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News, updates, articles and discussions from healthcare professionals.
News, updates, articles and discussions from healthcare professionals.
Difference Between Psychiatrists And TherapistsMental health is a hugely important part of overall wellbeing, and the conversation around its importance is starting to catch up with the facts. MIND report that one in four people experience a mental health problem of some kind every year in England. And recognised mental health problems aren’t even the full picture – stress from everyday life, bereavement, relationship issues, and trauma are just some examples of other mental or emotional issues people deal with daily. Psychiatrists and therapists are two of the options people looking for support for their mental health have. However, there are critical, sometimes complex differences between the two which not everybody understands. We’re here to unpack what the differences between psychiatrists and therapists are, including what they are trained to do and what qualifications they require, giving you a better idea of which one is right for you. What is a psychiatrist?Psychiatrists are medical doctors who specialise in the area of mental health. They are highly-qualified and typically very experienced professionals, capable of diagnosing and treating a broad range of mental illnesses with the objective of helping people better manage their conditions.The field of psychiatry is constantly changing and developing, but psychiatrists currently tend to provide medical support to people with recognised mental health conditions including:DepressionAnxietyObsessive-compulsive disorder (OCD)Post-traumatic stress disorder (PTSD)Attention deficit hyperactivity disorder (ADHD)SchizophreniaBipolar disorderThe role of a psychiatrist involves end-to-end care, from initial diagnoses of these (and other) mental health conditions to the production of individualised, tailored treatment plans that may involve medication. As qualified doctors, they are capable of taking on a professional medical role that includes making formal diagnoses, providing medical advice, and dispensing prescriptions. They will also often work in multi-disciplinary care teams alongside other healthcare professionals like addiction therapists or mental health nurses. The pathway to becoming a psychiatrist ensures that, upon qualification, these professionals are fully prepared for the challenges of the role. Before qualifying, they must complete a five-year medical degree recognised by the General Medical Council, a two-year foundation programme of general training, three years of core psychiatry training, and three additional years of training in a specialist area such as child and adolescent psychiatry or forensic psychiatry. What is a therapist?The word therapist is an umbrella term that covers the broad range of approaches to talking therapy. Specific disciplines within the umbrella of therapy include counselling, cognitive behavioural therapy, addiction therapy, couples therapy, and psychotherapy. Each of these talking therapies functions in a similar way, revolving around one-to-one or group sessions during which a therapist helps people to better understand and cope with the mental problems they’re facing.Importantly, therapists are typically not medically-trained professionals. This means they’re generally not qualified to provide concrete medical advice or dispense medication. Some of the titles that fall into the therapist category also aren’t strictly regulated, but certain therapists do require formal training, accreditation, or licences in order to practice. The requirements vary depending on the type of therapist.Licenced psychotherapists, for example, must have a degree in psychology or a related subject, an accredited postgraduate qualification, and 450 hours of registered practice that is recognised by the United Kingdom Council for Psychotherapy (UKCP)Unable to dispense medication, therapists instead tend to provide a more informal way for people to deal with their emotions or mental health difficulties. In most cases, this takes the form of regular sessions where issues are talked through. Differences between psychiatrists and therapistsThe key difference between psychiatrists and therapists is in the required qualifications and accreditations of each role. Psychiatrists are medical doctors who simply specialise in mental health. They are fully medically trained and qualified, and can therefore make diagnoses, give evidence-based medical advice, and prescribe medication.Therapists, on the other hand, are typically limited to talking therapy. They don’t stray into medical discussions and are unable to make diagnoses or write prescriptions. Some therapists, including licenced psychotherapists, will be highly-qualified and accredited, but they are still not considered medical professionals.Despite their differences, however, psychiatrists and therapists can both play an important role in care plans for people with mental health conditions. A common relationship is that between a psychiatrist and a licenced psychotherapist – the former making a diagnosis and prescribing suitable medication while the latter delivers talking therapy to supplement the medical element of the treatment plan. Which one to chooseThe vast differences in the remit between psychiatrists and therapists means there are few circumstances where you’d have to choose one over the other. Instead, it’s likely that the nature of the mental health issue you’re dealing with will make the decision for you.If you’re seeking support for a recognised mental health condition such as depression, ADHD, or schizophrenia, a psychiatrist is the only option out of the two for receiving a diagnosis and exploring medication routes. If you’re not necessarily experiencing a mental health condition, but going through a rough time in your life during which you need support, a therapist may be able to provide it through talking therapy.It’s important to remember that talking therapy is not a replacement for medical care where required. It should instead be seen as a supplementary service that can potentially offer additional benefits.If you’re confused about which service you need, seeing a GP can help you to better understand where you should turn for further support.
Read moreWhat Is Addiction Therapy?Addiction therapy is the term used to describe a wide range of talking therapies, treatments, and intervention strategies designed to treat addiction. It’s most commonly associated with the treatment of abuse of substances like drugs or alcohol that has reached the level of being classified as an addiction.However, it’s also sometimes used to help people deal with and overcome other forms of addiction, such as gambling or sex. This is because addiction therapy strategies are largely adapted from general therapeutic techniques which, in short, aim to help people explore their underlying issues and develop coping mechanisms.And, just like talking therapy for any other issue, addiction therapy comes in a range of forms. From CBT to contingency management, there are lots of different ways to address a problem with addiction, and each has its own strengths and weaknesses.We’re here to give you all of the basic information you need about addiction therapy, including when it might be appropriate, why it’s so important, and what it most often involves. What’s the difference between habit and addiction?We all know what habits are – the tendencies or routines that we’ve developed over time and that almost seem to happen subconsciously. Despite them feeling like subconscious choices, we actually have control over our habits. It may take time, but you can decide to change or stop habits altogether. An addiction is defined as a habit that is out of control. People with an addiction, no matter what they’re addicted to, are typically dependent on it to cope with their everyday life. Addictions also generally have detrimental effects on the person’s health or wellbeing, and can even negatively affect the people around them.And, while bad habits can be changed with enough effort, people with an addiction can feel an overwhelming need or compulsion to act on it regularly. This is because addictions have significant effects on brain chemistry, changing the way that dopamine (sometimes known as the brain’s reward system) is produced and released. In other words, addicted people can become reliant on the substance or activity they misuse for happiness, fulfilment, or satisfaction.Common addictions include the misuse of some of the main drugs used in the UK, such as:OpioidsCocaineBenzodiazepinesMDMAHowever, people can also be addicted to other substances, or even behaviours, including:NicotineAlcoholPainkillersSexGamblingFood If you’re wondering how to tell if your behaviour is more typical of a bad habit or an addiction, using the following checklist of questions is a good place to start:Is your behaviour having a negative impact on your life?Do you repeatedly find yourself in risky situations because of your behaviour?When you stop the behaviour, do you experience withdrawal symptoms like anxiety or stress?Have you taken any steps to hide your behaviour?Have you repeatedly, but unsuccessfully tried to stop your behaviour?Answering yes to one or more of the above questions doesn’t mean you definitely have an addiction, but it is a useful indicator that you could use to explore your behaviour further. Why is addiction therapy necessary?Given the impact that addiction has on the brain, it’s nowhere near as simple to address as a bad habit. Addiction is a chronic disease that undermines the brain’s regular functions. A simple way of thinking about it is that it changes what your brain recognises as desirable activities.The brain’s reward system typically fires when we do things like eat, talk with friends, or exercise – in other words, things that are good for our wellbeing and survival. But addiction behaviours, especially of substances, trigger the reward system, too, releasing dopamine and creating a desire to repeat the activity.Without support or treatment, people with addictions are faced with what can feel like an impossible challenge – ignoring their brain’s strongest signals. That’s why addiction therapy is so important.Designed to provide people with a space to explore their behaviours guilt-free, it can be a formative experience. The benefits of addiction therapy can include the successful development of coping strategies to deal with cravings, a change in the way you think about your behaviours, and minimisation of some of the common side effects of addiction, like anxiety or depression. Types of addiction therapyJust like therapy for other issues, such as relationship problems, mental health concerns, or childhood trauma, addiction therapy comes in a variety of forms. Each one uses a different approach to explore the factors behind the addiction, but they all make efforts to help people learn how to better control their thought-patterns and behaviour. Although not exhaustive of all potential types of therapy for addiction, these are some of the most common forms used:CBTCognitive behavioural therapy (CBT) is an evidence-based therapy that shows high response rates when applied in all sorts of situations, including to address anxiety and general stress. It’s also applicable in addiction therapy. The CBT model aims to alter negative or damaging behaviours by correcting problematic thought patterns. In the case of addiction, these thought patterns relate to high-risk situations where cravings are triggered. CBT for addiction will typically aim to teach people how to better cope with these situations, imparting strategies to avoid them altogether or deal with them more effectively when they do occur.Motivational interviewingMotivational interviewing (MI) is a different type of one-on-one therapy that’s also used to support people with addictions. It focuses on helping people to understand the problems their addiction causes, and is particularly geared towards those who aren’t yet ready to properly address their behaviours.Denial is one of the most prominent barriers preventing people with addictions from making positive progress. Through non-confrontational, non-judgemental motivational interviewing, therapists can help people to recognise their problem and become more aware of the impact it has on them and others around them. This can have a motivating impact that outperforms traditional therapies.Family therapyAddictions don’t just affect the people who have them – they can also have both direct and indirect detrimental effects on the people closest to them. This includes families, which is why family therapy is another common step in an addiction therapy journey.Behavioural therapy that involves family members can give them a platform to communicate their feelings about the addiction and how it impact them. It’s also an opportunity for them to learn how to change their own behaviours to avoid enabling the addiction.Contingency management Contingency management is another type of addiction therapy, revolving around the idea of tangible rewards and consequences for certain behaviours. It’s generally applied in addiction therapy targeting people who struggle to see sobriety as its own reward, which may include young adults or teenagers.Therapists employing a contingency management approach make use of incentives such as money or retail vouchers to reward and reinforce positive behavioural changes. They may also devise disincentives to counter negative behaviours. It’s efficacy has been proven through meta-analyses, but it’s not particularly common in practice.
Read moreWhat is the difference between a chiropractor and a physiotherapist?We all get aches and pains from time to time. But if you’re experiencing creaking joints, stiffness or pain more often than normal, you might be considering finding expert help. This is where physiotherapists and chiropractors come in. Both professions are specialists in treating problems associated with joints, muscles and nerves, and can help to reduce pain, increase mobility and rehabilitate following injury or illness. There are a lot of similarities between physiotherapists and chiropractors, including some of the benefits they can provide, but there are also some key differences. For example, physiotherapists tend to work more with muscles, while chiropractors use manipulation techniques to work on the skeleton. We’ll lay out all of the similarities and differences below so that you can make an educated choice on which is best for you. What is a physiotherapist?Physiotherapists work to improve physical function by restoring or maintaining movement in the body. Their help is commonly sought by people affected by injury, illness or disability, and they cover a wide breadth of problems. Those suffering with chronic illnesses like cystic fibrosis, MS or Parkinson’s disease may incorporate physiotherapy into their routine. It’s also often used to help rehabilitate patients following sports injuries, strokes or heart attacks. The science of physiotherapy places a big emphasis on bones, joints and soft tissue, and therefore any pain associated with these areas, whether chronic or acute, could potentially be lessened with the help of a physio. The profession is regulated by law, which means a licensed physiotherapist will have undergone rigorous training, education, and examination before they are allowed to work on your body. A physiotherapist will typically use their expertise to assess any problems that you might have, before providing tailored exercises and diet advice with the aim of strengthening these specific areas. They will also educate and offer advice to help you understand what day to day things can affect or worsen symptoms, such as how to lift heavy items correctly, or how to improve your posture to prevent further issues. In terms of direct treatment, a physiotherapist might use massage therapy, exercises, stretches, hands-on manipulation, or any combination of these techniques to relieve pain and encourage movement. They can also incorporate other elements that they believe might be beneficial, such as hydrotherapy or the use of mobility aids. What is a chiropractor? Like physiotherapists, chiropractors are also licensed professionals who have to undergo training in order to work legally. Chiropractic is an alternative medicine, which means it’s not a conventional treatment and doesn’t necessarily work on an evidence-based approach. However, there are plenty of people who praise the positive effects of chiropractic treatment, and some studies that back up its reported efficacy. Chiropractors are commonly sought out to help treat back, neck and shoulder pain. They can also provide relief from headaches and to those experiencing pain and discomfort from osteoarthritis. Some chiropractic treatments are also targeted at other conditions, such as sciatica, scoliosis, and neck-related vertigo. During a session, a chiropractor will evaluate your symptoms and physical condition, before moving on to treatment. This might involve manipulation, where the joints of the spine and limbs are adjusted by hand, causing ‘clicking’ or ‘cracking’ sounds. A chiropractor will focus on wherever there is pain or restricted movement, with the manipulations helping to increase blood flow to the area and regulate nerve conductivity. The chiropractic philosophy dictates that the interventions performed by the chiropractor in the form of adjustments and manipulations can not just release tension and improve pain, but also encourage the body to heal itself. Some patients report feeling ‘lighter’ or ‘looser’ following a session, and can move more freely. The differences between chiropractors and physiotherapists While there are many similarities between physiotherapy and chiropractic treatments, there are also some differences which are important to note before deciding which one is right for you. The main difference is that physiotherapy applies a much broader range of techniques, while chiropractic places a larger emphasis on spinal and pelvic manipulations in particular. The key differences between physiotherapists and chiropractors are as follows: PhysiotherapistChiropractorGoalImproved and pain-free movementPain relief and spinal alignmentFocusOverall movement of the bodyMostly focuses on back and neck MethodA combination of massage, stretches and manipulationsShort, forceful movements known as adjustments EnvironmentCan work from most places, including hospital or your homeSpecific equipment is normally required so sessions most often take place in a specialised space When it comes to similarities, there are still quite a few. Both physiotherapists and chiropractors use manual (i.e. hands on) therapy to achieve their goal, and they can both provide care plans for their clients to use outside of sessions. A lot of the same conditions can be treated by either a physiotherapist or chiropractor, and the main issue people seek treatment for is usually pain related. Both are licensed professionals who know how to take into account your health history, lifestyle and personal treatment goals when working with you. Which one is right for you?Whether you choose a physiotherapist or chiropractor really depends on what your specific concerns are. If you need help recovering after surgery or an injury, a physiotherapist might be the first port of call. If you are hoping to address chronic back pain, then a chiropractor might be able to provide the most relief.If you’re still not sure which is right for you, it could be worth contacting both a physiotherapist and a chiropractor to describe your issues and ask for their opinion. You could even go so far as to try a session with each to find out which is the best fit. Look to see if they have any specialisms that mean they’re well-versed in treating your specific health problem. MyHA can help you find local chiropractors and physiotherapists so that you don’t have to travel far from home (and some even offer home visits). You can browse, contact and book right now through our platform, getting you on your way to a more comfortable life.
Read moreWhat Is A Doula?A doula is a person who provides support to women throughout pregnancy, labour, birth, and sometimes the postnatal period. They’re not medically trained and don’t provide advice, but can help with practical tasks, provide informational support based on their experience, and look after emotional needs. Doulas can be appointed at any point during pregnancy or in the weeks or months after the birth of a baby. Some doulas—typically known as birth doulas—will focus on the journey to pregnancy and labour itself, while others—called postnatal doulas—specialise in providing support in the first stage of motherhood. It’s also not uncommon for doulas to take on both duties, working with the same family from the beginning of their pregnancy into the early years of their child’s life. It's important to note that they’re not a replacement for medical professionals such as gynaecologists or midwives. Instead, they should be seen as a complementary service—providing additional support above and beyond the basics. What do doulas do?Doulas are typically highly-experienced in maternal matters, although medically untrained. Their experience and expertise means that they can be flexible to the needs of the family they’re working with, taking on a broad range of roles.Typically, doulas will provide services such as:Spend time getting to know the family they’re working with and building strong relationshipsAnswer questions about pregnancy, birthing options, and early childhood responsibilities, easing concerns with their experienceProvide emotional support, wherever it’s needed, during pregnancy and in the postnatal periodDeliver one-to-one support, encouragement, and reassurance during labour (whether at home or in hospital)Help ease the transition into feeding the new-born baby and provide other baby care supportGive new parents the opportunity to have rest, space, and the chance to talk things through in weeks following birthEvery relationship between a family and their doula is different, and the duties that doulas take on reflect that unique relationship. They’re generally highly adaptable people, capable of doing what’s needed to give families the most positive pregnancy and birthing experience. What are the benefits of having a doula?The experience that doulas bring to the table in their relationship with expectant families can be invaluable in smoothing the bumps on the life-altering journey of having a baby.Some families will find value in simply having somebody on-hand to provide information and emotional support, but there is also evidence showing that doulas can have tangible practical benefits.A synthesis study, compiling the findings from 51 other separate medical studies across 22 countries, found that the benefits of having a doula may include:Increased likelihood of a vaginal birth, and decreased likelihood of caesarean or instrumental birthsDecreased likelihood of the need for pain medicationA shorter labour processIncreased satisfaction with the birthing experienceThe communication gap between the mother and the delivery staff being bridged, resulting in smoother dialogueDecreased likelihood of the baby having a low five-minute Apgar score How much do doulas cost?There are lots of factors that affect how much a doula will cost. As with any other service, prices will change depending on where in the country they work and how much experience they have. The level of service provided will also factor into the cost, with some doulas playing a more comprehensive role than others.It’s also important to remember that doulas work in all different ways, including being self-employed, NHS employees, employees of private organisations specialising in doula care, or even volunteers. Where you find your doula will likely also have an impact on how much their services cost. As doula costs can vary broadly, it’s always a good idea to get in touch with the ones that you’re interested in learning more about and asking them directly.There are also some organisations that have networks of voluntary doulas across the country, including Doulas Without Borders, dedicated to providing support to women experiencing financial hardship. Are doulas insured?Given that they’re not medical professionals, doulas aren’t regulated or legally required to be insured. However, some will have private insurance for their services. As with cost, the answer to this question varies from doula to doula, so asking individual providers is the best way to find out. How to find a doulaYou can find doulas in your area with My Health Assistant. You’ll find all the information you need to find a doula who suits you, including a summary of their experience and any training they’ve completed, and you can contact them directly through our platform.
Read moreWhat’s The Difference Between A Dietitian And A Nutritionist?‘You are what you eat’, the popular saying goes, and it’s not far wrong! Diet plays a large role in our overall health, factoring into everything from general wellbeing to risk of disease. According to the World Health Organization, a healthy diet combined with a fit and active lifestyle, can contribute towards minimising risk of conditions such as diabetes, heart disease, and cancer. Healthier dietary choices also improve overall nutrition, helping people to maintain more optimal body weights. This, in itself, can also reduce the risk of health complications.But adopting a healthier diet is a process that’s fraught with difficulties and challenges for lots of people, from not knowing what their diet should include to having difficulty sticking to it over the long term. Nutritionists and dietitians exist to help people overcome these obstacles.However, there are key differences between dietitians and nutritionists that not everybody knows about. We’re here to break down what they both do and what qualifications they need, so you can make a more informed choice about which one to go for. What is a dietitian?Dietitians are healthcare professionals that work with patients to assess, diagnose, and treat dietary and nutritional problems or conditions. They’re the only professionals working in the field of nutrition that require formal qualifications and are regulated by law.Their role involves providing practical guidance to help people make healthy choices in their diet. Dietitians commonly work with people who have recognised medical conditions such as diabetes, allergies, IBS, and eating disorders, but can also provide their services more generally to people seeking advice unrelated to a specific condition.They will often work as part of multi-disciplinary clinical teams alongside doctors, nurses, physiotherapists, and other professionals to deliver complete healthcare plans. Registered dietitians are required to have a minimum of a bachelor’s degree in dietetics (or a related science undergraduate degree with an postgraduate qualification in dietetics). These qualifications all involve a mandatory placement working in the NHS, which means even newly-qualified dietitians will have clinical experience. All dietitians are also required to be registered with The Health & Care Professions Council (HCPC), a regulatory body that upholds standards across the healthcare sector. The title of dietitian or registered dietitian is only applicable to members of the HCPC. Whether they practice in the NHS, a private clinic, or on a self-employed basis, the fact that all dietitians are governed by the same ethical code ensures they work to the highest standard. What is a nutritionist?Nutritionists are specialists in the field of diet and nutrition, but aren’t formally qualified or medically regulated. They provide advice to people looking for support in making healthier choices in their diet, breaking scientific knowledge down into simple action plans.They typically work with people who need help with achieving a particular health-related objective, whether that’s losing weight or supporting athletic development. Their role doesn’t extend to providing medical support to people with recognised health conditions, like eating disorders or chronic diseases. A nutritionist will often focus on delivering actionable advice, typically in the form of personalised diet plans that address the specific concerns of the person they’re working with. Some will specialise in particular areas, such as sports nutrition or infant nutrition, while others will function as generalists. There is no formal education path or qualification required to be a nutritionist, and the title isn’t protected by law. However, nutritionists can hold the title of registered nutritionist (sometimes shortened as RNutr) if they are registered with the Association for Nutrition (AfN). Only nutritionists with a BSc in nutrition or a related subject and three years’ experience qualify for this accreditation. The differences between dietitians and nutritionistsThe main factor that differentiates dietitians from nutritionists is that only dietitians are medically qualified and regulated by law. They both provide fundamentally similar services, but the remit of a dietitian extends beyond an advisory role and into one as a medical professional. This means they are equipped to formulate and provide dietary advice that is specifically targeted at addressing recognised medical conditions. Nutritionists, on the other hand, can only work to provide general diet and lifestyle advice outside of the realm of medical support. To summarise, here’s a table that compares the main differences between dietitians and nutritionists: DietitianNutritionistMinimum qualification requiredBSc in DieteticsNoneClinical experience requiredNHS placement during degreeNoneAccreditation requiredHCPC membershipNone (AfN optional)Able to provide nutritional adviceYesYesAble to provide medical adviceYesNo Which should you choose?The decision between seeing a dietitian or nutritionist really comes down to what sort of dietary support you need. If you’re looking for qualified medical advice regarding how a condition like diabetes, IBS or an eating disorder, only a dietitian is qualified to provide it, ruling out nutritionists.If your objective isn’t necessarily medical, but more related to lifestyle or personal development, a nutritionist is open to you as an option. Key differentiating factors that might help you make your decision include price, availability, and proximity. As is often the case, looking around for options nearby and comparing different dietitians and nutritionists can help you to make up your mind. You can browse dietitians and nutritionists in your area with My Health Assistant to find one that suits you, and contact them directly through our platform.
Read moreThe Difference Between CBT And CounsellingMental health has arguably never been a more important topic than right now. It’s estimated that one in four people in England will experience a mental health problem of some sort each year, whether that’s depression, anxiety, obsessive compulsive disorder, or something else entirely. The prevalence of these conditions makes it hugely important to understand what support is available to deal with them. If you’re suffering from poor mental health personally, or looking out for a friend or loved one that’s having a hard time, one of the first steps to take is to learn what help is out there.Thankfully, there are a lot of different avenues to explore when it comes to addressing or treating mental health problems. We’re here to discuss the difference between two of the most common routes – cognitive behavioural therapy (CBT) and counselling. Both of these services fall under the umbrella term of talking therapy, but there are key differences between them which you need to know about if you’re trying to make a decision on which one is right for you.Read on to learn more about what CBT and counselling really are, what separates them, and how you can chose the one that suits your needs. What is CBT?Cognitive behavioural therapy, commonly referred to as CBT, is a talking therapy that centres around the idea that our thoughts, feelings, and actions are interconnected, and that changing one can have positive effects on the others.It involves a trained therapist providing guidance on how to identify and correct the negative thought patterns that contribute to the effects of conditions like depression and anxiety. The theory is that, by learning how to notice these thought patterns as they occur, people are able to work on overcoming them and can regain more control over how their thoughts impact their feelings and behaviours. Importantly, CBT is a type of therapy that’s rooted in the present, not the past. It’s unlikely that CBT sessions will include what you might think of as ‘typical’ therapy, where you recall traumatic events from earlier life or talk about your childhood. Instead, it focuses on the problems you’re dealing with right now, and looks for practical methods of improving your day-to-day state of mind.Studies show that CBT is provably effective as a therapeutic approach for a wide range of mental health conditions including anxiety, eating disorders, anger control issues, general stress, and depression. What is counselling?Counselling is another form of talking therapy that’s commonly used as part of a treatment plan for people with mental health conditions. While the term counselling is often used to describe talking therapies in general, it’s also a type of therapy in its own right.It involves attending sessions with a trained counsellor who will listen to the life problems or difficult feelings you’re encountering in a safe, confidential environment. It’s not the counsellor’s job to provide you with advice or tell you what to do to solve your problems, they simply provide an outlet that allows you to talk about what’s bothering you and work on uncovering any potential root causes. The most important element of counselling is that you are given access to a space where you can talk openly and honestly without fear of judgement or criticism. Seeing a counsellor can help you to learn more about yourself, your ways of thinking and feeling, and perhaps even guide you towards finding your own solutions to problems you’re facing. There are different types of counselling available, including psychodynamic, humanistic, and Gestalt, but all forms fundamentally aim to relieve distress and help people to better understand themselves and the challenges they face. Differences between CBT and counsellingBoth CBT and counselling are applied in the treatment of a huge range of mental health problems, but the basic differences between them mean that they suit different conditions, objectives, and types of people. Here’s a guide to some of the most notable differences between CBT and counselling.FocusCBT and counselling have completely different therapeutic focuses. CBT is very focused on delivering potential methods of dealing with problems that are being experienced in the present, while counselling has a broader focus that encompasses the past and doesn’t claim to provide a concrete plan of action, so much as promoting open discussion.StructureWhile there are similarities in the structure of CBT and counselling, in that they both take place in sessions that will typically last around an hour and be delivered regularly over the course of weeks, there are also key differences. Chief among these is that CBT sessions are generally more structured within themselves than counselling sessions, with a plan for what will be achieved and actionable outcomes. Counselling operates more fluidly, as the conversation guides the path of the session.SuitabilityBoth CBT and counselling can have tangible benefits on your state of mind, but they are most suitable for different conditions. CBT is generally most associated with depression, anxiety, OCD, and eating disorders, while counselling seems better suited to addressing only some forms of depression, as well as other mental health issues like stressful life events, bereavements, and fertility difficulties. ContentWhat actually happens during a session is another key difference between the two talking therapies. CBT is a relatively active process, during which you might discuss coping mechanisms, conduct thought experiments, complete worksheets, and carry out roleplaying exercises. Counselling, on the other hand, is primarily based in open, freeform discussion, sometimes accompanied by active techniques. Choosing the right type of therapyIt’s understandably difficult to choose the type of therapy that’s going to help you best, but which one will have the biggest impact really depends on lots of different factors. You may find it helpful to carry out more research into CBT and counselling to make your mind up, but the best way to figure out what type of therapy to pursue is to see a trained medical professional, such as a GP.If you’re looking for more information about the different types of therapy available, resources like the NHS website and the mental health charity Mind can be invaluable.
Read moreThe Basics Of AudiologyIt’s easy to take them for granted when they’re working fine, but impairment to one of your five senses can be debilitating. Most of us will be familiar with the process of assessing vision, with over 12.5 million eye tests carried out in England alone every year and as much as 59% of our population wearing eyeglasses, but knowledge about the healthcare support available for our other senses seems less prevalent.We’re here to demystify audiology, the branch of healthcare that deals with the assessment of hearing, for you. Read on to learn everything you need to know about audiology, audiologists, and how they might be able to help you with your hearing issues.What is audiology?Audiology, a word which originates from the Latin ‘audire’ (to hear) and Greek ‘logia’ (study), is the branch of the healthcare system that deals with issues relating to hearing and balance. Combining modern technology with medical science, audiology aims to identify, assess, and provide solutions for a broad range of disorders and conditions, from tinnitus to natural hearing loss.What is an audiologist?Audiologists are the professionals who practice audiology. They are responsible for identifying, assessing, and helping people to manage hearing or balance conditions, and make full use of a broad range of assessment tools and technology. Just as an optician diagnoses eye conditions and delivers expert advice and tangible solutions to rectify their effects, audiologists strive to deliver solutions that help people to regain or maintain their level of hearing. In some cases, this will be as simple as providing advice about how to make adaptations that can help to limit hearing loss, in others, it will involve fitting technology like hearing aids to make a difference.Due to the complex nature of the role, audiologists are required to complete a 3-year degree in audiology that’s approved by the Health and Care Professions Council (HCPC) or an NHS Practitioner Training Programme in audiology, depending on whether they want to work privately or for the NHS.What conditions do audiologists treat?In the same way that there are many different conditions that can affect the eyes and require the support of an optician, such as short-sightedness, glaucoma, and cataracts, hearing issues come in many forms. Audiologists are generally trained to treat conditions including:Hearing loss – Long-term and sudden hearing loss, which may be caused by natural degradation or a specific condition.Ear infections – Ear infections that cause pain, dizziness, loss of balance, or hearing loss can all generally be diagnosed by audiologists.Impacted earwax – Earwax build-ups that are exacerbated by impacting (causing denser blockages) can cause partial hearing loss and ear damage.Tinnitus – Characterised by a persistent ringing noise in the ear, tinnitus has a range of potential causes.Balance disorders – The inner ear is responsible for our sense of balance and can be affected by ear problems causing conditions like vertigo. What does an audiologist do?Due to the variety of conditions and issues that can affect the ear, our sense of hearing, and our balance, audiologists take on a broad range of responsibilities. They can carry out a variety of tasks during an appointment, including:Perform hearing testsMost people who attend an appointment with an audiologist for the first time will likely begin with a hearing test, or audiogram. This type of diagnostic test is designed to identify the recipient’s level of hearing, using sounds at different frequencies and volumes to build an understanding of what can be heard and what can’t. The test usually involves listening out for sounds and raising your hand or pushing a button when you hear one. The result of an audiogram is a graph that shows which sounds you heard, and which you didn’t, indicating the frequency or volume-based shortcomings of your hearing.Remove earwaxSome hearing issues can be caused by a simple build-up of wax in the ear canal, or more serious impacted wax build-ups that can in time cause damage to the eardrum. Audiologists can help to remove these blockages by using micro-suction or irrigation tools, providing a near-instant solution to minor hearing problems.Fit hearing aidsIn some cases, partial deafness or hearing loss are symptomatic of a more fundamental degradation in hearing. This can occur for a range of reasons, from natural degradation due to age to sudden hearing loss because of a health condition or environmental factor. Hearing aids are one of the most common solutions to more serious hearing issues like these, and audiologists are the ones who identify the need for one and fit the device itself. The process of fitting a hearing aid involves the audiologist tinkering with the settings to make sure it’s effective at improving hearing, and there will often be follow-up appointments to provide further optimisation. Discuss products or medicationBeyond hearing aids, there are a range of other devices, products, and medications out there that can provide temporary or permanent solutions to some hearing issues. Audiologists, having assessed your condition, are best placed to make recommendations about which to pursue, whether it’s antibiotics to treat an ear infection or custom ear buds to protect the ears in loud environments.Provide adviceFinally, audiologists can simply act as consultants and provide advice that is geared towards preventing hearing loss, maintaining current levels of hearing, or continuing to enjoy the same quality of life with impaired hearing.
Read moreA Guide To Occupational TherapyHealth conditions, whether they’re physical or mental, long-term or fleeting, can seriously inhibit the way you’re able to live your life. Whether it’s a broken bone stopping you from playing sport, anxiety making every working day a struggle, or symptoms of a chronic illness causing daily challenges, it can be tough to find a way to continue to do the things you need or want to do when you’re struggling with your health.Occupational therapy is a healthcare service that’s designed specifically to support you in living your life as close to normally as possible during these times. It enables people to retain their independence throughout (and often after) dealing with an illness, injury, or other condition, which can be a huge factor in overall wellbeing. We’re here to give you an overview of all things occupational therapy, including what it really is, what the process involves, and how it might be able to help you. What is occupational therapy?Occupational therapy is a healthcare service that focuses on helping people develop, recover, or maintain their ability to complete everyday tasks or activities, otherwise known as ‘occupations’. It’s a broad discipline that covers injuries, illnesses, mental health conditions, learning disabilities, effects of aging, and more, but no matter what it’s in response to, the practice of occupational therapy usually revolves around two key steps: assessment and intervention.These two steps – the monitoring of difficulties followed by the provision of techniques and approaches that can be used to overcome them – are invariably designed to help people to maintain their independence. Holding on to the ability to complete everyday tasks like working, socialising, exercising, and keeping their home clean can be an important factor in people’s wellbeing, and occupational therapy exists to help people do just that. What is an occupational therapist?Occupational therapists are the professionals who carry out occupational therapy. To become a fully qualified occupational therapist, you must complete a degree or apprenticeship degree in occupational therapy before registering with the Health and Care Professions Council (HCPC). However it’s not uncommon for occupational therapists to also hold other qualifications and accreditations, as knowledge of psychology and counselling skills are also important facets of an occupational therapist’s skillset. What does occupational therapy do?The nature of occupational therapy depends strongly on what health condition, disability, injury, or illness is being treated. However, there are basic principles that underline the practice in general.As already mentioned, occupational therapists will typically begin with a monitoring or assessment phase, during which the therapist will develop an understanding of the condition you’re facing and how it affects your capacity to live your life to the fullest. For example, if an occupational therapist is consulting somebody with rheumatoid arthritis, they might notice things like poor range of motion, joint pain, and tiredness as primary symptoms that cause day-to-day difficulties with ‘occupations’, like inability to do a basic level of exercise or work a laborious job.With this knowledge, the occupational therapist can then move on to the second stage of their process, which is to formulate and deliver advice and actionable techniques on how to overcome these difficulties. This might come in the form of:Practising carrying out occupations in manageable stagesTeaching a different way to complete the same occupationsMaking recommendations on how to avoid or minimise the occupationsProviding devices that can enable occupations to be carried out with more easeUsing the same example of somebody with rheumatoid arthritis, after assessing the occupations their patient is struggling to complete, an occupational therapist might make interventions including:Formulating a recommended program of exercise to strengthen jointsSourcing specialist devices to make difficult tasks like holding small instruments easierTeaching modified ways of completing day-to-day tasks, like buttoning a shirtRecommending workplace modifications that can help make work simplerThe interventions made by an occupational therapist will vary depending on the condition they’re working with, but they all revolve around helping people to maintain their independence to uphold the quality of life they’re used to. What can occupational therapy help with?Occupational therapy is a healthcare service that’s applicable to many different conditions, ranging from simple injuries to complex learning disabilities. It’s commonly used to support:People with physical disabilitiesPeople in wheelchairs, amputees, and anyone with a physical disability such as cerebral palsy or multiple sclerosis can potentially benefit from an occupational therapist’s interventions. These might include techniques for dressing or cooking, or recommendations on adaptations to the workplace to make their job easier. People with learning disabilitiesLearning disabilities such as dyslexia, processing issues, or ADHD can make day-to-day occupations more difficult, but occupational therapists can help develop techniques to overcome these difficulties. These might be focused on important tasks for independence, like cooking or cleaning, or developing skills for employment.People with long-term health conditionsAt the onset of long-term health conditions such as cancer, diabetes, COPD, and arthritis, occupational therapists can help to assess potential difficulties and deliver relevant interventions. These might be geared towards reducing pain from regular activities, maintaining good levels of fitness, or adapting the workplace to suit new needs.People with mental health conditionsDepression, anxiety, and other mental health conditions can all cause great difficulties when it comes to maintaining independence and proper functioning, but occupational therapists can deliver interventions targeted specifically at these issues. The focus in these conditions might be to improve their ability to look after their basic needs, engage socially, or manage their finances. People with debilitating injuriesInjuries, whether they’re short term or long term, can be jarring in that they suddenly impose limitations. Occupational therapists can devise strategies to overcome these limitations and regain independence, such as alternative ways to dress themselves, use of specialist devices around the house, or adaptations to the way they work.Older peopleAs people age, their ability to complete everyday occupations can suffer. Occupational therapists can support older people by developing techniques that help them to maintain their abilities or implementing specialist devices that help keep them safe, such as walking aids or changes around the home.
Read moreEverything You Need To Know About Massage TherapyStress, achiness, pain, tension – we all experience them at some point or another. And, whether they’re isolated side-effects of a tough week or symptoms of a broader health condition, they can be difficult to deal with. Massage therapy is one possible solution, out of many, to alleviating minor ailments like those mentioned above. Read on to learn everything you need to know about massage therapy, including what it involves, how it works, and whether it’s right for you.What is massage therapy?Massage therapy is, in essence, just the application of massage techniques for a therapeutic purpose. Just like regular massages, it aims to relax, revive, and repair tissue in the body, making use of rubbing and kneading movements to manipulate soft tissue and muscle. It’s a form of treatment that is often included as part of wider healthcare plans to address issues like physical stress, tension in the body, sports injuries, and chronic pain. By applying pressure and movement to problem areas, massage therapists can make a difference to both the wellbeing of their patient and the symptoms being addressed. It’s thought that massage therapy has been practiced for almost 4,000 years, with records of massage techniques appearing in the 16th century BC Chinese medical text Con-Fu of the Toa-Tse. That makes it one of the oldest forms of treatment still used in our modern healthcare world. What is a massage therapist?Massage therapists are the practitioners who deliver massage therapy. There are no formal qualifications required to become a massage therapist, but plenty of practitioners still undertake a diploma, degree, or apprenticeship to develop their knowledge of the practice and build experience. There are also certain professional bodies that provide massage therapy accreditations, including the Federation of Holistic Therapists and the Complementary and Natural Healthcare Council.Types of massage therapyWith such a long and storied history preceding it, modern massage therapy involves lots of different types of massage, each with their own techniques, approaches, and benefits. These include:Swedish massageOne of the most popular forms of massage around, a Swedish massage is typically focused on relaxation. It generally makes use of a gentle touch and often scented massage oils, imbuing the recipient with a sense of calm.Deep tissue massageDeep tissue massages are much more utilitarian in their aims than their Swedish counterparts, focusing on deep penetrating techniques that get into your muscles and help to relieve tightness, pain, or tension. Sports massageSports massages are very similar to deep tissue massages, sharing a lot of the same techniques. However, whereas deep tissue massages are used to treat all sorts of conditions and alleviate broad symptoms, sports massages are typically more focused on one particular area of an athlete’s body with the aim of preventing an injury, or aiding recovery.Prenatal massageAs the name hints, prenatal massages are designed to suit expectant mothers. They have a variety of purposes, from helping to address aches and pains in the body to aiding relaxation, and can be administered al the way through the pregnancy process.Lymphatic massage Lymphatic massages are another specific sub-category of massage therapy, geared especially towards encouraging the free flow of lymphatic fluid throughout the body. This type of massage is generally suited to people who suffer from lymphatic issues, including inflammation.Benefits of massage therapyMassage therapy isn’t a cure for anything, but it is commonly used, either in isolation or as part of a more comprehensive healthcare plan, to treat diverse symptoms resulting from a range of different conditions. That’s because it’s been reported to have the potential to deliver a wide range of benefits, including:Stress reliefA study has found that massage therapy can measurably reduce stress, more so than taking some simple relaxation time without a massage. Whether you’re stressed because of a bad day at work, or you’re battling a more serious medical condition that’s getting you down, massage therapy might be able to help. Pain reliefMassages have also been shown to have a statistically significant impact on pain, helping to relieve overall pain level and emotional well-being. This is part of the reason it’s sometimes used by cancer patients who are undergoing other treatments.Boosted immune systemAnother study, carried out my researchers at Cedars-Sinai Medical Center, claims that massage therapy also had the power to boost the immune system, lowering the levels of cytokines, cortisol, and vasopressin in the body, and significant changes in lymphocytes (molecules that play a role in defending the body from disease). Improves sleepA range of different studies have also indicated that massage therapy can be a helpful remedy to sleep issues, including for the elderly and people who deal with insomnia, migraines, and fibromyalgia.
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