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Using Creative Arts Therapy to Treat Eating Disorders

Using Creative Arts Therapy to Treat Eating Disorders

With so many health concerns in our country and worldwide it is easy to focus on the pandemic as the leading health concern.  The reality is, especially during the pandemic due to the added anxiety and unpredictability, the intensity for those with eating disorders has risen, and this rise has been documented in children as young as 7 years old.  

Worldwide, over 70 million people are estimated to be affected by an eating disorder, including anorexia, bulimia, binge eating disorder, and otherwise specified feeding eating disorders (OSFED).  Eating disorders have the HIGHEST MORTALITY RATE of any psychiatric illness. They affect people of all genders, sexual orientations, ages, socioeconomic class, abilities, races, and ethnic backgrounds.  

Children are increasingly becoming affected by diet culture and body shame. Studies show 40%-60% of girls 6-12 years old are worried about their body shape or weight. 80% of girls have been on a diet by the 4th grade. Of elementary school-aged kids, 69% of those who read magazines say they have influenced their body image, and 47% say the pictures make them want to lose weight. 

While parents are not to blame for eating disorders, they can be a very positive force when it comes to recognizing the signs, seeking out the right type of therapy, and helping their young child recover.  Some of the symptoms to look for are the refusal to eat, reduction in portion size, actively dieting, sudden changes in the diet, or social withdrawal.  However, some signs that a parent may not as easily notice may include body image concerns, fine hair growing on their body, hiding or hoarding food, weight loss hidden by baggier clothes, a sudden interest in excessive exercising, finding excuses to not be able to eat with others, and becoming angry when offered food.  

It takes a team of professionals to join families in helping their child or teenager recover.  Good news! When treated EARLY and correctly, eating disorders have the highest and fastest recovery rate!  

The therapeutic team is usually a group of clinicians and professionals who can guide the child with an eating disorder through the treatment and recovery process. Because of the complex nature of eating disorders, treatment for an eating disorder can often mean working with several qualified practitioners.  Creative Art Therapists may take part in the recovery of a child or teen struggling with a diagnosed eating disorder.   

Talk therapy is especially hard for individuals with an eating disorder.  They tend to be resistant to talk about the very thing that creates enormous anxiety for them.  Creative Art Therapists use music, art, creative writing, and movement to offer a safe space for self-expression and self-discovery.   

Creative Art Therapists may choose to use music with or without lyrics for relaxation exercises, learning proper breathing, or to address a particular topic such as body image.  Lyrics of the song can be discussed and even rewritten to fit what the individual wants to say or feels.  Writing an original piece of music or song with the assistance of the trained professional can be a powerful way to gain new insight.  Some clients find improvisation helpful in breaking out of their usual strict and ritualistic thoughts.  Younger children tend to prefer upbeat music elevating their mood and distracting them from unhelpful thoughts. Visuals paired with music might even be more engaging for some individuals.   

This video is one example of a book adapted into a song that might be used in therapy. 

Embrace Song and Video by Pevan & Sarah adapted from the book Embrace Your Body written by Taryn Brumfitt from Body Image Movement 

Creative Art Therapists may use art in the treatment of an individual who suffers from an eating disorder. The materials offered can include paint, masks, pastels, boxes, and a few extra materials on the table. The table becomes a place to begin an exploration using color, texture, patterns, shapes, two dimensional or three-dimensional pieces.  For people who suffer from eating disorders, art can offer a place of healing or simply an activity of distracting or self-soothing.  Art therapy, led by a qualified professional, can allow for a time of rest for a busy mind.  For a moment, it can assist in turning the mind from a willful place to a willing and visual perspective toward what recovery may look like, and that it is possible. 

Contact us if you or someone you know is looking for help with an eating disorder.

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Developing Emotional Maturity in Children Using Social-Emotional Learning

Developing Emotional Maturity in Children Using Social-Emotional Learning

Blog post written by Katie Pistilli

If you’re a parent or professional in the education world, you’ve probably noticed new buzzword: Social-Emotional Learning. What is Social-Emotional Learning, and what does it have to do with public schools?  

Social-Emotional Learning (SEL) was a term coined by an organization called CASEL, The Collaborative for Academic, Social, and Emotional Learning. 

According to CASEL, Social-Emotional Learning is “the process through which all young people and adults acquire and apply the knowledge, skills, and attitudes to develop healthy identities, manage emotions and achieve personal and collective goals, feel and show empathy for others, establish and maintain supportive relationships, and make responsible and caring decisions.” 

SEL guidelines are proven to: 

  • Increase student’s pro-social skills 
  • Cultivate skills needed to maintain positive relationships 
  • Increase academic performance 
  • Decrease anxiety and depression. 

The impact of SEL curriculum spans well into a child’s adulthood, with evidence showing that children exposed to SEL are less likely to experience poverty or incarceration.

SEL is based on the acquisition of 5 core competenciesself-awareness, self-management, responsible decision-making, relationship skills, and social awareness.  

A social-emotional learning curriculum not only has an impact on individual students, but their community as a whole.  

Music Therapy and Social Emotional Learning 

In many ways, music therapists have addressed these benchmarks for decades in our schools. We know the innate social-emotional benefits of making music with others, learning an instrument, and interpreting music. Here are a few specific ways that music therapy addresses the 5 core SEL competencies 

1) Self-Awareness 

Self-Awareness ranges from identifying emotions to more complex skills such as linking thoughts to feelings. In music therapy these skills can be addressed with:  

  • Putting thoughts and feelings to music while songwriting 
  • Asking the question:  Is this song happy or sad? 

2) Self-Management  

Self-Management encompasses skills related to managing emotions and coping with stress. In music therapy, we can address these skills with:  

3) Responsible Decision-Making  

Responsible Decision-Making involves the ability to think critically of one’s actions and how our behavior impacts those around us. In music therapy this might look like: 

  • Learning how to play instruments and take care of them. 
  • Listening to peers in a group, being respectful and responding with kindness to their ideas 

4) Relationship Skills 

Relationship skills involve social behaviors such as developing friendships and communicating with others. Since music is an innately social experience, it is common to address these skills in music therapy. 

  • Learning social songs to help children remember and learn the nuances of social behavior such as having conversations or what to do when someone gives a complement. 
  • Cultivating a hobby or shared interest with a classmate through music. 

5) Social Awareness 

Social Awareness skills involve understanding the perspectives of others and cultivating empathy. In music therapy this may look like: 

  • Discussing the meaning behind lyrics and considering what an artist was trying to express. 
  • Sharing instruments and taking turns during group music making experiences.  

The COVID-19 pandemic taught us that now more than ever it is essential to take social-emotional learning seriously. The children in our community have so much to gain from adults in their lives valuing these skills.  

If you think music therapy could be a helpful resource for a child you know to work on Social-Emotional Learning skills, please contact us. We would love to hear from you! 

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Mental Health Awareness: Equipping our Children

Mental health problems affect about 1 in 10 children and young people. They include depression, anxiety, and conduct disorder, and are often a direct response to what is happening in their lives. Alarmingly, however, 70% of children and young people who experience a mental health problem have not had appropriate interventions at a sufficiently early age.   

The emotional wellbeing of children is just as important as their physical health. Good mental health allows children and young people to develop the resilience to cope with whatever life throws at them and grow into well-rounded, healthy adults.  Equipping our children begins from the time they are born and is heavily impacted by consistency, predictability, and acknowledgement that children communicate through play.    

If we recognize that play is the language of a child and that they can and will communicate their thoughts, ideas, and concerns during play then it makes perfect sense to not only encourage play but to join our children in the act of play.  In comparison, maybe you have experienced the following. You ask your child how they are feeling or what is wrongPerhaps the response was a shrug of the shoulders, a brief answer with little detail, crying, yelling, or shutting down.  On the other hand, when a parent begins to play with their child noticing what they are choosing to play with, how their body looks while playing, or what they say, it quite often can give the parent a much clearer window into their emotions and thoughts.  This applies to teens as well.  They are more likely to interact and share while engaged in a game, while kicking a ball, or working on a project together.   

Consider this list of things that help keep children and young people mentally well in addition to having time and the freedom to play, indoors and outdoors. 

  • feeling loved, trusted, understood, valued and safe 
  • being interested in life and having opportunities to enjoy themselves 
  • being hopeful and optimistic 
  • being able to learn and having opportunities to succeed  
  • accepting who they are and recognizing what they are good at
  • having a sense of belonging in their family, school, and community 
  • feeling they have some control over their own life 
  • having the strength to cope when something is wrong (resilience) and the ability to solve problems. 
  • being in good physical health, eating a balanced diet and getting regular exercise 
  • being part of a family that gets along well most of the time 

As parents we can do our very best to keep our children mentally healthy however the statistics show that fifty percent of mental illness begins by age 14, and three-quarters begins by age 24.   

What are the signs that my child needs to see a mental health professional? 

Consider seeking help if you notice changing eating or sleeping habits, engaging in destructive behaviorsself-destructive behaviorsextreme feelings of sadness or worrybehaving badly impacting life at school or home, isolating from friendsregressing such as bedwetting or clinginessincreased physical complaints, or talks about death frequently.  

If your child is experiencing suicidal thoughts, contact the National Suicide Prevention Lifeline at 1-800-273-8255 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911. 

Trained mental health professionals include PsychologistsClinical Social WorkersPsychiatrists, Mental Health Nurse Practitioners, Licensed Mental Health Counselors, and Licensed Creative Art Therapists.  To speak with an LCAT please fill out the form on the contact us tab. 

 

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Decreasing Bedtime & Morning Stress

Decreasing Bedtime & Morning Stress

Many parents know the challenge of getting their children to wind down and finish necessary tasks before bed each night.  They also will attest to the struggle each morning with dressing, eating, gathering the necessary items for the day, and getting out the door on time.  Now imagine adding to your morning and nighttime routine a child who does not attune to everyone else’s activities, a child with Autism, Down Syndrome, ADHD, Anxiety Disorders, or Depression. Let’s face it, parents are exhausted by the end of the day and have a list a mile long to start the new one, so one or more children not moving at the pace the parent needs can cause incredible stress for everyone in the house.  

What are the options for families?  All children, whether they are typically developing or have developmental disabilities and neurodiversity, may struggle with mood regulation, staying on task, time management, working memory, and many other executive functioning deficits that make nighttime and mornings difficult.  There are two areas that this blog will focus on in hopes of helping parents who feel like it’s time to throw in the towel.  For those who feel that they have tried everything, we want to suggest that you combine these two important elements: the best routine and most supportive genre of music.  

As Licensed Creative Art Therapists and Board-Certified Music Therapists, the staff at Upstate Music Therapy Center LLC know the power of predictability.  Some of the children we work with in classrooms are greeted with a transition song. It is sung to a comfortable walking pace so that the social greeting and message of needing to move from the class to another environment is managed through the song and rhythmic pulse.  Using a technique such as this for certain children can mean the difference between a smooth transition to another space or a complete meltdown.  Once in the session the therapist also recognizes that the predictable schedule allows the child to move comfortably and more independently as they learn their role within the routine.  This many times includes a visual schedule.  Through this process the therapist needs to give fewer prompts and the child’s self-esteem and level of accomplishment improves. How does this information help a parent in their home?    

Empowering your children to co-create a routine for their nighttime and morning allows the child to select items for their schedule that they most prefer.  Perhaps they would like their favorite stuffed animal to sit and watch as they brush their teeth, they participate in deciding what foods will be available on the quick breakfast food menu options for each day or decide if they will fill their backpack for the next day before dinner or after dinner. Offering choices and providing a visual aide of the routine is helpful.  This can include a checklist in a notepad, picture icons for younger children, or a schedule posted on their wall.  Having a visual guide to keep your child on task and increase their level of independency is a win for all.   

The other important element is using music with your children to support the level of focus, relaxation, or stimulation required for the activity that they need to engage in. Again, involving your child in making the music selections, especially for older children will be very important.  However, they may not realize how the music they are listening to impacts them physiologically, behaviorally, or emotionally.  A study on how particular genres of music impact a person’s heart rate can shed some light on what styles of music to listen to prior to sleep and when we want them to have an increase in energy to complete tasks.   

Does Music Affect a Persons Heart RateDavid Sills, Amber Todd (Emerging Researchers) Dayton Regional STEM School, Dayton, Ohio; Wright State University, Dayton Ohio 

In this study they use the following genres classical, 125 bpm; electronic, 119 bpm; jazz, 154 bpm; world, 124 bpm; RnB, 99 Bbpm; rock, 79 bpm and as you can see in Figure 4 classical and electronic music was the two styles that brought down the high school students heart rates reflecting the most relaxed stateStudies have suggested that an ideal resting heart rate is between 60-100 beats per minute and may drop lower than 60 bpm when in deep sleep.  It makes sense to use music prior to bedtime that reduces our heart rate in preparation for sleep. You might be surprised to see in Figure 4 that although the rock music had the slowest bpm it produced the highest heart rate 

Dopamine is a neurotransmitter made in the brain. Basically, it acts as a chemical messenger between neurons. Lack of dopamine can make you sleepybut not sleeping may also lower your dopamine.  We also know that levels of dopamine can increase up to 9% higher when listening to music that is enjoyed.  It’s involved in reward, motivation, memory, attention and even regulating body movementsWhen dopamine is released in large amounts, it creates feelings of pleasure and reward, which motivates you to repeat a specific behavior.  Allowing your child to select a playlist for their morning routine will increase their dopamine and motivation to complete tasks that are rewarding.  What is the reward for getting their morning time or bedtime routine complete without resistance?  The music itself may be rewarding enough, however some children do best with a reward system such as stickers on a chart for each morning and nighttime they follow their schedule. At the end of the week, they receive a reward.  

Perhaps your child does well with timers.  The example below, one for 20-minute nighttime routines is one of the many options available online.  Music preferences are important so include your children in making the selections right for them.  Enjoy creating routines and finding supportive music to lessen the stress in your home. 

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Book: Singing in the Rain

Book: Singing in the Rain

Blog post written and submitted by Kayla Davitt, MT-BC 

Imagine you are a young child again. It’s raining. You see a puddle forming in front of your house. What do you do? Do you stay inside and shelter yourself from the rain? Do you run outside and jump in the puddle? When I was younger, I would have stayed inside and sheltered myself from the rain. However, my views changed when I picked up the storybook Singing in the Rain based on the song by Arthur Freed and Nacio Herb Brown and illustrated by Tim Hopgood.

If you’re a lover of musicals like myself, it’s likely that you have seen “Singin’ in the Rain” with Gene Kelly and Debbie Reynolds. If you’re not familiar with the movie musical, there is a scene in the movie when Gene Kelly’s character realizes he is starting to fall in love with the character played by Debbie Reynolds. He proceeds to go outside, realizes it’s raining, and decides to sing in the rain instead of hiding under an umbrella. This song is the epitome of seeing the good in every day. Don’t let the rain dull your shine!

This storybook has beautifully illustrated pictures by Tim Hopgood. The illustrations create a sense of innocence. Children throughout the book can be seen dancing, jumping in puddles, catching raindrops in their mouths, and flying through the sky using their umbrellas! When reading this book with your child, ask them what they like to do when it’s raining. If your situation allows for it, I encourage you to take your child outside and jump and splash in the puddles! Ask them how it makes them feel and why they think it is important to see the good in every day.

Tim Hopgood, the illustrator of this storybook, leaves a message at the end of the book, illuminating the importance of never taking a moment for granted:

“Apart from ‘Singing in the Rain’ being the centerpiece to one of my favorite films, the reason I chose to illustrate this song is its underlying positive message. As adults, it is easy to forget the joy of rain.

We tend to view it as an inconvenience rather than the wonderful thing that it is. Rain is something beautiful that connects all life, from the city to the rain forest. So next time it rains, don’t stay indoors. Go outside and soak it up like the children in this book. What a glorious feeling it is!”

For some inspiration, you can watch the clip of Gene Kelly from the movie Singing in the Rain. You can also have the song playing while enjoying this book with your child!

 

We hope you enjoy using this storybook in your child’s schooling adventures, whether they be attending in-person, remotely, or both! 

If you wish to purchase this storybook on Amazon, click here.

Happy reading!

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