Blog

Discovering Meaning in Transition

If life is a journey, most of us can identify transitional points along the way and perhaps some of us are negotiating these now. Transitions bring change, transformation, creativity and hope but they are often made of loss, confusion, illness and anger. You can, however, harness the power of transitional moments or periods in your life, heal and move into new spaces, finding meaning in the journey.

I am privileged to have been witness to the courage of my clients: those learning to embrace new things, those accepting themselves or others, those finally saying no, those finding their voices, those learning to let go, those walking the difficult path of grief and those navigating the treacherous waters of mental and physical health problems.

Clients have said that the sessions validated where they currently are and gave “permission to go into the future”.

Discovering meaning in transition is essential in order to tie our story together and make sense of who we are. This allows us to walk a full circle and brings a sense of completion to each journey we take, whether it be relationship-oriented, career-oriented, health-oriented or self-development-oriented. Only from this space of self-knowledge can we make sense of what we want, where we want to be and where we have come from. The process of meaning making and engaging with ourselves so deeply and honestly is difficult at times – sometimes it seems easier to forget or ignore parts of who we are or where we are. Yet our core or essence — our true self — wants to enter into conversation with us and bring transformation, healing and integration. During these conversations, we begin to discover meaning in transition and it is a rewarding, memorable journey, unique to each individual.

I use a variety of approaches in my practice to facilitate the discovery of meaning in transition including:

ARTS THERAPY – MUSIC THERAPY

DREAM WORK

MANDALA ANALYSIS

GUIDED IMAGERY, SOUND AND MUSIC

VOICE WORK

ECOTHERAPY

DEEP RELAXATION SESSIONS

Sessions are 60 – 90 minutes and aimed at adults and some teenagers. My practice is located in a beautiful garden studio in the Southern Suburbs of Cape Town, South Africa. Please click here to book a session.

Let Creativity Work For You – Building teams and gaining perspective with art and music

I have facilitated creative processes drawing on music therapy, arts-based learning and experiential learning at corporates, schools, universities and NGO’s in Cape Town. While these workshops/sessions fulfil different purposes depending on the client, they are playful, creative, non-invasive and ultimately offer new or different perspectives and insights.

The workshops are most often used for team-building, personal development and conflict management. However, more bespoke or tailored options are available too, such as a workshop for women in leadership or self-care workshops for employees.

The sessions are unique, drawing from my own interest and expertise in a variety of therapeutic, creative and healing modalities, including music therapy, as listed on the home page. Sessions will usually include a number of elements, including (for example) sensitively facilitated active music making, such as djembe drumming, as well as music listening and relaxation and also art-based processes that may include pastel, paint or collage work. These creative modalities offer employees, executives or students different ways of relating to one another and different ways of thinking about problems. The Full Circle is a creative space, offering enjoyment, insight and relationship.

To enquire about a group workshop at a company, NGO, school or university, click here.

What is Music Therapy?

Music is a profoundly powerful tool for connecting us to one another, to our emotions and to a sense of meaning. Qualified music therapists operate across the globe, including the tip of Africa, Cape Town.

Music therapy is the clinical use of music interventions and music experiences to achieve therapeutic goals, promote health and realise potentials. Music therapy is focused on the process of music experiences and the relationships developed through them.  Despite the name, musical training is not required; this is because all human beings respond to basic elements of music. Music therapy can provide opportunities for communication when words are insufficient and it can assist in releasing and exploring emotions. Like other therapists, music therapists encourage, provide support for and offer guidance to their clients.

Music therapists are allied health care professionals registered with the HPCSA. Music therapists in South Africa hold a Masters degree in Music Therapy and have completed at minimum 1000 hours of supervised clinical internships at various placement sites. Music therapy techniques are highly adaptable and are suitable for use with a wide variety of clients including adults, teenagers, the elderly, children and even antenatal or end-of-life care.

What can a client expect to do in music therapy?

  • Music improvisation, using instruments and/or voice
  • Drumming
  • Music listening
  • Therapeutic singing
  • Songwriting
  • Verbal processing and reflection
  • Movement to music
  • Reminiscence-based music experiences
  • Guided Imagery and Music/music visualisation experiences
  • Creative Processes involving music (including drawing, clay and painting)

Book an appointment with Melissa Ellse (MMus, Music Therapy) by clicking here.

img_20180828_163346_hdr260060131051446136.jpg

My brief foray into Dystonia: should we be ‘prescribing’ music therapy?

Music therapy can help patients with movement disorders improve motor functioning, improve mood, decrease anxiety, express and process emotions, acknowledge and confront their illness or symptoms, develop a stable identity and improve motivation for therapy.

Recently, I experienced an episode of dystonia, out of the blue, completely unexpected and rare in my case. Dystonia is a movement disorder. Muscles contract involuntarily and can spasm, often in repetitive motion, tremor and may cause the patient to physically twist.

Initially, I was intrigued. Being a music therapist, I have seen dystonic spasms and contractions in patients.  Before I was even worried for myself, I marvelled at how my body could contract, fold up, and move about like it had a mind of its own.

Soon the intrigue wore off. The uncontrolled, intensive and intrusive spasms in my face, trunk, neck and hands became tiring. All this movement. All this contraction. I could keep the contractions mostly at bay for short periods, enough to have a coffee at one of my favourite spots with a friend, although the twitches around my face, lips in particular, were still present. It was worse for me at night. When I became tired I lost the energy I needed to exert whatever control I could muster to restrain the spasms and contractions. My body would automatically seize up and contort in ways I didn’t think possible! I would lie awake for hours just being with these contortions.

I got tired. I got scared. And then I got emotional. Even my emotions stopped playing ball and ambushed me with unexpected bouts of sadness, seemingly rooted in the trauma of experiencing such an unusual degree of loss of control of my body.

man falling dystonia music therapy

About Dystonia

Dystonia is a movement disorder. Muscles contract involuntarily and can spasm, often in repetitive, rhythmical motion and may cause the patient to twist. Dystonia is sometimes painful and it may affect one’s speech. Dystonia can severely disrupt one’s lifestyle, work, social life and ability to care for oneself, depending on the severity. It can also affect one’s self-esteem, one’s sense of personal power and leave one feeling fearful. Understandably, dystonia may lead to depression, feelings of hopelessness and negative emotions because of a lack of agency and control over one’s body. Dystonia can be distressing for the patient and for the family.

As many as 250,000 people in the United States have dystonia, making it the third most common movement disorder behind essential tremor and Parkinson’s disease. It is a condition that knows no age, ethnic or racial boundaries – it can affect young children to older adults of all races and ethnicities.

https://www.aans.org/Patients/Neurosurgical-Conditions-and-Treatments/Dystonia

There are many causes for dystonia including:


My brief experience brought to my full attention the plight of many with symptoms of dystonia. Being a music therapist, I couldn’t help but be keenly aware of the specialised and effective interventions music therapy has to offer.

Should we be treating patients with movement disorders with more clinical music-making? Should we be ‘prescribing’ music?

Fortunately, my dystonic episode was short-lived. While it was uncomfortable, there was a great deal to learn. In my brief experience of dystonia, I tried my best to experiment with music therapy techniques and exercises. I found that while playing the piano, my symptoms were almost non-existent.  I also found that specialised music therapy exercises using vocals and tongue (or relevant body part) movement, as well as music and full body engagement exercises led to a feeling of increased agency, relief and control over my body. While I have worked with patients with dystonia, this experience afforded me an unbelievable window into the difficulty that some of these patients experience, as well as a clearer view as to how music therapy techniques are uniquely placed to offer relief, rehabilitation and experiences of freedom that may not be otherwise possible.

The research supports my experience: the brighter side of music in dystonia’ shows how playing the piano, can cause an “instant and complete improvement” in dystonia symptoms. This finding was unexpected because symptoms of dystonia are expected to worsen with activity. Piano playing — an active music making experience — seems to have a paradoxical effect.
Music therapists are able to treat dystonia at a musical-therapeutic level.

Music therapists view human beings musically. Our breathing is rhythm, our voices melody, our tone timbre, our way of speaking articulation, our movement form, for example. Repetitive twists and spasms can be viewed as musical events and be treated using clinical musical interventions. Music therapy, the clinical use of music processes, interventions and exercises in the music therapy relationship, can have an ordering, relieving and empowering function.

Rhythm, often with melody, used in music therapy are powerful forces for drawing the patient into a sequence of controlled rhythmic movements. Music therapists and the particular music therapy techniques helps to motivate, encourage and reward controlled movements, sometimes allowing for extended range of motion or more controlled movements.</strong> Music therapy techniques also allow a client to use their bodies more intentionally and to develop a different relationship with their body, pain or discomfort. 

Because of the musical nature of the therapy, the patient may naturally or automatically feel an inherent motivation to complete the therapeutic movement within the musical frame.  Difficult therapy sessions can be  made easier for the patient, even more enjoyable, by the medium of music, and may increases patient motivation to take part in therapy. 

We all have an innate understanding of the ability (the “power”) of music to prompt movement, restraint, expression and relief. Music therapists are highly trained and skilled in using music clinically, deliberately and specifically to work toward therapeutic goals in a way that music uniquely offers.

The transferability of these techniques into the patient’s life show great promise in the cutting edge research and practice coming out of Neurologic Music Therapy. These music therapy techniques give patients with dystonia hope and allow them to recognise that even with their symptoms, they can yet experience a measure of control and selfhood.

A music therapist will require that you have seen a medical doctor if you present with dystonia. There are also pharmacological treatment options, that should be explored. In extreme cases of dystonia or related conditions, music therapy addressing dystonia should be provided multiple times per week in order for neuroplastic rehabilitation to take place. There is a great deal research on music therapy and related disorders, including Parkinson’s, Huntington’s Disease, and many more.

We all have an innate understanding of the ability of music to move us, prompt physical movement, restraint, expression and relief. Music therapists are highly trained and skilled in using music clinically and deliberately to achieve therapeutic goals and are doing such work worldwide, including in Cape Town, South Africa.

What do you think? Should doctors be ‘prescribing’ music making for patients with dystonia?

What would you want as part of your treatment protocol if you experienced Dystonia?

Share this page with anyone whom you think may benefit from music therapy, or who might like to know more. If you want to book a music therapy session or consultation, please email me via the contact form, clicking here.

Melissa Ellse holds a Bachelor of Music (University of Cape Town) and a Masters in Music Therapy (cum laude, University of Pretoria). She is a part-time lecturer in music therapy at the University of Cape Town and a research supervisor at the University of Pretoria. She practices as a registered music therapist in the Southern Suburbs of Cape Town. She is registered with the Health Professions Council of South Africa (HPCSA reg no AT 0001350).

Music Therapy For Teens

We often hear that teenagers today face a greater burden than ever before.

Indeed, they have a significant load, including navigating social media, screen time, cyber-bullying and sexting not to mention overt peer pressure, academic pressure, pressure from family members and from themselves. These stressors all come at a time of identity formation and often confusion, frustration and difficulty regulation emotions, which can lead to overwhelming feelings of isolation, misunderstanding, high levels of anxiety and distress. Teenage suicide in South Africa is something to be taken very seriously, and the rising statistics are alarming. 

It is difficult to compare the challenges of teens today with the teens of every other generation. We can say with certainty, however, that our teens have new and different, never-before-faced challenges, which bring both new innovations and joys, as well as new problems. These new problems require new and creative approaches.

In my experience, music therapy is a non-threatening, creative and engaging therapeutic process during which teenagers tend to be open to building rapport, trust and establishing a working therapeutic relationship. Music itself is an important aspect of adolescent identity formation and plays a significant role in many teens’ daily lives – this helps to improve motivation, interest and engagement in the therapeutic process. This is especially important when faced with screen time addictions or lack of motivation to engage in other creative or social interactions owing to electronics/gaming/social media. In the music therapy process, teenagers can use non-verbal, creative means to express themselves in ways that they may not be able to in words alone, yet. This may provide some relief from overwhelming emotions as well as offer perspective. Teenagers may also reflect on their participation in the creative work, and develop their capacity for introspection and self-reflection. This also helps with developing coping skills. In group work, teens are able to offer support to others, develop social skills and reciprocal behaviours as well as share a range of experiences.  The relationships developed in music, expressive arts processes and reflection become forces for change in the teenager’s life. 

Contact me if you would like to find out more about music therapy for your teenager.

Melissa Ellse, registered music therapist, completed a Bachelor of Music (University of Cape Town) followed by a Masters in Music Therapy (cum laude, University of Pretoria). She is registered with the Health Professions Council of South Africa (HPCSA reg no AT 0001350) as well as the South African Music Therapists Association (SAMTA) and the South African National Association for Arts Therapists (SANATA).

Music Therapy and Substance Use

Are your patients benefitting from Music Therapy? – a call for treatment centers to make Music Therapy available.

Melissa Ellse offers individual and group music therapy in Cape Town, South Africa. She supports adults and adolescents diagnosed with mental illnesses and substance use disorder from an integrative, intuitive and clinically informed approach. Contact Melissa to enquire about group or individual sessions by clicking here.

What I Love About Music Therapy

Music Therapy Boy and Guitar

One of the great things about music therapy is that everyone, absolutely everyone, can respond to music. What I love about using music as a therapeutic tool is that it allows people to connect, communicate and discover meaning outside of the framework of words. I strongly believe that music can be a powerful tool for healing and self-discovery. I have been witness to this in my own life and the lives of many others and I am excited to see how the research is demonstrating the effectiveness of the clinical use of music within the healing professions.

While I enjoy working with clients from a variety of backgrounds and age groups, I feel particularly strongly about advocating for those who are marginalised by the mental health care system and/or the experience of stigma as well as providing opportunities for personal growth for individuals who may respond better to non-verbal or creative therapies, such as music therapy.

Music therapy naturally has a profound advantage in providing connection to clients with mild and severe disabilities as well as to clients all along the autism spectrum. Such individuals are often overlooked for traditional talk therapies and the opportunities for personal growth that come with them. Music therapy offers alternative and accessible experiences that promote reciprocal communication, development of communication skills, expanding range of expression and even expanding range of movement while nurturing the individual’s potential and musicality.

Music therapy is a burgeoning profession that is internationally recognised. In South Africa we abide by the highest ethical and professional standards of our professional association (SAMTA – South African Music Therapists’ Association) as well as the HPCSA (Health Professions Council of South Africa). While many people in Cape Town or Johannesburg may not have heard of music therapy, or met a music therapist, we are a small (yet growing) group of clinicians who are working in your schools, your hospitals and your clinics with children, teens, adults, the elderly and even new-borns.

38204344_1833578016724375_7769933706361307136_o (1)

Melissa Ellse, registered music therapist, completed a Bachelor of Music (University of Cape Town) followed by a Masters in Music Therapy (cum laude, University of Pretoria). She is registered with the Health Professions Council of South Africa (HPCSA reg no AT 0001350) as well as the South African Music Therapists Association (SAMTA) and the South African National Association for Arts Therapists (SANATA).

Why do we ‘use’ music?

Music Therapy, Health and Self-Medication

Many of us self-medicate with music yet if asked we may not be aware that this is what we are doing. It seems we intuitively know we need music and most of us are particular about what, when and how we engage in music experiences. These six points briefly detail why we ‘use’ music, and why it is such a potent medication:

  1. Music reflects, magnifies and connects with that which is greater than me, the individual. Through music experiences, I can be connected to others, to community, to purpose, to shared values, to the spiritual and the collective unconscious.
  2. Music reflects, magnifies and connects to that which is within me. Through music experiences, I can witness and experience the complexity of my emotions and psychological states, even my thoughts. I experience myself differently.
  3. Music is a temporal form. Concrete, uninterrupted time is essentially and vitally linked to experiencing music as an art form. This means that through music experiences, I experience myself in time. This also means that through music experiences, I can experience time differently and experience myself differently in time.
  4. Linked to the above point, music has an ordering function. This means that through music experiences, I can experience myself as moving in an ordered manner through time, continuously unfolding, organised, with a beginning and an ending.
  5. Music reflects and magnifies the complexities of life, which may be too subtle and nuanced to notice or make sense of, or too difficult and complex to pay attention to.
  6. Music adds context and continuity to life. Emotions are magnified when music adds context, allowing me to deepen, release or clarify my response.

Music is powerfully transformative as a healing modality. There is no trite or simple explanation how or why, as both music and the human brain are infinitely complex phenomena. I encourage my clients to pay attention to how they respond to different kinds of music as a way to ignite interest and intuition in this area and I certainly promote self-medication with music!

 

38204344_1833578016724375_7769933706361307136_o (1)Melissa Ellse, registered music therapist, completed a Bachelor of Music (University of Cape Town) followed by a Masters in Music Therapy (cum laude, University of Pretoria). She is registered with the Health Professions Council of South Africa (HPCSA reg no AT 0001350) as well as the South African Music Therapists Association (SAMTA) and the South African National Association for Arts Therapists (SANATA).

Book an appointment with Melissa Ellse by clicking here.