DISCOVER
you right now
BRIEF INTERVENTION
What it is:
- active and directive fact finding
- focussed on presenting symptoms and current life circumstances as revealed by screening.
- emphasizes your strengths and resources.
- someone else can engage with you in brief intervention or you can conduct your own.
through the F.R.A.M.E.S.
Find out
- information regarding screening results
- information about your personal risk based on these results.
- information about personal risks associated with current behaviour patterns.
- general information about related risks and harms.
- links between your symptoms and your screening results.
- a comparison between your patterns and problems and the average patterns and problems experienced by other but similar people.
Understand that nothing or nobody can make you change or decide for you.
You retain personal control over your behaviour and it’s consequences.
This is the key principle for successful intervention because it optimises motivation and decreases resistance in you.
The goal of this intervention is to give you awareness of the risks your current behaviour exposes you to and clarity on how this behaviour affects other parts of your life and the people in it.
What advice do you give yourself now that you are fully informed and aware?
Can you provide yourself with reasons for changing your behaviour?
To find out how important these ideas about change are to you consider applying the readiness ruler.
1 indicating not important and 10 extremely important to you.
Question why you choose your number and not a lower one. This will give you an insight into your beliefs about your ability, support and values.
Then consider what it would take to be a higher number.
What needs to happen for you to be more ready for change? is there a safe or acceptable zone that you want to stay in? Would you consider change more likely if things got worse? Do you think change will be easier if things were worse?
How do the risks you have discovered relate to your ‘readiness for change’ ruler number?
Investigate the range of behaviours to support what you have advised yourself.
Provide yourself with enough choices to reinforce your sense of control and responsibility and reduce resistance.
Choose the behaviour that is most suitable for your situation and which feels adequately helpful.
Examples of options to choose could include:
- Prepare guidelines for yourself.
- Identify high, medium and low risk situations and consider how to more effectively encounter these.
- Identify alternative activities from which you derive pleasure or mastery.
- Identify people, organisations and resources that can provide support and help.
- Allocate time and put aside money for self improvement, physical activity or relaxation.
- Consider creating a self maintenance and personal enhancement ‘want to do list’.
- Set a date for reviewing your efforts, obstacles and successes.
- Share your experiences.
Treat yourself as you would treat someone else who was in your situation.
Be generous, patient, forgiving, hopeful, considerate, protective, concerned compassionate, curious, encouraging, attentive and attuned to yourself.
Break your challenges up into smaller chunks.
If you had to choose a number on a ruler between 1 and 10 with ten being most confident where are you on the ruler for each of the steps to your challenge.
What makes it this number? Why not one less?
Investigate your reason(s) for picking your number.
What would it take to get you to the next number up on the ruler?
Consider what it would do to your plan if you had more confidence in being successful.
REFERAL PATHWAYS
INTEGRATE CARE
FACTS:
- YOU KNOW YOURSELF BEST
- YOU HAVE ALL THE SKILS AND RESOURCES NEEDED FOR CHANGE
- YOU CAN CHOOSE NOT TO CHANGE AND ACCEPT THAT DECISION BASED ON YOUR EXPERIENCES AND PERSPECTIVE.
- YOU CAN COMPASSIONATELY CONSIDER YOUR OWN WELFARE AND WELLBEING.
HOW COMFORTABLE ARE YOU THINKING OR TALKING ABOUT THIS?
IS WHAT YOUR THINKING/SAYING/HEARING HELPFUL OR SUPPORTIVE?
DOES THE PERSON LISTENING UNDERSTAND YOUR PERSPECTIVE AND CONCERNS? DOES THE PERSON LISTENING SHARE THEM?
DOES THINKING OR TALKING LIKE THIS MAKE YOU FEEL UNCOMFORTABLE?
ARE YOU AND THE PERSON LISTENING (IF YOUR TALKING) IN A COLLABORATING PARTNERSHIP OR ARE THEY WORKING AGAINST YOU?
EXPLORE THE TARGET, HONE IN ON IT AND CLARIFY IT.
EXPLORE AMBIVALENCE. DO YOU WANT TO?
EXPLORE BARRIERS. ARE THERE REASONS YOU CAN’T?
HAS A DISCREPANCY DEVELOPED? YOU WANT TO BUT YOU CAN’T BECAUSE OF A BARRIER.
What are your reasons for change?
Is your decision based on lack of confidence or the importance of the change?
Are you curious about your own motivation for change?
Can you elaborate on what would benefit you to go towards change?
What skills and strengths do you have that can support you?
Who do you know or can you reach out to to provide support?
Who would you be able to share your plans for change and preperations with?
Do you have a vision of your proposed change?
Have you considered all your options?
Do you have a clear goal?
Have you been able to share this plan with someone?
Do you feel sufficiently engaged and motivated?
Are you willing to gain skills needed to remove barriers and explore outside help?
WHAT ARE THE BENEFITS OF NO CHANGE?
ARE THERE BENEFITS TO MAKING A CHANGE?
DO YOU HAVE OBSTACLES IN YOUR WAY?
DOING WHAT IT TAKES TO BELIEVE IN YOUR ABILITIES.
REWARD BEING CAPABLE
PROTECT YOUR SELF-CONFIDENCEE
stages of change as defined by Prochaska & Di Clemente.
5 P'S to a plan
What is wrong? How did it get that way? What can you do about it? What is your current level of functioning?
List your vunarabilities that may increase your risk of your problem occuring.
List the positive and negative events and actions that have happened to you before your problem that may have influenced your problem.
List any conditions that make the problem worse. List any conditions that keep the solution to the problem out of reach.
List any conditions that apply to you that make the problem better. List any conditions that bring the solution to the problem within your reach.
What logical picture appears? The purpose is to find your way forward. The focus is on the capacity to re-build you.
The following processes are all normal. The signature these processes leave on you make you who you are. Go through these to help you remember and document their presence on your trail. Nothing is to small to be included.
PARTS OF THE WHOLE
What it is:
Find the part in or around the body. What needs your attention right now? Where do you notice it.
Turn your attention to where the emotion is in you.
Can you see it? If so how does it look? If not how do you experience it. What is that like? How close are you to it?
How do you feel about this part of you.
Befriend the part by finding out more about it.
What does this part of you fear?
Exploring conflicting emotions and polarisation. Put in it’s most simple form “Part of me wants to… another part of me doesn’t want to…”. Both parts have value. When one part takes priority over another, it polarises behaviour and attitude.
The brain goes into danger mode every time the nervous system has an experience that feels physically or emotionally unsafe. With each exposure to challenging experiences the brain responds more quickly, the brain becomes highly sensitive to input from the nervous system. Could your brain be up-tuned due to such an experience?
When faced with challenges we often try to reduce conflict. The cost that comes with this learned behaviour is an ongoing state of tension and vigilance.
Everyday stress when experienced through an overprotective nervous system often responds with physical symptoms. Major life events can for this same reason coincide with the development of new or worsening of existing symptoms. Early life health experiences (those with increased fear/amygdala activity) can furthermore influence how protective a nervous system becomes
These symptoms may begin with injury, underlying illness or appear out of the blue.
The nervous system is able to pick up habits easily. The more the nervous system sends signals about an event the faster and more frequent the brain will be considering this event and how to respond to this. Habits that keep us safe are connected in our brain with ‘good’ even when they are not a long term solution or prevent us from having experiences. Are your learned behaviours giving you false security?
Pain affects many elements that together make how we feel and behave. Physical activity levels, social life, relationships, identity, mental health and daily routine are all intertwined and impacted by changes and stress brought on with pain or suffering.
Do you detect danger or worry where there is none? Have you become more and more protective, withdrawn to avoid triggering trouble even when no danger is present?
Life and its events can become a challenge without many or any activities that naturally bring relieve. Restriction like this unfairly allows fear and vigilance to take over and create a glass half empty type outlook on everyday.
feeling lost?get in touch.