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Methods of treatment and rehabilitation

The key setting of our rehabilitation program: a patient is a person who has a huge potential of unrealized opportunities.

Thanks to psychophysical psychophysiological and psycho-psychotherapeutic methods of influence, we help mobilize the body's hidden reserves to restore mental functions, uncover the possibilities of the auditory analyzer, psychomotor skills, improve hearing acuity, attention, intelligibility and development of speech, social adaptation.

Drug therapy is used only as an exception.
Basically, patients are treated without medical intervention, and the course of their treatment is designed for 20 daily sessions.

Main and auxiliary methods of treatment during treatment and rehabilitation:

     

  • Body-oriented psychotherapy (TOP)
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  • Body-oriented psychotherapy (TOP) in combination with stimulation of the cortical and subcortical speech zones (Wernicke's sensitive primary speech zone, Broca’s secondary motor zone and auditory cortical zones)
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  • Body-oriented psychotherapy (TOP) combined with tactile therapy
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  • Process-oriented therapy
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  • Maintenance Therapy
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  • Methods of dose-limiting sensory input with the exception of the visual and aural analyzer
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  • Family psychotherapy
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  • Behavioral psychotherapy
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  • Integrative psychotherapy
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  • Acupuncture
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  • Autogenous training
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  • Assertive training
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  • Sociotherapy
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  • Family counseling
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  • School for parents
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  • Art Therapy
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  • Video therapy and video surveillance
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  • Bibliotherapy
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  • Music Therapy

Psychophysical and psychophysiological methods

The main method is the professors own development combining a set of methods called "Psychophysical and psycho-physiological methods". The course of therapy consists of 4 stages. After passing through stage I (at the subsequent stages), the treatment becomes more complex and somewhat more complicated.

At the subsequent stages, the dosed elimination of sensory analyzers is carried out (the method is patented by the authors).

At the third stage, drug therapy is applied individually (as agreed and desired by patients and relatives).

At stage IV, the metered exclusion of both sensor analyzers, etc.
Stimulation of the dominant hemispheres of the brain is also carried out.

Art Therapy

Art therapy (from the Greek word arte - valor, virtue).
This complex includes special psychological and psychotherapeutic methods that allow you to influence the moral (spiritual) life of a person.

Art therapy allows to overcome such qualities as shyness, indecision, fear, fear of strangers, and is carried out in two stages.

The first one is an independent choice by patients of topics and materials for the implementation of the plan. If necessary, a psychologist or psychotherapist supports creative initiatives, as well as sick people who have already been rehabilitated to some extent may be involved in assistance.

The second is that patients are given the opportunity to independently manufacture handicrafts, drawings, figures, etc. At the end of the lesson, the qualities that were activated during the creative process — psychological and physical activity, demeanor, etc. — are discussed.

Video therapy and video surveillance, or a look at yourself from

It is carried out from the first days of the patient’s contact with the doctor. In the process of rehabilitation measures, patients observe changes in their condition, which causes them to look even better, eliminate their mental and physical disabilities, etc. With the accumulation of positive changes, they can assess the success in the complex, and see the dynamics of recovery.

Music Therapy

Like other methods of harmonious influence, it allows activating the psychophysical abilities of the patient’s body, improving its social adaptation, etc. As a rule, used in conjunction with other methods.

Integrative psychotherapy

We have seen from our medical practice that rehabilitation programs for such a difficult category of patients as patients with disabilities simply do not have stereotypical approaches. Moreover, such a rehabilitation usually captures the patient’s family as a habitat of prey. In the course of creative work, we found the concept of an integrative approach for medical and psychosocial rehabilitation, where the best methods and means of psychotherapy, psychology, and pedagogy were combined into one node.

In our scientific research institute, patients with disabilities, for example, with hearing impairments, are in the process of treatment together with persons with normal auditory functions, but who have neurotic and somatoform disorders.

After treatment, the patient requires constant communication with normal hearing people, that is, a more complete, than before, social macro and microenvironment. A convalescent person, one might say, spreads his wings, and therefore he needs not isolation, but openness.

Family Psychotherapy

In our early studies, it was revealed that after a child’s illness, 84% of mothers and 18% of fathers experience various emotional-affective psychotic and non-psychotic disorders. If you do not take measures to eliminate them, then in the future there is a real possibility of a more crude nature of psychotic, psychosomatic diseases. These disorders also have social significance, namely: in 5.2% of such families, marriage breaks down, in 11.0% alcohol abuse is observed, in 9.8% there is a rejection of the previously planned second child, etc.

Ignoring such disorders in the process of rehabilitating a patient can negate the effectiveness of all other methods. To avoid this, we have developed a complex of sociotherapeutic, psychotherapeutic rehabilitation measures aimed simultaneously at assisting the parents themselves and other members of the patient's family.

Sociotherapy

The goal of sociotherapeutic measures is to improve social relationships, to awaken and strengthen interest in healthy work, and also to exclude an inferiority complex. For this purpose, a set of psychotherapeutic measures are used in conjunction with therapeutic and pedagogical effects. With this integrated approach, some therapeutic measures complement others. Our system carries the possibility of communication, meetings in informal groups. For example, we hold traditional meetings of already treated and new patients. Teachers, heads of labor collectives, social workers are involved in such treatment-and-pedagogical events, as well as relatives and patients are active and direct participants.

Elements of sociotherapeutic measures are used in the rehabilitation process: from the first day of the patient's arrival - until the end of treatment. Much attention is paid to them and at repeated stages. Another prerequisite: after discharge, we maintain contact with patients, we coordinate (already outside the hospital) further psychotherapeutic activities, in which sociotherapy remains the main instrument of influence on the patient.

Family consultation is one of the main stages of family psychotherapy, the purpose of which is to familiarize with family relationships, problems of members (member) of a family and the relationship of a child’s illness with these problems. At the same time, situations, aspects of role-based interaction in the family are analyzed to search for elements of the therapeutic effect (resource) for further treatment and rehabilitation.

School for Parents
School for parents is necessary for the organization of medical and rehabilitation activities for sick children, teaching the elements of psychological assistance to parents in order to achieve maximum positive results.

Autogenous training
Autogenic training is one of the stages of convalescent patients, incl.
family psychotherapy for parents. At the same time, they are trained in training of muscle relaxation, self-hypnosis, self-education (autodactics), etc.

Bibliotherapy
The technique allows to expand the treatment process from a medical springboard to a wider, social one, in order to integrate the patient into a full-fledged living space.

In this case, the following tasks:

     

  • Teaching children with disabilities independent thinking and developing in them the ability to find a way out in different life situations
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  • Stimulation of physical and speech activity, ability to move, speak correctly, communicate, etc.
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  • Fostering an active attitude towards the process of rehabilitation and treatment of specific impairments of hearing, speech, and other physical disorders
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  • Adaptation to a new, positive formula for life (eliminating the thought of one’s own inferiority, stimulating positive emotions, etc.)
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  • Working positively with parents (changing stereotypes, adapting to a more healthy lifestyle of the child and family).

Assertive Training

Assertive training is conducted at the subsequent stages of autogenic training in order to develop self-confidence,
confident behavior. At the same time, AST contributes to the patient in advancing and preventing his own fantasy and ideas of need, pretension, feelings (emotions), interests in relation to himself and others.

Behavioral psychotherapy

Behavioral psychotherapy includes non-verbal and verbal-cognitive, motivational-affective, emotional-subjective, non-verbal-imitative manipulations, the purpose of which is to improve social adaptation and communication in the micro- and macroenvironment and has the following features:

     

  • Goal setting - psychotherapy. Based on clinical and experimental.
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  • Psychological research determines which skills or behavioral disorders.
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  • Should be adjusted during work.
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  • Problem assessment - which negative habits should be removed.
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  • Study of motivation in the game or individual positive responses to social
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  • Relationships and helping the patient realize their abilities.

Assertive Training

Assertive training is conducted at the subsequent stages of autogenic training in order to develop self-confidence,
confident behavior. At the same time, AST contributes to the patient in advancing and preventing his own fantasy and ideas of need, pretension, feelings and emotions, interests in relation to himself and others.

Behavioral psychotherapy

Behavioral psychotherapy includes non-verbal and verbal-cognitive, motivational-affective, emotional-subjective, non-verbal-imitative manipulations, the purpose of which is to improve social adaptation and communication in the micro- and macroenvironment and has the following features:

     

  • Goal setting - psychotherapy. Based on clinical and experimental.
     

  • Psychological research determines which skills or behavioral disorders.
  •  

  • Should be adjusted during work.
  •  

  • Problem assessment - which negative habits should be removed.
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  • Study of motivation in the game or individual positive responses to social.
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  • Relationships and helping the patient realize their abilities.

Body-oriented psychotherapy

Body-oriented psychotherapy in the system of rehabilitation of children is one of the methods of psychotherapy aimed at the awareness of a sick child of positive and "negative" bodily sensations, which are created artificially by the medical staff (doctor, rehabilitologist).

TOP in combination with stimulation of the cortical and subcortical speech zones (sensitive primary
Wernicke’s speech zone, Broca’s secondary motor zone, and auditory cortical zones). In the process,
psychotherapeutic interventions simultaneously stimulate speech zones (Wernicke’s zone
and the Broca zone and the auditory cortical zones (the dominant hemisphere of the brain).

TOP combined with tactile therapy, in other words, it is a stimulation of biologically active points or zones of the Biologically Active Points (BAT) of the human body.
one of the ways to stimulate the communicative areas in children. For this purpose, daily
artificial stimulation of BAT of a child until positive emotions appear on the face.

Maintenance Therapy

The treatment, in this case, is aimed at removing the neurotic and somatoform disorders, improving social existence. Within 2-3 months after treatment, patients are under our active supervision. In particular, they carry out such supporting psycho-psychotherapeutic activities such as telephone negotiations, correspondence, and communication on the Internet. If necessary, the patient may be assigned a short course of treatment in the hospital.

One course of medical and psychosocial rehabilitation consists of 3-4 stages. Starting from the first stage, patients adapt for the next stage of therapy.

Stage I is the adaptation and elimination of neurotic and somatoform disorders, improvement
Relationship in the micro and macro environment. After that, patients are discharged under observation
specialists, with subsequent supportive therapies.

After adaptation to the achieved results, in 3-4 months the second stage of therapy is carried out. In this case, the main focus is on fixing the results of stage I in the interval between stages I and II and connecting more intensely to sensory stimuli and speech centers in the left hemisphere (Brokka and Wernicke) by stimulating these centers again.

After a break of 3-4 months, the next stage of therapy is carried out. At this stage, along with the usual therapy of stages I and II, an individual (at the request and with the consent of the parents of children and adult patients) is connected to the use of drug therapy. After completion, with a break of 3-4 months, we proceed to the IV stage of therapy, which consists of artificially dosing intake of sensory stimuli, in particular, visual and auditory stimuli.

After completing one course of therapy, these patients are under our supervision and
further rehabilitation measures are coordinated with the results of the first course of therapy, the wishes, and abilities of the family members of the patient.

Long-term observations have made it possible to conclude about the effectiveness of this approach. In most patients, especially in children with A and AKP, after treatment, in addition to improving cognitive processes, including psycho-speech and psychomotor development, the parameters of social existence are normalized, the work of the endocrine and immune systems improves, and children suffer less.

Harmonization of mental life leads to the disappearance of discomfort in communication with the external environment, there is an interest in creativity and art.

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ул. Бехтерева, 1:
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