KHA714 Lecture Notes - Lecture 11: Self-Harm, Habituation

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Behaviour Change
Week 11
Introduction to physical techniques- finishing off and re-capping
- Breathing and emotional state
oShifting and seeing what happening when doing so
- Breathing awareness exercises
oEasier to be guided by the client and what
oBreathing cue words
Outwards breath
Calm
Relax
Let go
Deepen
Anything that is encouraging client to take their relaxation-
breathing ot the next level
oOut tension, in peace
Used sparingly
Only some clients
Instead use words: calm and relax
Using a cue word when they are breathing both in and out
Need to have two cue words
- Grounding techniques
oUseful when:
Anxiety
Panic
Dissociation
Stressed and busy
Don’t only use them for psychiatric presentations- we all use
them, and can use them all the time
Even: taking a deep breath and focusing
An ‘oh well’ moment
Whatever you and your client use to find your centre
oCommon mistake
Doesn’t happen instantly
From up regulating to down regulating
You can have some changes/reductions, but there is still
adrenaline in your system
Need to tell client- its not an instantaneous fix
oSimple techniques:
Find one area for your client to start to ground with
Stamping feet
Pushing feet down really hard on the floor
Transferable across contexts
Give the multiple grounding ones
Don’t need to be a huge toolkit
Comforting objects
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Document Summary

Introduction to physical techniques- finishing off and re-capping. Breathing and emotional state: shifting and seeing what happening when doing so. Breathing awareness exercises: easier to be guided by the client and what, breathing cue words. Anything that is encouraging client to take their relaxation- breathing ot the next level: out tension, in peace. Using a cue word when they are breathing both in and out. Don"t only use them for psychiatric presentations- we all use them, and can use them all the time. Even: taking a deep breath and focusing. Whatever you and your client use to find your centre: common mistake. You can have some changes/reductions, but there is still adrenaline in your system. Need to tell client- its not an instantaneous fix: simple techniques: Find one area for your client to start to ground with. Pushing feet down really hard on the floor. Don"t need to be a huge toolkit.

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