Embed Size (px)
Citation preview
Hypnosis , Biofeedback , Relaxation Techniques in
Application to adolescent behavior problems
Hypnosis , Biofeedback , Relaxation Techniques in
Application to adolescent behavior problems
Dr. Suchit TamboliDevelopmental Pediatrician
Chiranjiv Clinic & Child Development Center
Ghumare Lane, Ahmednagar 414 001
Maharashtra State
Ph. 0241 – 2345840 / 09822294550
VISIT US AT : www.chiranjivclinic.com
Skills rather than Pills
Self Regulation
Intent of complementary medicine
Self regulation facilitate a child’s natural ,
developmental drive for mastery & autonomy
Empowers patients to focus their minds to
positively affect their bodies
Encourage to acquire knowledge & take
ownership of their own problem
Self Regulation
Voluntary modulation of selected physical function
Directed use of mental imagery
Self monitoring
Positive self talk
Awareness of body mind relations
Mind is most potent tool available to attain goal of health
Mind is Healer & slayer
What we think, feel & perceive have profound implications for
health & Longevity
Self-hypnosis
Biofeedback
Diaphragmatic breathing
Progressive muscle relaxation
Autogenic
Cognitive – behavioral therapy
Pediatric Self-Regulation Techniques
Chronic/recurrent pain
Recurrent abdominal pain, headaches.
Acute pain
Medical procedures, trauma, Burns, Anxiety & stress disorders,
Obsessive - compulsive disorder , Trichotillomania
Disorders of elimination
Enuresis , Encoparesis
Pediatric Problems Responsive to
Self - Regulation Techniques
• Sleep disorders
Autonomic nervous system dysregulation
Hypertension, Neuromuscular rehabilitation
• Habit disorders
Thumb -sucking , Bruxism ,
Habit cough, Nail biting
Pediatric Problems Responsive to
Self - Regulation Techniques
Tics and Tourette syndrome , Pruritus, Warts
Learning disorders, Seizure, attention disorders
Impulse control problems , Anger management ,
Disruptive behavior
Feeding & swallowing problems , Dysphagia ,
Cyclic vomiting , Anorexia , Bulimia
Chronic illness , Asthma, Juvenile rheumatoid arthritis ,
Sickle cell anemia , Malignancies , Diabetes mellitus
Dysfluencies
Pediatric Problems Responsive to Self - Regulation Techniques
Physical (Somatic )
Classification of relaxation therapies
1. Progressive Muscular
relaxation (Jacobson)
2. Wolpe’s Abbreviated
progressive relaxation
training
3. Modification of relaxation
techniques
1. Hypnosis
2. Biofeedback
3. Self awareness
4. Imagery
5 Autogenic training
6 Meditation
7.Yoga and Pranayam
Psychological (Cognitive)
Definition
Main components
History
Current philosophies
Indications
Applications
Autogenic training
Hypnosis
State of attentive focused concentration
with suspension of some peripheral awareness
State of awareness within which an individual
experiences heightened suggestibility
Fantasy imagery, absorbed attention reflects
Natural developmental tendencies
Sensation of relaxation ,wellbeing &
enhanced self control
Hypnosis
Not a sleeplike state
Cannot be forced to do things against
their will
Heightened awareness of physical sensations
& increased self control
Facilitates innate creativity &
imaginary skills to construct helpful
solutions to problems
Hypnosis: Myths & Misinterpretation
Controlled alteration of ones attention
Absorption
Dissociation
Suggestibility
Hypnosis: Main Components
NEO DISSOCIATION MODEL
Activates subsystems of control
results in an altered state of
consciousness
Reversible amnesia
SOCIAL PSYCHOLOGICAL VIEW
Suggestibility, positive attitudes &
expectations
Hypnosis : Current Philosophy
Goal : attitude of hope in the context of mastery
Learns to focus on creating a solution
To discover & use resources for inner control
Susceptibility
High : greater theta activity output in
frontal & parietal lobes
Low : increase theta activity in posterior
locations
Hypnosis
INDICATIONS
Motivated to learn & practice
High hypnotizability
Illnesses exacerbated by stress & anxiety
Not frightened , not obsesses with
loss of control
Treatment of dissociative disorders
Hypnosis
CONTRAINDICATIONS
Epilepsy
Depression
Hypnosis : Applications
Anxiety & phobias
Psychotherapy of dissociate
& conversion disorders
Restructure the memories of event
Cigarette smoking
Relieves pain by reducing anxiety
Post surgical, burns
Chronic pain cancer, duodenal ulcer
Obesity
Alone does not cure
Use with cognitive behavioral therapy
Definition
Philosophy
Principle
Current technique used
Beneficiary : age, developmental strength, natural
talent and interest
Specific assessment 4 to 6 sessions 30 min each
Contra indication
Application
Biofeedback
Use of electronic or electromechanical equipment (computer based)
to measure & then feedback information about physiological process
External psycho physiological feedback
Technique of learning voluntary control over automatically ,
reflexively regulated body functions
Biofeedback
Help patients become aware of their ability to control physiological changes
in their bodies so that they can learn to control these changes in their every
day life without biofeedback
Improvement of ability to discern and cultivate lowered levels of sympathetic
nervous system arousal and subjective sensation of relaxation
Technique : awareness and control of breathing , modulation of muscle
tension levels and peripheral temperature
Biofeedback : Goals
Why successful in children
More enthusiastic
Learn more quickly
Less skeptical about self control
More confidence in special abilities
More psycho physiologic liability
Enjoy practice sessions
More reliable at symptom monitoring
ADHD , DEPRESSION,COGNITIVE IMPAIRMENT
DO NOT RESPOND
Biofeedback
Muscle activity :
electromyography
Peripheral temperature:
thermography
Heart rate :
photoplethsmography
Breathing : pneumography
Electrical brain activities :
electroencephalography
Biofeedback equipments
Drug abuse
Chronic insomnia
Tic disorders
Tension headache
Migraine
Computerized biofeedback : game display
format ……. Intrinsically motivating
Desired therapeutic outcome : decreased
muscle tension , slow diaphragmatic
breathing
Biofeedback : Applications
Take Home Message
Relaxation techniques : powerful tools
Enhancing control over behavior ,
perception, somatic functions &
cognition
Useful adjuvant therapy
Useful in reducing stress & anxiety
SKILLS rather than PILLS
Dr. Suchit TamboliDevelopmental Pediatrician
Dr. Suchit TamboliDevelopmental Pediatrician
visit us at : www.chiranjivclinic.com e-mail : [email protected]
visit us at : www.chiranjivclinic.com e-mail : [email protected]
