Showing posts with label http://heartfeltcounselingministries.com/counseling.aspx. Show all posts
Showing posts with label http://heartfeltcounselingministries.com/counseling.aspx. Show all posts

Friday, January 27, 2012

Dementia, Can you beat it?



















Hi everyone,
For some reason we tend to not think of dementia as being a mental illness. I think this will change. Dementia (a more general category) is a result of something gone wrong in the brain. The result is a person is severely disturbed in the area of the intellect, the emotions and the will. This sounds very much like mental illness. At Heartfelt Ministries we do help (usually by a referral), persons who have dementia. We also provide family support. Please read a piece from the highly esteemed John Hopkins is below.


Advice to Keep Dementia at Bay

Recently, researchers looking into cognitive decline and dementia have made encouraging findings. Although it was believed that the adult brain could not develop new neurons (or brain cells), scientists have learned in the past decade or so that the human brain is pliable and adaptive. The brain can actually add new neurons even late in life and continually form new connections among existing neurons -- a phenomenon known as neuroplasticity

This means that while an aging brain may have signs of damage, it can often compensate for them, at least initially. And engaging in mentally stimulating activities like reading, taking a class or playing board games is one way to bolster this process.

This compensation process
depends on your "cognitive reserve," the extra, perhaps unused, amount of cognitive ability that can make up for the loss of brain functioning when your brain shows signs of dementia due to the death of cells and their replacement by beta-amyloid plaques. Genetics, early childhood stimulation and education level can influence cognitive reserve but are essentially immutable once you're an adult.

Fortunately, studies have found that you can also increase your cognitive reserve and delay the onset of dementia through a variety of intellectually stimulating leisure activities in middle and later life.

You can delay Demnetia

A study in the journal Neurology, for example, found that among 101 people who eventually developed dementia, those who frequently participated in one or more activities, such as reading, writing, doing crossword puzzles, playing card or board games, having group discussions or playing music experienced memory decline more than one year later than those who participated in these activities less often. These pursuits built cognitive reserve and delayed dementia as much as a higher education level did.

T.V. is too much of a passive activity.

It's worth noting that researchers have discovered that watching television is a passive activity that doesn't really stimulate your mind at all; on the contrary, watching television is associated with an increased risk of cognitive decline. One study found that TV watchers were 10 percent more likely than nonwatchers to experience cognitive impairments over a five-year period. A possible explanation: Time spent in front of the TV means less time for the mental, social and physical activities that can help delay dementia.

Posted on John Hopkines Health Alert on January 9, 2012

Thursday, March 3, 2011

My Training with Marsha Linehan

My Training with Marsha Linehan

I had the privilege of studying under Marsha Linehan in Seattle, Washington at the University of Washington. She is a brilliant behaviorist and also an unashamed Buddhist. And I am an unashamed evangelical Christian. Our world and life views clash, especially when it comes to absolute truth. Linehan holds that truth is always changing. It consists of a thesis, an antithesis and then a synthesis. Philosophically, Linehan and I differ as far as the Bible being absolute truth; but I have been able to understand certain dialectics that exist in the treatment of Borderline Personality Disorder such as:
 Emotional Vulnerability v. Self-evaluation
 Active Passivity v. Apparent Competence
 Unrelenting Crisis v. Inhibited Grieving
Linehan, Dr.Marsha; Cognitve Behavioral Treatment of Borderline Personality Disorder, (New York, London: Guilford Press, 1993) p. 67 figure 3:1.

Her skills training manual is outstanding.When I teach mindfulness to my borderline clients who are Christians, I concentrate on the reflective wisdom books, especially the Psalms.

The God of the Bible is a Loving, Holy God who makes Himself known to those who receive Jesus Christ as Savior (John 1:11, 12).
In the Old Testament He is known as El-Shaddai, Jehovah and One who is a Strong Refuge for those who know Him and seek His help. In the New Testament He is the Father of Mercies and the God of all Comfort (2 Corinthians 1); who comforts His children in all their troubles, afflictions and in their darkest hours.
I believe that the God of the Bible, as made known through His Son, Jesus, by the Holy Spirit is far superior to any religion; having said that when I do DBT therapy and teach skills training I constantly use the DBT approach.


Borderline Personality Disorder

The main tenet of the biosocial theory is that the core disorder in Borderline Personality Disorder is emotion dysregulation. Emotional dysregulation is viewed as a joint outcome of biological disposition, environmental context, and the transaction between the two during development.
The theory asserts that borderline individuals have difficulties in regulating several, if not all, emotions. The systemic dysregulation is produced by emotional vulnerability and by maladaptive and inadequate emotion modulation strategies. { Linehan, Marsha, Skills Training Manual for Treating Borderline Personality Disorder. (1993) New York, London, Guilford Press}, p.2

What about Dialectical Behavior Therapy (DBT)?

Steve is a certified DBT therapist. Actually, he was personally instructed in DBT
by Dr. Marsha Linehan. He and a coworker were the first in the area to set
up and run a DBT group. It was very successful for a number of years.
Steve also has done personal therapy with scores of those with Borderline Personality
Disorder. He subsitutes some of the Budist principles which are inherent
in DBT with Christian priniciples of biblical meditation and contemplation.
At this point, Steve is considering opening a DBT group in Grand Rapids< MI.
He also has success in doing DBT phone therapy.
If you would like to learn more about Steve and how link up with DBT,
please call, 616.447.9064
You can also email him at camimovement@yahoo.com


Pretreatment targets orientation to treatment and agreement on goals.

First stage targets

1. Decreasing suicidal behaviors
2. Decreasing therapy-interfering behaviors
3. Decreasing quality-of-life-interfering behaviors

4. Increasing behaviors skills

A. Core mindfulness skills
B. Interpersonal effectiveness skills
C. Emotion regulation skills
D. Distress tolerance skills
E. Self management skills

Second stage targets

5. decreasing post-traumatic

Third stage targets

6. Increasing respect for self

Table 5.2 Linehan Behaviors that Interfere with Quality of Life
1. Substance abuse (examples “alcohol drinking; abuse of illicit or prescription drugs)

2. High risk or unprotected sexual behavior (examples: unsafe sex practices; abusing others sexually; excessively promiscuous sex; sex with inappropriate persons).

3. Extreme financial difficulties (example: overwhelming unpaid bills, difficulties in budgeting; excessive spending or gambling; inability to manage public assistance agencies).

4. Criminal behaviors that if not changed may lead to jail (examples: shoplifting; setting fires)

5. Serious dysfunctional interpersonal behaviors (examples: choosing or staying with physically, sexually, and/or emotionally abusive partners; excessive contact with abuse relatives; ending relationships prematurely; making other people feel so uncomfortable that few friends are possible; incapacitating shyness or fear of social disapproval).

6. Employment or school related dysfunctional behaviors (examples: quitting jobs or school prematurely; inability to look for or find a job; fear of going to school or school related work; inappropriate career choices; getting fired or failing in school excessively.

7. Illness-related dysfunctional behaviors (examples: inability to get proper medical care; not taking necessary medications; overtaking medication; fear of physicians; refusal to treat illness.

8. Housing related dysfunctional behaviors (examples; living in shelters, in cars, or in overcrowded housing; living with abusive or incompatible people; not finding stable housing engaging in behaviors that cause evictions or rejections from housing possibilities)

9. Mental Health-related dysfunctional behaviors (examples: going into psychiatric hospitals; shopping; not finding ancillary treatments.)

10. Mental-disorder-related dysfunctional behaviors (examples: behavior patterns that meet criteria for other severe or debilitating Axis I or Axis II behaviors in the DSM IV manual.
If you are interested in DBT counseling from a certified DBT therapist please go to the link below