How Did I Get Here?

I'm crouching on the floor, playing a guitar, while simultaneously holding and playing a set of jingle bells in my right hand. The strum pattern from my right hand shakes the jingle bells and makes them sound. I'm also singing and trying to get eye contact from an amazing little someone with an autism spectrum disorder.

How did I get here?

I never imagined I would have the desire or ability to find myself in that situation when I first began studying the flute years ago in 7th grade. Even though I didn't know it, that is indeed where my personal journey towards music therapy began. 

As a small child, I loved music and would spend hours at a time picking out tunes by ear on the family piano. I couldn't get enough. A family friend offered free piano lessons, which I took for a while, but being young and foolish, I decided maybe piano lessons weren't so awesome after all.

The summer before my 7th grade year, I heard a flute trio play for the very first time. After that, there was no going back. I had to learn how to do that. It was no longer a want, but a need.

I started private flute lessons and band that year and threw myself full force into both. If you asked me what I wanted be when I grew up, it was absolutely very clearly, "either a band director or a professional flutist."

Music education or performance were my only two options, as far as I was concerned. And, of course, I only listened to classical because pop music was "dumb" and "shallow."

Now I just laugh at my 7th grade self. (And also want to kick her for not listening to pop music sooner.)

Things continued more or less in this fashion through my sophomore year of high school. In my second semester, I was assigned to write a research paper on a "personally relevant question." So, my question was whether I should pursue music education or performance.

In my initial searching, I found the American Music Therapy Association (AMTA) website. The more I read, the more it became a moment like hearing the flute trio. I very quickly realized that this was my niche. The research paper I turned in was not about education vs. performance. Instead, I turned in a paper about the effectiveness of music therapy, the career options for music therapists, and what my personal action plan should be to send me on my way to MT-BC. I got to present my findings to my entire English class, so I was already advocating for music therapy.

That same year, I took a career and aptitude test at school. My top three results were music performance, counseling, and health care. My teacher laughed and shook his head and said, "Good luck finding one career that's all three of those." I told him that it meant I was supposed to be a music therapist.
 

Do you have a personal music therapy journey to share? Send me an email or share in the comments!

Music and Medicine: Thoughts from a Critical Care Nurse

A few weeks ago, I had the great pleasure of connecting with Sunnie S. on Twitter. Sunnie is a critical care nurse in a hospital, and she also happens to be a great person willing to share her thoughts with me about the use of music and music therapy in the hospital.

“I want to explain that I see music therapy as the use of music at any time to the benefit of a patient. I work night shift, so there are not MTs around in the hospital, but they are on dayshift. I definitely think that the use of music therapy is a collaboration between the MT and the RN and the patient.”

The therapeutic use of music can come from other medical professionals, too. That’s what’s great about music – it’s so adaptable to many different experiences.

Sunnie’s hospital has a TV channel that plays relaxing music with nature scenes 24/7 and she tells me, “As a nurse, I use it a lot. For patients who are confused, having an exacerbation of their dementia, anxious, angry, nervous, etc., I find that using the music helps as a distraction point for the patient and they are able to stop focusing on whatever is ailing them in that moment.”

In addition to receiving music therapy from MT-BC’s, and therapeutic music experiences from the nurses, 

Sunnie tells me, “In our hospital, we also have Healing Touch practitioners and Massage Therapists who come to assist our patients, they also use music with the patients. When I speak with my patients after a healing touch session, they tell me that the music is so helpful, because they are able to clear their minds and ignore all the noisiness of the hospital around them.”

Additionally, Sunnie feels that music therapy “works with young, old, any age patient really. I find that using music therapy as a complementary therapy is beneficial to my patients. It allows them to de-stress and be distracted which takes the focus off their illness and gives them permission to focus on themselves. I also encourage my patients to bring in their own music (i.e. if they feel Led Zeppelin is healing to them, then by all means we are going to listen to some Led Zeppelin).”

The music therapy research supports the use of Led Zeppelin (or Frank Sinatra, or Eminem) in the hospital, too. Music therapists use a fun little term called “patient-preferred music” to describe this. Basically, whatever music a patient or client already has the strongest connection to tends to yield the best therapeutic outcomes.

Another music therapy technique is called “procedural support,” which is when a music therapist assists another medical professional, such as a doctor or a nurse, with a difficult or painful procedure by reducing a patient’s experience of pain and by helping to keep the patient calm or distracted.

Sunnie has seen this music therapy technique at work. “During my clinical rotations in nursing school, music therapy was used in conjunction a lot in pediatrics for procedures like IV insertions and NG tube placements. Now that I work in adult populations, I see it used in procedures (like Interventional Radiology) where the patient is semi awake for the procedure. I see that it helps the patient to remain calm and relaxed in a foreign environment.” (Music therapists call that last part “normalizing the environment.” Hard to focus on how freaky a hospital room can be if someone is belting out your favorite song in your face.)

I was also excited to hear that music is not only being used to benefit the patients Sunnie sees, but also the hospital staff. “I also think that music therapy is beneficial to staff. We use the music channel at night when it’s been busy to help us focus and find a peaceful center amidst a chaotic shift.”

I can imagine that it’s a good thing for everyone - patients, nurses, and doctors -  when the medical staff feels focused and centered!

Thank you again, Sunnie, for being willing to share your thoughts and experiences with me! (You can follow Sunnie on Twitter!)

If you are a professional from any other field (medicine, education, speech therapy, etc,) and would like to share your thoughts on music therapy, please feel free to drop me a line!

Saturday Shout Out: Justin Roberts!

Today’s Saturday Shout Out goes to my favorite kindie (that’s kid’s music + indie) artist, Justin Roberts!

Several months ago, I was thinking about how more toddlers seem to be into Justin Bieber than traditional nursery rhymes, and how I felt about that as a future music therapist. I started to think about the themes in all the children’s music I had heard so far and how they were all inadequate to broach some of the serious, real-world issues I know children sometimes confront in music therapy.

Out of sheer curiosity (or was it desperation?), I Googled “serious children’s music.” I found this article and I was totally blown away. I started listening to Justin Roberts music on YouTube, and that was followed by downloading as much of it on iTunes as my college budget would allow.

A quick evaluation of his lyrics reveals the themes are often ready-made for music therapy sessions. The music is also as satisfying, complex, and varied as children’s music ever gets. To put it simply, his music may be for children, but it’s in no way childish.

I have created some examples of how Justin Roberts’s music might be used in music therapy with children.

On his newest album, Lullaby, the first track, Count Them as They Go would be great for music-assisted relaxation, using imagery or Progressive Muscle Relaxation. This track would also be great for having clients draw to music.

Easier to Do would work well for lyric analysis. You might ask clients, “What is hard for you to do right now?” “What is something that used to be hard but now is easier for you to do?”

Nothing on You, Heart of Gold, All For You, Polar Bear, No Matter How Far, and Lullaby all contain loving messages from caregivers to children and could be used in a family therapy type session.They are also gentle enough they might be used by music therapists or parents alike in the NICU.

From other albums, songs like I Chalk, Taking off My Training Wheels, Giraffe/Nightingale, and Backyard Super Kid are all excellent for validating a child’s unique talents and abilities and for helping them to build self-esteem. Giraffe/Nightingale would be great for a group lyric analysis, and Backyard Super Kid might be perfect for a child who is hospitalized for medical or psychiatric reasons. Piggy-back songwriting can be used to customize the lyrics for each client.

There are so many more uses for Justin Roberts’s music that I couldn’t fit them all in one blog post!

His music covers nearly everything that is childhood, from the silly to the serious.

My personal favorite is Sandcastle. The song speaks of grief and loss with a very-age appropriate, relatable metaphor. It is excellent for processing grief with young children and can be adapted with fill in the blank song-writing.

And, just in case music therapists needed another reason to love Justin Roberts, he has links to chords and lyrics for his albums Meltdown! and Yellow Bus. 

Music therapists, have you ever used his music in a session? Would you?
Be sure to like Justin Roberts on Facebook and follow him on Twitter!

What I Have Done With Music Therapy

This January is the third annual music therapy Social Media Advocacy Month. Part of this month-long process involves collecting stories of lives that have been impacted through music therapy.

Because of confidentiality, my family and friends can't just drop in during the day to see what I am doing as part of my music therapy practicum hours.

To join in with this month of advocacy, and to give the people in my life a window into what I do with clients, I am sharing some of the amazing things I have gotten to be a part of as a music therapy student.

I have:

Helped a man with a visual impairment and autism use his voice more appropriately (normal speaking range instead of Mickey-Mouse high).
Helped the same client learn to reach out, feel and identify objects and materials in his environment. 

Helped a woman on hospice care strengthen her larynx (voice-box) so she could continue to enjoy solid food with her husband for as long as possible. 
Helped the same woman recall and validate memories of her life using her favorite familiar music.
Helped calm her anxiety and lower her respiration rate using music.

Helped a group of teenagers with autism learn some new songs using a rock band setup, and in the process they worked on social skills, direction-following, and appropriate emotional expression.

Helped a group of residents in an assisted-living facility maintain their motor and cognitive skills, and improve their quality of life and self-esteem through the rehearsals and performances of a tone chime choir. 

Helped a child with a developmental disability access more motor skills and speech.

This is just a sampling of the ways I have been able to participate in music therapy as a student in the course of two semesters of practicum. I am truly and deeply humbled by the power of music therapy, and blessed by the privilege of working with these clients.

I cannot express my excitement to become a board-certified music therapist (MT-BC) and to get to experience music therapy moments all day, every day.

Introduction: Advocacy --> Recognition --> Access

Since 2005, the American Music Therapy Association and the Certification Board for Music Therapists have collaborated on a State Recognition Operational Plan. The primary purpose of this plan is to get music therapy and our MT-BC credential recognized by individual states so that citizens can more easily access our services. The AMTA Government Relations staff and CBMT Regulatory Affairs staff provide guidance and technical support to state task forces throughout the country as they work towards state recognition. To date, their work has resulted in over 35 active state task forces, 2 licensure bills passed in 2011, 1 licensure bill passed in 2012, and an estimated 7 bills being filed in 2013 that seek to create either title protection or a licensure for music therapy. This month, our focus is on YOU and on getting you excited about advocacy.

What music therapy stories do you have to share?

Roll With the Changes

 REO Speedwagon: "Roll With the Changes"

As music therapists, when something happens in our lives, we can almost always think of the song that accompanies what is going on. This week, "Roll With the Changes" by REO Speedwagon has been my theme song.
Dr. Natalie Wlodarczyk tells us at Drury all the time that our greatest assets as music therapists are our flexibility and our creativity.

This became especially true as this week, it was announced that due to overall budgetary constraints, Drury's Master of Music Therapy program will not be accepting any new students for the next foreseeable future.

This decision came down at the same point I was getting ready to begin taking some graduate coursework. I absolutely love Drury and I think we have a fantastic program for music therapy. Our students go out prepared for their internships and have great experiences, as a general rule. Our curriculum is rigorous and we have a clinic for music therapy services on campus.

Obviously, if it were up to me, I would have been extremely happy to stay in our great environment at Drury and do my graduate work there.

But, things changed, and so you roll with the changes. My husband and I sat down with our five to ten-year plan and used our flexibility and creativity to roll with the changes. It really is true that flexibility and creativity are my greatest assets, both for working with clients and for navigating life. While I am disappointed that I won't be able to do my graduate work at Drury, it is also exciting to have the opportunity to make new plans. 

So, I would second what Dr. Wlodarczyk says - flexibility and creativity will get you through anything, whether it's a session that doesn't go how you were expecting or a significant change to your educational plans. 

Whatever may be going on in life right now, it's always a good time to turn some pages and roll with the changes!

The Rough Edges and Beyond

Music therapists spend a lot of their time with people who are not exhibiting peak levels of human functioning. If you see a hospice patient who is experiencing tremendous physical pain, you see some of that person's "rough edges." If you see a client who has difficulty controlling his or her bowel movements, those are more rough edges. A child who is so frustrated at his or her communication difficulties that tantrums and violence ensue - that is also certainly a rough edge of the range of human possibility.

Music therapists see people at some of the most raw and vulnerable points in their lives, when things are the roughest. We see precious pre-term infants, struggling for a chance to live, and equally precious human beings on the other end of the lifespan who are actively dying.We are called in to assist with nearly every other rough patch of life in between.

The therapeutic relationship takes an enormous amount of trust on the part of the people we assist. Our clients must trust us enough with all of their vulnerabilities to allow us in to help. Music therapists are blessed enough to be invited in to those most vulnerable moments of human existence and to make those moments feel a little safer, a little smoother.

In fact, one of my favorite things about music therapists is our ability to see so much more than our client's rough edges. We see beyond - to potential, to creative expression, to personal growth in the face of tremendous challenges. When we look at a client, we assess and acknowledge their "rough spots" and all the areas that need improving, but we also focus so much of our energy on what each client can do.

Music is so very adaptable on so many levels. Everyone can engage in music in some way, no matter how small or how passively. How humbling. How utterly amazing.

You must be a special kind of person to expose oneself to all the rough edges of humanity, to throw oneself into the work of smoothing those edges. It takes a special kind of person to clearly see a person's limitations and to also see far, far beyond them.

It takes a music therapist.

So on this gorgeous Friday afternoon, I am thankful for all the music therapists and other helping professionals the world over who go about this work on a daily basis. May you find that you are able to see the good and the potential in every client you meet.

Sticks and Stones: Breaking the "Handicapped" Association

As small children, before we learn basic language skills, we learn to identify certain words with pictures and logos. Many of us can identify the McDonald's logo before we can print our first names. Some of us saw the "Coca-Cola" or "Sprite" logos and associated them with a general word like "soda" or "pop." All in all, these word-picture associations are powerful and deeply rooted in our earliest memories.

And that's usually not a huge problem. Quickly associating information with a basic picture is an important skill to help us navigate our world on a daily basis. The issue appears when we have made an association that can be harmful to others.

As a child, I learned that the white individual in a wheelchair on a blue field meant "handicapped." For years, I never questioned that association. It was everywhere - handicapped parking, the handicapped entrance, handicapped license plates.

It wasn't until I came to college as a music therapy major that I learned about Person-First Language and how important it is to speak about people first and their characteristics second. (For an excellent overview of PFL please see http://www.disabilityisnatural.com/images/PDF/pfl-sh09.pdf.)

Obviously, as soon as I learned about the importance of speaking about people first and disabilities second,  I made a resolve to eliminate the word "handicapped" from my vocabulary and make an effort to educate those around me. The problem for me comes from the blue and white wheelchair logo. It is so deeply engrained in my memory with the word "handicapped" that every time I see a license plate in traffic with that logo, my brain automatically retrieves that word. Each time this happens, I practice retraining myself to think or say aloud, "That symbol simply refers to an individual with a disability, not a disabled or handicapped person. They are a person first and foremost."

Who knows how long it will take me to break this automatic association formed in childhood? The point is, I am going to keep trying until I accomplish it, because as a future therapist, I choose to speak, think, and act respectfully towards individuals with disabilities.