Occupational Therapists Apply Psychotherapy to Real Life

October is Occupational Therapy (OT) month! This blog post will cover the role of Occupational Therapists in mental health treatment and why they are the best person to have on your treatment team when seeking support for your mental health challenges. With our unique expertise in promoting independence, Occupational Therapists provide valuable insights and interventions to help you manage and overcome your mental health challenges. Occupational Therapists play a crucial role in supporting individuals with mental health conditions. Read on to learn more.

An OT brings something different to the table than standard therapist. OTs believe that healing comes from doing, so we are naturally drawn to concrete, actionable goals. Whether it be engaging in an activity you really used to enjoy again, or working up the courage to order a coffee. Our therapy is based in doing.
One of the primary goals of occupational therapy in mental health treatment is to enhance your ability to engage in meaningful activities and participate in daily life. By focusing on a person's occupations (the things you do every day), occupational therapists can address the physical, cognitive, emotional, and social dimensions of mental health conditions.

An Occupational Therapist will frame your treatment around how your problem is getting in the way of the things you want and/or need to do. The things you want and need to do could be anything, from the little tasks such as getting dressed in the morning, to the bigger tasks of having family over for a dinner party. 

Occupational Therapists are unique practitioners in that goals are set collaboratively with the client and they tend to be concrete and action oriented. Although action orientated goals may sound intimidating, like jumping off the deep end into something you are scared to do, the tasks are always scaled to be just the right challenge. Not too hard and not too easy. We focus on the building up small successes to attain the client’s larger goal. 
To begin the treatment process, Occupational Therapists conduct comprehensive assessments to understand the unique needs and abilities of each individual. These assessments may involve evaluating cognitive and executive functions, analyzing daily routines, and assessing social interaction skills within various contexts.

Based on the assessment findings, occupational therapists collaborate with you to develop personalized treatment plans. These plans may include a variety of interventions, such as:
1. Activity Analysis: Occupational therapists break down daily activities into smaller components to identify potential barriers and develop strategies to overcome them. By modifying activities or adapting the environment, you can build confidence, enhance your coping skills, and restore a sense of accomplishment. This may look like analyzing food related activities such as grocery shopping, meal planning, eating, cooking in order to help manage the anxiety surrounding them for someone with an eating disorder.
2. Skill Training: Occupational therapists provide guidance and support in developing new skills or relearning lost ones. This may involve focusing on self-care activities like dressing, grooming, or cooking, as well as leisure pursuits or work-related tasks. Through skill training, individuals can regain independence and improve their overall well-being. Regaining skills or learning new ones helps in the process of self discovery and exploring self outside of mental illness. An important part in the recovery process is engaging in meaningful activities. 
3. Coping Strategies: Occupational therapists teach you practical techniques to manage stress, anxiety, and other emotional challenges. These may include relaxation exercises, guided imagery, deep breathing techniques, and time management strategies. This could also involve learning cognitive behavioural therapy (CBT), dialectical behavioural therapy (DBT) or other psychotherapy based tools. By equipping you with effective coping mechanisms, occupational therapists empower you to navigate your mental health journey more effectively.
4. Environmental Modifications: Occupational therapists assist you in creating supportive environments that foster positive mental health outcomes. This may involve rearranging living spaces or workstations to optimize functionality, promoting safety, and reducing potential triggers for anxiety or depression.
5. Social Skills Training: Occupational therapists facilitate social skills development teaching assertiveness skills, anger management skills, and boundary setting to name a few. By nurturing healthy relationships and enhancing communication skills, you can increase your social support network, which is vital for mental well-being.

Occupational Therapists in mental health treatment also collaborate closely with other healthcare professionals, such as psychologists, psychiatrists, and social workers, to ensure comprehensive care. This interdisciplinary approach fosters a holistic understanding of your mental health needs and enables a more integrated treatment plan.
Throughout the treatment process, Occupational Therapists regularly evaluate progress and adjust interventions as needed. By providing ongoing support, education, and empowerment, occupational therapists empower you to take an active role in your mental health recovery.
In summary, Occupational Therapists play a fundamental role in mental health treatment by using our expertise in enhancing the functional independence and overall well-being of individuals. Through a range of interventions, we help individuals overcome challenges related to daily activities, develop coping strategies, and create supportive environments, all with the aim of promoting positive mental health outcomes.

ABOUT THE AUTHOR

Dana Etherington OT Reg. (Ont.), Psychotherapist is the owner of Cedar Tree Therapy, a psychotherapy practice for young adults that is located in Whitby, Ontario.

Body Shame Keeps Us Anxious & Distracted

We aren’t born hating our bodies, however most of us can find something we don’t like about ours.  Toddlers don’t hate their chunky thighs or chubby cheeks. This critical eye in which we view our bodies is something we learn to do. We learn it through small moments. We hear our grandmother compliment our sister’s recent weight loss. Our friend makes a comment while the two of you are out for lunch about how she must order a salad to stick to her diet. In these moments, we are subtly receiving the message that our body needs to live up to the thin ideal, thinner is better, and we must be in constant pursuit to be shrinking our bodies in order to be accepted, or to be viewed as successful or worthy.

We see and hear this type of messaging constantly, more than we might even consciously realize. We start to internalize the message of “your body isn’t good enough” until we think it’s our own voice in our head. It’s not. It's the voice of the body shaming society that we live in. 

Body shame is the intense feeling that there is something wrong with our body the way it is. This can lead to the relentless pursuit to change it or hide it. Body shame causes us to shrink the full expression of ourselves and tells us that our bodies are wrong because we don’t look how we “should”. Body shame can cause isolation, and can cause us to be distrusting of others. We don’t want to get close to others because we are scared of being judged, assessed, evaluated or hurt.

Where Does My Body Shame Come From? 

Your grandmother that compliments other’s weight loss or your friend that talks about their diet, they are not the root cause of your body shame. They are a small part of a much larger picture of generational dieting and diet culture disguised as promoting health that we have absorbed and understood as rules and expectations for how we should look. They haven’t yet begun to challenge and think critically about the systems that contribute to body shame. 

What Can We Do About It? 

We can ditch external rules about food and exercise. When you are hungry, check in with yourself and not a calorie counting app. Move your body because it feels good and lifts your mood, not to close rings. We can let go of external expectations and turn towards internal cues and what feels good to you.

We can have body shame free friends and role models that live in their body without apology, that live with food freedom and don’t let body shame get in their the way. 

When others make comments that perpetuate body shaming, gently explain why it is harmful. We are the people that make up society, so if we would like to change the body shaming ways of society we have to start at the individual level. 

The problem is not your body, the problem is your thoughts about it and the societal messaging we have received that maintains those thoughts. Body shame and living in diet culture keeps you busy, anxious and distracted. Worrying about how you look is a distraction from discovering true self and living freely. If you’d like to explore who you would be and what your life would be like without diet culture and body shame, get in touch with Dana for a 1:1 session.

Author Bio 

Dana Etherington is an Occupational Therapist, Psychotherapist and owner of Cedar Tree Therapy in Whitby, Ontario. Cedar Tree Therapy specializes in treating teens and young adults with anxiety, perfectionism and body image issues. 

www.cedartreetherapy.com

IG: @cedartreetherapy