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Therapeutic Code

A Psych + Geek Combo

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New Year’s Resolutions: The Therapeutic Code Way

December 30, 2013 · Discuss on the GT Forum

With New Year’s comes New Year’s resolutions that are doomed to fail. Why? Because we choose huge goals that are difficult to take on. Goals like “lose weight”, “spend more time with family and friends”, and “stop spending so much money”.

We set these types of goals and forget about them, because on the surface, they look great. After a while, we lose our investment in them and just kind of…let them go. My suggestion for you this year is to break these goals down into smaller, achievable tasks…and put a twist on them to help keep your attention.

Here are some achievable alternative options to the cliche resolutions for 2014 that may improve your mental health:

1. Try a new genre of video game this year.
If you’re already comfortable with video games, then trying a new genre may help you expand your horizons in a safe space.

2. Set a budget during Steam sales.
Setting a budget may help you learn to manage your anxiety, impulsiveness and save you money too! (I know I need to work on this one, looking at my recent winter sale purchases.)

3. Play Kinect games 3 times a week.
Physical health is many times tied to mental health. Stay active doing something you enjoy.

(Image via GamerHub)

4. Have a movie night with family or friends once a month.
Staying social and sharing your interests with others can help keep anxiety/depression at bay.

5. Use your holiday money to buy a big LEGO set and finish it this year. (I suggest the Millennium Falcon.)
Building with your hands can keep you mentally active, help with memory, and give you a sense of accomplishment. Plus you can play with it when you’re done.

6. Play a board game with friends every month.
Board games, by their nature, are social experiences. Keep yourself social and have fun doing it.

7. Read a book (or a comic book series) you always wanted to try, but never did.
Reading can help relieve stress and improve your imagination.

(Image via Wired)

8. Listen to the Geek Therapy Podcast.
Because you can learn a lot about geek culture in therapy. And because it’s awesome.

I hope one or more of these are useful to you. I’m still trying to decide on mine. If you come up with a good one of your own, leave a comment! Or tweet it at @therapeuticcode.

Happy New Year everyone! Live long and prosper.

That’s Not Therapy!: When Others Don’t Understand

December 26, 2013 · Discuss on the GT Forum

I hope everyone’s recovered from the holiday. Personally, I’m still recuperating. Between writing this on my phone due to not having an internet connection, and Steam being down (while Left 4 Dead 2 was free, I might add), I have plenty of built up tension.

But worry not! Today is a new day in which to play our new games, return stuff we don’t want for things we do, find places to display our new action figures, and discuss another geeky therapeutic issue.

Before all of the craziness of the holidays, I was supposed to take my client to see The Desolation of Smaug (sweet day at work, right?)…but it didn’t happen.

Promo Poster for the film 'The Hobbit: The Desolation of Smaug'. Photo Credit: Warner Bros.

(Image via FanSided)

He was told by his caregivers that he couldn’t go, and that he needed to go on the regularly scheduled outing that day.

Now, many of you might think that it’s not such a big deal. Here’s why (to me) it’s important. My client is having a hard time coping with the stress of the holidays. He lives in a group home, away from his family. His mom also passed away a few years ago and the holidays are a strong reminder of that. That would be hard to cope with for anyone, right?

The movie was supposed to be our last session before I left on a 2 week vacation. He’s having a hard time with me leaving, and I wanted to give him an enjoyable experience before I left. This movie is all he’s been talking about for a month.

The problem is that the staff at the group home weren’t able to really see the therapeutic qualities of taking him to the movie. They see movies as rewards, and his behavior at the time didn’t warrant a trip to a movie.

Here’s the thing…I was going to use it as a tool to help him open up about his feelings surrounding the holidays, not a reward. Teenagers are much more likely to talk about things while they are engaged in an activity that they find enjoyable. They relax and are able to set down of some of the emotional baggage they’ve been carrying around.

It’s much easier to open up the baggage and take a look at what you have packed in there once you put it down.

Because of the staff’s inability to wrap their heads around the idea of a fun outing being something other than something to be earned for good behavior, my client shut down. Not only was my attempt to effect change not successful, it caused my client distress because he saw it as being taken away from him.

(Image via All That’s Epic)

When I showed up to meet with him, he was upset about not seeing the movie. He was also not in a space to open up about, well, anything.

It was incredibly frustrating, for both me and my client, and his reaction definitely pulled on my heart strings. I felt bad that I had made an offer that couldn’t be followed through on. The session wasn’t all bad, though. He did talk…just mostly about surface stuff like what he wants for Christmas. Anything deeper would have been too much for him to handle.

The frustration over not going to the movie and not having one-on-one time with me, added on top of his anxiety/depression about not being home with his family and missing his mother, overloaded his circuits. We worked some to get the feelings under control, but I feel as though I only got him back to where he was before we started the day, whereas my goal had been to put him in a better place than he was when he had woken up.

To the staff’s credit, I didn’t make a further argument to take him to the movie. I could have explained that it was not a reward, but a therapeutic tool. In the moment it was easier to leave things at that and help my client cope with not going to the movie.

In the future, I know it would better serve him to explain how it will be helpful to him and help the others on his treatment team understand how I work with clients and the tools that I use.

I suppose that’s all part of being a student and intern; learning from what we do to better our practice in the future.

Breaking the Depression Cycle One Turn at a Time

December 23, 2013 · Discuss on the GT Forum

Time for a little bit of self-disclosure. I know, I know, in the therapy world self-disclosure is something that is looked down upon in many circles. It’s ok though! None of you reading this are my clients, and if any of my clients, or future clients, care enough to hunt me down on the internet, I hope whatever they find is useful to them. Personally, I find a little bit of self-disclosure comforting and healing.

My intent here is to be real, honest, and helpful. Not to damage any potential therapeutic relationships.

Now that I have properly disclaimer-ed myself…on to the real topic:

Depression can be debilitating at times. You feel like the world is a bad place, you’re a bad person, nothing will change it, and you just want to lay in bed and do nothing. So you do.

Throw anxiety into the mix and then you’re worried about the fact that you should be doing something, that something bad is going to happen because you aren’t doing something, and the overwhelming sense of doom immobilizes you even more.

Then the depression reminds you how bad of a person you are for not doing anything.

Your mind forces you into lockdown.

(Image by Allie Brosh via Hyperbole and a Half)

I know this, because from time to time, I find myself in a place just like that. Incidents like this are much fewer and far between, but they do happen still. All those awesome things I get excited about?  Yeah…they get pushed out of view until the depression/anxiety cycle ends.

That cycle can go on for a long time (or for what seems like forever), unless something derails it.

For me, many of the times, it’s games that are the switch point.

Not necessarily video games (although, sometimes this is the case). Mostly, board games are what really help. In particular, the social component of board games are the key.

Here’s an example: I was in one of those debilitating, helplessness inducing funks a few months ago. I would not get off of the couch. Anything my fiance suggested would receive a grumbled “no” in response. And she suggested some awesome stuff…video games, movies, comics to read, going for a walk in the neighborhood. Nothing sounded enticing to me.

Finally, she forced me to text my friend to come over and play some board games we had just bought. I did, and he was at my place in less than half an hour (it takes little to convince him to come play games).

The amazing thing was, I pretty much instantly started to feel better. I was laughing, and smiling, and trying to win, whereas an hour earlier I couldn’t even picture those things happening. The games we played forced me to be social, and forced me out of the seemingly endless cycle of “I don’t want to be doing anything/You should be doing something/You’re bad for not doing anything”.

I have other friends with the same issues with depression. They use gaming (both video games and board games) to prevent the depression from sinking in, and also to fight their way out of it.

I think the main reason that this works (at least for me) is that it forces me to be social and converse about something that isn’t how miserable I feel. Much like a paramedic asking questions to distract their patient from the pain they’re feeling, having to explain a game or talk about setting up a game forces someone to ignore the depression and anxiety.

Once the distraction has set in, then the act of playing the game can help alleviate the emotional distress itself. Kind of like the pain killers given to the distracted patient in the earlier analogy.

Regardless of how it works, it works. I may need a little nudging to get me moving toward having friends over for games, but it definitely makes it easier to work through the depression and anxiety.

People who suffer from depression often times don’t find their normal interests enjoyable. As clinicians, perhaps we should be trying to find ways to make those interests more palatable during a depressive episode. Because often times a person’s interests can help them feel better, if they can get past the feelings of stagnation and disinterest.

Perhaps even playing games with a client during a session might help them pull out of a funk.

So the next time your client (or you, yourself) are feeling down…if gaming is usually something they find enjoyable, pull out a copy of a game they like and see if it helps. It can’t hurt…and it’ll probably be fun.

I bet it’ll make a difference, too.

Blood, Sweat and Tears: A Christmas Story

December 19, 2013 · Discuss on the GT Forum

All right, what I have for you this week is a short, shameless plug post.

It’s short mainly because I pulled just about every muscle in my legs painting at the new site for the non-profit I work for. Pain killers make coherent thought difficult.

Here’s where the shameless plug comes in. Our agency has to move sites due to unforeseen circumstances…and we have little in the way of funding to pay for the move.

Two days ago we painted the new site ourselves (hence the pain in my legs) with the help of about 20 high school seniors (not our clients).

We got a lot of work done, but there’s a lot more to do…plus the moving.

In order to help keep us running smoothly and giving our clients the care they need and deserve, we’ve set up a campaign on Indiegogo. We have a little over 2 weeks left in the campaign (it ends Jan. 5), and would appreciate any help whatsoever.

Here’s the URL for our campaign site: http://www.indiegogo.com/projects/la-cheim-school-move

If you can’t donate, please share our Indiegogo campaign with your social networks to help get the word out.

Thanks for listening to my shameless plug, and Happy Holidays.

As a thank you in advance here’s a gift from me to you because it wouldn’t be Christmas without this jolly ol’ man (You’re welcome.):

…

…

…

…

…

…wait for it…

…

…

…

…

…

http://i.imgur.com/CxG0I.jpg

The Results Are In!

December 16, 2013 · Discuss on the GT Forum

Last week, I asked everyone to take a short survey for a project of mine on video games and coping. Now that I’ve survived writing my paper, it’s time to let you all know how it turned out.

I should probably start with a simple breakdown. Of 13 respondents:

  • 31% were male / 69% female
  • 8% were aged 18-14 / 38% 25-30 / 23% 31-40 / 31% were over 40
  • No one under the age of 18 responded
  • 23% played <1 hour a week / 8% played 2-5 hours / 38% played 6-9 hours / 31% played over 10 hours a week

I find it very interesting that society views gamers as adolescent boys…and yet, the majority of my respondents were women and over 30. This is a small sample…made up of my friends and readers…so it’s not really reliable, but still. It’s interesting.

girl_gamer

(Image via Gamer Limit)

Looking at the results, it seems as though many people use video games to deal with stress (not surprising, given the sample). Most respondents felt some or a lot of discomfort before playing games. Afterward, the majority felt none or little. When I looked at the individual responses of those who said they had a lot of discomfort before playing, their level of discomfort moved to a little or none after gaming. 

The interesting part is that most people who took my survey did not feel overwhelmed emotionally, and they did not report having a hard time dealing with emotional discomfort. This could possibly be because they have identified gaming as a coping strategy, and use it to deal with their emotional discomfort before it gets out of hand.

Everyone who took the survey gave positive responses to video games (it makes sense..since all of the people who took the survey are either reading a geek blog or are my friends). All of the responses to the item “I find playing video games enjoyable” gave a response of agree or strongly agree. Most stated that they felt better emotionally after playing video games, and that they feel comfortable while playing video games. Many stated that they even felt energized after playing video games. Gaming with friends and in-game accomplishments also seemed to generate a strong, positive response. 

Women reported more stress before a gaming session, and seemed to have a stronger coping response to games than men did.

People who played more hours of games a week (6-9 or 10+) had a stronger coping response to gaming as well, and had more positive responses to the questions about gaming making them feel better, energized, or accomplished.

Those who had some or a lot of stress before a gaming session were more likely to feel overwhelmed emotionally, have a hard time dealing with emotional discomfort, and to feel misunderstood.  They were also the most likely to have a significant decrease in discomfort level after gaming.

4 Relaxing Video Games That Will Soothe Your Soul

(Image via Make Use Of)

Something I found surprising was the level of emotional discomfort during a gaming session. Most people indicated little discomfort, and a few reported some. I was expecting less. A teenage client of mine and I were on an outing and my project came up. He had the perfect explanation for this data. “It don’t work when you’re losing!”

I should listen to his wisdom more often.

I’m not a researcher. I hate crunching numbers and creating surveys. But because I was given the freedom to pick a topic I found interesting…it was more enjoyable.

If anyone wants to run this study for real…lemme know and you can have it. I, however, will be staying away from research now that this class is over and done with.

I’d much rather be helping others use games to cope….and using them myself.

I think it’s time for some WoW…

World-of-WarCraft-Mists-of-Pandaria-2

(Image via Digital Trends)

Big Changes Coming This Way!

December 12, 2013 · Discuss on the GT Forum

Change is comin’! I’m excited. You should be excited. Everyone should be excited.

http://i1120.photobucket.com/albums/l485/inkslinger61308/excited-trekkie.gif

(Image via Sodahead)

I just wanted to bring you all a quick update of things that are in the works for Therapeutic Code.

First off, I’ve added an About and Contact page. Now you can find out everything you could ever want to know about me (that I’ve offered up)! Also, feel free to drop me a line if you have any questions, I love talking about geekiness and therapy. The pages are basic…but they’ll do for now.

That brings me to the next big announcement. Sometime around the end of the year, I’m expecting Therapeutic Code to have a brand new look. I’m looking into new designs and trying to figure out how to tweak the ones I like to make them work for my purposes. I’m getting close…but not quite there yet.

My last major announcement is probably my favorite.

Josué Cardona of the Geek Therapy Podcast and Blog has asked me to come on board as a contributing editor!

I’ll still be writing here, so Therapeutic Code will be going strong. I just wanted you all to know that you should check me out over there as well. I’m looking forward to working with Josué and helping to expand Geek Therapy. It’s so much easier to write sometimes when you have colleagues to collaborate with and bounce ideas off of.

Maybe you’ll even catch me on the podcast.

To wrap it up…Therapeutic Code is awesome and will be looking more awesome soon. You can find out about me and contact me with questions. And you can also check out my work at GeekTherapy.com soon!

Thank you all for sticking with me, it’s great to watch this site (and the page views) grow.

….And I completely forgot! I just turned in my press application for San Diego Comic Con. Things just got real. Here’s hoping they accept my application!

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