumatic Stress Disorder (PTSD). This book brings together experienced contributors in one volume to provide the range of information essential to those seeking to understand the complexities of working in this context. In recent years, art therapy has received increasing attention as a promising treatment for veterans with PTSD. This cutting-edge book provides vital background information on PTSD, military culture and mental health provision, and an effective art therapy working model. The text explores creative partnerships with other disciplines, in different settings, and includes first-hand accounts from veterans about the role art therapy has played in their recovery. This accessible book is a timely response to growing recognition of the value of art therapy with veterans, and it also addresses issues relevant to the wider population of people whose lives have been detrimentally affected by trauma. With chapters authored by leading clinicians in this field, Art Therapy with Military Veterans: Trauma and the Image will be of interest to all art therapists and mental health professionals working with traumatised veterans. |
| bottom up approach therapy: Crouch and Alers Occupational Therapy in Psychiatry and Mental Health Rosemary Crouch, Tania Buys, Enos Morankoana Ramano, Matty van Niekerk, Lisa Wegner, 2024-10-21 Celebrating its evolution over thirty-four years, the sixth edition of Crouch and Alers Occupational Therapy in Psychiatry and Mental Health continues its legacy as a trailblazing guide, reshaped to address the challenges of a post-Covid, globalised world. Led by renowned expert Rosemary Crouch, this edition embraces an inclusive perspective on human functionality, social inclusion, and participation in everyday life. Highlighting the pressing need for occupational therapy’s role in addressing the burden of mental health disorders, it forecasts the staggering economic impact and emphasises prevention, resilience-building, and adaptive participation in daily activities. Featuring thirty interconnected chapters by seasoned practitioners and academics, this book: Aligns with international mental health standards and sustainable development policies, emphasising universal health access and human rights Covers key aspects of occupational therapy, exploring theoretical perspectives for mental health care practice, ethical considerations and cultural sensitivity, advocating for occupational justice, and breaking barriers in mental health care Introduces case studies and reflective questions at the end of each chapter to foster the integration of theory with practical application for different age groups Reflects upon emerging trends such as human ecosystem disruptions, spirituality and mental health, the impact of trauma on individuals and collectives, and maternal mental health concerns Crouch and Alers Occupational Therapy in Psychiatry and Mental Health is ideal for occupational therapy students and newly qualified practitioners, as well as any health professional looking for an up-to-date, evidence-based resource on this aspect of mental health care. |
| bottom up approach therapy: Healing Trauma in Children with Clay Field Therapy Cornelia Elbrecht, 2021-11-02 The first book of its kind on treating trauma in children through creative play with clay, written by a leading voice in the field of art therapy. From the moment we’re born, we rely on our hands to perceive the world. It’s through touch that we communicate with our primary caregivers and attain an abiding sense of love and security. In Clay Field therapy, client children work with clay and water in a rectangular box. The therapeutic focus is not on object creation, but on the touch connection with the clay as a symbolic external world. Movement, touch, and sensory feedback that have long been out of reach are actualized through the creative process, enabling the child to heal past wounds and regain a more fulfilling sense of self. Author and therapist Cornelia Elbrecht has been a leader in groundbreaking art therapy techniques for over 40 years. In Healing Trauma in Children with Clay Field Therapy, she shows how embodied expression within the Clay Field can be an effective tool in treating children suffering the mental, emotional, and physical effects of trauma. She discusses the theory and practice of Clay Field therapy using dozens of case examples and more than 200 images. Working within a fun, safe, and trusting environment, children respond with their embodied braced, chaotic, or dissociated structures of the past, but are then able to foster new sensorimotor experiences that enhance self-esteem, empowerment, and a restoration of developmental deficits. Child therapists will find this book to be a valuable tool--working with a Clay Field can reach even the earliest developmental trauma events, repairing their damage through the haptic hands-brain connection. |
| bottom up approach therapy: Perspectives in Human Occupation Paula Kramer, Jim Hinojosa, Charlotte Brasic Royeen, 2003 This anchor text provides students with a firm foundation on the emerging perspectives of occupation. The book fosters an understanding of where the profession is today as well as where the various scholars are headed with their unique perspectives. It includes issues to be considered when implementing these perspectives into practice, and is designed to support the educational standards set by the Accreditation Council for Occupational Therapy Education (ACOTE). Compatibility: BlackBerry(R) OS 4.1 or Higher / iPhone/iPod Touch 2.0 or Higher /Palm OS 3.5 or higher / Palm Pre Classic / Symbian S60, 3rd edition (Nokia) / Windows Mobile(TM) Pocket PC (all versions) / Windows Mobile Smartphone / Windows 98SE/2000/ME/XP/Vista/Tablet PC |
| bottom up approach therapy: Art Therapy Through the Lifespan Peg Dunn-Snow, Jill McNutt, 2024-10-01 Art Therapy Through the Lifespan: A Collection of Case Studies introduces theories and models of human development highlighted by case studies written by art therapists and broken down by developmental age ranges. Each chapter introduces vignettes written by seasoned art therapists, illuminating the clinical practice of art therapy across relevant developmental levels. Chapters cover major developmental factors through a range of theoretical perspectives, including the definition and use of art therapy, and how developmental knowledge and understanding impact art therapy practice with clients of all ages. The reader will develop an understanding of the impact of human development on assessment, treatment planning, and implementation of art therapy, and will be able to create effective art therapy interventions that coincide with factors related to events across the human lifespan that include normal and abnormal development. The first of its kind, this book encourages and supports readers to develop their knowledge of art therapy and human development across the lifespan with a focus on safety, material quality, and artistic intent. |
| bottom up approach therapy: Understanding Spiritual Abuse Karen Roudkovski, 2024-08-01 Spiritual abuse is a widespread—and often misunderstood—issue. Church leaders may not understand how spiritual abuse manifests and spreads; meanwhile, the impact of spiritual abuse can be devastating to victims, damaging their relationships with themselves, the church, and God. In Understanding Spiritual Abuse: What It Is and How to Respond, professor and licensed counselor Karen Roudkovski offers wisdom, clarity, and hope for those seeking to understand the nature of spiritual abuse and how to heal. Based on her extensive research and clinical experience, Roudkovski explains: What spiritual abuse is, how the term arose, and what makes it distinct. Methods for assessing whether spiritual abuse has occurred, including instructions for the Spiritual Abuse Assessment (9781430086970). The tactics of spiritual abusers, including control, grooming, deception, and lack of accountability. The trauma of spiritual abuse, encompassing spiritual, emotional, physical, and relational harm. Suggestions for spiritual abuse recovery for therapists, survivors, and helpers. Recommendations for how churches can establish spiritually safe communities. Roudkovski's Understanding Spiritual Abuse is an essential resource for survivors, church leaders, and mental health professionals. Roudkovski provides a counseling overview of the topic while practically guiding leaders to create safe and supportive environments for victims to recover and rebuild from spiritual abuse and its devastating impact. |
| bottom up approach therapy: Pedretti's Occupational Therapy - E-Book Heidi McHugh Pendleton, Winifred Schultz-Krohn, 2017-03-10 - NEW! Coverage of the Occupational Therapy Practice Framework (OTPF-3) increases your understanding of the OTPF-3 and its relationship to the practice of occupational therapy with adults who have physical disabilities. - NEW! All new section on the therapeutic use of self, which the OTPF lists as the single most important line of intervention occupational therapists can provide. - NEW! Chapter on hospice and palliative care presents the evidence-base for hospice and palliative care occupational therapy; describes the role of the occupational therapist with this population within the parameters of the third edition of the Occupational Therapy Practice Framework (OTPF-3); and recommends clinician self-care strategies to support ongoing quality care. - UPDATED! Completely revised Spinal Cord Injury chapter addresses restoration of available musculature; self-care; independent living skills; short- and long-term equipment needs; environmental accessibility; and educational, work, and leisure activities. It looks at how the occupational therapist offers emotional support and intervention during every phase of the rehabilitation program. - UPDATED! Completely revised chapter on low back pain discusses topics that are critical for the occupational therapist including: anatomy; client evaluation; interventions areas; client-centered occupational therapy analysis; and intervention strategies for frequently impacted occupations. - UPDATED! Revised Special Needs of the Older Adult chapter now utilizes a top-down approach, starting with wellness and productive aging, then moving to occupation and participation in meaningful activity and finally, highlighting body functions and structures which have the potential to physiologically decline as a person ages. - NEW and EXPANDED! Additional section in the Orthotics chapter looks at the increasing array of orthotic devices available in today's marketplace, such as robot-assisted therapy, to support the weak upper extremity. - UPDATED! Revised chapters on joint range of motion and evaluation of muscle strength include new full color photos to better illustrate how to perform these key procedures. - EXPANDED! New information in the Burns and Burn Rehabilitation chapter, including expanded discussions on keloid scars, silver infused dressings, biosynthetic products, the reconstructive phase of rehabilitation, and patient education. - UPDATED and EXPANDED! Significantly updated chapter on amputations and prosthetics includes the addition of a new threaded case study on Daniel, a 19-year-old combat engineer in the United States Army who suffered the traumatic amputation of his non-dominant left upper extremity below the elbow. |
on, at, in the bottom - WordReference Forums
Sep 26, 2010 · Yes, you seem to have it quite right. 'On the bottom of' something like a boat, 'at the bottom of' an up-and-down thing like a list, a page; and I can't think of how you'd use 'in …
bottom left? left bottom??? | WordReference Forums
May 10, 2007 · OK in that case you should say 'the picture on the bottom left' It is 'bottom left' with no preposition if you put it in brackets within an article to refer to a picture.
On the bottom vs. at the bottom [of a page] | WordReference …
Aug 15, 2009 · "At the bottom of the page" is the usual expression for something appearing near the bottom edge of a page. "On the bottom" would be appropriate if there were something …
right-hand corner and right corner | WordReference Forums
Sep 5, 2017 · Right in "--- in the bottom right ----" is a noun. I would hesitate to say that right -hand corner and right corner are always interchangeable because, in terms of semantics, when …
bottom right vs lower right - WordReference Forums
Feb 14, 2023 · To the bottom right of the rose garden, the glasshouse and seats have been replaced by a water feature. In the lower right corner of the park, the glasshouse and seats …
ATT, ATTN, FAO ... - abbreviations for 'attention' in correspondence
Apr 5, 2006 · When writing english business letters, which is the corrct abbreviation of "attention". I reckon it must be either "att" or "atn". I've always used "att", but fear that it might be a calque …
write 'at/on/in' the corner of the page - WordReference Forums
Mar 4, 2008 · Every time I buy a new book, I write my name in/at/on the right-hand corner of the first page. Hi, Which prep. fits best in the above and why? Thanks.
Business letter: Signing on behalf of someone else.
Nov 5, 2004 · Could someone answer a quick question regarding letter format? What do you write at the end of a letter to indicate that you have been asked to write that letter for someone else …
When you are nude from the waist downwards. - WordReference …
Apr 26, 2013 · There are such items of clothing as a bikini bottom, pyjama bottom and track-suit bottom. So (by analogy with their respective tops) I wouldn't be at all surprised to hear of …
available in / available at / available on - WordReference Forums
Feb 25, 2010 · Finally, if the information is attached to something else, such as a registration number, then "the information is available on the bar code tag located on the bottom of the …
on, at, in the bottom - WordReference Forums
Sep 26, 2010 · Yes, you seem to have it quite right. 'On the bottom of' something like a boat, 'at the bottom of' an up-and-down thing like a list, a page; and I can't think of how you'd …
bottom left? left bottom??? | WordReference Forums
May 10, 2007 · OK in that case you should say 'the picture on the bottom left' It is 'bottom left' with no preposition if you put it in brackets within an article to refer to a picture.
On the bottom vs. at the bottom [of a page] | WordReference Forums
Aug 15, 2009 · "At the bottom of the page" is the usual expression for something appearing near the bottom edge of a page. "On the bottom" would be appropriate if there were …
right-hand corner and right corner | WordReference Forums
Sep 5, 2017 · Right in "--- in the bottom right ----" is a noun. I would hesitate to say that right -hand corner and right corner are always interchangeable because, in terms of semantics, …
bottom right vs lower right - WordReference Forums
Feb 14, 2023 · To the bottom right of the rose garden, the glasshouse and seats have been replaced by a water feature. In the lower right corner of the park, the glasshouse and seats …
