The Role of a Recovery Story in Peer Support

The sharing of one’s “Recovery Story” is the foundation upon what the rest of peer support is built.  A Recovery Story is the telling of the personal journey the Peer Support Specialist has been on in order to reach the point of health and integration into the community, or whatever “recovery” means to that person.  A Recovery Story is different than a story about one’s illness.

 

BrightA story simply about one’s illness concentrates on the negative aspects of mental illness and only about the struggles.  A Recovery Story shares the challenges faced, sometimes the tragedies, at times the struggles with symptoms or diagnoses, but it leads to a point of positive conclusion.  A Recovery Story shared gives hope to another individual, and lets another person know that one should never give up on the possibilities that life has to offer.

 

I share parts of my story every day; I share the good and the bad experiences.  I share the tragedies and the triumphs.  I share what I did or how I reacted in certain circumstances.  I tell about the symptoms that I exhibited in the most difficult times of my illness.  Sharing this story puts the other person at ease and lets them know it is okay to open up and talk about their own experiences.  Every once in a while, it may give another person hope that it is not only possible to get better, but it is expected that they will eventually live a full and productive life.

 

Rebecca Coursey, KPS
Peer Support Specialist

 

Friday Factoids: Does the “H” in ADHD Really Impair Learning?

Recent models of Attention-Deficit Hyperactivity Disorder (ADHD) have challenged the notion that excess gross motor activity (hyperactivity) impedes learning with children diagnosed with ADHD.  Rather, newer models argue that excess motor activity may be compensatory.

 

A recent study conducted by Saver, Rapport, Kofler, Raiker, and Friedman (2015) compared 29 boys diagnosed with ADHD to 23 boys with no psychiatric diagnosis on a series of working memory tasks (i.e., participants were shown numbers and letters on a computer screen and asked to order them, while being recorded on a high speed camera for later behavior/movement coding).  The data indicated higher rates of gross motor activity positively predicted phonological working memory performance in children with ADHD.  Such was not seen in children with no psychiatric diagnoses.  In fact, boys with no ADHD diagnosis with increased movement performed more poorly on the cognitive tasks.  Thus, indicating a link between hyperactivity and task performance in children with ADHD.

 

Saver et al. (2015) conclude that excess movements are necessary to how children with ADHD remember information and process cognitive tasks.  The implications here are vital to recommendations given specific to behavioral intervention and current classroom management of behavior for children with ADHD.  In that, if these findings are confirmed, the authors caution against overcorrecting excess gross motor activity for children with ADHD.   Such activity may even be reinforced during select academic tasks.  Of course, the authors do not recommend allowing extreme movements (e.g., running around the room); rather they argue to facilitate movement in order to maintain alertness to complete cognitive tasks (University of Central Florida, 2015).

 

These findings implicate that past behavior plans and expectations/goals of reduced activity may be misguided, instead movement perhaps should be permitted in order to maintain alertness.  Overall, data support a new conceptualization that gross motor activity may facilitate cognitive functioning for children with ADHD, rather than impair it.  This research is limited by only sampling boys ages 8-12.  It is further limited by only assessing phonologically based activity; future research is anticipated to look at the impact of hyperactive movement in relation to visuospatial working memory (Saver, Rapport, Kofler, Raiker, & Friedman, 2015).  Overall, these finding again support new models of ADHD that conceptualize excess motor activity as compensatory.

 

Sarver, D. E., Rapport, M. D., Kofler, M. J., Raiker, J. S., & Friedman, L. M. (2015). Hyperactivity in attention-deficit/hyperactivity disorder (ADHD): Impairing deficit or compensatory behavior? Journal of Abnormal Child Psychology. Advanced online publication. doi: 10.1007/s10802-015-0011-1

 

University of central Florida. (2015). Kids with ADHD must squirm to learn, study says. Retrieved from www.sciencedaily.com/releases/2015/04/150417190003.htm

 

Dannie S. Harris, M.A., M.A., M.A.Ed., Ed.S.
WKPIC Practicum Trainee

Friday Factoid: Preventing Early Termination of Therapy

 

Dropout and early termination in therapy is a concern for many practicing psychologists or therapists.  Research indicates that 20 percent of clients will terminate therapy prematurely (Chamberlin, 2015).  Furthermore, Swift and Greenberg (2012) found that one in five clients will dropout before completing therapy.  So the question becomes, what are the common reasons for early termination and what can the practitioner do to influence this trend?  Briefly, according to Dr. Greenberg (as cited in Chamberlin, 2015) some of these common factors could be easily addressed.  For example, clients may have unrealistic assumptions about therapy or they may not fully understand the roles of client or therapist.  They also may not understand the timeline or commitment needed.  Additionally, some clients may have more practical problems, such as childcare or transportation difficulties.  Finally, clients may experience anxiety about discussing feelings and/or traumatic, emotional experiences.

 

In their book, Premature Termination in Psychotherapy, Swift and Greenberg offer eight empirically supported strategies (listed below) to help clients stay on track.

  1. Provide role induction.  Here the clients are offered education on the process of therapy, as well as, clarify client and therapist expectations.
  2. Incorporate client preferences into the treatment decision-making process.  This will help balance treatment options and will foster a client’s investment in therapy.
  3. Help plan for appropriate termination.  Provide an estimated timeline for treatment; also allow open discussion about termination and endpoints that indicate the end of therapy.
  4. Provide education about patterns of change.  Preparing clients for emotional setbacks is necessary, as well as discussing the initial improvements and thinking therapy is done.
  5. Strengthen early hope.  Hope fosters commitment, and as a result, clients are more likely to continue and work past setbacks.
  6. Enhance motivation for treatment.  Address motivation from session to session; utilizing techniques of motivational interviewing may also help clients remain in therapy.
  7. Foster the therapeutic alliance.  Foster and develop basic therapeutic skills, as well as monitor and repair ruptures in the alliance.
  8. Discuss treatment progress with your clients.  Providing feedback through discussion or objective self-report may help gauge progress and identify problems before clients dropout.

 

Overall, the strategies listed above provide simple interventions that have shown to mitigate dropout rates.  Often these strategies are not emphasized in training, but have shown to be effective in helping clients remain in treatment.

 

References:
Chamberlin, J. (2015).  Are your clients leaving too soon? Monitor on Psychology, 46(4), 60-63.

 

Swift, J. K., & Greenberg, R. P. (2012). Premature discontinuation in adult psychotherapy: A meta-analysis. Journal of Consulting and Clinical Psychology, 80, 547-559.

 

Swift, J. K., & Greenberg, R. P. (2014). Premature termination in psychotherapy: Strategies for engaging clients and improving outcomes. Washington DC: American Psychological Association.

 

Dannie S. Harris, M.A., M.A., M.A.Ed., Ed.S.
WKPIC Practicum Trainee

 

 

The Role of Wellness Recovery Action Plans in Recovery

 

Wellness Recovery Action Plans or “WRAP” were developed by Mary Ellen Copeland, PhD, after years of research and her own personal fight with what was then called manic depression.  She learned coping skills which helped her begin to live a productive life, but not before experiencing hospitalizations and many trials and errors of medications.  Her struggles sound very familiar.  She developed a plan which outlined triggers, symptom monitoring, patient rights issues, and personal supports.

 

The WRAP is a tool which covers the key concepts of recovery: hope; personal responsibility; education; self-advocacy; and support.  One section of it is called the “Crisis Plan” and is extremely relevant to someone who finds him/herself hospitalized.  Sitting down with a patient and completing this plan puts a diagnosis in perspective.  It covers descriptions of when the patient is feeling well, symptoms that show that he or she may no longer be able to make decisions on his or her own, what person should take over at that time, and what person should NOT take over at that time.

 

The WRAP also covers patient right issues.  It goes over acceptable medications and unacceptable medications, asking also for reasoning.  The WRAP states treatments that are okay, facilities that are preferred if hospitalization is needed, and what the person needs his or her supporters to do if a hospitalization occurs.  It really covers everything that a person may not be able to communicate when in a crisis situation.

 

The WRAP is connected to a copyrighted workbook.  There are generic versions available.  If one were to make a basic outline with the issues discussed, that may be enough to help a person develop a plan for the future.

 

Rebecca Coursey, KPS
Peer Support Specialist

“Recovery is a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.”        SAMHSA

Friday Factoids: Is “Hangry” Really a Thing?

Most people have heard the new and popular term “hangry,” but what does it really mean? Do people really feel angry just because they are hungry? Absolutely!

 

If you haven’t experienced this feeling yourself, you may have been around a spouse, parent, child, or friend when they were hungry and seemed to be needlessly angry. Research has also been done to confirm people do get “hangry” when they’re in need of some food.

 

In one interesting study, participants were given the opportunity to blast their partners with loud, irritating noises or to stick pins in a voodoo dolls representing their spouse. The study found the lower the level of glucose in the participants’ blood (glucose is derived from the food we eat and low levels can indicate the body has used up its food) the higher the intensity and long duration of the noise they gave to their spouse and the greater number of pins they stuck into the voodoo doll. In fact, “people with the lowest blood sugar levels stuck more than twice as many pins in the voodoo dolls compared to people with the highest levels.”

 

Van Buren, Alex. (2014). “Hangry is a real thing.” Retrieved from https://www.yahoo.com/food/hangry-is-a-real-thing-82802959390.html

 

Brittany Best, MA
WKPIC Doctoral Intern