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

Psychological considerations
It is well documented that one of the benefits of receiving MT treatment is the
general relaxation effect. For those who experience mental illness (e.g. stress
disorders), finding ways to relax and stay in the present may perhaps offer a
substantial benefit (Fitch 2014). However, as covered in Chapter 7, it is
important for massage therapists working with traumatic scar clients to
recognize certain behaviors that may require a need for concurrent psychological
care. Numerous types of mental illness include symptoms of psychosis,
delusions or profound mood swings (Fitch 2014).
Caution is advised for those diagnosed as borderline, the intermediary of
neurosis and full psychosis, as there have been reports (although very few) about
deep work triggering a psychotic episode. In a state of psychosis, the individual
may not be able to understand or appreciate the nature of MT, and therefore MT
will likely not provide significant benefit, or in some cases may make things
worse. It cannot be emphasized enough that unless your client is receiving
proper medical care for his or her condition, MT may exacerbate the symptoms
and possibly put both therapist and client at risk.
In 2012, an estimated 9.6 million adults in the US experienced a serious mental
illness in the past year, representing 4.1% of all US adults (NIMH 2015). It is
imperative that massage therapists recognize potential indictor signs and
symptoms before implementing treamtent. Traumatic scar tissue clients may
exhibit significant mood disturbances, psychosis, hypermania or post-traumatic
stress disorder (PTSD). Some clients may experience touch triggered responses
when receiving bodywork. Medications that are prescribed for some of the above
mentioned conditions can alter a client’s ability to perceive reality, dull the
senses or can enhance a clients delusion. When you encounter disturbing or out
of the ordinary client behavior, you should refer the client for psychological care.
If the client is currently in treatment, with the client’s consent, contact with the
mental health professional to discuss client-centered considerations and
appropriate treatment can be of benefit to the client and lower therapist risk.