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Patient Reactions: How Much is Too Much?


Patient Reactions: How Much is Too Much?

Hi Reader,

Before I get to a great question about dose and reactions to treatment that a colleague sent me - I want to make sure y'all know that we have some course series starting VERY soon and I don't want you to miss out (scroll down for the deets).

Our work in the real world...

We all know the situation - a client or patient comes in for a follow up and had a somewhat negative response to their last visit. But, we think back and feel like we met their system pretty well, remembering that perfect doesn't exist.

How do we respond to the person AND how do we reflect on the work itself to understand these inevitable occurrences?

1) A reaction to treatment can be good information, it means you got into the pattern and just have to adjust the approach a little bit. Sharing that with the client/patient is helpful.

2) There are unknowns with this work. We are often working on issues that conventional medicine doesn't have reliable options for - and we do. However, each situation is unique (and we treat as such) and so has some unpredictability to it. I share with patients that treatment offers us a good opportunity to learn about their system and what the best path is for us to take towards them feeling better. It's a learning process we do together!

3) Dose and Integration: I think often about dose with physical medicine. To me, dose is more than just how deep am I working, meaning how much pressure. I am asking myself, "how much am I asking this system to change?" Am I asking for change in a way that matches the systems capacity?

It is so common that our desire to help and passion for our work inspires us beyond folks capacity! There is great ease in settling in to doing less in a session and allowing your person's system to experience pace and space in your sessions. This may make them a bit uncomfortable and we can support them there too.

On this note, I have had some folks recently who have challenged my approach and really asked me to slow down. I have responded by sprinkling through treatment global integration techniques (like the dural tube release form CST). It really helps.

Last thing. These techniques that use less pressure (CST, Myofascial work and Visceral work - the stuff we love) are often termed subtle, I get it. And, they can have a BIG impact in a person's system. So, the touch can be subtle but the effect can be potent.

Fall Registration Deadlines
are Coming Up Fast!

Craniosacral Therapy Foundations

Early Bird discount ends August 23​
Class begins September 23

Myofascial Release for the Thoracolumbar Fascia

September 16

This class is the prereq for the rest of our myofascial series, we are only offering it twice in 2023/24 - don't miss out! These classes sold out last year.

SERIES DISCOUNT 20% OFF (that's 1 free class for you!)

Integrated Visceral Techniques

Nov 11-12 (in-person)
Oct 11 (online class opens)

Please don't miss this! We are offering our newly enhanced IVT only one time this year. To get these goods you have to start with IVT I in November, otherwise you gotta wait until later...

Or explore our entire 2023/24 curriculum!


New Branding!

You may have noticed a different look around the MMI digi-sphere.

Huzzah! We actually have an official "brand." I am just thrilled with it. You will see the brand slowly being implemented across our platforms. The logo is one flowing line, which represents continuity, connection and of course movement. You will see some different designs, like the one behind this message. They are all inspired by my time in the mountains and on the water and serve as visual signifier for our ongoingness of interrelationship.

Why brand now? Because we have created a full bodywork curriculum for holistic care providers and having a thoughtful brand says we take our role serving your work seriously.

A big shout out to Sami at Bones Creative. Sami was so fun to work with and very tolerant of my shifting ideas :)

Let us know what you think as you see the rollout! We're excited, we hope you are too.

1215 SE 8th Avenue, Suite B1, Portland, OR 97214
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Moving Mountain Institute

Thanks for trusting us with a little space in your inbox. We share periodic updates from Moving Mountain Institute and Michael McMahon—upcoming courses and registration dates, new writing, and reflections from teaching and clinical practice.

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