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The Holistic Bio-Psycho-Social therapeutic model of the mood disoreders and the psychoses. (SUMMARY)

Although based on the conventional model of assertive community psychiatry it goes beyond this, and includes other factors (mainly in the biological dimension, but also in the mentoring and informing of patients).

Biological dimension

  • Conventional psychotropic medication: choice of medication using the electrodermal screening test
  • Choice of dietary supplements using the electrodermal screening test, Vega, Mora or similar equipment every two months
  • Orthomolcular diet based on the specific bioenergy test every six months – later on every year. Consumption of organic foods only
  • Daily exercise, and walking
  • Neurofeedback
  • Abstention from smoking, alcohol, drugs and caffeine
  • Regular sleep routine
  • Ridding the patient’s environment of any kind of radiation or chemical stress
  • Bio-cybernetic and quantum energy medicine, including mild detoxification of the body from time to time
  • Living arrangements as close to nature as possible, for as long time as is feasible.
  • Training in diaphragmatic breathing
  • Transcranial magnetic stimulation (optional)
  • Bioresonance, and other alternative therapeutic techniques (eg homeopathy, reflexology, acupuncture, neocraniosacral therapy etc.) (optional)

Psychosocial dimension

  • Systemic family therapy
  • Individual psychotherapy, in the following order: first cognitive-behavioural, then systemic, followed by psychodynamic and finally, client-centred therapy with existential features. In the case of treating a patient suffering from bipolar disorder, we start with Interpersonal and Social Rhythm Therapy. (This regime would be modified according to the patient’s particular needs)
  • Group psychotherapy
  • Vocational orientation, and occupational support (eg Social cooperatives)
  • Provision of temporary supported housing if necessary
  • Support in the creation of a social network
  • Self-help group, or support group with people who have the same diagnosis.
  • Psychoeducation, which is not restricted to the diagnosis of mental disorder, but includes training in all aspects of the model (eg diet, exercise, healthy habits, psychotherapeutic approaches etc.)
  • Bibliotherapy, and access to information from books, seminars and the internet
  • Art therapies (eg drama therapy, art therapy, music therapy etc) and other therapies (eg Hellinger Family Constellation Work, psychodrama) (optional)
  • Activism (optional)

Beyond the bio-psycho-social dimension

Beyond the strictly bio-psycho-social dimension of this model, we attempt to encourage the patient to develop spiritual and cultural awareness. It is important that this encouragement is not intrusive or leading.

Senior Case Manager (SCM)

This therapeutic approach is provided by a multidisciplinary team, just as in conventional community psychiatry, but the primary figure in the team is the Senior Case Manager (SCM). This person is an all-round specialist, whose basic training is as a clinical psychologist and family therapist. He holds the highest position in the hierarchy, together with the psychiatrist. These two have the last word about each therapy, naturally in collaboration with the patient. The SCM spends a great deal of time with the patient and his family, and knows the case in depth. He is the patient’s mentor, and is present in all the patient’s therapeutic sessions together with the mental health professionals involved, functioning as co-therapist (at least in the beginning of treatment). When the patient does not have the financial means to follow the therapeutic model in its totality (which is most often the case), the SCM will help him to set priorities for his treatment. He also aims to motivate the patient to assume responsibility for his treatment, and must be careful not to take the place of the other therapists.

The Community Mental Health Center

This resembles a conventional Community Mental Health Center, but it also provides the Electrodermal Screening Test, a lending library, a seminar room, and access to electronic libraries and the internet.

The “Holistic” Psychiatric Hospital

Apart from its function as a conventional psychiatric hospital, this hospital also provides holistic therapies. It does not accept involuntary patients. It does not have high walls or rooms for solitary confinement, and it does not resemble a prison. It has a fitness centre and spacious grounds for walking. Patients who can do so will prepare their own meals. Smoking is forbidden in all interior areas, except for the specially designated “smoking room”. Continuity of care is ensured throughout the hospital stay, which is seen as only a temporary measure.

Principles behind the model

“Healthy mind in a healthy body” “A patient’s best healer is himself” (and this is why we educate the patient) “A man’s meat is another man’s poison”

Beyond the patient

The model aims to promote a healthy lifestyle, psychotherapy and other alternative therapies for all members of the patient’s family, and attempts (using specific protocols for the prevention of mental illness in patients’ relatives) to prevent mental illness in family members (eg younger siblings), who are at high risk of developing mental illness themselves.

Cost and benefits

The cost of implementing this model is very high compared to conventional approaches, but it is expected to lead to quicker recovery, improved life expectancy, and improved health and functionality, especially in the patient’s old age. Also, with this approach, it is safe for the patient to have children (and safe for the baby too), so people can create their own families and do not need to live and die alone.