• Home
  • Music
  • About
  • Contact

RichardbBrunner

~ creative arts therapist

RichardbBrunner

Category Archives: Mental Health

Men & recovery

15 Wednesday Mar 2023

Posted by RichardB in Handout, Mental Health, Psychoeducation, recovery

≈ Leave a comment

Tags

Education, men, therapy, wellness

I often do men’s groups and have worked with men in recovery from intoxicant use. Below is a handout I sometimes use to facilitate discussion.

1. SAMHSA studies (1996 and 2000) have found that the vast majority of American men over 12 years of age (82.6%) had used alcohol at least once in their lifetime. The data indicate that 9% of men reported heavy alcohol use (five or more drinks at one time in the previous month), compared to 2% of women. Approximately 34% of the sample reported using illicit drugs.

2. Men are more than twice as likely to develop substance use disorders as women. Men begin using substances earlier than women and have more opportunity to try drugs. Men become intoxicated twice as often as women and are 3-4 times more likely to experience problem drinking and alcoholism. These patterns cross all demographic lines of race, income, education, marital status, and geographic location.

3. Men suffer far more adverse consequences of substance abuse than women. Clearly, the social construction of masculinity plays a significant role in these statistics.

4. Men’s attitudes toward alcohol and drugs tend to be generally less negative than women’s attitudes. The use of substances is not viewed as a problem for men but rather as a rite of passage, a sign of true manliness. By contrast, substance use is more likely to be viewed as something for women to avoid due to increased sexual vulnerability. Moreover, such behavior is viewed as incompatible with female roles, including family and relationship expectations.

5. Co-occurring psychiatric disorders occur commonly among men. One study found that 55% of the men identified as having a substance abuse problem also experienced mental health problems. Men often suffer from depression in conjunction with a substance abuse problem. On the other hand, men are not as likely as women to express their feelings of guilt, sadness, or worthlessness (all signs of depression) and may engage in reckless behavior as a way to deal with their depression. Men are also at greater risk of depression when they have experienced a trauma such as combat, an accident, or physical violence.

6. Men are also at greater risk for co-occurring medical problems, such as disorders of the liver, pancreas, and the neurological and gastrointestinal systems. Heavy alcohol use correlates with greater risk of prostate cancer and lower amounts of testosterone. Men who abuse alcohol are more likely to engage in unprotected sex and are at greater risk of contracting HIV, hepatitis, and other STDs.

7. Violence is closely associated with substance use and abuse among men. The relationship between early childhood sexual trauma and substance abuse in men has been well documented. Substance using and abusing men also show high rates of violence.

8. Men who use and abuse substances also tend to have higher rates of problems related to fatherhood and families. They are twice as likely not to pay child support as those without

Mens_Recovery

alcohol and drug problems. Substance abuse and violence may also be a factor in separating men from their families. The results of this alienation are dramatic: when men are not in relationships or do not have children they are less likely to complete treatment.

Positive Statements about you

08 Wednesday Feb 2023

Posted by RichardB in Handout, Mental Health, Self Esteem

≈ Leave a comment

Tags

handouts, Mental Health, Psychotherapy, therapy

I am a group therapist who generally works with adults. I facilitate groups using creative arts, processing oriented, or psycho-education. Sometimes I actually sort of combine these in to a psycho-educational process oriented creative group. I provide info (psycho-educational, we talk about it from a personal perspective, and than create something out of the discussion.

Man Laughing

One thing I have notice over the decades is that when people are stressed or overwhelmed about events in their life they tend towards a negative self perception. Below is a handout that I often use. One way of using this is to start out discussing what is positive self esteem, how you get it, maintain it, and why bother with it. I than pass out the hand out and folks write and than we share it in the group or in groups of 2 or 3 folks.

Positive Statements about you

  1. I like myself because:
  1. I’m an expert at:
  1. I feel good about:
  1. My friends would tell you I have a great:
  1. My favorite place is:
  1. I’m loved by:
  1. People say I am a good:
  1. I’ve been told I have:

 

Anger Group

11 Wednesday Jan 2023

Posted by RichardB in Anger, Anxiety, emotions, Handout, Mental Health

≈ Leave a comment

Tags

anger, handout, therapy

feelings-07Once a week I facilitate a anger management group. I use a variety of handouts and activities to have a process oriented group interaction. One of the hand outs I use is below. I use it in 1 of 2 ways. I have folks fill it out first and then we discuss or we go through it together and discuss. We explore as a group, learning from each other.

ANGER WORDS

anger disgust grumpiness rage  aggravation dislike hate resentment  agitation envy hostility revulsion  annoyance exasperation irritation scorn  bitterness ferocity jealousy spite  contempt frustration loathing torment  cruelty fury mean-spiritedness vengefulness  destructiveness grouchiness outrage wrath

Other:_________________________

Prompting Events for Feeling Anger

Losing power.

Losing status.

Losing respect.

Being insulted.

Not having things turn out the way you expected.

Experiencing physical pain.

Experiencing emotional pain.

Being threatened with physical or emotional pain by someone or something.

Having an important or pleasurable activity interrupted, postponed, or stopped.

Not obtaining something you want (which another person has).

Other:_______________________________

Interpretations That Prompt Feelings of Anger

Expecting pain.

Feeling that you have been treated unfairly.

Believing that things should be different.

Rigidly thinking “I’m right.”

Judging that the situation is illegitimate, wrong, or unfair.

Ruminating about the event that set off the anger in the first place, or in the past.

Other:____________________________

Experiencing the Emotion of Anger

Feeling incoherent.

Feeling out of control.

Feeling extremely emotional.

Feeling tightness or rigidity in your body.

Feeling your face flush or get hot.

Feeling nervous tension, anxiety or discomfort.

Feeling like you are going to explode.

Muscles tightening. .

Teeth clamping together, mouth tightening.

Crying; being unable to stop tears.

Wanting to hit, bang the wall, throw something, blow up.

Other:__________________________

Expressing and Acting on Anger

Frowning or not smiling; mean or unpleasant facial expression.

Gritting or showing your teeth in an unfriendly manner.

Grinning.

A red or flushed face.

Verbally attacking the cause of your anger; criticizing.

Physically attacking the cause of your anger.

Using obscenities or cursing.

U sing a loud voice, yelling, screaming, or shouting.

Complaining or bitching; talking about how lousy things are.

Clenching your hands or fists.

Making aggressive or threatening gestures.

Pounding on something, throwing things, breaking things.

Walking heavily or stomping; slamming doors, walking out.

Brooding or withdrawing from contract with others.

Other:_____________________

Aftereffects of Anger

Narrowing of attention.

Attending only to the situation making you angry.

Ruminating about the situation making you angry and not being able to think of anything else.

Remembering and ruminating about other situations that have made you angry in the past.

Imagining future situations that will make you angry.

Depersonalization, dissociative experience, numbness.

Intense shame, fear, or other negative emotions.

Other:______________________

Depression and the inflammatory process

29 Wednesday Dec 2021

Posted by RichardB in Depression, Mental Health, Research, Uncategorized

≈ Leave a comment

Tags

depression, inflammation, research

Most people feel down, tired and inactive when they’re injured or ill. This “sickness behavior” is caused by the activation of the body’s immune response. It’s the brain’s way of conserving energy so the body can heal.

This immune response can also occur in people with depression. This has prompted some researchers and clinicians to hypothesise that depression is actually a side effect of the inflammatory process.

But while there may be a connection between inflammation and depression, one doesn’t necessarily lead to the other. So it’s too simplistic to say depression is a physical, rather than a psychiatric, illness.

The inflammation hypothesis

University of California clinical psychologist and researcher George Slavich is one of the key recent proponents of depression as a physical illness. He hypothesises that social threats and adversity trigger the production of pro-inflammatory “cytokines”. These are messenger molecules of the immune system that play a critical role in orchestrating the host’s response to injury and infection.

This inflammatory process, Slavich argues, can initiate profound behavioral changes, including the induction of depression.

5241352878_f53a343088.jpg

The idea that the activation of the immune response may trigger depression in some people is by no means a new one. Early descriptions of post-influenza depression appeared in the 19th century in the writings of English physician Daniel Tuke.

But it was not until the 1988 seminal paper, published by veterinarian Benjamin Hart, that the phenomenon of acute “sickness behavior” caught the interest of the scientific community.

Hart described his detailed observations of the “behavior of sick animals”. During acute infection, and in response to fever, the animals sought sleep, lost their appetite, showed a reduction in activity, grooming and social interactions, as well as showing signs of “depression”.

Just like the immune response itself, these changes reflect an evolved survival strategy that shifts priorities toward energy conservation and recovery.

Putting the theory into practice

Cytokine-induced sickness behavior has subsequently been studied as an example of communication between the immune system and the brain.

The behavioral changes during sickness resemble those associated with depression, so it didn’t take long for researchers to make a connection between the phenomenon of sickness behavior and mental disorders.

Such speculation was strengthened by research showing that depressive states can be experimentally induced by administering cytokines and other immunogenic agents (such as vaccines) that cause an inflammatory response.

Depression is frequently associated with inflammatory illnesses such as heart disease and rheumatoid arthritis. It’s also a side effect of treatment with cytokines to enhance the immune system.

Over recent decades, researchers have made progress in understanding how inflammation may impact on the activity of signalling pathways to and from the brain, as well as on the functioning of key neural systems involved in mood regulation.

But there’s not always a link

From the available evidence it’s clear, however, that not everyone who suffers from depression has evidence of inflammation. And not all people with high levels of inflammation develop depression.

Trajectories of depression depend on a complex interplay of a spectrum of additional risk and resilience factors, which may be present to varying degrees and in a different combination in any individual at different times. These factors include the person’s:

  • genetic vulnerabilities affecting the intensity of our inflammatory response
  • other medical conditions
  • acquired hyper-vigilance in the stress response systems due to early life trauma, current adversities, or physical stressors
  • coping strategies, including social support
  • health behaviors, such as sleep, diet and exercise.

Implications for treatment

In line with the notion that inflammation drives depression, some researchers have already trialled the effectiveness of anti-inflammatory therapy as a treatment for depression.

While some recipients (such as those with high levels of inflammation) showed benefit from the treatment, others without increased inflammation did not. This supports the general hypothesis.

However, in our desire to find more effective treatments for depression, we should not forget that the immune response, including inflammation, has a specific purpose. It protects us from infection, disease and injury.

Cytokines act at many different levels, and often in subtle ways, to fulfill their numerous roles in the orchestration of the immune response. Undermining their vital role could have negative consequences.

Mind versus body

The recent enthusiasm to embrace inflammation as the major culprit in psychiatric conditions ignores the reality that “depression” is not a single condition. Some depressive states, such as melancholia, are diseases; some are reactions to the environment; some are existential; and some normal.

Such separate states have differing contributions of biological, social and psychological causes. So any attempt to invoke a single all-explanatory “cause” should be rejected. Where living organisms are concerned it is almost never that simple.

In the end, we cannot escape the reality that changes must occur at the level of the brain, in regions responsible for mood regulation, for “depression” to be experienced.

Pandemic Mental Health Crisis

29 Friday Jan 2021

Posted by RichardB in Mental Health, mental health, Wellness

≈ Leave a comment

Tags

Mental Health, Scientific American

The U.S. Centers for Disease Control and Prevention reported in August that symptoms of anxiety had tripled and depression symptoms had quadrupled among a group of 5,470 adults as compared with a survey sample from 2019. Meanwhile mental health services have been stretched worldwide. One reason is that mental health personnel and the facilities they work in have been reassigned to COVID-related tasks during the crisis.

All of us need to sustain and enhance our psychological resilience to weather the daily toll of activity restrictions, rising case numbers, hospitalizations and deaths. A set of simple measures known as psychological first aid or mental health first aid can enable people to help family, friends and others in their communities who experience psychological distress from pandemic fatigue, COVID convalescence, or the loss of a friend or relative. Read the entire article at Scientific American

Brain System For Emotional Self-Control

09 Thursday Jul 2020

Posted by RichardB in brain, Cognitive behavioral therapy, grounding, Health, Mental Health

≈ Leave a comment

Tags

study

Different brain areas are activated when we choose to suppress an emotion, compared to when we are instructed to inhibit an emotion, according a new study from the UCL Institute of Cognitive Neuroscience and Ghent University.
In this study, published in Brain Structure and Function, the researchers scanned the brains of healthy participants and found that key brain systems were activated when choosing for oneself to suppress an emotion. They had previously linked this brain area to deciding to inhibit movement.
“This result shows that emotional self-control involves a quite different brain system from simply being told how to respond emotionally,” said lead author Dr Simone Kuhn (Ghent University).5a045-18
In most previous studies, participants were instructed to feel or inhibit an emotional response. However, in everyday life we are rarely told to suppress our emotions, and usually have to decide ourselves whether to feel or control our emotions.
In this new study the researchers showed fifteen healthy women unpleasant or frightening pictures. The participants were given a choice to feel the emotion elicited by the image, or alternatively to inhibit the emotion, by distancing themselves through an act of self-control.
The researchers used functional magnetic resonance imaging (fMRI) to scan the brains of the participants. They compared this brain activity to another experiment where the participants were instructed to feel or inhibit their emotions, rather than choose for themselves.
Different parts of the brain were activated in the two situations. When participants decided for themselves to inhibit negative emotions, the scientists found activation in the dorso-medial prefrontal area of the brain. They had previously linked this brain area to deciding to inhibit movement.
In contrast, when participants were instructed by the experimenter to inhibit the emotion, a second, more lateral area was activated.
“We think controlling one’s emotions and controlling one’s behavior involve overlapping mechanisms,” said Dr Kuhn.
“We should distinguish between voluntary and instructed control of emotions, in the same way as we can distinguish between making up our own mind about what do, versus following instructions.”
Regulating emotions is part of our daily life, and is important for our mental health. For example, many people have to conquer fear of speaking in public, while some professionals such as health-care workers and firemen have to maintain an emotional distance from unpleasant or distressing scenes that occur in their jobs.
tivityProfessor Patrick Haggard (UCL Institute of Cognitive Neuroscience) co-author of the paper said the brain mechanism identified in this study could be a potential target for therapies.
“The ability to manage one’s own emotions is affected in many mental health conditions, so identifying this mechanism opens interesting possibilities for future research.
“Most studies of emotion processing in the brain simply assume that people passively receive emotional stimuli, and automatically feel the corresponding emotion. In contrast, the area we have identified may contribute to some individuals’ ability to rise above particular emotional situations.
“This kind of self-control mechanism may have positive aspects, for example making people less vulnerable to excessive emotion. But altered function of this brain area could also potentially lead to difficulties in responding appropriately to emotional situations.”

Cultural Factors in Psychiatric Care: Focus on Asian Mental Health

02 Tuesday Jun 2020

Posted by RichardB in Creative Therapy Tools, Mental Health, YouTube

≈ Leave a comment

Tags

Asian Mental Health, culture, Mental Health

Dr. Descartes Li explores the ways that culture influences mental health. He looks at the effects of cultural identify and the models of illness. He also explores the stressors and supports and the elements of the relationship with the clinicians and the resulting treatment plan. Recorded on 02/26/2020.  UCTV is the broadcast and online media platform of the University of California.

Journal writing and self talk

17 Tuesday Mar 2020

Posted by RichardB in creative arts therapy, journal, Mental Health

≈ Leave a comment

Tags

writing

Patterns of negative or positive self-talk often start in childhood. Usually, the self-talk habit is one that’s colored our thinking for years, and can affect us in many ways, influencing the experience of stress to our lives. However, any time can be a good time to change it! Here are some ways you can stop yourself from using negative self-talk and use your mind to boost your productivity and self-esteem, and relieve stress.
Notice Your Patterns:
The first step toward change is to become more aware of the problem. You probably don’twriting (940x752)realize how often you say negative things in your head, or how much it affects your experience. Here are two strategies that can help you become more conscious of your internal dialogue and its content.

Journal Writing: Whether you carry a journal around with you and jot down negative comments when you think them, write a general summary of your thoughts at the end of the day, or just start writing about your feelings on a certain topic and later go back to analyze it for content, journaling can be an effective tool for examining your inner process.

Thought-Stopping: As you notice yourself saying something negative in your mind, you can stop your thought mid-stream my saying to yourself “Stop”. Saying this aloud will be more powerful, and having to say it aloud will make you more aware of how many times you are stopping negative thoughts, and where.

breathing

26 Wednesday Feb 2020

Posted by RichardB in Awareness, breathing, grounding, Mental Health

≈ Leave a comment

Tags

awareness

When we come out of the womb and take our first inhale and when we pass away and take our last exhale the breath is primal and fundamental to are being.

Since breathing is something we can control and regulate, it is a useful tool for achieving a relaxed and clear state of mind. Here are some simple breathing exercises:

Exhale completely through your mouth, making a whoosh sound.

clip_image001

Close your mouth and inhale quietly through your nose to a mental count of four.

Hold your breath for a count of seven.

Exhale completely through your mouth, making a whoosh sound to a count of eight.

This is one breath. Now inhale again and repeat the cycle three more times for a total of four breaths.

Place one hand on your chest and the other on your abdomen. When you take a deep breath in, the hand on the abdomen should rise higher than the one on the chest. This insures that the diaphragm is pulling air into the bases of the lungs.

After exhaling through the mouth, take a slow deep breath in through your nose imagining that you are sucking in all the air in the room and hold it for a count of 7 (or as long as you are able, not exceeding 7)

Slowly exhale through your mouth for a count of 8. As all the air is released with relaxation, gently contract your abdominal muscles to completely evacuate the remaining air from the lungs. It is important to remember that we deepen respirations not by inhaling more air but through completely exhaling it.

Repeat the cycle four more times for a total of 5 deep breaths and try to breathe at a rate of one breath every 10 seconds (or 6 breaths per minute). At this rate our heart rate variability increases which has a positive effect on cardiac health.

Once you feel comfortable with the above technique, you may want to incorporate words that can enhance the exercise. Examples would be to say to yourself the word, relaxation (with inhalation) and stress or anger (with exhalation). The idea being to bring in the feeling/emotion you want with inhalation and release those you don’t want with exhalation.

In general, exhalation should be twice as long as inhalation. The use of the hands on the chest and abdomen are only needed to help you train your breathing. Once you feel comfortable with your ability to breathe into the abdomen, they are no longer needed.

Meditation may physically alter regions of the brain

24 Friday Jan 2020

Posted by RichardB in brain, Meditation, Mental Health

≈ Leave a comment

Tags

awareness, mindfulness

Harvard researchers at the Massachusetts General Hospital reported that the practice of mindfulness meditation can physically alter regions of the brain associated with memory, sense of self, empathy, and stress.kol.jpg

The study, to be published in January 2015, in “Psychiatry Research: Neuroimaging” indicates that the brain’s gray matter may change as a result of meditation.

“Although the practice of meditation is associated with a sense of peacefulness and physical relaxation, practitioners have long claimed that meditation also provides cognitive and psychological benefits that persist throughout the day,” said Sara Lazar, the study’s senior author. “This study demonstrates that changes in brain structure may underlie some of these reported improvements and that people are not just feeling better because they are spending time relaxing.”

Researchers measured MR images of participants brains during the eight-week “Mindfulness-Based Stress Reduction” program, conducted by the University of Massachusetts Center for Mindfulness. Participants spent an average of 27 minutes in meditation during the program. The program was delivered through recorded audios and guided meditations.

Compared to measurements on MR scans of a control group who did not participate in the program, the participants’ brains showed an increase in gray-matter density in the hippocampus. The hippocampus is the region of the brain associated with learning, introspection, memory and awareness.There also was a decrease in gray-matter density in the amygdala, the region associated with anxiety and stress. However, the Insula, a region of the brain thought to be associated with self-awareness according to earlier research, remained unchanged, and the researchers hypothesize that participants may have to meditate for longer periods of time before any change is noticed in this region.

418234_10151301447999689_275921219_n.jpgIt has been noted that meditation can reduce stress but according to Britta Hölzel, one of the authors, “Other studies in different patient populations have shown that meditation can make significant improvements in a variety of symptoms, and we are now investigating the underlying mechanisms in the brain that facilitate this change.”

The researchers believe that these findings of physiological change can pave the wave for a better understanding and treatment of stress-related disorders. The study was supported by the BBC, National Institutes of Health and the Mind and Life Institute.

← Older posts

instagram

Tags

2022 About Addiction anger Anxiety asanas asthma bbc behavior Bird Birds brain cats children China Coloring Page creative creative arts therapy Creativity dance Dance Movement Therapy depression diet dmt dogs Economy fall flora flower flowers food handout handouts Happiness health history India Japanese Textile Designs latin life Mandala meditation men Mental Health mindfulness money Movement music My Photos news NH people pets photo photos Psychotherapy quote recovery relaxation research Science Seguy Art Deco Designs self snow sony Stress therapy trauma TravelTuesday trees wellness winter writing yoga youtube
Follow RichardbBrunner on WordPress.com
  • Tumblr
  • YouTube

Blog at WordPress.com.

Privacy & Cookies: This site uses cookies. By continuing to use this website, you agree to their use.
To find out more, including how to control cookies, see here: Cookie Policy
  • Follow Following
    • RichardbBrunner
    • Join 458 other followers
    • Already have a WordPress.com account? Log in now.
    • RichardbBrunner
    • Customize
    • Follow Following
    • Sign up
    • Log in
    • Report this content
    • View site in Reader
    • Manage subscriptions
    • Collapse this bar
 

Loading Comments...