Category: Questions Answers and Comments

  • Question – How to work with Epilepsy and Seizures using Craniosacral therapy

    ***QUESTION***

    Hi John,

    I have a prospective client with severe epilepsy – Grand Mal Seizures. He’s had it since his mid teens and he is now in his 50-60s. Epilepsy runs in the family, but he has also suffered several incidents of trauma to the head, so I don’t know if he has inherited the epilepsy or if it has been caused by trauma, or a combination. And possibly there are lots of other restrictions making the epilepsy worse.

    I haven’t treated anyone for epilepsy before. Is it advisable to treat them. I might be able to do so much for him, but since I don’t know anything about what might happen seizure-wise if I do treat him, I’m a bit scared he might have a huge seizure and die. What is your experience or what do you know of treating epilepsy with CranioSacral? What could be expected in terms of getting better or getting worse? I don’t want to take him on until I know what the risks are.

    Thanks for any advise you can give.

    Eva (Eva-Lena) Kuhl Bornefelt
    Central Coast
    New South Wales

    >>>MY COMMENTS:

    I have found that the dynamic of epilepsy has two components, one is structural and the other is energetic. The structural component is usually a restriction that is impinging on some part of the brain frequently around the frontal bone.

    So a thorough check of all the obvious places in that area is a good place to start. Coronal suture, both pterions, falx cerebri as it meets the frontal bone and then on down to the crista gali and how the ethmoid is sitting generally.

    I generally find that if there is a sutural compression it is usually caused by a restriction in the underlying membranes. So check the falx and the membrane lining the frontal and parietal bones.

    I have also found it useful to check the central sulcus. Sometimes there can be restrictions there that, once released, alleviate the epileptic symptoms. Check that the frontal and parietal lobes are separated.

    The energetic component of epilepsy is like a build up of, what feels like static electricity, in the head that releases itself in the form of a fit, seizure or convulsion.

    Which is kind of what happens on a physiological level when all the neurons in the brain fire at the same time during a seizure.

    While we’re on the subject of fits and seizures, I’ll quickly run through the different types.

    Tonic/clonic or Grand Mal seizure:
    This is the classic epileptic fit. The person becomes totally unconscious with their body spasming or jerking (called the clonic phase). Grand Mals are potentially dangerous for the person because of the risk of them swallowing their tongue during a convulsion. This won’t happen if they are put in the recovery position.

    With grand mals the person generally will experience warning signs that they are about to have a seizure.

    Absence or petit mal seizures:
    This is where the person looses concentration or focus momentarily. They appear blank, staring off into space, sort of ‘vague-ing out’. Petit mals are subtle, only last a few second and so are easily missed.

    Myoclonic seizures
    These are abrupt jerking movements of one or more limbs. They usually happen in the morning, not long after waking. Patients have described them to me as feeling like shivers that travel up their spine.

    Eva, you sound a little concerned about whether your prospective patient will have a seizure on the table. If you are going to treat someone with epilepsy you need to accept the fact that this may happen.

    Witnessing epileptic seizures can be disturbing if you’re not familiar with them. The person with epilepsy is familiar and so will their partner or family. So have someone come with them and be in the room. Having someone present who IS familiar with the process will make it easier for you.

    The length of time required for treatment depends on the source of the epilepsy. If it’s stemming from birth or an accident it generally won’t take too long to see results. If it is caused by the after effects of meningitis it can take longer because you are working with scar tissue which you are encouraging to heal in a new way.

    Standard medical practice with epilepsy is to try and manage it with various drugs.

    When you palpate a body with these types of drugs, it will often feel like you are trying to palpate through a layer of cotton wool. This makes it hard to feel what is going on in the first place and then whether your treatment is having any real effect.

    In the course of the treatment program you will reach a point where the insulating effect of the drugs is making it hard to know how much more work you need to do. It’s a bit like an iceberg with nine tenths of it covered by water. You need to drain off the water a bit to see what else there is to do.

    BUT, you need to be careful how you handle this. Discourage the patient from doing any kind of self medicating. Strongly encourage them to go and see the prescribing doctor and ask them to reduce the medication. That way the doctor is included in the process.

    The doctor will often say there is no need, particularly in light of the fact that the person has gone from having 1 grand mal a day, to 1 a week. ‘The drugs are obviously working.’ If the patient perseveres, most doctors will relent
    particularly if the patient says they would prefer not to be on a drug for the rest of their lives. Doctors being very aware of the side effects of drugs and all.

  • Question – Tips for starting a craniosacral therapy practice?

    Hi John,

    I am a qualified Reflexologist and in September 2005 I did a 4 day course in Cranio-Sacral Reflexology in Mullingar Co. Westmeath with Martine Faure-Alderson. I was so impressedby the Cranio-Sacral element of the course the I wanted to learn more and more about it all as it seemed so fascinating. I researched courses in Cranio-Sacral therapy on completing this course in Cranio-Sacral Reflexology. I was directed to the College of Cranio-Sacral Therapy in London. I began the one year course there in September 2006 and completed the course in July 2007. Since then I have been busy with my two young children. I want to start up my own practice in the very near future and keep up learning Cranio-Sacral therapy.

    Have you any tips for starting up as a therapist?

    Regards,
    Catriona
    Ireland

    MY COMMENTS:

    Hello Catriona,
    The main thing that will help you grow a strong practice may sound obvious – be very good. Get remarkable results consistently.

    If people have a positive experience with you they will tell 5 other people.  If they have a negative experience with you they will tell 20 other people. So nurture your word of mouth carefully.

    One of the most unacknowledged ingredients in building a successful practice is time.  There are many things you can do to kick start the process and I will go into them below but it is my experience that it takes about 2 years to build a strong practice from scratch.

    Now on to the marketing stuff.

    FINDING YOUR IDEAL PATIENT
    Before you launch yourself into any marketing activities the first thing you need to  do is think about what sort of people you want to treat.
    What kind of a practice you want to have.
    Getting that clear in your head will make a big difference to your marketing efforts.

    Write down what your ideal patient would be like.
    Include in as much detail as possible.  Once you get really clear about the sort of person you want to treat then you can start to ask yourself the following questions about them.

    – Where do they shop?
    – How do they get their information about things?
    – How do they learn about new services?
    – What do they do in their recreation time?
    – What sort of clubs they are attached to (Tennis, hiking, bike riding?)
    – What sort of clubs do they go to?
    – Where do they live?

    As an aside, the answer to that last question should determine where your practice is located. There is no point locating your practice on the other side of town from the people you want to be treating no matter how convenient it is for you or what a great deal you are getting on the treatment room.

    You have to be pretty ruthless with yourself about this point.  I have seen many a therapist move into a room they really liked that had ‘great energy’ and was a real bargain only to find that no one would make the journey to it.  That is also why treating people from your home will only work if your home is in the area where your ideal patients live.

    GET WRITING.
    So once you get clear about who you want to treat and where you want to be located then the next thing is to start writing.   Don’t write for any particular thing like a website or brochure or talk just write for clarity.

    If the thoughts of writing are too much you can hire someone to do it for you.  You can do it through elance.com.  I will explain more about elance below. The important thing is that what is written expresses your perspective on your work.

    A common mistake I see in cranio sacral websites and literature is trying explain what cranio sacral therapy is and how it works.  If you ever watch someone reading these kinds of explanations you will see their eyes start to glaze over before they get to the end of the second paragraph and the fourth reference to the craniosacral rhythm.

    Keep your ideal patient in mind and write for them. Don’t worry about everyone else.  Try and get into the head of your ideal patient and what THEIR head would be like when they are looking for a solution to THEIR problem.  Try and speak to them there.

    The first thing you should write is a description of where THEY are at.  Outline their problem in detail.

    Here is an example from my website of the sort of thing I am talking about.

    “Is your faith in the medical system shattered?
    Has your wallet been emptied by over confident
    therapists? Have you been on the emotional roller
    coaster, rising with hope that each new approach
    is going to work, then crushed when it doesn’t?
    Have you tried everything and still not got the
    results you wanted?”

    You get the idea – use your own words.

    Next write about yourself and how you are qualified to talk about helping them.

    Next write about how what you do can help solve their problem.  Keep it simple with not too much jargon.

    Next write what the benefits of coming to you for treatment are from THEIR perspective are.

    Here is an example from my website of the sort of thing I am talking about.

    Visit the last resort first . . .and save money.
    It became a joke among my students and
    graduates that we were actually in the resort
    business because for most of the people who
    came to see us, we were the last resort.
    It doesn’t need to be like that. Most people are
    floored when they add up how much they’ve spent
    so far trying to get better.
    Don’t waste any more of your money.

    Benefit from no returns.
    When you understand that cranio sacral therapy
    helps trauma release from your body, then it makes
    sense that once restrictions are released in this way,
    they are gone for good.
    So when you’re done, you’re done.
    It’s as simple as getting a big piece of cellophane
    and scrunching it into a ball and then assisting it
    to unravel itself.
    Once it has unraveled itself, there’s no need to
    ‘maintain’ its state of unraveled-ness.
    So you don’t need any ‘maintenance’ treatments
    to keep your health. What you spend having
    treatment is finite and has a very definite end.

    Gentle on you.
    Cranio sacral therapy is a very gentle approach.
    There is no pushing, adjusting or manipulating your
    body into a set or ‘correct’ position. There is no
    intrusive probing into your past. The contact is very
    gentle and people often fall asleep during treatment.
    Because of this gentleness it is good for children
    and people in a lot of pain.
    You will feel the benefits within 4 weeks.
    Most people feel the benefits immediately. If it
    takes longer you will generally see enough
    improvement after 4 weeks to know that it’s going
    to work.

    Gets to the root of the problem.
    There are many approaches that will give you
    complete reduction of your symptoms. The trouble
    is the reduction only lasts for a short period of time
    and then you have to return from more treatment.
    Eventually this kind of approach makes your body
    dependent on the treatment.
    Cranio sacral therapy works with the root cause
    of the problems. This has the effect of causing
    lasting relief of symptoms.
    In 15 years I have never had anyone return for
    treatment for the original problem they came to
    me with.
    Not one.

    These are all great benefits from the patients perspective.

    Next write about what you charge and why it is good value.  You may find this hard but if you can’t explain why it is good value you may be charging too much. This is a time for taking the bull by the horns. If you feel what you charge is good value and you can explain why then your ideal patient will be grateful.  It’s your job to explain it to them not their job to try and intuit the reasons why it is good
    value.

    Once you are happy with what you have written try it out on some family or friends who are the type of people you would like to treat.

    Ask them to read it and give you feedback about it.  You don’t have to take the feedback but you will find it illuminating.

    What you have written forms the backbone for your marketing.  You can adapt and edit it for the different types of marketing activities you might engage in. What type of activities you engage in will be determined by the sorts of people you want to reach.  Reread everything you have written every six months or so.  You will be surprised at what you want to change and edit.

    TESTIMONIALS
    It is important to get testimonials from people you have treated.  Most people will come to see you because of a word of mouth referral. If they can’t get a referral then all they have to go on is what you have written.  People who don’t know you will generally be suspicious of what you say about yourself.  It’s not personal, we are all jaundiced by sales claims.

    Having testimonials go a long way towards easing that suspicion.

    The good news is that getting testimonials is relatively easy.  When a patient is finished their treatment program you can explain to them that there are other people who have the same condition who would be helped if the patient wrote something about their experience of
    treatment.

    Give your patient the option of remaining anonymous in the testimonial. Obviously the full name and location with a photograph is ideal.

    Here are some of the ways you can use your written material, including your testimonials.

    WEBSITE
    I can’t over emphasize the importance of getting yourself on the internet. If you don’t know anything about computers and the thoughts of organising a website for yourself seem overwhelming, fear not. There are plenty of ways around it.

    With websites there are a few simple things you need to know and the complicated stuff you can get someone else to do for you.  I will explain where you can find those people in a minute.

    One of the most important, and often overlooked, things with websites is the domain name. The domain name is what comes after the www For example with my Irish website the domain name is www.cranio.ie

    I will come back to the name part in a minute because I want to talk about the other really important part which is the suffix. That’s what comes at the end of the domain name, the .com end.

    It is important to get a domain name for the country you are working in.  So for Ireland that would be .ie for the United Kingdom that would be .co.uk for South Africa it would be .co.za for Poland it would be .pl and so on.

    Each country has their own suffix.  Having the right suffix for the country you live in will make it easier for google to find you when people in your country look for you. (Technically speaking the suffix for America is .us but it is rarely used so if I lived in America I would get a .com suffix.)

    If you are not sure what the suffix is for your country you can look here

    Double check it by looking at local businesses and see what suffix most business are using.

    One last thing on suffix’s, .net  .org and so on don’t generally work as people will forget the subtle difference and look for .com or the suffix of your country.

    For example if I couldn’t get
    www.johndalton.ie
    but I saw that
    www.johndalton.net
    was available it would be tempting to get it.

    Let’s check this against what I like to call the Party Rule.  The party pule states that your domain name has to have a more than 50% chance of being remembered by a mildly inebriated person you tell it to at a party.

    So if I told this person my domain name was
    www.johndalton.net
    there is a good chance that the next morning they would look for
    www.johndalton.com
    then
    www.johndalton.ie
    and when that didn’t work they would give up.
    So no .org .nets etc. please.

    Now back to the name bit. The bit between the www. and the .com

    You could try for craniosacraltherapy but it will probably be already taken.  There are some countries where it hasn’t been taken but it will be gone in most.

    What I suggest you use is your name. So in my case the domain name would be
    www.johndalton.ie
    Short, simple, memorable and relevant
    – and it passes the Party Rule.

    If your name is unavailable I suggest you use your name plus cranio so in my case it would be
    www.johndaltoncranio.ie
    I don’t suggest you use craniosacral or craniosacral therapy as most people won’t remember it.  I have found that cranio is the only part of cranio sacral therapy that people remember on first hearing the name.

    It is important to buy your domain name yourself and it is relatively easy to do.  Just type ‘domain registration’ into google and you will find  lots of companies offering to sell you domain names.

    Lastly, bear in mind that domain names are a commodity like anything else and different companies will have different prices. Shop around for the best price.

    Next find yourself a hosting company. A hosting company is the company where your website lives.
    If your website was a horse, the hosting company would be the stables where you keep it. Don’t be tempted by free hosting. There is usually a catch. The most common one being the inclusion of the hosting companies name in your domain name.

    So for example if I opted for free hosting with a company called Bluebird Hosting there is a good chance my domain name would end up being
    www.bluebird.johndalton.ie

    Shop around.  I have found this company very good. powweb.com

    Next thing to do is find yourself someone to set your website up for you. I suggest you go to elance.com and register.

    Then place the following ad.
    _______________________________________________________

    Job Title – WordPress Instalation and Setup.

    Category – Web & Programming

    Job Description – Set up wordpress site.
    Install and activate the following plugins –
    – All in One SEO Pack
    – Akismetincluding
    – cforms ( Including configuration of basic contact form)
    – Google XML Sitemaps

    Suggest WordPress theme for natural therapies website
    – minimum of 3 suggestions – plus minor modification
    of theme to suit site.

    Inclusion of staff training in wordpress usage.

    Hosting company and domain name already in place.

    Desired Skills – WordPress

    Job Type – Fixed price
    – Approximate Budget – Between $50 and $500
    _______________________________________________________

    Then sit back and wait.
    Before long you will have bids from all around the world from experienced professionals offering to set up your website. They can all see each others bids so they will try to get your work for the lowest price.

    Have a read through elance’s guidelines before you start so can set miles stones and generally make sure that you pay on results. You can explore elance here.

    Once the site is set up you should be able to update the site yourself, adding all text you have written. You will know how to do this because the professional will have given your staff, you, training.

    Give your web site about 6 weeks to begin to show up for in google searches.  Adding to your website on a regular basis helps keep it up in the rankings.

    PRINTED MEDIA
    Over the years I have tried it all, flyers of all shapes and sizes, brochures, adds in magazines and newspapers. Nowadays I mainly just use business cards and postcards. Both of which are geared toward sending people to my web site where they can get all the information they need to make an informed decision about whether they want to come and see me. I use Vistaprint for these.

    I suggest you get good quality card for your business cards.  This is not a place to skimp.

    BROCHURES
    Whether or not you do a brochure will depend on who your ideal patient is.  They may like to have something to hold and review. For me, the disadvantages of brochures far out way their usefulness plus I don’t need them for my ideal patients.

    The main disadvantage of brochures is that to produce one that looks professional costs a lot of money.
    It is also very hard to get everything that you want to say into a brochure no matter how small you make the print.

    Letter box drops, tiny advertisements in the local paper, flyers up at the your local health food shop and notices stuck on community boards are probably NOT going to get your practice where you want it to be.
    Here is a little scenario to explain why I say that.

    Mum and Dad are walking past the local health
    food shop with their 4 year old Autistic child.
    They see a photocopied flyer for Cranio Sacral
    Therapy on the notice board, behind the Dream
    catcher making workshop and beside the ‘Learn
    to Channel’ weekend.  It is highly unlikely that
    Dad will turn to Mum and say ‘Hey, Betty this
    cranio thing just might be worth trying for
    Timmy.’

    A word of caution: When you first start marketing yourself you can invest a lot of energy doing things that are comfortable for you to do.  They even allow you to feel like you are really doing something to build your practice, letter box drops are particularly good for this, but they may not be very effective and can leave you feeling somewhat of a failure when no one responds.

    Always come back to your ideal patient and ask yourself if they would respond to what you are doing.

    WORKING WITH LOCAL BUSINESS
    One way to create word of mouth referrals in your local area is to work with suitable local businesses so that they will refer to you.

    Firstly you need to discern which businesses are suitable by their product / service to helping you. Look at the local businesses and see which ones spend time talking to their customers.  What do their customers talk to them about?  Is it feasible that in the course of conducting their own business that these people may have reason to mention you?

    For example, hairdressers, podiatrists, beauty therapists and barbers spend a lot of time talking to their customers.  Their customers talk to them about a whole range of things from work to holidays to their children and partners, including their health.

    It is feasible that a hairdresser, if they knew about cranio sacral therapy, would mention it during a conversation about their client’s skiing accident or chronic back pain etc.  This business represents a good opportunity for you to receive word of mouth referrals.

    Be mindful of the appropriateness of the business you approach.  Is their product or service in alignment with the work you do.  Bartenders spend a lot of time talking to their customers but probably wouldn’t be a suitable business for you to work with. Again it comes back to who your ideal patient is.

    When you have identified 3-4 suitable businesses in your locality you will need to introduce the owners and/or staff to what you do.  In order for them to be able to reasonably refer someone to you they need to know a bit about what you do.  What is it good for? Is it gentle?  Who does it help? etc.  This can be done on an individual basis or as a group.

    When talking about cranio sacral tell stories about patients you have treated to highlight how cranio works rather than dry and boring explanations.

    If you are working with 3 or 4 businesses you may find it easier to talk to them all as a group.  A good start is to write an introductory letter to each of them. Outline what you have in mind and invite them to your clinic to hear a bit more about cranio sacral
    therapy.

    I suggest you make this meeting a generous affair.

    Most business people are always looking for new ways to boost their profile.  Provide tea and biscuits or wine and nibbles etc.  Try to create an arena for discussion and interest.  They will be coming to hear about cranio sacral therapy but also to take advantage of having other business peoples experience and ideas.

    Provide each business with a gift package of say, 10 Cranio Sacral assessments as a limited special.

    There are some important things to consider when offering this:

    • Make sure the business is conducive to offering such a gift
    • Be sure that you make up your own vouchers to be offered
    • Do not present it as a “FREE” treatment but as a
      Cranio Sacral assessment “VALUED AT $XX.00”

    This last point is very important, if you don’t put the value of the free gift then the people who come for the free assessment will find it hard to reconcile the value of your treatment when they come to you as a patient.

    Encourage the businesses to give these free gifts to customers that they feel might benefit from your treatment.

    As you can see there is quite a bit to marketing and there are new ways to market coming up all the time.