Therapy Room Research Articles

Book Review: Claire Molyneux (ed), Tales From the Music Therapy Room: Creative Connections

Book Review: Claire Molyneux (ed), <i>Tales From the Music Therapy Room: Creative Connections</i>

Distal radius fractures: What are the effects of ulnar styloid fracture and face-toface rehabilitation on the functional outcome?

This study aimed to investigate the effects of the accompanying ulnar styloid fracture and 2 different postoperative rehabilitation protocols on the final outcomes following surgical treatment of distal radius fractures. In this retrospective study, 47 patients (11 male, 35 female; mean age=52.6 years, age range=24-85) who underwent plate fixation for distal radius fractures were divided into 4 groups based on the presence of an ulnar styloid fracture and type of rehabilitation. To evaluate clinical outcomes, wrist range of motion (ROM), grip strength, lateral pinch strength, disabilities of the arm, shoulder, and hand (DASH) questionnaire scores and visual analog scale (VAS) scores were obtained at the final follow-up. The rehabilitation exercises of the patients in groups 1 and 2 were carried out in the physical therapy room by the hand therapist during the postoperative 2 months. Patients in groups 3 and 4 were supplied with videos of the exercises of each phase and instructed to carry out those exercises at home routinely. Patients who received home rehabilitation programs demonstrated greater grip strength loss. Patients without accompanying ulnar styloid fractures had better DASH and VAS scores. Final wrist ROM and the duration for return to preinjury activity level did not differ among groups. This study has suggested that accompanying ulnar styloid fractures may worsen the functional outcomes after plate fixation of distal radius fractures. Home-based programs may provide patients with adequate overall wrist function with certain drawbacks compared to rehabilitation under direct supervision.

외상 후 스트레스(PTSD) 관련 음악치료 중재 연구 동향 분석

Objectives This study aims to understand the overall flow of past research by analyzing trends in music therapy intervention research related to Post-Traumatic Stress Disorder (PTSD) in South Korea and to present data that will serve as a direction and basis for follow-up research.&#x0D; Methods Initially, it was found 176 studies published between January 2000 and December 2022. A total of 19 papers were finally selected after 8 rounds of literature purification process. This was sequentially classified into research information, characteristics of study participants, and music therapy intervention-related information.&#x0D; Results Among the final 19 studies, 8 were quantitative studies and 9 were qualitative studies. The number of papers published every five years was the highest from 2005 to 2009 and from 2015 to 2019, with 6 papers each. As for the number of research participants, 10 studies (52.63%) had less than 10 participants, and 3 papers (15.79%) had more than 50 participants. 119(28.81%) participants were aged between teens and 40s. The most common type of trauma experienced by participants was ‘repetitive trauma’, with 17 people (89.48%). Regarding music therapy intervention, the independent variable was ‘expressive music activity’, which was the most com-mon with 9 studies(47.37%), and the dependent variable was ‘composite’ variable with two or more areas estab-lished, which was the highest with 8 studies(42.11%). The type of intervention was ‘group’ in 10 cases (52.63%), and the number of sessions was 10 to 19 sessions, 8 cases (42.11%). The intervention time was 40 to 50 minutes in 4 cases (21.05%). Lastly, the location of music therapy intervention was often carried out in a ‘music practice room or music therapy room’. Except for four papers, treatment interventions were performed by professional music therapists.&#x0D; Conclusions This study provided a comprehensive perspective on the characteristics of music therapy for pa-tients with post-traumatic stress disorder (PTSD).

Exploring adolescents’ experiences of talking about race, ethnicity and culture during dialectical behaviour therapy (DBT): a qualitative study using thematic analysis

Abstract Although anti-racist adaptations to dialectical behaviour therapy (DBT) are emerging, little qualitative research exists exploring adolescents’ perspectives on therapists’ approach, cultural competency and humility regarding ethnicity, race and culture (ERC) within DBT. This study explored diverse adolescents’ experiences of talking about ERC during all aspects of DBT treatment. Ten adolescents from diverse ERC backgrounds who attended DBT at a National and Specialist Child and Adolescent Mental Health Service (UK) completed semi-structured individual interviews that were transcribed verbatim and analysed using reflexive thematic analysis, adopting a critical realist approach. Five over-arching themes were developed from the data. Theme 1 captures the power for explicit ERC-related conversations to facilitate change, as they are frequently overlooked in therapy. Theme 2 discusses factors that facilitate or inhibit ERC-related discussions. Theme 3 captures the difficult ‘double bind’ that adolescents find themselves in: not wanting to be a spokesperson for ERC issues whilst hoping for their therapist to facilitate/model ERC-related discussions. Theme 4 explores how adolescents navigated their identity in relation to ERC, their wider systemic context, and experiences of ERC-related trauma. Theme 5 explored therapeutic alliance, and how therapists might encourage DBT skills use with greater ERC sensitivity, emphasising validation. Using a bottom-up approach, we show a clear mandate from diverse adolescents for (White) clinicians to proactively create the space and safety required for ERC-related discussions. We emphasise the importance of anti-racist praxis including cultural humility, multi-cultural competencies, and validation of ERC-related difficult experiences within a wider systemic context. Key learning aims (1) A recent publication by Pierson et al. (2022) has raised the importance for White DBT therapists to adopt an anti-racist position and actively reflect on how a lack of anti-racist stance can form therapist treatment-interfering behaviours. (2) The current study explores the views of adolescents from diverse ethnic, racial and cultural (ERC) backgrounds on how ERC issues are being brought into DBT. (3) Adopting a bottom-up approach, we identify key themes from adolescents’ perspectives on the barriers and facilitators to talking about ERC in the therapy room, why such discussions are important in supporting adolescents to navigate their own identity in therapy, and recommendations for clinicians to consider on ways of increasing and enhancing such conversations in the clinical setting.

Synergy Between Rhythm Therapy and Escape Room in the Training of Future Teachers

The application of the gaming approach combined with rhythm-therapy in the educational process has the potential to immerse learners in an environment where acquiring educational content becomes an exciting experience. It helps them discover and overcome challenges collectively, fosters learning, and develops critical and analytical thinking. The synergy between these two approaches contributes to the development of competencies for future educators and the formation of their comprehensive and harmonious personalities. The article explores the implementation of the "Escape Room" method as part of the gaming approach and rhythm therapy approach in successfully teaching future educators. It describes a game based on the story of Little Red Riding Hood. The impact of the storyline in the "Escape Room" model is enhanced by integrating rhythm therapy. This approach enables students to apply their knowledge to solve specific problems in untypical situations, work under pressure dictated by a specific rhythm and music.

Features of the organization of space-planning solutions for nuclear medicine facilities

The purpose of this article is to determine the typology of the main functional zones for nuclear medicine facilities (NMF) and the formation of principles that affect the architecture of these typological zones. The methodology of this study is an analysis of scientific works, a generalization of practical experience in the architectural design and construction of the NMF.The result of the study is the definition of the main typological zones of the NMF, the identification of the principles that affect the formation of the architecture of the NMF in relation to each zone. The study is aimed at the formation of the space of the typological zones of the NMF, taking into account the maximum provision of comfort. Keywords: architecture of nuclear medicine facilities (NMF), typological zones of the NMF, principles of the NMF architecture, medical institution, adaptive space, radiation therapy rooms, radiopharmaceuticals production facilities, positron emission computed tomography (PET centers) research rooms, clean rooms.

Практичні аспекти застосування парентеральної озонотерапії у лікуванні різних контингентів хворих

In Ukraine, parenteral ozone therapy has been successfully used for many years in the treatment of injuries, poisonings, infectious and non-infectious diseases. Clinical evaluation of the effectiveness of ozone therapy is carried out by doctors based on various approaches and using a wide range of biomarkers. Aim. Analysis of the results of the practical use of parenteral ozone therapy and determination of parameters of its clinical effectiveness in the treatment of patients in the intensive care unit. Materials and Methods. Summarized results of treatment of 144 patients with poisoning, injuries, infectious and somatic diseases, aged 18–72 years, women ‒ 84 (58.3%), men ‒ 60 (41.7%), who underwent a course of parenteral ozone therapy in 2017-2021 in the CNE Kyiv City Clinical Hospital of Emergency Medical Care and ozone therapy rooms of private clinics. Parenteral ozonation of blood was carried out with the help of devices of the "Bozon-N-plus" series following the methodology approved by the Ministry of Health of Ukraine ("Methods of ozone therapy", 2001). The methods of systematic, comparative and statistical analysis were used. Results. All patients were divided into 5 clinical groups based on the nature of their disease: the first group ‒ patients with acute poisoning by substances of suffocating hemotoxic effect; the second group ‒ patients with acute infectious diseases; the third group ‒ patients with chronic non-infectious diseases; the fourth group ‒ patients with purulent wounds; the fifth group ‒ patients with drug addiction. Criteria for evaluating the effectiveness of ozone therapy were used for each clinical group. A total of 1423 medical procedures using ozone were performed. The average course of treatment consisted of 3 to 10 procedures. Among them, 313 procedures of intravenous infusion of ozonated physiological solution (200 ml, ozone dose ‒ 0.48 mg, procedures were performed daily or every other day) were performed. 1110 procedures of intravenous infusion of ozonated autologous blood (200 or ‒ 400 ml of autologous blood, ozone dose ‒ 1.8 or 3.6 mg) were performed. The beginning of the course of autohemotherapy was preceded by a session of intravenous administration of ozonated physiological solution (the first procedure), after which the course of autohemotherapy began, with a frequency of 2-3 times a week. Conclusions. The clinical effectiveness of ozone therapy has been confirmed through a complex dynamic assessment of the patient's condition, which involves the use of subjective assessments (well-being, mood, duration of sleep, severity of pain syndrome, etc.) and objective parameters of the patient (clinical, functional, laboratory indicators, specific biomarkers). Keywords: chemical poisoning, ozone therapy, blood ozonation.

Nature by prescription

Az groeninge hospital is located in an extensive nature domain. With the 'nature on prescription' project, the hospital brings patients, visitors, employees, and residents closer to nature. And to each other.&#x0D; The project is a collaboration with the city of Kortrijk, Doerak, Intercommunale Leiedal, Natuurpunt, Stadlandschap Leie en Schelde, Province of West-Flanders and Agency for Nature and Forest.&#x0D; It has been proven: nature has an important influence on our health. Fifteen minutes of nature a day is enough to lower the stress hormone cortisol. Depressive feelings are also reduced if you get out into nature. In addition, exercise in green spaces stimulates social interaction with others.&#x0D; This project ensures that the urban green reserve Marionettes, the Kennedy forest and the green area around the hospital can maximize their added value for visitors, patients, employees, and the local community. Doctors can prescribe a walk in nature. Waiting during consultations takes less time if you can get outside for a moment.&#x0D; Nature in your neighborhood. Something for everyone&#x0D; Az groeninge's garden is split into different zones with various thematic corners. The area around Zibi's tree house - a therapy room for children - is a zone where biodiversity is encouraged by smart mowing management. Other areas of grass remain untouched so that nature can take its course.&#x0D; Attached to the House of Movement are an orchard and a meadow where donkeys are at home. Animals are often a good distraction and are also used during therapy sessions. Care greenery in the context of therapy works on the state of mind. Patients find peace and distraction.&#x0D; Employees of az groeninge who are also beekeepers take care of bees in the bee hotel in their spare time. Those bees also provide delicious az groeninge honey.&#x0D; A visit to the hospital is often an unpleasant experience for children. An obstacle course is set up in the courtyard, we have a climbing wall adapted for children and the educational center "Doerak" near the hospital organizes various activities.&#x0D; The Koesterplek&#x0D; From the rainbow garden with all kinds of ecologically grown flowers, a path leads to the place where we cherish our lost ones. Here people can retreat into nature to remember someone. People can leave a message in a locked mailbox or hang a name disc in the tree as a voice of remembrance.&#x0D; Theme routes&#x0D; Through an app or the website, people can also follow a number of interactive routes around different themes such as stress reduction and children's yoga.&#x0D; Everyone Welcome&#x0D; Through integrated cooperation with different partners, we have succeeded in connecting people with nature and with each other: not only patients, visitors, and employees from the neighborhood but also residents from the region are welcome. Each partner has placed accents in the project from its own core business. Care, nature conservation, education and experience go hand in hand.&#x0D; Nature is good for body and mind. With "nature by prescription" we open the door to our gardens. Everyone is always welcome! Even without a prescription.&#x0D;

Maximizing Student Outcomes in Schools: Data-Driven Individualized Education Program Goals and Objectives Aligned to the Standards.

Federal and state laws require schools to be accountable for student performance on measures of academic achievement in literacy, mathematics, and science skills; monitor high school graduation rates; and track student growth and academic progression throughout the grade levels. Success on these measures gives students pathways to postsecondary options in the workforce, technical education, or college/university education. Speech-language pathologists (SLPs) can utilize existing data sources in the school in conjunction with their knowledge of diagnostics and treatment of cognition, language, and culture to maximize student outcomes beyond the therapy room and in the curriculum standards. This clinical focus article will review methods of data collection from existing sources in the students' grade level and academic content curriculum. Utilization of information and input from parents, teachers, paraprofessionals, and others who support the student's academic endeavors will be discussed for Individualized Education Program Present Levels of Academic Achievement and Functional Performance and goal development. Procedures for the SLP to collect independent data aligned to standards-based curriculum will be explored. Consideration will be given for utilizing data to develop future goals and objectives. The benefits of data collection for monitoring student progress and success in the grade-level or alternate standards will be highlighted through case examples. Techniques for classroom-based services, model lessons, coaching, and co-teaching will be presented. SLPs are recognized as specialized instructional support personnel who have unique knowledge and expertise for diagnosing and treating speech/language impairments (S/LI) disabilities. By understanding how they can use existing data and apply it to developing intervention plans, SLPs can ensure students with S/LI disabilities experience the maximum potential for outcomes in academic and functional success. Data-driven tools and methods aligned to the grade-level standards and curriculum are one of the most powerful tools in an SLP's toolbox. https://doi.org/10.23641/asha.24869592.

The Music Must Play On: The Music Therapy Sessions that Should not Have Stopped

Seventy-six-year-old Rose was referred to me for music therapy with a diagnosis of residual schizophrenia. Rose was very passive and only wanted to listen to French chansons. After two years, I ended the therapy out of a belief that our music therapy sessions were not meaningful for her. About a year later, I took on more work hours and Rose surprisingly returned to the therapy room and requested to listen to music. I now realize that I was wrong to believe that the absence of active participation indicated a lack of meaning. A receptive state is not a passive state, and a relationship with a client can also be formed by listening to music together.

Effects of Script Training to Improve Discourse in a Patient With Chronic Aphasia

Purpose: Script training is a well-known treatment designed to improve functional communication in patients with aphasia. In this clinical study, we examined the effects of low-tech script training for J.W., a 73-year-old patient with chronic nonfluent aphasia acquired at age 60 years. Method: Using a single-subject, multiple-baseline design across three scripts, we assessed the effects of script training on percent script correct (PSC) and words per minute (WPM). The study took place in a university-based outpatient clinic and consisted of six training sessions plus 15 min of recommended daily homework. We adapted standard procedures in accordance with J.W.'s individual strengths, limitations, and preferences. Results: J.W. reached criterion (PSC = 80%) within two to three training sessions across three scripts (pretreatment: M = 17%, posttreatment: M = 83%). Moreover, he improved in communication effectiveness, nearly doubling his rate of speech from pre- ( M = 31.53 WPM) to posttreatment ( M = 59.59 WPM) sessions. Conclusions: We conclude that a brief script training intervention improved the ability to communicate effectively and efficiently for this patient with chronic aphasia. Anecdotally, J.W. also reported using the scripts successfully outside of the therapy room on a regular basis and expressed an interest in using script training in the future. Although methodological limitations of this clinical study must be considered, low-tech script training appears to have benefited this patient's ability to engage in functional discourse even 13 years poststroke.

Client and Therapists’ Subjective Understanding of an Ideal Therapy Room: A Divergent Reflection of Experience

An abundance of studies showed that the room/space where therapy takes place could significantly impact the engagement, process, and how people experience therapy. The need to balance the comfort of the room with its fundamental functionality to clients is essential. Nevertheless, studies that report on the perception of therapists and clients about an ideal therapy room are scarce. This study, therefore, aimed to explore the subjective understanding of what makes an ideal therapy room from the perspective of clients and therapists. The study utilised a qualitative descriptive research design and adopted a grounded theory method. Eight participants (three therapists and five clients) volunteered to participate in the study. The participants were purposively recruited for the study and participated in individual semi-structured interviews. Data obtained were transcribed verbatim and subjected to thematic analysis. Results showed divergent views among the participants about what constitutes an ideal therapy room. Confidentiality, spatial environment, contextual awareness, and privacy were the key emergent themes. Several subthemes pointed to comfortability, brightness, colour, nice viewing, and focus points as recurrent issues determining how ideal the participants perceive a therapy room. Conclusion The results align with Rapoport’s (1992) meaning of the built environment, which emphasises the variability of peoples’ reactions to the environment in terms of its meanings. Implication The study implicates the need for therapists working with clients in therapy rooms to consider what the room means to their clients and tailor the environment to suit their clients’ preferences as much as possible or make this an object of exploration at the start of the session. The built environment designers will also benefit from considering these points perceived as significant.

Shame containment theory—a new approach to shame

Shame is often overlooked in therapy in favour of anxiety and guilt (Lansky &amp; Morrison, 1998; Solomon, 2021). Indeed, there is little emphasis on shame within psycho- therapy training and a noticeable lack of recognition to its relationship with attachment (Solomon, 2021). And yet, shame is described as an attachment emotion by some shame theorists (Lewis, 1971; Schore, 1991). Shame is a complex emotion that is often hidden, making it difficult to work with and can leave clients feeling frustrated that they are stuck in the same relational patterns. Ultimately, unacknowledged shame in the therapy room and the understanding of how shame influences self-perception can be detrimental to thera- peutic outcome. This article introduces a new theory of shame: shame containment theory (SCT). The premise being that shame is vital to self-protection and attachment. By exploring the history of shame in psychoanalytic psychotherapy and presenting current models of shame, this article will demonstrate how SCT is a needed addition to contemporary shame theory, with particular relevance to attachment theory. Using a brief case study, this article will demonstrate how SCT relates to presentations in the therapy room. This lens on shame as an attachment emotion offers therapists a new model with which to understand and work with shame.

The characteristics of the acoustic environment and the restorative benefits of soundscape in interventional therapy rooms

Coronary heart disease (CHD) has become one of the most serious health problems in the world. As a treatment environment for CHD, the acoustic environment in the interventional therapy room is crucial to patients and healthcare workers. To investigate the characteristics of the sound environment in interventional therapy rooms and the soundscape health benefits of the soundscape for patients, acoustic measurements and noise behavior observations were conducted in various areas of an interventional therapy room, and soundscape intervention experiments were performed on patients treated there. In this study, CHD patients were used as the research object. Results show that: 1) the background noise levels for waiting area (WA) and operation area (OA) under empty field conditions were 54.5 dBA and 52.8 dBA, and 66.43 dBA and 64.2 dBA, respectively, under conditions of usual use. 2) Patients perceived the acoustic environment as noisy and uncomfortable in both areas, with OA being more severe than WA. 3) Natural sounds from composite sources has a greater potential for restorative benefits than single-source soundscape.

Do Adult Naïve Listeners Perceive Differences in Speech Before and After Therapy for Cleft Palate Speech Disorders? A Reliability Study of Perceptual Speech Ratings.

This study compared the interrater reliability of adult naïve listeners' perceptual assessments of different speech variables in children with a cleft palate with or without a cleft lip (CP ± L). In addition, the study investigated whether the listeners were able to perceive differences in these speech variables before and after speech therapy for cleft palate speech disorders. Thirty-four speech samples of 14 children with a CP ± L (14 samples collected immediately before 10 hr of speech intervention, 14 samples collected immediately after speech intervention, and six randomly selected samples that were duplicated to assess intrarater reliability) were perceptually assessed by 26 adult naïve listeners. The listening panel consisted of nine men and 17 women (age range: 18-51 years). The speech variables included speech understandability, speech acceptability, hypernasality, hyponasality, nasal airflow, and articulation, which were assessed on a visual analog scale. Furthermore, the need for speech therapy was assessed. Good to very good interrater reliability was observed for the naïve listeners' ratings of all speech variables. A significant time effect was found for the pre- and postevolution of the speech variables "speech understandability," "speech acceptability," "nasal airflow," and "articulation." This time effect indicates an improvement of these variables postintervention. According to the naïve listeners, children were less in need of additional speech therapy after the 10-hr intervention period compared to assessments before this intervention period. Adult naïve listeners perceptually identified an improvement in different speech variables after 10 hr of cleft palate speech therapy. These findings confirm previous assessments of expert speech-language pathologists and suggest that speech improvements after cleft palate speech therapy can also be perceived by communication partners outside the therapy room. Perceptual ratings of naïve listeners can, thus, be used to add life-situation significance to the assessments of experts. Future research could include both expert raters and caregivers or relatives of children with a CP ± L in listening panels, as previous knowledge on craniofacial anomalies may lead to different results.

Effects of Virtual Reality-Assisted and Overground Gait Adaptation Training on Balance and Walking Ability in Stroke Patients: A Randomized Controlled Trial.

This study compared the effects of virtual reality-assisted gait adaptation training with the overground gait adaptation training on balance and walking in patients with stroke. Fifty-four eligible patients were enrolled. All patients were randomly divided into a virtual reality and control group, with 27 patients in each group. The virtual reality group received virtual reality-assisted training on the treadmill, whereas the control group received overground training in a physical therapy room. After the intervention, patients were assessed using walking speed, obstacle avoidance ability, Timed Up and Go test, postural stability, and the Barthel Index. Significant improvements in walking speed, obstacle avoidance ability, Timed Up and Go test, and eye-opening center of pressure speed were observed after the intervention ( P < 0.05). No statistically significant differences were found in eye-closing center of pressure speed, tandem center of pressure speed, single-leg center of pressure speed, and Barthel Index ( P > 0.05). Stroke patients may benefit from virtual reality-assisted gait adaptation training in improving walking and static balance function and reducing the risk of falls.

Why aren’t we talking about climate change? Defences in the therapy room

Increased attention is being given to the psychological impact of climate change, often termed eco-anxiety, which is predicted to increase and be widespread. Despite this, therapists and clients do not frequently discuss this in their sessions. Indirect side-mentions may be made by clients but these are often not opened up for further exploration. This paper outlines findings from narrative interviews with therapists and clients that show both are defended in sessions against potentially overwhelming feelings. A variety of mechanisms including unconscious individual, organisational and social defences are observed. I draw on the concepts of containment, transitional space and the therapeutic third help to understand these dynamics. Findings suggest that therapists need training and to have worked through their own anxieties regarding climate change in order to work effectively and safely with clients around this issue. I conclude that therapy needs to be re-visioned as a psycho-social endeavour. Keywords eco-anxiety, psychotherapy, unconscious defences, social defences, psycho-social methods, thematic analysis, narrative interviews, containment, therapeutic third, transitional space

Who is This Child? From Observation to Formulation and Therapy Goals

ABSTRACT Clinical observation is constantly used in our work: during assessment, when a specific question or need arises, and in fact, during each and every therapeutic hour. When observing a child, whether in natural setting or in the therapy room, on preliminary assessment or during an ongoing psychotherapy, two basic questions need to be related to: “Who is this child?” and- “How may we help him?” In the following paper, characteristics and phases of developmental-psychodynamic noninterventive observation are described. It is then demonstrated by two clinical vignettes, how such observation may afford at least preliminary replies to these questions, and provide meaningful, useful leads to therapists, care-takers, and educational teams to explore and to move forward. Observation is a process of hypothesizing, confirming or refuting our hypotheses, and finally of integration, as we face the creative challenge of translating nonverbal, emotional experience into verbal, concise professional language. The end product of observation is formulation: relating to specific, unique child and family, connected to emotional experience and preserving its truth and authenticity, and at the same time useful and practical in defining and formulating therapeutic goals.

The multicultural play therapy room: Intentional decision making in selecting play therapy toys and materials.

The multicultural play therapy room: Intentional decision making in selecting play therapy toys and materials.

Staying in my lane: An exploration of counsellors' and psychotherapists' understanding and use of nutrition in the therapy room

AbstractIntroduction and AimsA significant body of research has found a positive association between a healthy diet and good mental health, and between an unhealthy diet and poorer mental health. Despite this, nutritional education and methods of intervention remain largely absent from psychotherapy training and practice, and mental health professionals worldwide report poor nutritional literacy. This study aims to explore how therapists understand and view diet and nutrition in the context of mental health, and whether, and how, they use this knowledge with clients.Methodology and MethodsThis qualitative study used an interpretative phenomenological analysis approach when collecting and analysing the data. Participants were from throughout Ireland, with recruitment taking place via an email call for participants. A brief pre‐interview conversation ensured respondents fulfilled the inclusion criteria. Six integrative/pluralistic psychotherapists were interviewed about their views and understanding of nutrition in relation to mental health and psychotherapy, as well as about their training, supervision and their use of diet‐related interventions with clients.FindingsFour master themes were identified: “therapist experiences and beliefs,” which relates to how participants experienced and viewed nutrition on personal and professional levels; “meanings associated with food and nutrition” by therapists, and their perception of the meanings their clients placed upon food; “boundaries and barriers” that therapists experienced or perceived when it came to discussing nutrition with clients; and “the silence around nutrition in psychotherapy,” in terms of its absence from training, supervision and peer discussions.Discussion and ConclusionsThe study highlights the importance and meaning that individuals place on nutrition for mental well‐being, while also highlighting its absence from training programmes, supervision sessions and discussions with peers and within the wider profession. The study further indicates potential boundary issues and ethical concerns as a result of the disparity between training/supervision and client needs/therapist practice.