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Music Therapy for Children with Chronic Pain

Music Therapy for Children with Chronic Pain

Blog written by Katie Pistilli, MT-BC

Chronic pain impacts an individual’s entire life. Not only are there physical symptoms to cope with, but there is the emotional struggle of accepting that the pain is indefinite. While chronic pain is a tragedy for anyone going through it, children experience a special set of challenges. Kids with pain syndromes might have fewer social opportunities to make friends and develop hobbies, adding another layer of complexity and mental health concerns. Kids cope with the same emotional turmoil as adults, if not more, but have a more difficult time expressing it. 

Research shows that it is essential to approach chronic pain in children from multiple angles. Not only should the child work with medical doctors to manage their pain and symptoms, but they should also receive mental health support to ensure depression and anxiety are addressed. There is extensive research on how music therapy can assist children in coping with both the physical and emotional symptoms of chronic pain.  

 

Music Therapy Interventions 

Music therapy interventions are activities that are meant to address specific goals in a child. For chronic pain, a music therapy intervention may aim to help them relax and distract their mind from the pain. These activities may also prompt conversations to help children accept their pain and diminish feelings of sadness or anger. No matter what the goal may be, a music therapist will always use evidence-based practice or techniques supported by research in their activities.  

 

Music-Assisted Relaxation  

If a therapist uses Music-Assisted Relaxation, they hope to help the child relax their body and calm the sensory system. When a child is constantly in pain, their nervous system is on high-alert. This may contribute to anxiety and greater sensitivity to pain. It is important to help children acquire relaxation-based skills so they can independently learn to relax and diminish some of their pain. 

Music-Assisted Relaxation can look like: 

  • Playing live music on guitar or piano and reading a script.  
  • Mindfulness-based scripts are often used. The child may be encouraged to write a script that encompasses what brings them peace, positive memories, or favorite things (smells, foods, places) 
  • The therapist may facilitate breathing exercises to music. 

 

Active Music Engagement  

Like music-assisted relaxation, Active Music Engagement is also a great way to separate the child’s focus away from their pain and calm their body. These types of interventions are slightly more active on the child’s part and address the thoughts and feelings that they may be experiencing. The goal with Active Music Engagement is to help the child process through thoughts, experiences, and anxieties about the future. 

Here is an example of an Active Music Engagement intervention: 

  • Writing a chant about pain experiences and positive outlook on the future. 
  • Participating in that chant with the therapist.  
  • Play along with instruments such as the drums or a xylophone. 

Live Patient-Selected Music  

Using Live Patient-Selected Music is one way that therapists will help children sort through complex thoughts and emotions related to chronic pain. By using music that the child chooses, the therapist can get a sense of what they may be feeling but can’t express through words. 

Using music of the child’s choice, the therapist may:  

  • Encourage the child to highlight words or lines that stand out to them. 
  • Prompt the child to keep the beat of the song with them using instruments. 
  • Pose questions that facilitate discussion about pain and emotions.  

Music therapy interventions address chronic pain symptoms in children from both a physical and mental health lens. The interventions above are proven to help calm the child’s body while also addressing the difficult emotions they experience. Research shows that children with chronic pain benefit from a multi-disciplinary approach to their treatment, and music therapy does just that! 

Is there a young person in your life who experiences chronic pain? If you think music therapy may benefit them, please don’t hesitate to reach out! Our team of qualified therapists are ready to help. 

 

Becoming MT-BCs: Presented by Casey Kunzer, MT-BC

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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! 

Becoming MT-BCs: Presented by Casey Kunzer, MT-BC

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This blog was written by Casey Kunzer, MT-BC  On March 1st myself and my colleague Lauren had the opportunity to attend and present at SUNY Fredonia’s Mini Music Therapy Conference. Our presentation, “Becoming MT-BCs,” aimed to educate and empower student music...

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Neurodiversity and Music Therapy

Neurodiversity and Music Therapy

Have you heard of the word neurodiverse?  Judy Singer came up with this term in the late 1990s.  Judy is a sociologist who learned, after recognizing her differences from other children her age, that she was on the autism spectrum.  Judy never considered herself to be disabled, but different in the way she perceived and navigated the world.  Her brain functioned in a way that created tense moments when it came to socializing and navigating school.  The lack of understanding by others and her own confusion on how to feel about her brain processing differently than her peers created some challenging times for her over the years.  

Once Judy began to embrace that there is diversity in the way that people learn, this allowed her to begin seeing the world in a different way.  Disabled turned into diverse, a much more positive and accepting term.  Instead of posing the question, “What is wrong with her?” we can now look through the lens of neurodiversity and instead ask, “What is different about her?  With the understanding that all children learn in different ways and that diversity makes each child unique, a path was carved to begin building resilience, self-confidence, and hope for the future.  

Individuals who are neurodiverse, as all children and adults, have a range of learning needs.  In some cases, these include improving motor and communication skillsAs we look at these two areas you will note the natural and obvious aspects of music that pair beautifully for skill development in neurodiverse individuals.  Board Certified Music Therapists are trained to complete assessments and create specific plans regardless of the persons learning style, limits, and abilities.  Music Therapists work with individuals of all ages, however, for this blog, we will focus on the learning needs of children.  

Children move at a functional pace of about 120 to 135 beats per minute, which is faster than adults.  For children who struggle with gross motor movement, the rhythm of a song played using the tempo that most accompanies a natural gait provides wonderful support for working on motor needs.  As a child marches, walks, or jumps to a steady beat, their body becomes increasingly organized, allowing them to feel more confident and steadier.   

When neurodiverse children find themselves unable to use their right and left hands together to complete a project in class, they become frustrated and many times give up.  The music therapist offers the child malletsrhythm stickspianoguitar, and other instruments requiring two-handed motor movement.  As they play along to a piece of music, they engage for a sustained amount of time to rehearse the movement. Because their brain recognizes the structure of the song, when it will begin and end, they successfully complete the song, many times without requiring a break.  This success can then be carried over into the classroom when participating in a non-music task.    

Using language in a functional way to communicate and have engaging interactions with others is vital for human beings.  For individuals who are neurodiverse, they might struggle with the ability to have a reciprocal conversation with a classmate or friend using language.  Neurological differences present unique challenges, particularly related to communication. A child who has neurological challenges may have a limited understanding of how, when, and why they interact verbally with a peer or teacher.  A few areas for consideration are timing, pacing, and processing.  Music Therapy creates a setting for individuals with neurodiversity to practice these three areas.   

For children experiencing speech and language problems, rhythmic singing can provide pathways to circumvent damaged neural networks. This is possible because music is received by both hemispheres in the brain and can be incorporated into therapy for challenges such as apraxia, aphasia, stuttering, or even getting a nonverbal child to utter their first syllable.  

To illustrate, a nonverbal child might try to hum or sing (possibly on “la la”) two notes of the singsong notes of childhood.  The therapist will time this intervention to determine a music tempo, which aligns with the rate at which the child can successfully create the vocal sounds.  This occurs when the child is in an environment that is safe and stress-free to assure that the vocal sounds will freely flow with less potential for vocal restriction. The goal is to increase the pace, as appropriate, to eventually match a typical rate of speech.  Pauses in music are just as powerful as the musical sound itself.  It is in the pauses that the neurodiverse child has the opportunity to process what comes next, prepare their mind and mouth to produce the next sound, and wait when necessary for a peer to take their turn to vocalize. This is the beginning of reciprocal communication, a musical conversation.  Vocalizing back and forth on melodic notes, learning when to speak and when to wait.  The therapist assists the child in progressing to greeting words and responses to those greetings as they are sung back and forth between the children.   

We must always remain cognizant that each person is individual, and what works for one may not work for another.  This is where a Board-Certified Music Therapist’s training is imperative.  Music therapy sessions with clients are always changing according to the child’s need within the session and how they respond to any given technique.  A Music Therapist can change the key to the music, the tempo, the style, and the dynamic in a way in which to meet the need and create opportunities for successful participation.   

For more information on Music Therapy and the Neurodiverse child please click on CONTACT US and send us a message.  

   

Becoming MT-BCs: Presented by Casey Kunzer, MT-BC

Becoming MT-BCs: Presented by Casey Kunzer, MT-BC

This blog was written by Casey Kunzer, MT-BC  On March 1st myself and my colleague Lauren had the opportunity to attend and present at SUNY Fredonia’s Mini Music Therapy Conference. Our presentation, “Becoming MT-BCs,” aimed to educate and empower student music...

World Music Therapy Week 2024

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This blog was written by Robin Neary and Amy Thomas.  Happy World Music Therapy week! It brings us joy to know that all around the world music therapists are coming together to celebrate and educate our communities on our profession. This year, Upstate Music Therapy...

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This blog post was written by Robin Neary, MT-BC This month, Upstate Music Therapy Center employees Robin Neary, MT-BC, Jamie Swieringa, MT-BC, and Casey Kunzer, MT had the pleasure of attending Marcus Whitman School District’s Community Partnership Event. Families,...

Science and Music: A Partnership that Changes Lives

Science and Music: A Partnership that Changes Lives

Written by Katie Pistilli

Would you ever go to a doctor or physician of any kind, whose practice doesn’t value and implement current research and scientific evidence? My guess is, you probably wouldn’t. Our health and wellbeing is important and we want to be confident that our doctors, therapists, psychologists, etc are well-informed and guiding us with the most up-to-date medical advice 

This is called evidence based-practice. It’s a universal value among professionalsBy using evidence-based practice, the clinician is ensuring they are implementing interventions that are proven by research to be effective towards targeted goals of the patient. Without it, professionals would be simply following their intuition based on their own experience. While there is value in personal experience, it is essential to implement practice that is backed by research. 

How does this apply to Music Therapy?  

Evidence-Based Practice is one of many factors that make music therapists professional clinicians and is an essential pillar of the music therapy profession.  In fact, it’s front-and-center in its definition: 

“Music Therapy is the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program.” – The American Music Therapy Association 

Like other professions, the work done by music therapists is based on scientific research and proven results. As music therapists, we stay up to date with trusted publications for new information and research. One is called The Journal of Music Therapy, another is Music Therapist Perspectives.  

How do we use evidence-based practice? 

As it applies to music therapy, we use evidence-based practice to create a treatment plan for our clients. This comes after an initial assessment is completed and recommendations are made for treatment 

As part of the plan, specific goals will be identified. Once they are, the therapist should then seek out research and interventions that are proven to be effective in accomplishing that specific goal. 

The therapist may consider these questions:   

  • What are my client’s goals? 
  • What are their areas of need that may hinder them from achieving those goals (diagnosis, abilities)? 
  • What are my resources (instruments, space)? 
  • How can I adapt this research for my client’s interests and age? 

Here’s an example. Say a music therapist is working with a child to maintain grasp in their hands. In music therapy, we utilize instrument playing to the beat of the music in order to address these kinds of goals. The anticipatory nature of rhythm and song can truly assist an individual learning functional movement such as grasp, or even walking. The technical term for this evidence-based technique is rhythmic entrainment.  

A similar concept applies for individuals working on fluency in their speech. Perhaps they have a hard time speaking a full sentence and have to pause or repeat words often. Through evidence-based music therapy techniques such as Rhythmic Speech Cuing or Therapeutic Singing, the therapist uses natural musical element such as melody and rhythm to address their client’s goal area. 

Why is it Important? 

Utilizing Evidence-Based Practice is an ethical matter. If a therapist begins to implement treatment without it, there is always the potential for harm. As a field that continues to strive for licensure and recognition at the state level, it is essential that music therapists maintain this professional competency. Not only does evidence-based practice ensure the most ethical and effective treatment for our clients, but it supports the validity of our profession as it becomes more respected and recognized. 

For more information regarding the use of research in the music therapy profession CLICK HERE. 

The post What is Evidence-Based Practice was first published on Upstate Music Therapy Center. 

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The History of Music Therapy

The History of Music Therapy

It is known that music, be it through rhythm or singing, developed in early human societies well before languageEvolutionary musicologists hypothesize that it acts not only as a form of communication, but also fosters social connection and comradery in their community. Hundreds of years later, we find that same comradery through making music together in bands and choirs, or sharing musical experiences at live concerts. 

Consider the role music plays in child development. Mothers have always sung to their babiesits an innate thing to do. Evidence shows this behavior is significant in the development of the child’s linguistic skillsNow backed up by evidence-based research, the music therapy profession was literally centuries in the making.  

Music Therapy’s Early Days 

Early evidence of music being used therapeutically echoes throughout the ages. Below are some examples that show just how far back the roots of the practice go, and how they evolved into the 20th century 

  • Plato said music is essential in forming one’s personality.  
  • In his writings, Aristotle emphasized the ability for music to release individuals from negative emotions.  
  • In 1560 Constantinople, where the first psychiatric hospitals were developed, music was used in the treatment of patients. 
  • In 1789, an article was published in Columbian Magazine titled “Music Physically Considered”. This was the first publication to suggest music as a strategy to achieve medical goals.  
  • After World War 1 and WWII, community musicians traveled to Veterans hospitals to offer relief from the physical and psychological pain soldiers were suffering from. 
  • The earliest music therapy associations were formed by women. The first was founded in 1903 by Eva Augusta Vescelius (the National Society of Musical Therapeutics), a second in 1926 by Isa Maud (the National Association for Music in Hospitals), and in 1941 by Harriett Ayer Seymour (the National Foundation for Music Therapy).  

Early Professional Organizations 

As music therapy evolved into a profession, it became necessary to create laws, guidelines, and universal standards for practicing therapists. In 1950 the National Association for Music Therapy (NAMT) was founded with only a few dozen professionals involvedThe founding of NAMT was a significant milestone in many ways. It unified the profession under an umbrella of practices, and led to the development of the first board certification program. In 1971, The American Association for Music Therapy (AAMT) followed as a second organization known for publishing research in its journal Music Therapy. 

The American Music Therapy Association was formed in 1998 and combined NAMT and AAMT. As stated on the AMTA website: The mission of the American Music Therapy Association is to advance public knowledge of the benefits of music therapy and to increase access to quality music therapy services in a rapidly changing world. 

An Ever-Changing Field 

Music therapists value research and evidence-based practice. Our understanding of music therapy is constantly evolving, as science and medicine discover more and more about the way music interacts with the human brain. Unlike the community musicians of the early 20th century, professionals today must achieve a myriad of competencies, maintain board certification, and sustain continuing education hours throughout their professional years.  

Regardless of how the music therapy profession has changed, the same truths ring true as the early days of its conception: Music is a powerful tool. It can be used to assist in learning, as well as medically and psychologically – a truth that’s proven time and time again throughout our history books.  

Works Cited 

Dobrzynska, E., Cesarz, H., Rymaszewska, J., & Kiejna, A. (2006). Music therapy–History, definitions and application. Arch Psychiatry Psychotherapy8, 47-52. 

History of Music Therapy. (2020). Retrieved December 3, 2020, from https://www.musictherapy.org/about/history/ 

Thompson, W. F. (2015). Music, thought, and feeling: Understanding the psychology of music. Oxford university press. 

Blog post written by Katie Pistilli, MT-BC

Health Benefits of Drumming

Health Benefits of Drumming

For years we have seen the research that music, singing, playing an instrument, and even listening to specific music can increase the capabilities of the brain. These activities result in the brain being stimulated on both sides an occurrence called hemispheric synchronization.   It is astounding to see brain imaging of a person in the presence of music compared with when they are not.   Look at the image below.  The brain’s reaction to music shows the dramatic increase in areas that are stimulated, accessed, and can be altered by the musical sound & rhythm.

From the release of dopamine, a feel-good chemical, our attention is focused away from a negative stimulus to something pleasant and engaging. Music has a huge impact on the brain and our emotions.  Music can alter our breathing and heart rate as well as improve our state of mind.  This helps keep things like depression and anxiety at bay.  Music can reduce the perception of pain and even alter patterns of pain, depression, and disability.  Music occupies the mind with something familiar and soothing.  This creates an environment of comfort and a sense of safety.

As we explore the specific health benefits of drumming, you might be surprised at the vast areas within the brain that drumming can impact.  It has been determined that drumming synchronizes the right and left hemispheres. We have learned that when the logical left hemisphere and the intuitive right hemisphere of your brain begin to pulsate together, your inner guidance system, or intuition, becomes stronger.

Drumming also appears to synchronize the lower areas of the brain (non-verbal) with the frontal cortex (language and reasoning). This integration produces feelings of insight and certainty.  For these reasons, therapeutic drumming may be a powerful tool in helping retrain the brains of people who have some level of damage or impairment.  Those diagnosed with Attention Deficit Disorder (ADD), have suffered a stroke, or have a neurological disease such as Parkinson’s are appropriate candidates for therapeutic drumming.

Finally, music with a strong beat can stimulate brainwaves.  Slow beats create the slow brain waves that are associated with hypnotic or meditative states.  Faster beats may increase more alert and concentrated thinking.  When Beta waves used for concentration change to Alpha waves your body and mind will begin to calm and feel more relaxed.  This may be helpful to individuals suffering from depression and anxiety.

Professional drummer Alex Rüdinger has faced and battled depression. Drumming has been an integral part of his recovery.  His story is quite powerful and worth the read. https://audient.com/2019/04/02/rudi_drums/

What about those who are not professional drummers? Can drumming be helpful to untrained musicians?  There have been some comprehensive studies done with individuals suffering from anxiety and depression who have no musical training that has shown very nice results.

The study, Effects of Group Drumming Interventions on Anxiety, Depression, Social Resilience and Inflammatory Immune Response (2016), explored whether a music-making intervention, specifically group drumming, could improve mental health over several weeks. Additionally, in order to ascertain the physiological effects of drumming, the study explored whether psychological responses were found in parallel with a reduction in pro-inflammatory response.

Their hypothesis was that across ten-weeks of group drumming there would be a decrease in symptoms of depression, anxiety, and improvements in social resilience and mental wellbeing.  It was determined that ten weeks or more of group drumming for 90 minutes each session did decrease anxiety and depression as opposed to the control group who did not receive group drumming.  In addition, they were thrilled to document that these participants also maintained decreased levels of anxiety and depression at the 3-month follow-up.

Considering the many health benefits of drumming it is an excellent option for those experiencing mental health challenges.  Are you interested in getting involved in a group this Fall? Send us a message by using our Contact Us link.  We would love to speak with you more.

Works Cited

Fancourt, D., Perkins, R., Ascenso, S., Carvalho, L. A., Steptoe, A., & Williamon, A. (2016). Effects of group drumming interventions on anxiety, depression, social resilience and inflammatory immune response among mental health service users. PloS one11(3), e0151136.