[libribook.com] Traumatic Scar Tissue Management 1st Edition
Box 7.2Basic strategies for navigating somatic memory and emotional responses.Establish in-the-moment connection – let the client know you are present,focused on them and their needs• Be calm and grounded• Be attentive to subtle verbal and non-verbal cues and respondempathetically• Respect the client’s need to contain or release, do not direct or guide theirexperience (e.g. do not insist that they ‘relax’ if displaying signs ofcontainment, do not ‘correct’ their breathing pattern) – simply provide asafe space for them to have their experience• Be empathetic, use a calm quiet voice• In an unobtrusive way, ask the client what they need (e.g. Kleenex, pausethe treatment or continue, relocate treatment to another region of theirbody)• Proceed slowly• Do not specifically initiate conversation or ask questions that wouldintensify the client’s emotional state• If the therapist begins to feel overwhelmed, do not abandon the client bysuddenly disengaging as this may be distressing, but do find a way toreground (e.g. stop applying techniques, instead simply maintain touchcontact, take a few slow breaths, talk calmly to the client)• Stay connected to the client but distanced from the client’s experience,support them in an empathetic and quiet way• Once the client’s emotional response has dissipated, in most casestreatment can continue – exercising good judgement comes into playhere
• If the client asks what happened or if you see that the client is confused orapologetic – provide a simple explanation of triggered somatic memoryand emotional response to a degree that will satisfy the client• If the client still seems unsettled and is having difficulty coping with theirexperience, a conversation around referral out for counseling may berequired• Do not exceed your therapeutic comfort level as this puts both the clientand you at risk – if you find yourself in a situation where the client’semotional response to treatment is beyond what you can handle, do yourbest in-the-moment to navigate. When treatment has concluded have anhonest conversation with the client about this and discuss the possibilityof referral out to another therapist in a way that supports the client’sneeds and does not imply that they have done something inappropriateor wrongAdapted from Fritz 2013, Andrade 2013 and Fitch 2014.MTs are not trained in psychotherapy. However, therapeutic listening skills andcompassionate response are important components in MT. It is important to notethat we stay within our professional scope of practice and training whenattending to the client and recognize when a referral for psychologicalcare/counseling is appropriate.
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- Page 635 and 636: Kutner JS, Smith MC, Corbin L et al
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• If the client asks what happened or if you see that the client is confused or
apologetic – provide a simple explanation of triggered somatic memory
and emotional response to a degree that will satisfy the client
• If the client still seems unsettled and is having difficulty coping with their
experience, a conversation around referral out for counseling may be
required
• Do not exceed your therapeutic comfort level as this puts both the client
and you at risk – if you find yourself in a situation where the client’s
emotional response to treatment is beyond what you can handle, do your
best in-the-moment to navigate. When treatment has concluded have an
honest conversation with the client about this and discuss the possibility
of referral out to another therapist in a way that supports the client’s
needs and does not imply that they have done something inappropriate
or wrong
Adapted from Fritz 2013, Andrade 2013 and Fitch 2014.
MTs are not trained in psychotherapy. However, therapeutic listening skills and
compassionate response are important components in MT. It is important to note
that we stay within our professional scope of practice and training when
attending to the client and recognize when a referral for psychological
care/counseling is appropriate.