Latest / The STA Clinician Podcast / Ep.299: Navigating Awkward Client Boundaries in Massage Therapy - Live Q&A with Josie DeLorme
Transcript
- 0:00You're listening to the STA Clinician Podcast, connecting clinicians across healthcare.
- 0:19299 of the STA Coalition Podcast, formerly known as the Sports Therapy Association Podcast.
- 0:25I'm your host, Matt Phillips. And as always, this episode is being recorded
- 0:28live on the Sports Therapy Association YouTube channel and Facebook page at
- 0:33eight o'clock UK time on a Tuesday.
- 0:36As you may have seen in the adverts, hopefully, this episode is going to be
- 0:40a live Q&A entitled Navigating Awkward Client Boundaries in Massage Therapy,
- 0:46with my special guest from last week, Josie DeLorn,
- 0:49a registered massage therapist, RMT in Canada, a highly respected educator and
- 0:53founder of RMT Sexual Support Society.
- 0:58Right, we're not going to preamble tonight. I think we'll get straight into
- 1:00it. So it gives me great pressure to bring back from last week, Josie DeLorn.
- 1:09Josie, how are you doing? Hi, good. How are you? I'm fine.
- 1:14Suddenly it feels like we're just continuing straight and the last seven days
- 1:17have been a blur. We're back. Thank you so much for giving out your time again.
- 1:20Really appreciate it. No problem.
- 1:22Really cool. So before we look at the questions, which I'm really excited,
- 1:26and thank you for everybody who sent questions in. And remember,
- 1:29if you joined us live, you can keep those questions coming in.
- 1:32I guess we should have a little recap on why we're doing this and who better to ask than yourself.
- 1:37So we had a We chatted for an hour, flew by last week, kind of about boundaries
- 1:45and like kind of sexualization of care.
- 1:48And so sometimes those conversations, because we're talking about them a little
- 1:52bit more broadly, can be a little difficult for therapists to kind of conceptualize
- 1:57that to their like specific practice.
- 1:59So we wanted to kind of set the stage for those broad themes and then come back
- 2:04in a Q&A session where, you know,
- 2:07therapists could ask their like specific questions they have in their practice
- 2:11on how to navigate awkward client behaviors during during care. Yeah.
- 2:17I think I'm still, we've had lots of feedback from not just last week,
- 2:21but the week before with Bodie Haraldson as well, who shared his own personal
- 2:24story of being falsely accused.
- 2:28Of sexual misconduct, which was then thrown out of court, literally thrown out.
- 2:31Then he had another two years of hell to go through.
- 2:33And that, and last week with the experience you shared of your own personal
- 2:36experience and other stories of people you've come across in your history as
- 2:40well, we've had some great feedback.
- 2:42But also the statistic which stood out of people's minds, which I think people
- 2:45have been checking up, was come out of the recent reports, which we gave links
- 2:49to last week about the, I think it was just over 80% of massage therapists reported
- 2:53they'd been subjected to inappropriate sexual misconduct.
- 2:5780% is still saying it just sounds like, what the hell have we been doing wrong
- 3:01and why is it still going on?
- 3:03Yeah. I mean, I don't think it's what we, the frontline clinicians have been
- 3:08doing wrong, more like what about the structure of the profession is promoting a
- 3:15culture where we're not a non-reporting culture essentially.
- 3:19It was i think you shared on on the facebook page,
- 3:23which we'll give links to i was always in the show notes there was i haven't
- 3:27watched it yet i've just been looking at the social media just throwing it up
- 3:30i think there was a report
- 3:31from what the bbc described as a masseuse not a not a massage therapist it was
- 3:35a masseuse which was number one yeah fuck up which i will swear not very
- 3:39common but bbc you really did fuck up with that it's like one job stop calling
- 3:43people masseuses if there's a massage therapist or sports therapist
- 3:47a couple of just swam sorry mum if you're listening but anyway
- 3:50it really was extremely bad but also what you shared it and also the thing which
- 3:55i think i commented on was i opened it up obviously because it's part of everything
- 3:58we do and we're interested in and it was not on your feed fortunately, but on other feeds,
- 4:03and I don't know whether it's bots, but some of the comments...
- 4:07I have to kind of convince myself oh these are bots from russia or something
- 4:10or other countries i don't know and it's not real people but it scares me because
- 4:13i think it is real people going how hard is it just to shut the door up and walk out
- 4:19or if you don't like it get another job and stuff like that and just and it
- 4:22really annoyed me but you must see the same thing and this has got to be part
- 4:27of the problem we're so desensitized to another person's suffering it's horrific.
- 4:33Yeah. I mean, I think the comment that like made me see red on that feed was
- 4:37the one that said like, well, you're working with men who are like,
- 4:41you know, semi-naked or unclothed. What do you expect?
- 4:45There we go. Yeah. It's just terrific, isn't it?
- 4:48And it's like, I'm sure that's part of the problem. And I don't know.
- 4:51And then it just turns, it seems to make our job so much harder because we're
- 4:56not just trying to look at how we advertise on a webpage.
- 4:59It just seems to be a social construct of just how, well, it's just to do that.
- 5:03With everything, isn't it? The whole kind of patriarchal society and roles that,
- 5:09men and women are given. It just seems a massive mess. And for me,
- 5:12it just makes me want to turn the light out and give up. How do you not do that?
- 5:17I just, I got thick skin. I mean, we were talking before, you know,
- 5:22we came on live about kind of the experiences that I've had and how like they've
- 5:26kind of contributed to, you know, my ability to kind of just let things run off me like water.
- 5:32Now that's kind of I think when we're talking about a subject that's like really,
- 5:39you know tender and sensitive,
- 5:41you know I think it's when people don't have empathy or compassion the first
- 5:47thing they want to do is just diminish your experience of what's happening and
- 5:50it's really disheartening to see that kind of,
- 5:53you know online happening when someone's sharing like a very personal experience of harm and,
- 6:01you know the the response is well just leave your just leave your job just you
- 6:06know what do you expect you're working with like semi-unclothed men just leave
- 6:10the room why is that difficult and
- 6:13you know it just it speaks to people
- 6:14not wanting to understand and just maintain the status quo yeah yeah.
- 6:21But anyway, tonight we're not going to talk about the mess at social media and
- 6:24polarised debate and just keyboard warriors.
- 6:27We're going to try and support people who have given us the trust and honour
- 6:33of looking at some of the experience they've had and questions they've got.
- 6:36So we're going to work through them.
- 6:37Just reminding people that there were some great resources which we did share
- 6:42last week, which I'll just remind people here.
- 6:44So obviously we had Bodie Haraldson, who I would recommend that you follow on social media
- 6:50and defensive practice is the operation he's setting up to try and help therapists
- 6:56not only or very similar to Josie not only react when it happens and how to
- 7:00deal with it but just prevent it look at ways which you as a therapist
- 7:04can actually reduce the chances of it and a lot of that,
- 7:07falls down which we talked about on last week and the week before,
- 7:10about recognizing how much you count and how it's about looking at how comfortable
- 7:15you are as opposed to just what the industry,
- 7:18practices is looking after the client and the patient and are they comfortable
- 7:22and is their modesty covered and all this sort of stuff instead of thinking about you. So.
- 7:26Follow Bodhi. Have a look at his story if you are not aware of it.
- 7:30And it will just put some amazing context to this. And also it really helps
- 7:33us understand, which is really important, that it's not just a female-male thing
- 7:38of female therapists running into problems with men.
- 7:41It doesn't matter what gender it happens to across the board.
- 7:45It's a human issue, not defined by whether you're a man or woman or whatever. So yeah, amazing story.
- 7:51And then also we had last week with Josie who again was an amazing story and
- 7:55shared so much stuff and there was a couple of resources on there I just want
- 7:58to remind people of there's a there's a YouTube video which I've I know I'm
- 8:01not the only one who's watching now some other people said they made it through,
- 8:04it is four hours so it's not really everyone's cup of tea but that's modern
- 8:07sexual boundary management for RMTs the pilot the link will be in this week's
- 8:12or this episode show notes as well,
- 8:14but then also there is a shorter version which you did Josie for the registered
- 8:18massage therapy association of ontario which is an hour and a half if i remember
- 8:22which is a short version which we'll have a link to that as well but yeah two really important.
- 8:28Sources of information for you from Josie DeLorme, which we recommend you have
- 8:32a look at if you are interested or affected by this topic.
- 8:36Talking of affected by, I guess we should give a little trigger warning again
- 8:38for this episode. We are going to be talking about sexual assault.
- 8:42And so if you are likely to be triggered by that conversation,
- 8:44you might want to switch off now or listen to it at a time that suits you.
- 8:47And of course, if you do listen and you are affected, then make sure you reach
- 8:51out to either your professional association or if you don't belong and association
- 8:55just make sure you reach out to someone appropriate who can help you don't just keep it yourself,
- 9:00and for STA members you can either email or call Gary Benson all the details are on the STA website,
- 9:07and the conversation doesn't stop here if this if you listen to the podcast
- 9:10and you've got questions then obviously send something in or we will put details
- 9:14where you can get into contact with Josie as well or even UKWIST the,
- 9:20part of the STA which will be able to help you as well if you're a female therapist
- 9:25working in sport therapy.
- 9:27But anyway, so that's said and done.
- 9:30Josie, do you want to say anything else before we start the questions?
- 9:34No, I think I'm ready to dive in. Are you ready to dive in? Okay, we'll do that.
- 9:38Everyone who's joined us live, just remember, if you've got any questions on
- 9:41the questions or you want to put anything else in there, then do feel free to do that.
- 9:44I will be looking at that and I'll be looking from time to time at Slido as well.
- 9:48Yeah, so we'll have a look. Right, let's get on with the questions then.
- 9:51Let's bring this up. I'm just going to go back to me and Josie.
- 9:55And we'll bring up the first question. In no particular order,
- 9:57I've taken these from Slido.
- 9:59So I probably won't get through everyone's questions. So apologies in advance
- 10:02for that, but we'll get through as many as we can.
- 10:05Right, I'll read it out for people listening to the podcast as well.
- 10:08If you listen to the podcast and you want to see it, then just go over to YouTube
- 10:10and watch on there as well. Those questions will be on the screen.
- 10:13Right then, question number one sent in very kindly says, if a patient reminds
- 10:18you of someone else in the past who caused you trauma, how do you manage it
- 10:23when they show up for the treatment or even during it?
- 10:26And this was in reference to something you were talking about in last week's
- 10:29episode so great question that was sent in,
- 10:32yeah this is great i kind of touched on this last episode i think so whenever we have a,
- 10:39like a reaction or a response to something unfolding in front of us i think
- 10:43the first thing you kind of need to ask yourself is is my reaction right now,
- 10:49keeping me from being present or objective with this with this client or patient.
- 10:55If it isn't, and you still feel safe to continue working with them,
- 11:00and it's kind of like an uncomfortable.
- 11:03You know, like friction point that you can kind of shelve and reflect on later,
- 11:09that's kind of one path you can take.
- 11:11In the case, like I kind of talked about last episode, where someone came in
- 11:16who looked almost identical to the person who attacked me.
- 11:19And during the interview, I had to end things because I literally could not
- 11:24hear them speaking to me because my ears were ringing so loud.
- 11:29Because my system, I was going into that like fight or flight response, right?
- 11:34So that's, again, if you're experiencing that flood response,
- 11:39that's a really good indication that treating this person's literally not on
- 11:44the table today. And then just excuse yourself.
- 11:47Just let them know that you're experiencing like a, you know,
- 11:51either like a strong reaction that's impeding your ability to treat them today
- 11:56or that you feel sick. Some people will use that one, too.
- 11:59Just excuse yourself out of the treatment room, let them know that it's over,
- 12:02and then kind of follow up in an email with them.
- 12:06And then if it's somewhere kind of in between that, you kind of just have to use your discretion.
- 12:11I know a lot of us, we have the tendency to kind of just like suffer through
- 12:16it and then kind of deal with it later.
- 12:19And we have to keep in mind how if we're suffering through our own emotional
- 12:25reactions or responses that are coming up during treatment, you know,
- 12:30that doesn't serve our safety and it definitely doesn't serve the interest of
- 12:33the person coming in to receive care.
- 12:36So, yeah, again, just understanding that your emotional responses are a spectrum.
- 12:44And as long as you're like, okay, this is weird. I'm going to just shelf this
- 12:49for later and figure out kind of what I need to do with this emotional response that's coming up for me.
- 12:55But I can still treat this person and continue on.
- 12:58If it's not that, then it's probably a good idea just to end things and refer out of your practice.
- 13:05That's really cool. I remember you saying that last week. I think that was a
- 13:07really important point as well, because I think that empowers people who are in this situation.
- 13:12What you said about you don't have to do something now. It's not like it's like,
- 13:17do something now or it's all going to go absolutely wrong.
- 13:19Sometimes you said, like you say, you can just think, right,
- 13:22I've got to deal with that later on when this is finished and I'm going to do
- 13:25something and react with it. But now I can just continue. So you've got that power.
- 13:30You haven't got to do something now or then feel a failure so i think that was really useful,
- 13:34and whichever you decide to do you also mentioned last week which was interesting that it might be
- 13:39almost i mean it's still part of it where it could be somebody who's in who
- 13:42maybe reminds you of somebody who in the past or somebody you're with at present
- 13:47who you have or had a sexual attraction to and that might put you into a state
- 13:50where you think okay i've got to do something about this.
- 13:53Yeah. Yeah. I mean, it's our it's kind of juvenile or immature for our profession
- 14:01to think that, like, we're we as therapists don't have a sexuality.
- 14:07And that doesn't mean that it's OK to sexualize, you know, the people under
- 14:11your hands. But we do need to honor how that might show up and how that might
- 14:16impact our ability to, you know, provide someone care. Sure.
- 14:20Yeah. If I had I was talking to a therapist who had attended one of my workshops,
- 14:26workshops and, you know, she was telling me how, you know, this one patient
- 14:31comes in and kind of like she's always flustered, always kind of running,
- 14:35going over time, like way over time.
- 14:38You know, like if he didn't, like if he showed up late, she would go make sure
- 14:43that like she still accommodated the whole treatment time, even if it meant,
- 14:47running in late with other patients.
- 14:50There was just kind of a lot of like kind of boundary.
- 14:54She's having a lot of difficulty like observing her, what was her feelings in the treatment space.
- 15:00And as she was describing what was happening to me, I was like,
- 15:04oh, you, you, there's attraction to this patient here. You know,
- 15:07do they remind you of anyone that, you know, you might have had a relationship with?
- 15:11And she she said, oh, yeah, like
- 15:14they immediately reminded me of like a boyfriend I had in high school.
- 15:18And I'm like, so, you know, maybe this is a good time to we've recognized that,
- 15:23like, you're having difficulty, you know, maintaining your professional boundaries
- 15:28with this patient or client.
- 15:30Like, how do we move forward from here? Do we discharge or do?
- 15:35Do you need to go back in? Is that relationship salvageable?
- 15:38Do you need to go in and kind of have the conversation about,
- 15:41oh, hey, like, you know, I've been noticing in our appointments together,
- 15:45like, you know, I'm running over time.
- 15:48I'm not upholding these boundaries with you. And, you know, that this is something
- 15:53that moving forward that, you know, I'm going to get to get us back into those therapeutic waters.
- 15:58We're going to be ending on time. I'm going to be, you know,
- 16:01billing you for no show fees.
- 16:03So, yeah, it's just kind of whichever one, whichever path you want to take.
- 16:07And in the case of this therapist, she chose to just discharge this person kind of out of her practice.
- 16:15And I know everyone loves the wording on that. So I did actually bring up the email.
- 16:22So if this is you and you just have a difficult time discharging someone out
- 16:30of your practice for reasons that are not of inappropriate behavior, but because.
- 16:36Of your countertransference showing up,
- 16:38some ways to phrase this might be, you know, to ensure you receive the most
- 16:42effective care, I believe a therapist with a different approach would be a better
- 16:46fit for the next phase of your musculoskeletal. journey.
- 16:51Another way you might want to phrase that is, as a professional,
- 16:54I have to recognize when a different therapeutic relationship would be more
- 16:58beneficial to your growth or your goals or your musculoskeletal needs,
- 17:03and then just refer on that way.
- 17:05So again, not having to get into the details of what exactly the countertransference
- 17:10is, but just framing it in a way where you recognize that the relationship would
- 17:16be better served if you weren't in it, and then referring on.
- 17:20Really cool. It is. So again, it's an interesting example of.
- 17:25Being aware of how good your communication is the soft skills which apparently
- 17:29aren't as important as the hard skills but it really is isn't it having the confidence and the,
- 17:33just like you said the statements of what how to put it how to phrase it how
- 17:36to comfortably send that send button no you're not digging yourself into deeper problems,
- 17:41yeah very cool but to do something say something end it yeah,
- 17:45great answer the question and the person who sent that in thank you very much
- 17:49and yeah if you're listening to us live which people are which is fantastic
- 17:54Normally, I see the numbers going down and coming up. We're just glued at the
- 17:57moment. So that's fantastic.
- 17:58You don't have to put a question in. But if you do want to leave a comment or
- 18:01anything, then obviously you're joining us live. You're allowed to do that.
- 18:04If I don't hear from you, I'm presuming you're just there, glued,
- 18:07listening. And we'll move on through the questions.
- 18:09Okay. Happy for question two? Yeah.
- 18:12Okay. Question two is therefore, and I'll read it out for podcast listeners.
- 18:17What do you do if the partner of your client or one of their family members
- 18:24is being inappropriate or making you feel uncomfortable?
- 18:28This is just a great question. I get this one all the time.
- 18:32So there's a couple things you need to think about before you act.
- 18:39If you're discharging this person out of your practice or not.
- 18:42So we'll go maybe down the discharge route first, and then we'll kind of talk
- 18:47about how to address their behaviors.
- 18:49So if you choose to remain their therapist.
- 18:53So if you're going down the route of discharging, one point of something to consider would be,
- 19:01if their partner or family member chooses to stay on with you,
- 19:07is that going to impact your ability to stay objective with that person?
- 19:12If it's not, then, you know, you just send the discharge note to the,
- 19:17you know, the family member or the spouse and just kind of leave it at that.
- 19:21If you think it will impact your ability to provide care to the partner or family
- 19:27member, then again, just kind of using one of those,
- 19:31quotes that I just gave, you know, as a professional, I have to recognize when
- 19:36a different therapeutic relationship will be more beneficial for your growth
- 19:40and you can discharge that person out of your practice.
- 19:44I'm not sure about confidentiality laws in England or the UK,
- 19:51but here we have confidentiality bylaws to maintain.
- 19:58So it's not appropriate to go into the details of like, well,
- 20:03your partner is exhibiting these behaviors during my treatment. I had to discharge them.
- 20:08Now it's weird treating you. So, you know, like you can't come here either because
- 20:13there are confidentiality rules in place.
- 20:16You have to treat those people as separate patients. So, again,
- 20:20address the behaviors directly with the person who is being inappropriate by
- 20:25just if you're going to discharge them. You just keep it between you two.
- 20:29And then if you don't want to treat the family member or spouse,
- 20:32it's just a discharge out of your practice. And it's because you think they
- 20:37would benefit from a different therapeutic relationship with another therapist.
- 20:43If you choose to keep on the person acting inappropriately, like their boundary
- 20:50encroachments are causing friction, but they're not big enough for you to want to discharge.
- 20:55I typically will just send them an email and outlining kind of how their behavior
- 21:01is causing friction in the therapeutic relationship.
- 21:05And that if they want to discuss it further, you can do so during your next appointment.
- 21:10And then if not, if they would like to see another therapist to let you know,
- 21:14and then you can provide them with options. So those are kind of the two,
- 21:18or I guess, yeah, the few routes I'll take with a case like that.
- 21:24Great advice. Thank you. Do you find on your workshops, do you find that for
- 21:27some people it's useful...
- 21:30I suppose each case needs to be treated individually, but are there some kind
- 21:34of templates for dealing with certain situations which people find useful for
- 21:38when they're having to send an email to a certain person or how to phrase it?
- 21:42Or do you give them kind of find yourself giving them out or?
- 21:46Yeah, all the time. I have. So on the RMT sexual support society,
- 21:51there is a template discharge. There's a discharge letter template.
- 21:54So it'll kind of take you through like the different, you know.
- 22:00Like inappropriate behavioral kind of circumstances.
- 22:02And then I think there's maybe six or seven different ways to phrase a discharge
- 22:08that I've kind of just drafted based on my interaction with the with professionals for the last,
- 22:15six years or so about the topic. So, yeah, there is a template there.
- 22:20I always recommend that anytime you have to discharge someone,
- 22:24just keep the letter as a template. Because again, when inappropriate behavior,
- 22:30occurs in the therapeutic alliance, like it does destabilize you a bit.
- 22:34And when you have templates you can pull from, it makes it easier for you instead
- 22:39of a barrier of, you know, oh, I understand I'm dysregulated right now.
- 22:45And I'm worried about having to write this discharge letter out because I don't
- 22:49know if, you know, it's appropriate or I don't know if like I have the capacity to do it.
- 22:56So having templates is really helpful in your discharging process.
- 23:03Brilliant. Great advice. And I guess it's really important kind of paper trail
- 23:09as well in case things do go wrong after you've sent this letter out,
- 23:13because I guess there's plenty of examples of where things might have,
- 23:17been interpreted badly or just triggered,
- 23:20a continuation of the problems afterwards.
- 23:22Yeah. Fantastic. Yeah. Okay. Thank you for that. Again, people listening,
- 23:26not to interrupt you, so just keep in mind, but if you have got any comments
- 23:29you want to share on what Josie is saying, even just sharing your own experience, then feel free to.
- 23:34We come on the show, we learn from you guys. We always say it as educators.
- 23:39Every time you open your mouth, we're learning. So do please feel free to share anything you want to.
- 23:44Right then, let's move on to question three. I will read it out once again for
- 23:48people who listen to the podcast.
- 23:50Question three sent in And it says, I froze during a boundary violation by a
- 23:55client last week and didn't stop the session.
- 23:59How do I forgive myself and report or ban them now?
- 24:03Okay, that's pretty, whoever sent that in, this was anonymous, understandably.
- 24:08Yeah, to you. Okay, so first of all, you did the best you could in a situation
- 24:17you couldn't control or predict.
- 24:19And I always, you know, anyone who's experienced this, please be kind to yourself.
- 24:24You know, even in the surveys, we know our education is really lacking in this department.
- 24:30And even if it wasn't, this isn't a normal part of a massage therapy appointment.
- 24:35Like having to deal with inappropriate behaviors, although it's a common thing
- 24:42to occur, it's not a normal part of our care.
- 24:46So be kind to yourself you did the best you could in a situation you couldn't
- 24:51predict or control second off.
- 24:56Again, kind of I spoke to this spectrum of having that sympathetic response,
- 25:01right? That fawn of freeze, flight, flop, flood, like there's seven of them.
- 25:09And if you notice you're kind of in the beginning stages of like a freeze,
- 25:14because that's really common from what I've heard from therapists anyway.
- 25:18Hands off and maybe just give yourself an out to like go get water collect yourself,
- 25:25get a sense for okay do i need to end things or am is this something i can shelve and work out later so,
- 25:33always remove yourself from the situation if you notice that you're starting
- 25:37to wade into some kind of sympathetic, nervous response.
- 25:41And then what I would do in this question asker's case is, you know,
- 25:48if you have this person's email, just send them an email outlining their inappropriate
- 25:53behavior and then just discharge them from your practice.
- 25:57I'm not really sure. Again, you might have to help me out here,
- 25:59Matt, a little bit with the, if you have certain like bylaws or standards of
- 26:06practice you have to uphold in these situations?
- 26:09The thing is, in the UK, again, this is the problem. There's no standardization or regulation.
- 26:13So there's not really a blueprint. There will be, yeah.
- 26:18I mean, this is why all we can do at the moment is, if you belong to a professional
- 26:22association, there will be some guidelines. And if you don't follow them,
- 26:25then you will not be allowed to be a member of the professional association,
- 26:29which may bring with it...
- 26:31Lack of maybe you're in a good insurance payment or something or you get support in some way so,
- 26:36but ultimately I think on another show we worked out that,
- 26:41I can't remember the percentage was maybe 70% of sports therapists for example
- 26:45that we know of in the in the UK aren't a member of a professional association
- 26:49they're just going it solo yeah and they can do what they want wow yeah,
- 26:53yeah it I mean if that's the case I would if.
- 26:57I would just block this person from be able to book in with me.
- 27:00And then I would still follow up and let them know, like, why they're not welcome back.
- 27:06Because I think that sets a good paper trail for if you have to get law enforcement
- 27:11involved, that you've let them know that they're not welcome in the space.
- 27:15One of the things, I talked to a law enforcement officer last week,
- 27:20which I'm going to be making a post about on the RMT Sexual Support Society
- 27:24in the next couple weeks here.
- 27:26But they said that, you know, one of the things that we need to do is actually
- 27:32let this person know not to contact you again.
- 27:35Let them know that they're not welcome in the space because if they continue
- 27:39to show up or if they stalk you, then the law enforcement has grounds to act.
- 27:45So I know it's awkward and it's an uncomfortable kind of part of practice, but,
- 27:51letting people know that they're not welcome back because of their inappropriate
- 27:55behavior it just it starts the paper trail so that if you later down the road
- 28:00have to get law enforcement involved,
- 28:02there is evidence that you've told them they're not welcome back in the space
- 28:07or they're not welcome to communicate with you again.
- 28:11Yes so important may even i don't know i've heard myself talking and it may
- 28:15even be triply important in the uk where you haven't got such regulated kind
- 28:21of ways to report this and have it kind of filed and everything.
- 28:26But definitely the paperwork is going to be important, especially just thinking
- 28:28if it gets flipped because it's easy for it to be reversed on its head.
- 28:34Like it was with Bodhi. I mean, it's just very easy to do.
- 28:38And he mentioned on his episode how valuable it was in his defense to be able to produce his notes.
- 28:45Even the notes, this is what really struck a chord with me was even like a few
- 28:50weeks leading up to the actual date of the accusation he'd put into his notes,
- 28:55this client is acting a little bit differently.
- 28:57There seems to be a little bit more flirting going on, some innuendos.
- 29:00This is not normal behavior that he said was just all very valid to get the
- 29:04accusation thrown out of court because he documented it so well in his notes.
- 29:09Yeah. Incredible. Yeah. Thank you for the question. And I can only refer to
- 29:13you as question three, which sounds a little bit, but yeah, make sure you've,
- 29:17in a way I'm like, I'm so glad this person sent the question in because it means
- 29:21they've told someone else rather than just keeping it inside.
- 29:23But I guess the advice would be as well, just try and find someone else,
- 29:27like you said last week, to mention it to.
- 29:30And you said not necessarily a loved one or a family member,
- 29:32because that wouldn't hold up in a call of law or something. Was that? Yes.
- 29:36Oh, that was Bodie who said that. Yeah. Yes, that was Bodie, yeah.
- 29:39So yeah, your colleagues, you know, I always, in the resource video,
- 29:45I think I talked about the importance of mentors, even if you don't belong to,
- 29:49I don't belong to a professional association, but I do belong to my.
- 29:54Licensing authority here.
- 29:55I do have mentors. I do have people that, you know, I can find in for,
- 30:00you know, hard, you know, clinical decisions that I need to make and having someone who is not,
- 30:07who's more objective because they don't have the bias of the therapeutic rapport
- 30:11with someone is really, really helpful in kind of getting clarity on the situation.
- 30:17And yeah, and then again, for defensibility, if you have a network of colleagues
- 30:23that you are connecting with, you know, we see this in psychology, for example,
- 30:28you know, that those are people who hold you accountable, who can kind of speak to your reputation.
- 30:33And so, yeah, like, I know we're kind of a very isolated profession,
- 30:39but those collegial networks and, you know, even if it's just an online support
- 30:44group are really, really helpful for that.
- 30:48I think we do have a live question, though. We do. We do. That kind of adds
- 30:52on to this one. From Cecily from last week. So you know, it's going to be a grenade.
- 30:55Just before I bring that up, I wanted to check as well, just for the sake of
- 30:58one's own mental health as well, just sharing it as well, rather than just keeping
- 31:01it on his side. It's got to be so important.
- 31:04And once again, I just want to reiterate, because I've seen a few posts and
- 31:08your comments about what you expect you with a guy with no clothes on. It goes both ways.
- 31:14This is not just a man versus woman debate, which is a ridiculous assumption.
- 31:19As Bodhi's not an isolated case, in his episode he talked about it.
- 31:23And it's, yeah, it's across the board. So, yeah, talk to somebody.
- 31:28Anyway, yes, the great Cecily's got a question here.
- 31:31Cecily Hislop says, possibly a controversial thought, as it puts the emphasis
- 31:35on the therapist and not the offender.
- 31:36However, will there be a time where therapists need to carry rape alarms and or learn self-defense?
- 31:44I carry personal alarm. Again, I work by myself. The practice environment I
- 31:49work in is like I'm on a floor with I think like 31 room offices.
- 31:55And most of us are massage therapists that are working independently.
- 31:59So we're not working in a clinical space.
- 32:02And so we know that if you hear an alarm, you have to come out of your like someone's in trouble.
- 32:09And again, it's just you have to assess your risk of harm. And, you know, I work.
- 32:14Weekends and Friday nights when reception has gone for the day.
- 32:18And most professionals usually leave at around five or six o'clock and I'm there
- 32:22till about eight o'clock or so.
- 32:26So again, it's just having a personal alarm. Again, it makes me feel a little
- 32:31bit more comfortable working by myself in those environments.
- 32:35In terms of self-defense, that's a very individual choice.
- 32:42I think for myself, fleeing and barricading is going to work better in my situation
- 32:49than, you know, trying to get combative with someone.
- 32:54I know from, at least in Canada anyway, from a legal standpoint,
- 32:59that gets a little bit gray because, you know, with self-defense laws here,
- 33:05you can only use enough power to get away,
- 33:08and then it becomes assault and then things get complicated.
- 33:11And I can't help but wonder, again, I'm not a law enforcement officer.
- 33:16This isn't legal advice. But I can't help but think about you have someone who,
- 33:22yes, is behaving in a very abhorrent way and inappropriate way,
- 33:25who's unclothed, lying face down on a table.
- 33:29And even though they've done something to, you know.
- 33:34Spark you to act potentially, what the legality of that situation like was that
- 33:40person actually the aggressor when they were technically in a more vulnerable
- 33:44situation position physical position
- 33:47so these are questions that i would like answers to but for me in my practice
- 33:53it's the way it's set up this my space is set up is that i'm always closest
- 33:58to the door so if someone is doing something you know that is,
- 34:02impeding harm or is harmful, it's,
- 34:05best for me to just leave the space and then barricade myself in the bathroom outside the door.
- 34:11Great advice. Yeah, yeah. Thanks, Cecily, for the question.
- 34:16Yeah, I imagine an alarm is something, if you're working by yourself,
- 34:21it's one of the first things to do, I guess, isn't it?
- 34:25But it's so tricky. It depends very much if anyone's going to hear it.
- 34:27People often, unless they're told to, don't react very well to alarms.
- 34:32They don't come running out going, how can I help and be a great citizen?
- 34:34If anything, they just kind of ignore it and go, oh, it'll just be a car alarm
- 34:37or a cat. It's tricky, isn't it?
- 34:40Apparently shouting fire is the best way showing fire far more efficient,
- 34:44fire or have or pull the fire alarm in my office there's a fire alarm just inside
- 34:50the door to every office so
- 34:53we you can there's the option to pull that or we all have we all have an understanding
- 34:57on the floor i work on or if you hear any ringing,
- 35:00to like come investigate so.
- 35:04Yeah. Okay. Great question. Thank you, Cecily. Let's continue.
- 35:08Jessica, Jessica, Jessica Yannerman is here as well. I'm going to read this
- 35:12out. Thanks for the question.
- 35:14Jessica has said, bringing it up. I had, let's put this on big.
- 35:18I had, I had particularly a nasty, I had one particularly nasty incident and
- 35:22the only way I could turn a positive from it was creating an exit plan.
- 35:26I work on my own in a gardening room. I've never had to use it, but it's good to have.
- 35:30Yeah. So get your plans in place.
- 35:33That's what I talk about in the workshop that I teach is have your,
- 35:37you know, for a while I was part of the emergency response team here in Victoria.
- 35:43So if you're not familiar with Victoria or Vancouver Island,
- 35:47we are on a very big earthquake fault line here.
- 35:52So they have emergency preparedness plans for the city to enact in case of a catastrophic event.
- 36:00This is something that I feel we need to have in our practices is our emergency
- 36:04preparedness, you know, action plans, because they'll kind of give you a pathway
- 36:10to follow in those circumstances where things out of your control have occurred.
- 36:15And it'll just provide you with some guidance during those moments.
- 36:18So having an exit strategy is so, so important. And I'm really happy,
- 36:23Jessica, to hear that you've thought of that and have it in place in case you need it.
- 36:27Yeah, that's great. Good to hear. And again, this is what you were mentioning
- 36:30last week is in training, you're doing your 25th way of assessing a shoulder.
- 36:37But have you done training on have you got an exit plan in case something kicks
- 36:41off in your studio? Probably not. You know, it's all the training's all back
- 36:44to front, isn't it? It should be something that's talked about and done on training.
- 36:49Yeah, great. Thanks, Jessica, for that.
- 36:52Okay. Should we look at question four? Sure. So look, this has been covered
- 36:58slightly, but we'll bring it up.
- 36:59It's to do what we mentioned it slightly before with cancellation fee policy.
- 37:04Let me just make it a little bigger. How can I improve, says this person who
- 37:06sent in, how can I improve on sticking to my cancellation fee policy as I know
- 37:11forgetting it can make some clients wrongly think they are special to me?
- 37:15So you mentioned this kind of before, didn't you? But can you do it? Yeah.
- 37:18Okay, this is a great question because it's, I get this one a lot,
- 37:23when I teach because, yeah, when we kind of talked about last,
- 37:26on the last episode, how your boundaries are kind of like a,
- 37:29you know, if you think about them as like that light pyramid,
- 37:32the light goes through, breaks off into the colors of the rainbow and it kind of goes back in.
- 37:37You look at all your separate boundaries and how they create the one boundary.
- 37:42So this would be kind of your administrative boundaries that you're having difficulty upholding.
- 37:47And I know for a lot of massage therapists that I've talked to,
- 37:51enforcing cancellation policies often is difficult for them.
- 37:56So what I like people to do is, you know, examine what about that fee is hard.
- 38:04Is it because I have a really hard time asking for the cost of the full treatment,
- 38:11you know, of like $145 or however, whatever your rates are over there are.
- 38:17And if that's the case, ask yourself, what amount would be comfortable for me to ask for?
- 38:23Would it be half that cost? Would it be, you know, $35? Would it be the amount
- 38:30my overhead would cost in this time?
- 38:32And then make that the enforceable amount, if that's an easier amount for you
- 38:37to uphold with everyone.
- 38:39And in my practice, I have I was like that, too, you know, asking when someone
- 38:45no shows or they forget and being like, well, that's a it's one hundred and
- 38:48forty five dollar, you know, fee that you got to pay me before you can come back here.
- 38:52Like it does cause that might cause friction in the therapeutic relationship. Right.
- 38:57And so I think a really good way to kind of, again, get into the habit of upholding
- 39:03your cancellation fee structure is by.
- 39:07You know, picking an amount that is easy for you to uphold.
- 39:12Another part of this question or,
- 39:16aspect of this that's kind of a new way of structuring cancellation fees that
- 39:22my colleague and I are looking at is actually adding a couple dollars into like,
- 39:29your service fee that kind of is cancellation insurance.
- 39:34So what we're looking at is, you know, what's the average amount of like of
- 39:39no-shows or last-minute cancellations that you would get in a month?
- 39:44And then if it's just one or two, you know, what it works out to is maybe like
- 39:48two or three dollars more per everyone's appointment that you're billing.
- 39:53And so if someone does no-shore, they do cancel, you don't have upholding,
- 39:58you won't be charging a cancellation fee because it's built into the pricing
- 40:01of the service fee so that's also
- 40:05a way you can kind of examine that situation if you find just,
- 40:09finances and admin kind of stuff is just not something that you're comfortable
- 40:13with you know just building it into your service fee might also be a way you get around this,
- 40:19that's a really cool idea and i think this goes back to your other point as
- 40:23well of of having a mentor and somebody to guide you on this because i know
- 40:27in in the neurodivergent therapist group i run on facebook.
- 40:32I never like to tar neurodivergent people with one trait or brush,
- 40:36but I know it's very common for people to shy away from charging money and valuing
- 40:41themselves and imposter syndrome.
- 40:43And I'm sure predominant neurotypes suffer the same thing, but it's extra common, I think.
- 40:49And also, I mean, again, I have no studies to support this, but I think it might
- 40:53be just a little bubble, but I think an awful lot of neurodivergent people are
- 40:56drawn towards healthcare anyway, and massage therapy in particular.
- 41:00I don't know. I don't want to say that they're all angels and they just want
- 41:03to give, give, give to everybody, but I find a lot of people are.
- 41:06So this makes things like this double problem because you don't want to ask
- 41:08for the money. You don't value yourself. You don't like confrontation.
- 41:12You're scared of what can happen.
- 41:13So I think it's double important to have a mentor who can give you a different
- 41:18cognitive way of looking at things and say, you are worth it.
- 41:21Ask them for it. Send the email. You're not going to go to hell.
- 41:24It's really important. So yeah, great question. Four, where are we?
- 41:3046. Okay. I had to crack on.
- 41:32Okay. Talking of confrontation. I've just seen the next one. Let's bring that up.
- 41:39Question five for the podcast listener. Thank you for listening on the podcast.
- 41:44I hope this is working for you. I'll read it out again for you.
- 41:46Question 5. I do not like confrontation at all, so addressing inappropriate
- 41:50behaviour when it happens is really difficult for me. What can I do?
- 41:55Great question, because this is, I think, a lot of therapists struggle with this.
- 41:59So kind of go back to that decision-making model I've been kind of consistently
- 42:03touching on this whole episode is first you're going to ask yourself,
- 42:07you know, am I safe to, do I feel safe to continue treating this person?
- 42:11And if the answer is no, then you want to end things, leave the space.
- 42:17If the answer is yes, but this felt icky and I don't, I'm not someone who can
- 42:21just like improv, like, you know, what to say or you have difficulty with that.
- 42:27What I suggest you do is like redirect them, you know, the conversation or whatever,
- 42:33redirect them back into the treatment and start to create what I like to call like emotional space.
- 42:38So you're going to disengage with them in kind of, you know,
- 42:42casual conversation during the treatment.
- 42:45And I want you to notice their behavior.
- 42:47Because for a lot of clients or patients, when you start to disengage kind of
- 42:52from that conversation, they'll notice and they're going to start to ask you
- 42:57like normal questions about your, you know, what are you looking forward to on your weekend?
- 43:02Or are you going on any vacation? or they're going to ask you these questions
- 43:04to try to get you to re-engage with them again.
- 43:09To kind of like diminish like that, you know, inappropriate behavior that that occurred.
- 43:14So you're going to pay attention to that and you're just going to keep redirecting
- 43:17them kind of back into the treatment, which we are all kind of really.
- 43:22At least here anyway, that's part of the curriculum.
- 43:24So what you're going to want to say is like, yeah, you know,
- 43:27let's move away from this conversation and kind of let's focus back into,
- 43:31you know, your reason for treatment today.
- 43:33Why don't we just take a couple breaths together and then you can kind of focus
- 43:36in what's happening in your body. So you're going to redirect them kind of back
- 43:40into their body and then notice on how they're reacting to that.
- 43:46And then after they've left, follow up in an email outlining their behavior,
- 43:52why it was inappropriate. And then if you want to discharge them, you can.
- 43:56Again, if the therapeutic relationship is like, you know, it wasn't enough for
- 44:02you to discharge them, but it also impacted, you know, your relationship with that client.
- 44:07What you can do is outline their behavior and then reestablish the boundary.
- 44:12Like, these comments are not appropriate in my space. If we're going to work
- 44:16together, you know, that will not be okay. And any further commentary like this
- 44:22will result in you being discharged from my practice and see how they respond to that.
- 44:27Most times, you'll never see that person again, unfortunately.
- 44:31Other times, they'll follow up with like a very sincere apology.
- 44:35And then you can kind of gauge from their response if it's sincere and then
- 44:41you kind of continue on if that satisfies the boundary reestablishment.
- 44:45If not, then you might want to consider either terminating and discharging that.
- 44:51Client or again you can go through the steps of like re-establishing and observing
- 44:57what they do i only give them one shot though,
- 45:00because it like i'm not here to try to convince someone like how they've disrespected my like,
- 45:08how they've disrespected my space and why that was disrespectful if they really
- 45:12value you as a therapist then they'll understand and want to work with you,
- 45:17to, you know, making amends so that they can continue receiving your amazing,
- 45:22you know, massage therapy skills.
- 45:24So I hope that kind of answered that question.
- 45:27Yeah, as long, I always tell therapists, as long as you don't feel unsafe,
- 45:32but it's just kind of that ick that we talked about last week.
- 45:36If you're someone who's better to, you like to think on it and then respond
- 45:40in an email, that's also very valid. That's a valid way of addressing it.
- 45:45Yeah the i thought i was going to ask you and you you answered it ahead of me asking a bit,
- 45:51when you do send these emails or say something and you follow the advice i was
- 45:55going to ask you how many times does it actually work and they turn around and
- 45:58go yeah i'm really sorry it was inappropriate i won't do it again and and you
- 46:02crack on with it or are the chances are that clients are,
- 46:05going to run out the door not come back and you've kind of answered it but yeah
- 46:10it made me realize as well the conversation we had last week is you're better
- 46:13off losing any clients like that than risking the escalation so yeah.
- 46:18Yeah it works a little differently in in my practice because i have like a very,
- 46:24unique practice focus so i find myself like,
- 46:31because there's just not a lot of people that have the skill set uh that that
- 46:35i offered to my community a lot of the times i am entering into like therapeutic
- 46:40relationship repair processes with my patients,
- 46:44because yeah it's you know getting pelvic and sexual health musculoskeletal
- 46:49health care support here it's a very very narrow There's not a lot of health
- 46:54care providers that offer that.
- 46:56So, yeah, there's I always like to provide the opportunity because I understand
- 47:01what that person is potentially losing out on if I discharge them.
- 47:06So, yeah, if as long as I didn't feel like, you know, directly unsafe or I feel
- 47:11like I can't show up objectively in our therapeutic alliance,
- 47:15I always provide the opportunity to make amends.
- 47:18And then, you know, some, I'd say in my practice, about 50-50,
- 47:22sometimes I'll never hear from people again.
- 47:24And then other times they'll express like really genuine remorse and we then,
- 47:31crack on it all smooths over.
- 47:35Thank you yeah i guess it's interesting you bring that up it depends on,
- 47:39yeah what sort of treatments you're providing and i just think it's useful for
- 47:43therapists to know what the likely outcome is going to be when you do take someone's
- 47:47advice and do it according to the book and,
- 47:50and not be surprised when they do kind of just disappear or don't come back or even it worries me,
- 47:56particularly i don't want to turn this into a women man thing but particularly with men,
- 48:01that they will take it so personally.
- 48:03I'm generalizing here. Sorry, guys, but I don't like most of you.
- 48:06But they will take it personally and even flip the table and then put something
- 48:11on social media or just try. I don't know how many people will disappear into the shadows.
- 48:15You may well get a knock-on effect of where they do try and,
- 48:19clear their name somehow i don't know how much that happens when you experience
- 48:22or do they tend to just disappear and you never see them again,
- 48:25i think well i think in my situation like it's they just kind of back into the
- 48:33shadows and i never hear from them again i don't often experience like any,
- 48:38anyone especially with my male patients like they i have not experienced any like aggression,
- 48:45with the work I do and I think it's just because like the.
- 48:50The power dynamic that exists as being like a femme presenting therapist who's
- 48:56working in like a sensitive area practice focus and then them being you know a
- 49:02man in that situation and being the aggressor like it just it does not look good for them.
- 49:08So I've had some lovely patients who are still on with me who we've had a hiccup
- 49:16and they are genuinely sorry.
- 49:19And then they smarten up and we've been able to work together for years.
- 49:24But in the circumstances with the ones that don't think they've done anything
- 49:28wrong or whatever narrative or story they've built in their head,
- 49:31they tend to just, I just never see them again they just kind of that's good disappear into the void.
- 49:38So maybe think a little bit who knows maybe you have a little bit of reflection
- 49:41themselves right have you got time to squeeze one more in absolutely okay with
- 49:46that i'm gonna check yeah okay we'll do one last one if we haven't got to these and apologies
- 49:51i did have about nine planned we got to question six so,
- 49:54but we'll make sure when we finish this one that we'll we'll give you contact
- 49:57details of who to contact if you've got something that you'd like to share because
- 50:00it is important you don't just let the question disappear now you've shared it,
- 50:04you're anonymous so i can't follow it up but now you have shared it don't just
- 50:07let it disappear and think oh it's fate no one's going to help me so we will
- 50:10make sure we do something anyway let's go on to question six if that's okay with you.
- 50:17Okay, so for people listening to the podcast, question six will be the last one for this episode.
- 50:22It says, as a survivor of sexual assault, I sometimes dissociate or panic when
- 50:27a client's hand accidentally touches me.
- 50:30How can I safely stay present?
- 50:33That's a great question. And,
- 50:37before I provide an answer, I'm going to just firstly say this is a great question
- 50:42for a counselor or a trauma therapist or a psychologist because they're going
- 50:47to be able to work with everyone's nervous systems, everyone's,
- 50:50you know, responses to trauma are different.
- 50:52And having an individualized plan in a case like this is really important.
- 50:58So I know therapy is expensive and the investment is well worth it.
- 51:04If it helps, you know, maybe I can talk about my experiences with this because
- 51:11I did have to go to trauma therapy for the sexual assault that I experienced in my practice.
- 51:16So the first thing you want to do is the moment you've recognized that you are
- 51:22dissociated or you're not present or, you know, you've frozen or something's
- 51:27happened, that's a great time to.
- 51:29You know, stop what's happening.
- 51:32So for me, I'll go and just be like, oh, my throat's really dry.
- 51:36I'm just going to go step out and grab some water.
- 51:38Just take some deep breaths here and I'll come back in a minute.
- 51:42So I'll leave the space because that disconnects what's happening.
- 51:46That disconnects me from what's happening.
- 51:48And then, you know, there's a strategy that my therapist gave me where,
- 51:52you know, to ground yourself back into your body.
- 51:55You're going to, like, find five things you can see, four things you can hear,
- 52:01three things you can smell.
- 52:02You know, was it one thing you can taste and then, you know,
- 52:06two things you can touch or something along those lines.
- 52:10And once you've done those things and you're kind of back in your body and your
- 52:15systems come down a little bit, that's a good place to make a decision of,
- 52:19can I continue treating here or do I need to stop?
- 52:23Sometimes uh some people like myself i'm like okay like yeah i'm good to to
- 52:29continue it just becomes a thing i'll shelf for later and then i can either
- 52:34bring into my next therapy session or i can kind of
- 52:38parse out if i need to discharge this person or if this is a generalized kind
- 52:43of like flood response that i'm having and kind of walk myself back from it a little bit.
- 52:49One thing I really like to tell therapists who've experienced any kind of like
- 52:54trauma is to always keep like sour candies in the room with you.
- 53:00That's what I use in cases where I find like I'm being, I'm noticing I'm starting
- 53:06to get activated and I'm starting to escalate and I don't really know why.
- 53:11Sour candies, I have like little Jolly Ranchers that I just like,
- 53:15I'll just go grab quickly and Can I just let my patient know that,
- 53:18oh, just my throat's really a
- 53:19little bit dry. I'm just going to go grab a candy and I'll be right back.
- 53:22Yeah, hard sucking candies are a really good way just to kind of keep you present.
- 53:26And then, again, making a decision of do I feel safe to continue or do I need
- 53:31to leave and seek support here?
- 53:35Thank you. Yeah. Thank you again for sharing your experience.
- 53:38And yeah, it's a really important caveat, isn't it?
- 53:40That everyone's individual and, and yeah, as you said, whoever sent in this,
- 53:45yeah, make sure that you talk to someone and looking at the possibilities of
- 53:50therapy to get an individualized plan.
- 53:54Yeah. Okay. It's nine o'clock. I feel so guilty finishing on that point.
- 54:00I feel we should give it another hour. It's like, coffee anyone? Anyone want to can be?
- 54:06Well, it just encapsulates really, thank you everybody who sent these questions
- 54:09in and for sharing and putting the trust in us on the podcast to see them.
- 54:14Even if you stayed anonymous, it's still a massive thing just to get it out
- 54:17of your mouth and into someone else's ear, even if you're anonymous.
- 54:22And if you are watching it back hopefully this is the start maybe of continued
- 54:26communication or something but if anybody who's sent questions in and or somebody
- 54:31let's imagine if somebody has sent in any of the other questions which haven't
- 54:34got answered and they want answers then.
- 54:38Like i said we've got the sta support if you're a sta member if you're not an
- 54:41sta member look at your association that you are with because i mean if you pay money
- 54:46monthly money to belong to the association this is something they should be
- 54:50have in place and structure and help and support and advice and referring out.
- 54:54Josie, you were kind enough to say, obviously, you can't change the whole world
- 54:58yet. It's going to take some time. We'll help the whole world.
- 55:00But yeah, you said people could reach out on the Facebook page?
- 55:03Yes, you can Facebook me. Yeah, there's, I think there's a messaging option.
- 55:08Just make sure you have your messenger settings on to like receiving messages
- 55:13because some people have reached out and then I can't message them back because of their settings.
- 55:17So yeah, just make sure if you message me that your settings are enabled so
- 55:21that I can message you back okay that's very kind so that's the we'll put the
- 55:25link in the show notes the rmt sexual support society,
- 55:28yeah if you've really got no one else to turn to and even if you have then i
- 55:33mean that's a great port of call you've obviously you've got,
- 55:36some kind of relationship now with jose you've seen her you've heard you know
- 55:39she's coming from all that sort of stuff and you know that i trust her so you've
- 55:42got like a voucher confidence there as well so yeah maybe that would be the
- 55:46arm out which can give you some support.
- 55:48As always you can always if you're not sure then you can email me matt at the
- 55:53sta.co.uk and i can try and put you in contact with somebody but yeah just just
- 55:57don't keep it yourself don't yeah continue that conversation right,
- 56:02thank you everyone who joined us live as well thank you to all the listeners
- 56:05and for the questions you've put in there,
- 56:07if you have like i say been affected by the content of this episode make sure
- 56:10you reach out to somebody,
- 56:11and if you found it useful or you want to help other people if you think other
- 56:15people might have useful then just leave a rating and a review simple as that,
- 56:19it just helps the algorithm throw this out when someone does put in sexual boundaries
- 56:24and this will come up higher than a lot of the other stuff which might not be,
- 56:29probably isn't as useful as,
- 56:32what josie is going to help i tell you so yeah that would be a great way of
- 56:36helping other people just subscribe leave a rating to youtube channel that sort of stuff.
- 56:40Right then, Josie, thank you so much. So we mentioned the Facebook page.
- 56:44It's such a, so many things to think about.
- 56:47It's such a hard topic. I'm so thankful there's people like you in the world
- 56:50and Bodhi who have been through horrible experiences. But like you say,
- 56:53I've got that hard skin now to crack on and use that lift experience to help
- 56:57other people. It's so, it's really is inspiring.
- 57:00So thank you very much for doing that. It's no problem. Anytime.
- 57:05And also just want to mention active on Instagram as well.
- 57:08People want to follow you and the stuff you're putting out there then we'll
- 57:10put it in the link we've listed the podcast then it's jocelyn j-o-c-e-l-y-n,
- 57:15delorme which is d-e-l-o-r-m-e-r-m-t all one word,
- 57:19okay we'll make sure that goes to
- 57:20the show notes which you can find on any podcast app or on youtube as well,
- 57:25right thanks everyone once again it's been an amazing three episodes i think
- 57:29jessica summed it up in the comments here let me just read out a few before we go,
- 57:35jessica says I've got to go, but thank you.
- 57:38I found this group of episodes hugely beneficial, super important,
- 57:41and really made me reflect on my practice. That's great.
- 57:45If we hear that, then it's all fantastic.
- 57:49So Glenn Murphy says, nice one, guys, which is great. Everyone's got different
- 57:53ways of sharing their support.
- 57:56Thanks, Glenn. Thank you, sir, Glenn. Thank you for your comments there.
- 57:59And also, let me bring this up.
- 58:01Susie Lee, 4 4 6 6 says, this is so helpful.
- 58:04Thank you for sharing it's something i've struggled with as a lone female practitioner
- 58:08who is also a sa survivor thanks to the sta for raising awareness and offering support,
- 58:13okay well thank you susie for leaving that comment and for sharing that and
- 58:18then the mighty cecily says and thank you too for this series of episodes it's
- 58:22been so insightful helpful take care all,
- 58:25Feeling a massive Wi-Fi group hug happening at this very moment.
- 58:31Right. Thanks all. Thanks again, Josie. It has been amazing. Thanks listeners.
- 58:35Thanks for joining us live. If you want to join us next week,
- 58:37we are starting a couple of episodes which are to do with sepsis and stomas
- 58:41and something which is another area which we try and,
- 58:45raise awareness for on the podcast of things which as a massage therapist,
- 58:48you probably never come across and go, ah, I don't know what to do with that.
- 58:51Can't touch, don't want to do. So join us for the next couple of episodes for
- 58:54those topics, either on YouTube or Facebook at 8 o'clock UK time.
- 58:59Until then, as always, thanks, Josie. Really appreciate it. Thank you.
- 59:03And thanks, everyone. Make sure before next week you take care of yourselves
- 59:07and of each other. And we will see you again very soon. Bye-bye.
- 59:13You're listening to the STA.