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Relaxation Training

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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Relaxation Training

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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

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