The difference between the media’s version of self-care and healthcare’s version of self-care is huge. In the media we see bubble baths, spa days, “me time,” wine nights, and girls trips. In healthcare we talk about activities of daily living – showering, getting dressed, eating nutritious meals, doing light exercise, etc. I mean, I’ll admit that I definitely engage in all of the media’s version of self-care as well (well, I prefer solo trips to girls trips, just sayin’). And that’s fine. It’s totally all well to do all of that. As a person with a chronic health condition, I find it more beneficial to make sure all of my ADLs are done on a regular basis. Why? Because it helps not only my physical health (I’m literally more mobile when I do them), it also helps my mental health (mood is better, anxiety is less). Yet it can be hard to do these activities when we’re feeling low, when we’re super anxious, when we’re in a lot of pain. The thing is, doing them can help with all of these things.
Recently I read an article in a psychotherapy magazine put out by the BCACC (British Columbia Association of Accredited Counsellors) about how therapists can and perhaps should integrate health promotion into their clinical practice. Being interested in health psychology anyway, and wanting to work with people with chronic illness as well as mental health problems, I devoured the article. Then I did a quick google search to see what others are saying. And while there are not a ton of journal articles on the subject, there are a few, all pointing to the same thought – this is something therapists should do. What makes it difficult is that psychotherapists, whether they hold a Masters or PhD (or not, depending on where you live they may not need either), typically don’t have a lot of training in health outside of mental health (always a little bit as it relates but rarely a large amount). This makes me curious as to what everything thinks about therapists encouraging health promotion, in some way, during counselling.
What this article really looks at is not just physical health or mental health but all components of health. A holistic approach. Sometimes people go to therapy for things like weight loss, which in that case, health promotion and education seems necessary. Other times someone might bring it up as a secondary concern. There’s also, of course, the interrelation between things like exercise and nutrition and mental health. As well as sleep and mental health. See where I’m going with this? It actually might be almost impossible for therapists to not integrate health into counselling. So, while I usually save this kind of stuff for my premium blog, I thought I would share some health behaviours I’m going to put extra effort into this week, and I hope everyone reading thinks about some that they can as well! Body-mind connection week indeed!
nutrition: I’m going to go with making sure I eat fruit everyday (which I typically do but sometimes stumble on the weekends)
exercise: putting yoga back back into my routine at least 2x/week
sleep: ensuring I don’t have anything to drink after 8pm (part of sleep hygiene!)
other (social, hobbies, gratitude, mindfulness): playing the piano daily (I haven’t been playing as much as I would like)
As you can see, integrating health is rather inclusive and definitely extends beyond just physical aspects. Medication adherence can be another really important one for chronic illness warriors. The article I read speaks about Maslow’s hierarchy of needs, which I’ve mentioned in previous posts. We need to take care of our basic needs in order to take care of our higher needs. The three basic components of physical health I mentioned above are so important. So here’s my question (and I’d love answers in the comments), would you want your therapist to help you with aspects of health promotion that you are neglecting? Why or why not?