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Preliminary Steps. Check that individual is suitable for relaxation responseEnsure conducive environmentEnsure staff/caregiver support is availableGear the relaxation training to the level of functioning. Teaching Relaxation Therapy. Establish rapport
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1. Relaxation Training Dr. Bob Carey
Regional Support Associates
2. Preliminary Steps Check that individual is suitable for relaxation response
Ensure conducive environment
Ensure staff/caregiver support is available
Gear the relaxation training to the level of functioning
3. Teaching Relaxation Therapy Establish rapport & ensure comfort level
Include staff/caregiver with the training
Pick the environment where it is to be done and establish a routine for practice
Set up expectations and establish the importance of self-efficacy & control
4. Types of Relaxation therapy Deep Breathing
Jacobsen Progressive Deep Muscle
Cognitive Imagery
5. Deep Breathing Gear to level of functioning
Use teaching techniques � role playing, behavioural rehearsal, positive reinforcement
Don�t do too much at once
Break tasks into small parts and use lots of practice and repetition
6. Deep Breathing - continued Long - Slow � Deep breaths
Each breath � as long as possible � aim for 10 seconds or longer
Try to hold breath on inhale for 3-4 seconds
Practice for 10-15 minutes
Practice with individual and do together
7. Deep Muscle � Jacobsen technique Tension � release exercises
Modified for persons with intellectual impairment
Ensure proper positioning
Teach/instruct in technique first
Practice one muscle group at a time
Use modelling, instruction, and some verbal and physical cues/prompts
8. Deep Muscle - continued Remember to script for success � talk about the importance of learning this �new skill�
Muscle groups to practice � hands, forearms, biceps, calf, thigh, stomach, shoulders, neck/jaw/cheek, forehead/eyes.
9. Deep Muscle - continued Focus on the difference between tension and feelings of relaxation � �notice the difference�
Therapist � voice modulation � flat, little intonation, relaxing, pacing is slow, breaks in sentences � don�t talk too much
Allow for 30 to 40 minutes � depending on individual
Lower functioning � shorter duration � focus on relaxed posture/appearance
10. Cognitive Imagery Develop this with individual prior to starting � find out what works for them
Use descriptive phrases/scenarios that employ all five senses
11. Scripting for Success Teaching � new skill � to control stress/anger � like riding a bike � practice makes perfect
Make Audio tape
Enlist staff as collaborators/facilitators in making it work � provide good role modelling, reinforcement for using it