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Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
December, 2012, Vol. 12, Issue 12
Dealing with Clients Who Put Themselves Down
By Ben Benjamin, PhD
Anyone working in the helping professions is bound to encounter individuals who are highly self-critical, continually describing themselves as flawed or deficient in some way. As massage therapists, we might hear clients say, "I'm horribly out of shape" or "I know I should stop being so lazy and take better care of myself."
There are two types of problems with this type of thinking. The most obvious problem is an emotional one. Having negative thoughts about oneself tends to generate negative emotions — sadness, frustration, hopelessness and even despair.
Less obvious are the practical consequences. When people blame or attack themselves, they make it more difficult to understand and resolve the challenges they're facing. Vague, accusatory generalizations like, "I've been irresponsible" or "I'm so out of shape," distract the person from the specific facts that they feel badly about, such as not exercising at all for the past week, or being unable to climb stairs without getting out of breath. It starts to seem as though they need to make a profound, global transformation either in their personality (somehow becoming a responsible person) or in their body (somehow becoming "in shape"). That's a daunting prospect.
In our role as health care practitioners, we have an opportunity to help our clients approach these issues in a more constructive way. To do that, we need to resist the temptation to simply disagree with them ("No, you're doing great") or to criticize their thinking ("You're way too hard on yourself"). These responses can either lead to an argument ("You're just saying that to make me feel better") or give the person more fuel to attack themselves ("You're right; I need to have a more positive attitude. I've always had low self-esteem").
Instead, our task is to refocus the conversation. Help the person to identify the specific facts that are bothering them, and then problem-solve what they could do about them. Suppose they've fallen behind on exercising. You might help them to consider which factors in their life have supported regular exercise (such as having a workout partner or setting a regular time to exercise each day), and which have stood in their way (perhaps their workout partner moved away, or a work commitment has interfered with their regular exercise time). With these specifics in mind, they'll have a much easier time coming up with solutions — such as finding a new workout partner, setting a new time to exercise and so on.
Encourage your client to come up with these ideas themselves rather than simply giving your own suggestions. In that way, you can help them shift from feeling helpless and ineffective to being empowered to make positive changes in their life. In my own practice, I've often found that gently guiding individuals to strategize about their problems — rather than simply blaming themselves for them — is one of the greatest contributions I can make to their long-term health and well-being.
Click here for more information about Ben Benjamin, PhD.
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