Introduction:
Physiotherapy plays a crucial role in the overall wellbeing of individuals, including those suffering from mental health challenges such as anxiety and depression.
As highlighted in Moshe Bar’s concept of “Mindwandering,” individuals with depression often find it difficult to consider the broader context of their situations. This article aims to guide physiotherapists in supporting clients with anxiety and depression more effectively, focusing on communication strategies, recognition of non-verbal cues, and tailored interventions.
Understanding the Impact of Anxiety and Depression on Rehabilitation
Clients with anxiety and depression may exhibit a narrowed perspective, focusing on negative aspects of their situation and struggling to see the holistic benefits of a healthcare management. Their internal dialogue might contrast sharply with a positive outlook, affecting their motivation and adherence to treatment plans.
Communication Strategies with Clients on Antidepressants:
When a client reveals they are taking antidepressants, it’s essential to adapt your communication approach. Recognise that they may have difficulty seeing the long-term benefits of physiotherapy.
Approach conversations with empathy, patience, and reassurance. Provide clear, concise explanations and encourage open dialogues about their feelings and concerns.
Recognising Non-Verbal Signs of Non-Adherence:
Clients on antidepressants may verbally agree to treatment plans but internally lack the intention to follow through. Watch for non-verbal cues such as lack of eye contact, hesitancy in response, or a general sense of disengagement. These signs might indicate a disconnect between what they say and what they feel or intend to do.
Case Scenario Analysis:
Consider the example of a client struggling with anxiety and depression who was advised to practice yoga for an hour daily. She agreed but later admitted to me to merely telling the physiotherapist what was expected. This scenario underscores the importance of recognising when a client might be agreeing superficially without genuine commitment.
Recognising Altered Contextual Understanding:
Physiotherapists should be aware of signs indicating a client’s difficulty in contextualising conversations. These may include:
- Difficulty understanding the long-term benefits of treatment.
- Focusing excessively on immediate pain or discomfort.
- Showing little interest in discussing progress or future goals.
Improving Contextual Understanding in Depressed Clients:
To assist clients in better understanding and engaging with their treatment context, physiotherapists can:
- Break down treatment plans into smaller, manageable steps, making the process less overwhelming.
- Ask the client why they might want to engage in the recommended exercises/program. This question may help with connecting the outcome to their values.
- Regularly reinforce the connection between specific exercises and overall health improvement.
- Use motivational interviewing techniques to explore and resolve ambivalence.
Conclusion:
Supporting clients with anxiety and depression requires a nuanced approach that goes beyond traditional physiotherapy methods.
By adapting communication strategies, being attuned to non-verbal cues, and tailoring interventions to address the unique challenges these clients face, physiotherapists can significantly enhance the effectiveness of their treatment and support their clients’ journey towards improved mental and physical health.
