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[libribook.com] Traumatic Scar Tissue Management 1st Edition

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Referral example

Tonya, a 21-year-old healthy woman, receives twice-monthly relaxation

sessions with a focus on her shoulders.

Tonya always feels great after the sessions, but each session I observe

extreme rounded shoulders and palpate adhesions in her platysma,

subclavius, sternocleidomastoid (SCM) and anterior scalenes. For several

visits inquiry is made as to her activities to try and pinpoint contributing

factors. Tonya’s response is always ‘too much computer work.’

Then, during one session, without questioning or remarking on the

adhesions, Tonya began to weep. I asked if she wanted me to stop. She

said, ‘No, but I have to tell you something – I think the reason for the

adhesions is because I purge after every meal. I spend 20 minutes

sometimes over the toilet. I can’t seem to straighten up after that.’

She continued to cry as I held her head and again asked if she wanted to

continue. She responds ‘yes.’ After the session, after making sure Tonya

felt calm, I asked if she wanted to seek help from a professional. She said

she would think about it. At our next session, I did not mention it nor did

she. But she did take one of the psychotherapy business cards I left on the

intake table.

Networking with massage therapists in your area and discovering their area of

expertise or particular practice focus will enhance and assist your clients’ care

(see Box 8.6).

Box 8.6

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