Saturday, November 5, 2016

如何寻找合格注册的马来西亚执业临床催眠治疗师?

如果你想要寻找一位合格注册的临床催眠治疗师帮助你解决身心问题,那在那之前请先了解如何选择适合你的临床催眠治疗师。

身为精明的消费者,你有权了解该催眠治疗师的:
1)催眠相关学术资格(比方说如果你因为焦虑症状需要求助,那么你可以询问该治疗师的催眠课程或其学术生涯内是否有学习过如何运用特定催眠技术帮助治疗焦虑症状的课程内容?)
 
2)是否有专业职业责任保险(Professional Liability Insurance or Professional Indemnity Insurance) 
 
3)是否有向本地催眠专业团体如AHPM/MSCH注册?据我了解,这两大团体都有一定的职业规范Code of Ethics。同时,他们的合格注册会员可以购买专业职业责任保险。
 
4)得了解催眠师可以被解读成Hypnotist或者Hypnotherapist,但两者给予的服务可以是截然不同的。Hypnotist或许懂得特定催眠技术,但不一定懂得如何处理临床案例或提供治疗。而后者Hypnotherapist通常则被训练提供治疗服务。然而不是每个催眠教学机构都有教导如何处理临床案例如焦虑(anxiety disorder symptoms)或心理创伤(psychological trauma)。有的Hypnotherapy training course课程主要可以帮助改变坏习惯或者增强自信心等等。虽然催眠师有时都用着相同的名号(Hypnotherapist or Clinical Hypnotherapist or Professional Hypnotherapist),但专精的领域与训练其实各异,所以消费者可以询问治疗师是否受训帮助某种身心问题,再考虑是否要进行治疗。
 


问题1:马来西亚有哪个催眠协会?
 
 
催眠相关团体1 (MSCH):
这个催眠团体是Malaysia Society of Clinical Hypnosis (MSCH),大马临床催眠治疗师协会。据我了解,其正式会员主要是完成了Diploma in Clinical Hypnosis的临床催眠治疗师。
该协会一直在推广催眠运用于临床案例的效益,以下为一些相关新闻:
 
 
催眠相关团体2(AHPM):
事实上自然医学协会联合总会(FCNMAM or Gabungan Pertubuhan Perubatan Komplementari dan Alami Malaysia)(即被卫生部认证的自然医学协会联合总会),其下的大马催眠师协会Association of Hypnotherapy Practitioners Malaysia (AHPM)从过去到现在是唯一受Federation of Complementary & Natural Medical Associations Malaysia (FCNMAM)承认的催眠疗法组织。但这并不表示催眠治疗已经被卫生部正式认证了。我已经洽询了卫生部官员,目前催眠还没被认证属于T&CM约束范围。
然而据我了解,AHPM此团体仍然依据T&CM法令的范畴来教育会员,该协会的目标就是未来可以被卫生部正式认证。
AHPM不时也会为误解催眠的误导性新闻发声,以下的新闻链接看到AHPM所刊出的澄清:
 
 

*题外话:诉说我个人加入这些催眠协会的经历:
上图截取自马来西亚卫生部-传统与辅助医学于2016年刊登的消息(http://tcm.moh.gov.my/v4/modules/mastop_publish/?tac=36) -备注:联结已经过期
 
你可以清楚看见在2016年,催眠疗法(Hypnotherapy)被建议为传统与辅助医学的一部分。也因为上图2016年的资讯,我才认识到了AHPM这个团体。当时我被告知T&CM传统与辅助治疗法令即将生效,而AHPM这协会当时就广招会员并通知我们催眠师即法令生效后,催眠师必须向AHPM注册。会员的催眠学术背景各异,主要是以国际催眠团体所认证的文凭为入门条件。据我观察,会员不只是把催眠运用在clinical practice的治疗师,也包含了在corporate或spiritual领域使用催眠技术的从业员。
*然而在若干年后,我向卫生部求证后,了解到催眠其实在2020年都还未被T&CM法令归纳其中(AHPM过去的会长给我的解释是因为没有MQA/SKM认证的催眠课程,所以还没被认证)。所以严格来说,催眠师在目前是没有被政府卫生部规定需要向政府单位或任何特定催眠协会注册的。
卫生部T&CM部门某官员也透过电邮告诉我说,将来会有更多认证机制去认证不同的治疗。官员也提到他们主要会考虑认证MQA或者SKM认证的专业课程。
 
我同时也是MSCH的Life Member,因为我在当年读完Diploma in Clinical Hypnosis就加入了该协会。 据我观察,他们的会员大都偏向把催眠使用在clinical practice(如身心或医疗相关治疗)的从业员。
 
当然,身为一名执业临床催眠治疗师(Clinical Hypnotherapy Practitioner),不管催眠是否被卫生部认证,我的愿景当然都是希望临床催眠可以更好的被学术与医学界认可。 我仍然鼓励催眠师向专业催眠团体注册,从同业者身上交流与学习,也在必要时为催眠界发声与创造更好的醒觉运动来让大众认识催眠。然而MSCH或者AHPM的合格注册会员的催眠相关学术资格也截然不同,有兴趣了解合格注册的条件,可以亲自联系以上催眠协会。


问题2:临床催眠治疗师是不是医生?
催眠治疗师并不是医生而属于治疗师类别。只要是受特定如AHPM or MSCH团体认证的治疗师,他们有资格购买专业职业责任保险(Professional Liability Insurance or Professional Indemnity Insurance)。


备注:
1)我本身过去曾经是大马催眠治疗师协会AHPM的理事之一,所以对于催眠治疗师在马来西亚现状有所研究。以上事实绝大部分都是从协会团体或政府机构法令中所得来的资讯。然而讯息这些年来不断更新,最新消息还是得向有关单位求证才是。
2)以上协会都没有正式的中文名,所有名称都是来自网上搜索或友人告知的翻译。主要还是是以英马两种名称为准。
 
最后更新:16 November 2020

Agoraphobia and Panic Disorder Treatment in Malaysia - Psychological Hypnosis Method


What is Agoraphobia?
Agoraphobia is a type of anxiety disorder in which you fear and often avoid places or situations that might cause you to panic and make you feel trapped, helpless or embarrassed.
With agoraphobia, you fear an actual or anticipated situation, such as using public transportation, being in open or enclosed spaces, standing in line or being in a crowd. The anxiety is caused by fear that there's no easy way to escape or seek help if intense anxiety develops. Most people who have agoraphobia develop it after having one or more panic attacks, causing them to fear another attack and avoid the place where it occurred.

Agoraphobia treatment usually includes both psychotherapy and medication. It may take some time, but treatment can help you get better.

Typical agoraphobia symptoms include:
  • Fear of being alone in any situation
  • Fear of being in crowded places
  • Fear of losing control in a public place
  • Fear of being in places where it may be hard to leave, such as an elevator or train
  • Inability to leave your home (housebound) or only able to leave it if someone else goes with you
  • Sense of helplessness
  • Overdependence on others
In addition, you may have signs and symptoms of a panic attack, such as:
  • Rapid heart rate
  • Excessive sweating
  • Trouble breathing
  • Feeling shaky, numb or tingling
  • Chest pain or pressure
  • Lightheadedness or dizziness
  • Sudden flushing or chills
  • Upset stomach or diarrhea
  • Feeling a loss of control
  • Fear of dying

Panic disorder and agoraphobia

Some people have a panic disorder in addition to agoraphobia. Panic disorder is a type of anxiety disorder in which you experience sudden attacks of extreme fear that reach a peak within a few minutes and trigger intense physical symptoms (panic attacks). You might think that you're totally losing control, having a heart attack or even dying.
Fear of another panic attack can lead to avoiding similar circumstances or the place where it occurred in an attempt to prevent future panic attacks.


Psychotherapy

Also known as talk therapy or psychological counseling, psychotherapy involves working with a therapist to reduce your anxiety symptoms. Cognitive behavioral therapy is one of the most effective forms of psychotherapy for anxiety disorders, including agoraphobia.
Generally a short-term treatment, cognitive behavioral therapy focuses on teaching you specific skills to gradually return to the activities you've avoided because of anxiety. Through this process, your symptoms improve as you build upon your initial success.
You can learn:
  • That your fears are unlikely to come true
  • That your anxiety gradually decreases if you remain in public and you can manage those symptoms until they do
  • What factors may trigger a panic attack or panic-like symptoms and what makes them worse
  • How to cope with these symptoms
  • How to change unwanted or unhealthy behaviors through desensitization, also called exposure therapy, to safely face the places and situations that cause fear and anxiety
If you have trouble leaving your home, you may wonder how you could possibly go to a therapist's office. Therapists who treat agoraphobia will be well aware of this problem. They may offer to see you first in your home, or they may meet you in what you consider a safe place (safe zones). They may also offer some sessions over the phone, through email, or using computer programs or other media.
Look for a therapist who can help you find alternatives to in-office appointments, at least in the early part of your treatment. You may also want to take a trusted relative or friend to your appointment who can offer comfort and help, if needed.

Message from your clinical hypnotherapist (Hiro Koo):
"Give a man a fish, he'll eat for a day; teach him how to fish, and he'll eat for a lifetime,"
I will use clinical hypnosis as an adjunct to psychotherapy session (Psychological hypnosis method): Hypnosis method is used to help patients to reduce cognitive and physical symptoms of anxiety (Frankel and Macfie, 2010; Elkins and Perfect, 2008), and provides you with more control in every day situations (Baker and Nash, 2008). I will also teach you self-hypnosis techniques so you can continue your treatment at home. So next time you feel anxious or overwhelmed, you can practice a brief self hypnosis method and trigger a sensation of calm. 

You can complete the self rating assessment below to understand your condition better (Welcome to email me your result, it will be kept as P&C):
Panic And Agoraphobia Scale


Source:
http://www.mayoclinic.org/diseases-conditions/agoraphobia/basics/definition/con-20029996
http://www.londonhypnotherapyuk.com/agoraphobia-social-phobia/

Friday, November 4, 2016

What stress does to your body

When we experience excessive stress—whether from internal worry or external circumstance—a bodily reaction is triggered, called the "fight or flight" response. Originally discovered by the great Harvard physiologist Walter Cannon, this response is hard-wired into our brains and represents a genetic wisdom designed to protect us from bodily harm. This response actually corresponds to an area of our brain called the hypothalamus, which—when stimulated—initiates a sequence of nerve cell firing and chemical release that prepares our body for running or fighting.

When our fight or flight system is activated, we tend to perceive everything in our environment as a possible threat to our survival. By its very nature, the fight or flight system bypasses our rational mind—where our more well thought out beliefs exist—and moves us into "attack" mode. This state of alert causes us to perceive almost everything in our world as a possible threat to our survival. As such, we tend to see everyone and everything as a possible enemy. Like airport security during a terrorist threat, we are on the look out for every possible danger. We may overreact to the slightest comment. Our fear is exaggerated. Our thinking is distorted. We see everything through the filter of possible danger. We narrow our focus to those things that can harm us. Fear becomes the lens through which we see the world.

We can begin to see how it is almost impossible to cultivate positive attitudes and beliefs when we are stuck in survival mode. Our heart is not open. Our rational mind is disengaged. Our consciousness is focused on fear, not love. Making clear choices and recognizing the consequences of those choices is unfeasible. We are focused on short-term survival, not the long-term consequences of our beliefs and choices. When we are overwhelmed with excessive stress, our life becomes a series of short-term emergencies. We lose the ability to relax and enjoy the moment. We live from crisis to crisis, with no relief in sight. Burnout is inevitable. This burnout is what usually provides the motivation to change our lives for the better. We are propelled to step back and look at the big picture of our lives—forcing us to examine our beliefs, our values and our goals.


Source: http://www.thebodysoulconnection.com/EducationCenter/fight.html