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Bodywork ~ Massage

How to Get the Most from your Massage

Sensitive Massage for Children with Disabilities

Touch Starvation: Severe Cost, Simple Cure

Chair Massage: Great Relief

Massage Regulation: Another Way to Pay More for Less

Need A Great New Year’s Wellness Resolution?
Get a Massage!

Slowing Down the Swing: One Massage Therapist’s Experience Working with the Mentally-Ill 

 

How to Get the Most from Your Massage
by Susan and David Luce
 
Don't think you have to carry on a conversation.
This is a time to feel, breathe, and visualize healing.

Here are some guidelines that we have available for our massage clients. We have included answers to some questions that first-time massage receivers may wonder about. The guidelines present general information about what happens during a massage, along with some tips to help you get the most from your massage. Other massage therapists we know feel the same way.

Communicate

Tell your massage therapist if there is something to be careful of. Speak up if you are too cool or too warm. Tell us if there is something special you want. Also let us know if there is something you don't like or something you especially like. We are adaptable, and this massage is for you. You are in charge.

Taking it off versus leaving it on

You will be covered with a sheet during your massage. Your back will be uncovered as it is worked on, as will one arm or leg at a time. In undressing to prepare for a massage, do what feels most comfortable to you. Understand that it is difficult to massage around a bra, so if you want a decent back massage, it needs to come off. Similarly, massage on lower back, low abdomen and hips can be done through underwear, though not as well. About half of our clients leave their underwear on, and about half remove it. Either way works for us. It's most important that you feel comfortable; otherwise, how could you relax?

What about my modesty?

A reputable massage therapist will always respect your modesty. Proper draping techniques include the covering of genitalia. We cover women's' breasts when we massage the abdomen. If you have concerns, please ask. If you need treatment on or near a sensitive area, we can discuss it without embarrassment and find a way to treat you so that you are comfortable.

Express your feelings

Go ahead and make noises. Sigh, grunt or moan. Cry if you feel like it. It helps to release the tensions you've been holding in your body. But remember that a lot of unnecessary talk distracts from feeling. Don't think you have to carry on a conversation. This is a time to feel, breathe, and visualize healing. Being aware of your emotions as well as your physical feelings as you receive bodywork is part of the healing process. You may recall something from your past as an old injury is being worked. It could be something you've been holding in your body for years that you're now ready to let go of. Just notice it. Visualize letting it go, if you're ready to let it go. You can talk about it, or not.

Concentrate

You may not have noticed that something was sore until it was touched. When you focus your attention on the part of your body that your therapist is touching, you give your subconscious instructions for self-healing.

Breathe

Slow deep inhales and exhales actually send a chemical message that triggers muscular as well as emotional relaxation. Breathe consciously during your massage and in your everyday life.

Relax

Receiving a massage is an act of surrender. Get over the idea that it's good to give but bad to receive. When on the massage table, don't help. Don't lift up your head so that your neck can be worked. Refrain from holding your arm up in the air so that it can be massaged. If your massage therapist is holding your hand up in the air and swinging your arm to relax your shoulder, don't take over. Helping doesn't help.

Pretend you're a rag doll and be totally limp. Let yourself be moved. Practice makes perfect. The more massages you get, the better you get at relaxation; this carries over into your daily life. You will become better at functioning under stress.

One more thing: in order to relax, you'll have to turn your cell phone off and leave the baby at home with a sitter. Let everything else go and focus on YOU for an hour and a half. See how luxurious loving yourself can be.

When you're on your own

Don't let your massage last only for the time you're receiving it. Let it be practice for feeling good every moment. Take responsibility for your own healing. Come back often. By treating yourself to regular massages, you will be helping yourself to function at optimum level.

We have a prepaid punchcard that allows our clients to buy 5 massages and get 1 free. This makes it easy for you to get regular treatment. Ask your massage therapist if s/he has a special quantity deal.

As always, drink lots of water. Eat a good diet. Get regular exercise. We recommend yoga, partly because it's designed to exercise every part of your body, mind and spirit. Yoga helps you become strong, flexible, balanced and at ease. The body is remarkable in self-healing abilities. It wants those parts that you care about to be healthy. It also gets the message that you're not interested in the parts that you neglect.

You can't hire someone else to heal you, only to assist you in healing yourself. It's the same with your emotional and spiritual bodies. Your health is your responsibility. Too many people rely on (or blame) others for the way their life is going by believing what others tell them to do or to believe. We all create our own reality. Some of us do it consciously, others unconsciously. Experiment. See what works for you. Consciously create what you want to have in your life in this new millennium.

Susan and David Luce are massage therapists at their own Raven Bear Studio in midtown Anchorage. They can be reached at 561-9609.

 

Sensitive Massage:
Healing Benefits for Children with Disabilities

by Marybetts Sinclair, L.M.T.
 

"When I volunteered to bring massage to Muscular Dystrophy Camp in St. Louis, Missouri, I was overwhelmed by the youngsters' responses. They all wanted to get on the table; the response was incredible. When we couldn't get them up on the table, I worked on them in their wheelchairs. I let them tell me where they wanted me to work. Every one of them had a different ache or pain and some had numb places where they wanted to feel again. These kids desperately wanted to be touched."

--massage therapist Terrie Yardley-Nohr


Sensitive massage is a unique type of therapy that can speak directly to many of the greatest needs of children with disabilities. It is both stimulating and relaxing; it nurtures children emotionally, and it feels terrific. Sensitive massage can help children release tension, become more aware of their bodies, and form a body image that is both positive and strong. Recent research on massage for hospitalized newborns, autistic children, child psychiatric patients, children with asthma and other special groups have documented many of these benefits.

For example, hospitalized newborns who are receiving gentle daily massages gain more weight on the same amount of formula and have decreased levels of stress hormones than those newborns who do not receive massage. They are also ahead of non-massaged babies in their motor and neurological development. During childhood, when there are periods of rapid brain growth and the child's self image is being formed, massage can be especially significant.

Most disabled children are under constant stress. This can take a toll both physically and emotionally. Massage is a lovely nurturing way for these children to release their stress and tension. As a massage therapist working with children with disabilities, I have seen this first-hand.

Children who are emotionally shut down from stress become much happier and emotionally relaxed when they begin to receive massage regularly. Because they are more likely to be socially isolated and touched less than other children are, massage can be especially important in satisfying their need for touch. Children with limited mobility, such as those in wheelchairs, may be deprived of a tremendous amount of normal sensory stimulation. Massage can help meet this need. It can be readily adapted to the specific needs of children with a variety of disabilities, including developmental disabilities such as autism, cerebral palsy and Down's syndrome; physical problems such as spinal cord injuries, juvenile arthritis and spina bifida; and illnesses such as AIDS and cancer.

Here are some basic guidelines to follow when massaging your child:
bulletCheck with your child's managing physician and physical therapist before doing massage. Physical and occupational therapists can give you valuable advice in many areas. Comfort with being handled and range of motion are usually much greater following massage, so this is a great time to incorporate any exercises prescribed by a physical therapist.
bulletNever force massage on your child. Begin with just a little at first, and make it a fun experience. Observe your child to determine what he or she likes best.
bulletJust as with the rest of us, cold hands over a sensitive area, deep pressure over a sore spot, or excessive tickling are unpleasant.
bulletNever cause pain by using heavy pressure over a sensitive area. Take care to be especially gentle over areas that are sensitive.
bulletIf your child is non-verbal, look for changes in breathing, facial expression, and muscle tension to tell you if he or she is enjoying being massaged. It may take some time and patience, but gradually your child will learn to tolerate and then appreciate massage.

Besides exercises, other forms of sensory stimulation can be easily incorporated into massage. For example, you might cover your child's back with a thin cloth and slowly roll a small ball up and down the back for a minute or two. Or you may choose to brush the back gently with a soft brush at the end of a massage. Try massaging your child in a warm bath, using soap instead of oil. You might add variety by using a hot pack on a tight area before massage, or gently washing lotion off after massage with a warm wet washcloth. All of these sensory stimulation forms can be enjoyed by your child, and can help him or her be more comfortable being handled.

Not only can massage be fun, but it is a wonderful time to help your child as well. For example, a child whose hands are hypersensitive could be treated in a fun way by letting her first play with bathtub toys in a pan of warm water, then in a pan of cold water, and then having her hands massaged in the water with soap or even a gritty substance such as salt while she is distracted. Gradually, as she learns to tolerate more stimulation, her hands can be massaged out of the water. This was done daily by a mother of a girl with Behr's Syndrome in one of my massage classes. After two weeks, the little girl's occupational therapist reported she was finally able to tolerate holding a spoon. Now she could begin to learn to feed herself!

I believe sensitive, loving touch is part of our birthright as human beings. There are so many benefits of massage, and so many ways to massage children. Parents can have great confidence knowing that they are helping their children, and the children can have fun, while they both enjoy this powerful form of healing together.


Marybetts Sinclair has been a massage therapist for 25 years. She is the author of Massage for Healthier Children and has taught massage for children with disabilities in the United States, Mexico and Ecuador.

 

Touch-Starvation: Severe Cost; Simple Cure
by Daniel N. Russell
 
Sharing touch will enhance not only our own health, but also that of our
relationships – and even that of our country's foreign relations.

Would you believe that many people in our society suffer from severe touch deprivation? In The Power of Touch, author Phyllis Davis reports on her observations in that U.S. friends in cafés touch each other twice per hour, while French friends touch 110 times per hour and Puerto Ricans touch 180 times per hour. Davis notes that contrary to their innate need, children living in the United States are, in actuality, socialized not to want touch. In Touching: The Human Significance of Skin, anthropologist Ashley Montagu concluded that touch is a basic behavioral need and that when it remains unsatisfied, abnormal behavior results.

The consequences of touch-deprivation are quite severe, as established by the following research. The Touch Research Institute (TRI) at the University of Miami, School of Medicine, reported that premature babies who receive massage gain weight 47% faster and leave hospital 6 days quicker than those who are denied massage. TRI studies also proved that a hand resting on a patient’s shoulder or around the waist can decrease heart rate and blood pressure. Coma patients whose hands were held experience strengthened heart function.

Neuroscientist Mary Carlson observed in Ceausescu's Romanian orphanages that children severely retarded in growth and mental development rocked and grasped each other just like experimental psychologist’s Harlow's touch-starved monkeys, and grew up unable to form permanent attachments. Amazingly, her chemical analysis showed abnormal cortisol profiles, which indicates a severe problem with stress response.

In The Power of Touch, author Phyllis Davis notes, "We aren't giving our children enough loving touch for them to distinguish between loving touch and sexual touch." Hugging is now prohibited in many schools between students and teachers. Davis argues that since teens have their touching needs unfulfilled by parents, friends or teachers, they focus on dating partners and are having sex and getting pregnant in order to have their need for touch satisfied, and this practice continues on into adulthood.

Behavioral scientists, Andersen and Lusting report development of self-esteem to be at least partly based on the amount of loving touch received. Finally, based on conclusive experimental evidence, Harlow teaches us that violent behavior and loss of nurturing capacity, especially towards one's own children, are life-long results of touch-starvation.

Is it just a coincidence that our schools and streets are so violent? Perhaps the barbaric violence and preemptive aggression that our government has demonstrated towards other sovereign nations is, also, not just coincidence. Since the consequences are so severe, it seems to me that we should recognize the deliberate withholding of touch as a form of abuse, and that this should be reflected in our laws.

It is quite obvious that verbal communication is just not enough for us human beings. We need to show our love for each other, especially our children, with a comforting hand resting on the shoulder or around the waist, and we need to hug – often. Another thing we can do is learn and share massage as a family. Book someone you love an appointment for a massage. Sign up for an infant massage class. The International Association of Infant Massage estimates that 10,000 anxious new parents took infant massage training last year.

Massage therapy is a fun and healthy solution. It also relieves pain, flushes the body of toxins, prevents disease, and can produce euphoria by releasing endorphins in the brain. Interestingly, certain of these endorphins have been discovered by Candace Pert to be messengers between the brain and immune system. So, it is not just about feeling great. A most effective modality for endorphin release is Esalen in which hot oil is applied, and long sweeping strokes are performed from toe to head. Massage should not be rushed. At least two hours should be set aside, and the room should be quiet without interruptions and talking.

Massage should begin with very light pressure strokes, generally directed toward the heart. One type of massage called Lymphatic Drainage flushes the body of toxins that have accumulated in the lymph fluid, especially in the legs and breasts, where lymphatic return is commonly inhibited by tight clothing like bras and socks. Since toxins trigger cancer formation, Lymphatic Drainage massage serves as preventative health care.

Gradually deeper pressure, such as in Swedish petrissage, can be applied to flush the muscles of wastes and pump in fresh nutrients. Even deeper pressure (in another modality called Deep Myofascial Release) may be used to loosen adhesions in the fascia and release muscle knots, which increases range of motion.

Shiatsu is yet another modality in which certain points called Tsubos are activated to relieve pain, prevent disease, center one’s energy and help the client take in Universal Life Energy (Chi) to enable healing and rejuvenation.

Whatever forms of loving touch we choose to use everyday, we help to cure the illness of touch-deprivation that is so pervasive in our society. Sharing touch will enhance not only our own health, but also that of our relationships – and even that of our country's foreign relations. Let us not simply recite that we love each other; let us demonstrate it genuinely for all the world to notice.

Daniel N. Russell is a biophysicist and an NCTMB certified, licensed massage therapist and instructor in private practice and may be contacted at (907) 770-1744.

 

 

Chair Massage: Great Relief for Workplace & Traveler's Fatigue
by Anna Remick

 

Even 15 minutes of massage to the neck, back, arms and hands can increase circulation, restore energy levels and help keep the body injury-free…


Have you ever walked through an airport, seen someone getting a chair massage and thought, Oh, that would feel sooo good! Perhaps you have a stiff neck, sore back, headache, eyestrain, or aching wrists and shoulders that feel as if someone had folded them up tightly. Anyone who has ever sat behind a desk all day or flown on a cramped airplane will recognize these telltale symptoms of workplace or traveler's fatigue.

Most of these physical symptoms can be attributed to loss of circulation. Tight muscles caused by stress and sitting all day, especially at a work station or in a cramped airline seat that is not ergonomically designed, can impede blood and lymph flow through the body. The result is mental fogginess, decreased energy and susceptibility to repetitive stress injuries, such as carpal tunnel syndrome and chronic low back pain. The cure is easy and painless, for simply enhancing circulation will enable the body's self-healing mechanisms to do their work naturally.

Chair massage counters the circulatory problems inherent with these situations and can provide a much-needed break for employees and travelers. Sitting in a massage chair opens up the back muscles, relieves strain on the neck and provides a gentle respite for the eyes. Even 15 minutes of massage to the neck, back, arms and hands can increase circulation, restore energy levels and help keep the body injury-free by providing a sense of comfort, release and ease. When chair massage is used preventively, it allows you to maintain a homeostatic balance that prevents all those little problems from getting worse.

So, where else besides an airport can you find a qualified chair massage therapists?  Many work sites hire a corporate chair massage group to provide services on a regularly-scheduled basis in their offices. Some massage therapy groups also offer walk-in chair massage at their facilities. (The
Oriental Healing Arts Center provides both services, with walk-in appointments available during lunch hours and right after work, and a corporate chair massage staff that is on call.   Check the yellow pages for other facilities that provide chair massage.)

If you need a massage but don't have a full hour to spare, chair massage is a great option. It’s less expensive and less time consuming than a regular full body massage, making it perfect for people on the go. Don't wait any longer; treat your body to a soothing, relaxing chair massage today!

 

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Anna Remick, LMT, OMT, is the Public Relations/Media Director of The Oriental Healing Arts Center at 2636 Spenard Road in Anchorage . Call 279-0135 for more information.

 


Massage Regulation: Another Way to Pay More for Less


by Melody Hall

Good massage is built on a combination of intuition, energy, and knowledge.


At the urging of members of the American Massage Therapy Association, Representatives Sharon Cissna and Bob Buch are considering introducing legislation to create another layer of expensive bureaucracy and unnecessary regulation in Alaska.  Creating a Board of Massage Therapists and imposing new education, testing, and continuing education requirements for massage therapists in Alaska will be detrimental to both Alaska’s massage therapists and the public.  The only entities that will benefit from such regulation are the massage schools based in Alaska and the few outside educational and testing agencies that will take the time, trouble and expense to have their programs approved by the new Board.  Massage therapists will face high initial licensing fees and annual renewal fees; the public will have more difficulty finding therapists as part-time practitioners drop out, and will pay higher prices as therapists pass costs along.  

I would clearly qualify for initial license under the proposed legislation: I am licensed in Florida and Anchorage and certified by the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB).  I have a 750-hour certificate in massage from Dade Medical Institute, an Australian Certificate IV in massage from Massage Schools of Queensland (over 600 hours), and have additional training and certifications in Thai Massage, Shiatsu, Myoskeletal Therapy, and Rossiter System® Workouts.   I already must meet continuing education requirements for both my Florida license and national certification.  I have been practicing massage since 2003 and have been practicing in Anchorage since 2005.

Despite my qualifications and experience, however, I am opposed to further regulation of massage; and particularly to regulation through creation of a new board of massage therapists.  Good massage is built on a combination of intuition, energy, and knowledge.  A therapist with good intuition and energy can be great with little or no formal education.  Similarly, a person with 1000 hours of education who lacks intuition and energy may not even be competent.  Clients can easily recognize a good therapist; bad therapists do not stay in business long.

Massage and bodywork are extremely safe; this is demonstrated by the fact that my Associated Bodywork & Massage Professionals (ABMP) membership—which includes a monthly magazine and professional liability insurance—costs only $229 per year.  My business premises insurance, with lower coverage limits, costs almost as much as my entire ABMP package.  Although injury is possible with massage and bodywork, it seems clear that the risk of injury is actuarially lower than the risk from walking through a store.

Massage and bodywork is hard on the practitioner’s body; most long-term practitioners, including myself, limit their practice to 20-25 hours per week and work other jobs to make ends meet.  Most new massage therapists give up the profession within two years because it is hard work and is not financially rewarding.  Extensive and expensive licensing requirements will make this even truer, and will make the option of part-time practice even more unrealistic, forcing talented and experienced massage and bodywork professionals out of business, thus making it harder to find a good therapist.  This will benefit no one except the schools which will churn out inexperienced graduates and reap the benefits of forcing current practitioners to take Alaska approved continuing education credits instead of more interesting and useful unapproved courses available elsewhere.   

I have already gone through the long and grueling process of obtaining Florida licensure after completing my massage education in Australia and Thailand. I do not want to ever repeat that experience—licensing requirements are a real consideration as to where to live and practice. I am sure they are for other practitioners as well.

I have seen the effects of regulation in Florida: it does nothing to benefit the public and instead simply creates new markets for unlicensed “body rubs.” Licensing costs in Alaska will be much higher because Alaska’s small practitioner base will require higher fees to support even a minimal program.  These costs will be exacerbated by proposed exceptions for energy work and a broad range of specialized bodywork.

I hope that massage therapists, body workers, and the public will speak out in opposition to the attempt to add another layer of bureaucratic regulation in Alaska.

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Melody Hall, LLC, is the manager of Thai Touch Massage and Bodywork. She can be reached at 907-770-0559.  Information about problems with state licensing requirements can also be found on the ABMP website at www.abmp.com.

Editor’s Note:  To learn more about the specifics of this proposed bill, you may view a pdf file online at: http://www.akamta.com/massagebill.pdf

 


Need A Great New Year’s Wellness Resolution?
Get a Massage!

by Anna Remick

By learning how to relax and balance our bodies and minds, we are more likely to take care of ourselves in other ways.


There are many different types of massage. Oriental Healing Massage incorporates several of these types, including Swedish massage, Thai massage, Tui Na Acupressure and Qi-Energy work. In this way a variety of long soothing strokes, gentle kneading, rocking, percussion, foot and hand massage, and therapeutic application of specific acupressure points are used to help the mind relax and the body find balance.

As an integral part of health maintenance routine, Oriental Healing Massage aims to encourage relaxation, nurture muscle tension, reduce discomfort, relieve pain, increase circulation and lymphatic flow, and create a sense of wellbeing. Pressure in an Oriental Healing Massage can vary from light to very deep; always tell your therapist your preference.

Here are a few other things to consider about adding massage to your New Year’s Wellness Resolution:

Relaxation
Our hectic lives leave little time to just relax; there is nothing wrong with taking time out from the world for an hour or so and enjoying a soothing therapeutic massage.

Stress Management
Whatever the cause, massage can help you manage the stress in your life. Turn off your cell phone, forget your obligations, and let yourself relax for an hour.

Body Awareness
Much like dance classes, Tai Chi practice, or daily Yoga routine, massage can remind you that you have a body that it is designed for more than just sitting in a car or hovering over a computer screen all day.

Pain Management
Research well being, now finds that massage is one of the best non-pharmacological therapy options and can be used successfully in a pain management program.
 
Very little in life remains constant—things are either improving or getting worse. If we do not take positive steps to support (if not improve) our wellbeing, our health will decline.

Every day more of us are realizing the need to slow down and start paying attention to what is going on inside of us. Often we don't realize we are out-of-balance until we experience pain or discomfort. Massage teaches us how to tune-in to our present condition; thus, it's a practical way to keep our minds and bodies connected and well.

So, start the New Year off by taking time to take care of yourself.  One way to do this is as easy—and pleasurable—as getting a massage. 

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Anna Remick, LMT, is a member of The Oriental Healing Arts Center Professional Massage Therapy Group and maintains a private practice focusing on women’s issues. For an appointment, call 279-0135.

 

 

Slowing Down the Swing:
One Massage Therapist’s Experience Working with the Mentally-Ill

by Barbara Weiss

They avoid you, they judge you, they make huge assumptions based on old stereotypes, and they fire you from your job. What could I possibly hope to do against all this?

 

I knew when I started my massage therapy practice a few years ago that I wanted to work with people who experienced disabilities. I had previously worked in vocational rehabilitation and had learned a lot about mental illness. However, what really moved me to work in this area is that mental illness is a theme in my life: my family, my closest friends, everywhere I turned—it was there. It was my direct involvement in experiencing the suffering my family and friends went through that propelled me to offer any comfort I could.
 
Now I don’t call it suffering lightly. I’m not playing some sort of victim mentality. Having a mental illness really is suffering, for nearly every day of life may bring emotional pain. What could one massage therapist offer to ease such suffering? Suffering so severe that many people are still frightened when learning you have a mental illness. They avoid you, they judge you, they make huge assumptions based on old stereotypes, and they fire you from your job. What could I possibly hope to do against all this?
 
One of the first things I discovered is that most people with mental illness have a sympathetic nervous system that is working overtime. They cannot stop thinking. They cannot stop obsessing or worrying. Their anxiety is through the roof. As a massage therapist, I learned that a relaxing massage almost always calmed these clients down and lessened the severity of their symptoms.
 
Of course, just because a group of people share the same label (say, Bipolar Disorder), doesn’t mean they will all respond the same way to massage. Some folks with Bipolar love massage! Others won’t even let you touch them. One man I’ve known for 25 years has only in the last year allowed me to give him foot rubs.

However, in general, those with mental illness have a very sensitive body as well as subtle energy space. In doing massage, I quickly learned to respect their space and adjust my techniques to meet their needs. Interestingly, those with extremely sensitive space will often respond to Reiki when nothing else seems to work.
 
After experimenting over the last few years, here are some of the things I’ve learned to keep in mind that almost always gets good results for the client:
 
Begin with an interview. I start each session with an interview. During this time, pay close attention to body language, trembling, hyperverbosity, or any other indicators that there is too much energy running through the system. Conversely, someone with severe depression or going through a grief process is often very quiet. All these signals tell you what kind of work is needed. If you are a Reiki Master or other energy worker, you may sense what the subtle energy bodies are doing as well. On an initial visit, be sure to inquire if the client is seeing a doctor and what medications are being used. If a condition seems severe or unusual, you may want to first acquire the doctor’s permission for massage.
 

Always
give the client control.
Give as much control over the session as is possible without harming the client, you, or the healing environment. Many people with mental illness live with a sense of no control over their lives or minds. This loss of control infuriates some and frightens others. Giving control over the session, even in the little things, is not only calming but respectful of the individual’s space. Further, it demonstrates what a healing session is all about.

Some things you can do to give a client control are: explaining what you will do; giving them veto power at any time; asking if talk is relaxing or if silence is preferred. Allow the client to choose the music or the massage oil. Don’t assume aromatherapy will be enjoyed; if it is, allow the client to choose the scent.
 

Never judge, yet be aware. You may see unusual reactions from a client: twitching, trembling, or muscle tone that seems very loose for someone who would usually present with very tight muscles. These can be side effects of medications. It is fine to respectfully ask the client if these symptoms are long term or if they are new. Never judge symptoms or advise a client to look for alternatives to these “poisonous” medications. Medications that sometimes seem so vile to us are often the only thing saving a client’s life. Respect your client’s decision to take care of him or herself in taking prescription medications. It is quite common for people with mental illness to dislike taking their meds, and they may comment how they don’t want to take them. Even if you agree, it is wise to strongly recommend that they talk to their doctor first. I have had occasion, when the problem was severe, to extract actual promises from clients that they will talk to their doctor first before making any changes. More than once this has saved a person’s life, and I was later thanked for my tough love attitude.
 
Constantly adjust the bodywork! If your client’s nervous system is at 8000 RPMs, you obviously need to work slowly, soothingly, and gently in all your movements. Some people are so fragile from a constant nervous system barrage and overload that only Reiki or other subtle energy work will help. With repeated sessions, you may help build up their strength and let them relax enough that they can later take touch therapies, such as Swedish massage or gentle acupressure.  

One common massage move called tapotement (rapid drumming or chopping) is usually a huge no-no. I have never met a person with a mental illness who likes this move, and most find it highly irritating and disturbing. (Of course, you may run into a person who enjoys this, and if it is specifically requested, go for it.) Another massage movement that many with Bipolar do not like is feather strokes. One client explained that it felt like “spiders crawling on my back!” Alternative endings for a massage are compression, which feels very comforting and safe to clients, or energy strokes well away from the surface of the body. For new clients you may decide to demonstrate the different massage strokes you use and ask which ones they like and which ones they don’t like. This is yet another great way to offer your client control!
 
Although I may have given the impression that it is more difficult to work with a client who has a mental illness, I find it is not. For me, it is a true joy to work in this field, and it often brings some of the greatest spiritual rewards. If you are a massage therapist or body worker, perhaps you, too, will find that every person with a mental illness who walks through your door presents an opportunity to learn something new, to see another side of humanity, and to allow you to witness the heroic struggles that many people face. In my experience, it is not only a humbling experience, but also a healing one.

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Barbara Weiss, LMT, Reiki Master Teacher, owns Nur Massage Therapy in Anchorage. She currently offers Swedish, Reiki, reflexology, Thai herbal, and is certified in pregnancy massage. Call 907-360-4546 or e-mail: barbweiss12@gmail.com