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Mental Health care – going to the dogs or is it all just for the birds?

It’s not a euphamism. I mean it quite literally.

Blind people have had them for years. Now deaf people have hearing dogs. But what use can a dog be to a person with a mental illness?

According to the limited information – and Wiki – quite a lot.

A psychiatric service dog is a specific type of service dog trained to assist their handler with a psychiatric disability, such as post-traumatic stress disorder or schizophrenia.

Although assistance dogs classically help with physical disabilities, there are a wide range of psychiatric issues that an assistance dog may be able to help with as well.

Now the thing to note here is – a service dog is not the same as a therapeutic dog.

We all know that therapy dogs are nice and cuddly and give us a little emotional boost. Bit like an AIN.

But psychiatric service dogs…. they’re the RMN’s of Animal Therapists.

I’m torn between a serious post – and one that simply takes the piss. But I realise I don’t know what these mutts are capable of – so who am I to judge?

The main difference with a service dog is that they are trained to compensate for effects of an illness or disability. They’re not just for petting.

I’ve seen lots of dogs do some pretty amazing things – like load the washing machine, fetch a book or lick it’s own nuts. But what about helping someone with a mental illness? How?

The literature is scarce. (Results 110 of about 973 for “psychiatric service animals”)

But I did manage to find a couple of interesting links; like this one to the Psychiatric Service Dogs Society.

The Psychiatric Service Dog Society (PSDS) is a 501(c)3 nonprofit organization dedicated to responsible Psychiatric Service Dog (PSD) education, advocacy, research and training facilitation. We provide essential information for persons disabled by severe mental illness, who wish to train a service dog to assist with the management of symptoms.

Click here for a  5 min vid. Or here for a podcast.

It all sounds good – but what do they actually do?

Here’s a list of suggested applications:

Disorder

Symptoms

Trainable Tasks

Major Depression

Apathy

Tactile Stimulation

Hypersomnia

Wake-up handler

Feelings of isolation

Cuddle and Kiss

Sadness
Tearfulness

Hug
Lick Tears
Bring Tissues
Initiate Play

Insomnia
Suicidal ideation

Stay with and focus on handler

Psychomotor retardation

Walk on a leash

Memory loss

Remind to take medication
Help to find keys or telephone

Disorganization

Assist with daily routines in the home

Bipolar (Manic phase)

Thoughts racing
Distractibility

Tactile Stimulation

Hyper focus
Irritability
Hyper locomotion
Olfactory cue?

Alert to incipient manic episode

Aggressive driving

Alert to aggressive driving

Insomnia

Alert to insomnia

Memory loss

Remind to take medication
Help to find keys or telephone

Disorganization

Assist with daily routines in the home

Panic

Derealization
Depersonalization

Tactile Stimulation

Olfactory cue?

Alert to incipient anxiety or panic attack

Fear
Fight or Flight response

Lead handler to a safe place

Pounding heart
Trembling
Nausea
Sweating

Staying with and focusing on handler

Dizziness

Brace or lean against the handler

Chills

Lay across handler’s body

Memory loss

Remind to take medication
Help to find keys or telephone

Anxiety

Restlessness
Distractibility

Tactile Stimulation

Sleep disturbance

Staying with and focusing on handler

Anxiety

Assist handler to leave situation

Muscle tension

Walk on leash

Memory loss

Remind to take medication

Agoraphobia

Anxiety
Fear of what could happen

Tactile Stimulation

Anxiety
Fear of being vulnerable

Staying with and focusing on handler

Fear of leaving home

Assist handler to leave the house

Social Phobia

Anxiety

Tactile Stimulation

Nervousness around others

Facilitate social interactions

Distress

Staying with and focusing on handler

Feeling overwhelmed

Assist handler in leaving a social situation

Post Traumatic Stress

Distractibility
Anxiety
Intrusive imagery
Dissociation
Flashbacks

Tactile Stimulation

Hallucinations

Hallucination Discernment

Feelings of isolation

Cuddle and Kiss

Hypervigilance

Alert to presence of other people

Fear
Startle response

Environmental Assessment

Fear
Anxiety

Turn on lights and safety check a room

Rumination
Avoidance behaviors

Staying with and focusing on handler

Nightmares

Interrupt by Waking-up handler
Turn on lights for calming & reorienting
Turn off lights for resuming sleep

Feelings of being threatened

Create safe personal space

Obsessive Compulsive

Distractibility
Intrusive thoughts or images
Anxiety

Tactile Stimulation

Repetitive or compulsive behavior

Interrupt

Memory loss

Remind to take medication
Help to find keys or telephone

Dissociative Identity

Distress
Flashbacks

Tactile Stimulation

Startle response

Threat Assessment

Olfactory or behavioral cue?

Alert to incipient dissociative episode

Dissociation
Self-mutilation

Interrupt

Hallucinations

Hallucination Discernment

Nightmares

Wake-up handler

Forgotten personal identity

Carry handler identification documents

Anxiety

Staying with and focusing on handler

Dissociative fugue

Help handler to cross streets safely

Schizophrenia

Flat affect

Tactile Stimulation

Hallucinations

Hallucination Discernment

Catatonic behavior
Disorganized speech or behavior
Psychosis
Delusions

Staying with and focusing on handler

Forgotten personal identity

Carry handler identification documents

Confusion or disorientation

Take handler home

Social withdrawal

Facilitate social interactions

Feeling overwhelmed

Buffer handler in crowded situations

Memory loss

Remind to take medication
Help to find keys or telephone

I think there’s a few items in there that are perhaps anomolous – like the people with schizophrenia forgetting their identity? But for ‘grounding’ and negative symptoms – there’s  a fair bit of scope.

Now there are some ethical considerations -

A recent trend has developed to tether very young autistic children to dogs to keep the children from bolting or running away. In other cases, the dog is expected to act as a babysitter and notify the parents when the child tries to leave the house.

Containing Autistic kids? No. But I see a role for those dogs in the Forensic MH service.

But what about the major stuff?

The acute psychotic episodes?

Can they help?

I”m not so sure a dog can contain such things for it’s handler.

No. In fact – that’s probably the time to call for the Parrot Practitioner.

A few months ago, in a cafe in St. Louis, I met a man named Jim Eggers, who uses an assistance parrot, Sadie, to help control his psychotic tendencies. Eggers looks like a man who has been fighting his whole life. He is muscular, with a buzz cut, several knocked-out teeth and many scars, including one that runs ear-to-chin from surgery to repair a broken jaw. Eggers avoids eye contact in public — he walks fast down streets and through stores staring at the ground, jaw clenched. “I have bipolar disorder with psychotic tendencies,” he told me as he sucked down a green-apple smoothie. “Homicidal feelings too.”

Eggers’s condition has landed him in court several times: a disturbing-the-peace charge for pouring scalding coffee onto a man under his apartment window who annoyed him; one-year probation for threatening to kill the archbishop of St. Louis because of news reports about church money and molestations by priests in other cities (which the archbishop had nothing to do with). In describing his condition, Eggers says it’s like when the Incredible Hulk changes from man to monster. His vision blurs, his body tingles and he can barely hear. According to his friend Larry Gower, who often serves as a public liaison for him, in those moments, Eggers gets extremely loud. They both agree that Sadie is one of the few things keeping Eggers from snapping.

Sadie rides around town on Eggers’s back in a bright purple backpack specially designed to hold her cage. When he gets upset, she talks him down, saying: “It’s O.K., Jim. Calm down, Jim. You’re all right, Jim. I’m here, Jim.” She somehow senses when he is getting agitated before he even knows it’s happening. “I still go off on people sometimes, but she makes sure it never escalates into a big problem,” he told me, grinning bashfully at Sadie. “Now when people make me mad I just give them the bird,” he said, pulling up his sleeve and flexing his biceps, which is covered with a large tattoo of Sadie.

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5 comments to Mental Health care – going to the dogs or is it all just for the birds?

  • I’ve seen lots of RMNs do some pretty amazing things – like load the washing machine, fetch a book or lick it’s own nuts. But what about helping someone with a mental illness? How?

    Heheh, sorry, couldn’t resist a brief snark. Actually, this is a very interesting post.

    Current score: 1
  • Cool, can I get a dog on perscription now? It might help with my shocking memory, but then knowing me I’d probably lose it. I guess it’d probably be therapuetic for anything other than cynophobia.

    Lola x

    PS Don’t you think Cynophobia should be fear of cynics?

    Current score: 0
  • Parrots are very smart and often very social. That said, a) they’re really expensive and sometimes endangered and b) they live as long as humans do and need a lot of attention if they’re not going to become crazier than their owners. They’re sort of like having a three-year-old around who will remain three years old for the next sixty years and who can also bite your finger off with mininal effort if they take a sudden dislike or just get startled. I don’t think the investment would be worth it in most cases.

    Sorry, I work with them, and sometimes the geekery overflows. I’ll stop now.

    Current score: 0
  •  J. Wibble

    I could do with an assistance dog that could load the washing machine. Might also be useful for my agoraphobia and social anxiety as having a dog with me would assuage the main fear I have of being outside, which is being attacked – especially if my assistance dog was an Alsatian or a Rottweiler, and if I dissociated it could take me home. Fetching meds would be handy too, as would a dog that could remind me I was cooking something so I can actually eat food as opposed to charcoal.

    I imagine a service dog would be very handy for someone with a mental illness, as they can do the cuddly soothing theraputic bits as well as providing motivation (it helps push you to get out of bed if you have a dog to feed and walk) and doing the things which often affect people with mental illnesses in the same way as people with physical disabilities, as in the examples I gave above, but are often overlooked.

    Current score: 0
  • Eleanor Murray nell

    Personally I’d like a dog and a parrot, especially one who could quote Hamlet like the budgerigar I saw once spouting the whole of 2B or not 2B.

    Seriously, though, I do think that there are things RMNs and others could learn from people like Monty Roberts and Cesar Milan, who work with horses and dogs respectively, including some who have been abused and others who are potentially dangerous. (Monty Roberts works with kids who have similar problems too, who are often sent to him as a last resort) One of the things the two men have in common is a very low heart rate, which desn’t increase under stress. This can be “learned” by various methods including bio-feedback. Both men are also experts in non verbal communication and body language. Watching them work has been known to reduce humans to tears not just because of the obvious benefits to the animals concerned but because they also learn so much about their own behaviour.

    Not that I want to make any RMNs weep, of course . . .

    Current score: 0