Newsletter Archive Nutshell


In a NutShell

'In a nutshell’ is an extremely brief guide to subjects related to Counselling and Psychotherapy. Click here for previous subjects. In this newsletter edition I am focusing on Gestalt Psychotherapy. Gestalt is focused on encouraging here and now awareness, self support and self responsibility. Fritz and Laura Perls were two major influences. Perls himself was  Influenced by Wilhelm ReichJacob MorenoMartin BuberZen Buddhism and Drama/Theatre. Gestalt encourages awareness: Fully experiencing oneself in the present moment. It is particularly helpful in completing unfinished business; processing past traumas in the present and integrating conflicting aspects or parts of oneself. It is body focused encouraging awareness of body sensations, posture, movement etc. occuring in the present. Essentially focus is on the process taking place as the story unfolds. Self Interruptions to having full contact with oneself or the therapist may be highlighted. These may reveal themselves through language content, voice, body position, movement etc. Polster and Polster were later influences. Gestalt Therapy by Professor Eleanor O’Leary (UCC, Cork) is an enjoyable text to begin with. As an existential and experientail approach the best way to learn about is naturally through experiencing it. I’ve found working in groups with a gestalt therapist facilitating especially beneficial.

'In a nutshell’ is an extremely brief guide to conditions or ilnesses that can affect a persons mood or mental health. I will try to include links for further information. In this newsletter I am focusing on: ME (Myalgic Encephalomyelitiswhich is a serious debilitating chronic multisystem illness that can leave the sufferer house or bed bound. This condition is often misunderstood by many professionals (GP’s, consultants, physio’s, nurses) and lay people as 'all in the mind’ or viewing it as simply fatigue. This is despite having robust evidence showing it to be a biological illness. Affecting many systems of the body, symptoms include profound fatigue, post exertional malaise, sleep disturbance, cognitive impairment, postural orthostatic tachycardia, fibromyalgia type pain, sensitivity to sounds, smells, light, enlarged lymph nodes and IBS. It is diagnosed after having certain conditions ruled out through medical test such as Lyme’s disease, thyroid disease, anemia, Addison disease etc. It is crucial to obtain a early diagnosis from a qualified doctor and a consultant with an understanding of this condition. The hallmark symptom of ME/CFS isn’t fatigue at all: It’s a dramatic worsening of symptoms after exertion (which for some patients can be as little as washing themselves). Cognitive problems can be incapacitating whereby the person can’t talk or read; within half an hour of standing, their blood pressure drops or their heart rate soars; and sleep makes them feel no better. Given all the above many sufferers will, naturally, suffer from depression too. Associations: www.irishmecfs.org (frequent events with expert speakers). Reading: Living With M.E.: The Chronic, Post-viral Fatigue Syndrome by Dr. Charles Shepherd. For latest research: ME/CFS/PVFS An exploration of the key clinical issues (2017) from www.meassociation.org.uk. Investinme (reseacrh conferences). Other links: ME & Depression.

'In a nutshell’ is an extremely brief guide to conditions and other areas of interest in Counselling & Psychotherapy. In this newsletter I am focusing on: Dialectical Behavior Therapy (DBT) which is a modified cognitive behavioral treatment that combines behavioral science with acceptance and mindfulness. It was originally developed by Dr. Marsha Linehan to treat chronically suicidal individuals diagnosed with borderline personality disorder. DBT involves the learning and practicing of particular coping skills such as self monitoring, emotion regulation and tolerance, mindfulness and interpersonal skills. Extended group based programs are available in the HSE which also include individual therapy and phone coaching session. Resources: http://behavioraltech.org. Previous 'In a Nutshell' articles here.

© Norman Warden, GCS 2016. Terms. NL. Site map. About GCS. Links.