This Magic Moment in Music

A New Program for People with Dementia and their Care Partners

Music has the extraordinary power to bring out the very best in people; to bring us into the present moment with joy, intent, and inspiration; to bring us together even when we feel worlds apart; and to bring wellness into the forefront through the modulation of physical and emotional health. Music is interwoven throughout the timelines of our lives, eliciting long-forgotten feelings, memories, sensations, experiences, relationships, and so much more. It calls forth our deepest, most authentic selves from the depths of despair and decline, and bridges the greatest of divides. Music is one of the final threads of connection when a cherished loved one is slipping away, a stubborn holdout amid a sea of loss and change, a lifeline and anchor to provide a sense of safety, dignity, and an authentic shared experience in an otherwise isolating and lonely place.

The person with dementia is not the only one who suffers; those who love them face tremendous loss, stress, loneliness, and new challenges as the condition progresses. Resources for support can be elusive or even impossible to find.

In addition to individual music therapy sessions offered in-home, in-clinic, at continuing care communities, and virtually, Bloomsburg Music Therapy LLC is launching a new community-based, dyad-focused virtual group program to provide support for people with dementia and their caregivers using an empirically-informed music therapy protocol.  Participant needs and preferences will inform the content of each session, which will include stimulation of memory, cognitive exercises, mood regulation, anxiety & stress reduction, focused opportunities for bonding between the individual with dementia and their care partner, music-facilitated mindful and rhythmic engagement with the body, and self-expression through movement and song.

The program will run for 12 weeks, and include the initial aims of:

  • Reduction of behavioral and psychological symptoms of dementia, such as depression, agitation, apathy, aggression, etc.
  • Increased feelings of connection between the person with dementia and their care partner, and between dyads and the group as a whole
  • Maintenance and improvement of cognition 
  • Reduction of caregiver burnout and stress
  • Stimulation of reminiscence and positive emotion
  • Transferable skills, techniques, and exercises to be used outside of sessions 

Virtual programming is often more effective for people with mild-moderate dementia, but all are welcome given the focus on building feelings of connection between the care partner and person with dementia. 

The program can begin once a minimum enrollment threshold has been reached. The cost is $250 per dyad for the entire 12-week session and will include a small package of instruments each pair will have on loan for the duration of the program. 

For questions or to register, please contact Alysha Suley at 570-316-1899 or e-mail info@bloomsburgmusictherapy.org.

Photo by Tima Miroshnichenko on Pexels.com

Music as a Tool in Daily Life

One of the first questions I ask new clients is, “how do you use music?”

Usually, people respond by saying they listen to music in the car, or perhaps they might use music during exercise or while cleaning. Many people use music as a sort of back drop or backing track, if you will, as they go about daily life. Some people use music consciously to change mood states, to increase motivation or to feel more relaxed.

Most people don’t think of music as a tool.

What could be easier in your daily life? Could you benefit from better sleep? Do you need a little extra “oomph” to get in the zone for a good run? Are you uncomfortable with or unable to express yourself verbally? Perhaps you or a loved one struggles with anxiety, and the term “relaxation exercise” or “meditation” sends you into a full-blown panic attack.

Sometimes, I see people choosing good music, with great intentions . . . but it’s not the right music. For example, a good running playlist should feature songs at the right tempo. Music for sleep should remain at a consistent volume, with little variation in tempo, unlike much symphonic music which features dynamic contrasts in tempo and loudness. Variations in music stimulate the mind and grab attention. Music can be used to regulate and modulate physical and emotional states.

Music affects people at a physiological level, reaches into the emotional part of the brain, and stimulates memories. The body naturally entrains with the rhythm in music (try listening to a piece of music while walking and NOT walking at that tempo!), and this includes your heart and respiration rates. As you breathe more deeply and your body relaxes, oxygen saturation increases and cortisol (a stress hormone) decreases. Listening to music can decrease the perception of pain. While exercising, perceived exertion decreases while listening to music. But the music must be up to the task and it must be central to the experience, and the listener engaged and present with the music.

Instead of using music as the background to your daily activities, try centering the music within the experience; focusing mindfully on the music gets the best results. Many people will benefit from multi-sensory engagement with the music, such as noticing where you feel the music in your body, or tapping along rhythmically.

Do you have a loved one who is unable to communicate their musical preferences? Sometimes, families may unknowingly choose music that is distressing or non-preferred for a loved one who is unable to express their discomfort, or unaware of the impact the music is having on their mood or mental state. It can be more difficult for trained musicians to use music to relax; musicians might be more critical of their self-expression, or their expectations might get in the way of their usage of music for a specific purpose. Music therapists are trained to assess musical preference and engage people of all ages and abilities in therapeutic musical experiences.

Almost without exception, all people are inherently musical. Music has been a part of the human experience, in every known culture, since the beginning, and is a part of the human experience beginning at 16 weeks gestation and often not ending until death. With few exceptions (namely amusia, the very rare inability to recognize or reproduce musical tones), nearly everyone can benefit from the intentional inclusion of music in daily life.

The Magic Within the Music: What I Love About Being a Music Therapist

As if by magic, I have the privilege of getting to see the best in people in music therapy. I see the joy, the creativity, the humor, the passion, and the quirks that make people who they are. But it isn’t magic- it’s MUSIC. The glorious connection that occurs within the music, whether it’s spiritual, interpersonal, interpersonal, or any combination thereof, is palpable, purposeful, powerful, potent. It is the essence of the human potential – to express one’s true self, and to experience the range of human emotion and human expression; to feel alive.

Although people come to music therapy to feel or function better due to a struggle in life such as dementia, brain injury, depression, or anxiety, these difficulties do not define the individual. I do not look at people and see their problems; in music, I get to see their potential. They are still in there – the beautiful, unique soul rising to the occasion of personal growth, rehabilitation, or transformation. Even at the end of life or at the rock bottom of suffering – the intangible essence of music reaches deep into the person, and reveals their strengths and potential.

Within music therapy, indescribable moments of connectedness occur between the music therapist, the client, and the music. The music and the relationship developed within the music facilitate the growth, transformation, and rebuilding the client seeks and needs. These moments of attunement are a peak experience for me as a music therapist – they feed my soul, and help me to get through the more difficult aspects of my work (after all, I am often seeing people during some of their greatest struggles).

The magic of these moments of connectedness is eclipsed only by the results of the work (see the rest of this blog for the science behind the magic of music therapy). I am humbled to serve as a music therapist; I am in awe of the potency of music and the power of the human spirit.

Hemiparesis and Restoration of Motor Function in Chronic Stroke – What’s Music Therapy Got to Do With It?

March 1st is International Music Therapy Day! What a great day for a blog post!

A few months ago, I posted about music therapy in stroke rehabilitation in general. Since there are so many ways music therapy can help people recover from a stroke, I thought it might be useful to dive in to each topic in-depth, individually. Today’s focus is on the rehabilitation of Upper Extremity Hemiparesis.

What is Hemiparesis and Why Does it Matter?

Hemiparesis is weakness or inability to move (paralysis) on one side of the body, resulting from an injury to the opposite side (hemisphere) of the brain. In layman’s terms, “upper extremity” basically refers to arms.

A leading cause of functional disability in people with chronic stroke is upper extremity hemiparesis. Around 80% of stroke survivors experience acute hemiparesis, and half of these continue to experience hemiparesis long-term.

Why is music effective in retraining the brain to use an effected limb?

The brain that engages in music is changed by engaging in music,” (Thaut, 2014). Music drives neuroplasticity, improves adherence to and engagement in treatment, and utilizes cortical reorganization to create a new pathway for lost functions.

Musical tasks provide “anticipation and timing structure for movement from the external rhythmic cue and from integrating the external cue (feedforward) with the patient produced sound patterns (feedback),” (Thaut, 2014).

What does music therapy in stroke rehabilitation look like?

Imagine your physical therapy exercises to improve flexion, extension, range of motion, etc. Now imagine having the sensory feedback that playing musical instruments provides and the rhythmic cueing that is so essential in a good work-out session.

To your brain, this multisensory feedback enriches the motor experience; anytime you are having fun and enjoying something, the event is more significant neurologically. New neural pathways are built more quickly, and with less effort. This is how all humans naturally learn and re-learn. You are getting “more bang for your buck,” basically!

Translating functional arm rehabilitation movements into musical activities occurs in a neurologic music therapy technique known as Therapeutic Instrumental Musical Performance, or TIMP. To quote one research participant, TIMP was “hugely different from being asked for no apparent reason to hit the table.” (I have to admit, I had a little chuckle at that quote!

Utilizing musical cueing via dynamic, temporal, and rhythmic changes is known as Patterned Sensory Enhancement, or PSE. Just as music cues a dancer’s moves, music may also cue gross and fine movements for functional gain.

Music therapists are trained in choosing and adapting musical instruments and mallets to stimulate functional gains; we will find *something* to suit your gripping needs and capabilities, or an instrument that is the right height, or provides the right amount of feedback.

How Do I Get Started with Music Therapy for Stroke Rehabilitation?

When you’re ready to try music therapy, give us a call to schedule your assessment session. After your assessment, your board-certified music therapist will determine a treatment plan to meet your rehabilitation goals.

MindSteady Music: A Low-Cost Anxiety & Depression Reduction Program

Photo by Pixabay on Pexels.com

Pre-registration is now open for MindSteady, a live virtual music-based depression & anxiety-reduction group music therapy program. The program will offer adults of all ages an opportunity to practice music and mindfulness techniques and learn to use rhythm & music to regulate emotions and induce a physiological state of calmness. Participants will experience both passive and active techniques.

No experience necessary! There are absolutely no musical pre-requisites- all levels of musician are welcome; degree of musicianship is not an indicator of anticipated benefits from participating.

The program will require pre-registration and pre-payment. Thanks to an anonymous donor, the total cost of the program for each participant will be reduced to $100, to include all 6 group sessions.

This article offers an overview on the basics of music therapy and depression.

Please contact info@bloomsburgmusictherapy.org for more information.