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“Beyond Therapy: The Transformative Role of OT in Mental Health”
Walking into Mariannridge Place for the first time, I felt a mix of curiosity and nervousness. I wasn’t sure what to expect, but I knew this orientation would give me insight into how occupational therapy projects run in a community setting. During the visit, the fourth-year students explained the projects they are running: two creches, a primary school, and a clinic focused on health promotion. Observing the structure and planning of these programs gave me a new appreciation for how OT can support communities even without direct client contact.
Even though I did not work with clients directly, I learned a lot about how occupational therapy interventions are designed and implemented in real-world settings. I saw that OT is not just about one-on-one therapy but also about creating environments and programs that promote health, development, and participation. The creche and school projects highlighted the importance of early childhood development and structured activities in building skills and routines. The clinic’s health promotion program showed how OTs can educate and support the wider community, connecting theory about health, occupation, and participation to practical applications (Townsend & Polatajko, 2013).
This orientation also helped me reflect on my personal growth. I realised that even observing and listening can be a learning experience. I became more aware of the variety of roles an occupational therapist can play, from working directly with clients to planning and coordinating community programs. It also encouraged me to think about my future career and the types of interventions I might want to be involved in, helping me clarify my professional interests and goals.
From a professional growth perspective, the orientation emphasised the value of teamwork, supervision, and structured planning. Seeing the fourth-year students explain the projects showed me the level of responsibility and organisation required in community OT. It reminded me that effective OT practice requires not only clinical skills but also the ability to communicate, plan, and collaborate with others.
Even in a short visit, I practiced critical thinking by asking questions about why certain activities were chosen, how they support development or health, and how they might be adapted for different groups. This reflection reinforced that OT is about understanding the needs of the population, designing meaningful activities, and promoting participation in ways that are relevant and sustainable.
In conclusion, my orientation at Mariannridge Place was a valuable introduction to community-based occupational therapy. Personally, it helped me see the bigger picture of OT practice beyond individual client sessions. Professionally, it highlighted the importance of planning, collaboration, and applying theory in real-life settings. My key takeaway is that OT is versatile: it can make a difference not only for individual clients but also for communities, creating opportunities for meaningful engagement and health promotion.
References Townsend, E., & Polatajko, H. (2013). Enabling occupation II: Advancing an occupational therapy vision for health, well-being, & justice through occupation. CAOT Publications ACE. Kielhofner, G. (2008). Model of Human Occupation: Theory and application. Lippincott Williams & Wilkins.
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Cultural Humility – The Final Chapter
As I take my final bow, I realise that fieldwork has truly been a journey of a thousand steps across valleys of a thousand hills. Some say pressure creates diamonds—well, I say it forces you out of your comfort zone and into growth. The scared, unsure guy who stepped through those hospital gates months ago in green scrubs isn’t the same person writing this. There’s been growth—not only in knowledge and skill but in my awareness of my own blind spots.
Welcome to the final stop in the OT Chronicles. It’s bittersweet. Fieldwork is ending, but the story isn’t over. Eighteen months may feel like a blink or a lifetime depending on the day, but who's counting?
Now, if you ask me what cultural humility is, I’d say let’s break it down: culture shapes how we live, make choices, and relate to others—it’s our roots. Humility is about how we show up in the world, especially when we don’t know everything. According to the University of Oregon, cultural humility is a lifelong practice of self-reflection—acknowledging how our personal and cultural experiences shape how we engage, lead, and treat others. It involves recognising power dynamics, being open to learning, and dismantling internalised stereotypes.
Source: University of Oregon, n.d.
Sometimes, cultural humility gets confused with cultural competence. But just knowing about someone’s culture or adapting communication doesn’t guarantee you’re being humble. In fact, it can do the opposite—lead to assumptions and generalisations. I learned this the hard way.
Take my experience with a Zulu male client. I walked into our session already thinking I knew what to expect. That bias ended up shaping how I saw his occupational roles. I avoided meal prep activities with him because I assumed it would clash with traditional gender roles in his culture. Sure, I was partly right—he wasn’t interested in domestic chores—but I realise now that I reduced him to his cultural group, instead of seeing him as a person with his own choices, beliefs, and identity. That moment challenged me to re-think: culture can inform, but it shouldn’t define.
Cultural humility explained visually: YouTube, 2019
Cultural humility also plays out in how we interact. It starts with rapport—how we greet, how we listen, and how we make others feel safe. I naturally present myself as warm and expressive, but I learned that for some, especially older clients from traditional backgrounds, this could be misread as disrespect. For one Shembe client, I had to adapt—avoiding eye contact, controlling my tone, and holding back on my usual vocal energy. It felt unnatural at first, but it was a chance to better understand not just his religion, but how it shaped his way of being.
Power dynamics come into play too. As therapists, we often carry implicit authority. When my CVA client told me he believed his stroke was caused by a white bird sent through witchcraft, I’ll admit—I struggled. I initially tried to explain the "real" medical cause, hoping he’d see my logic. But I was missing the point. Cultural humility would’ve meant not just accepting his belief but working collaboratively within it. According to Singh et al. (2022), acknowledging power imbalances, validating clients' perspectives, and adapting our practice can lead to more inclusive and equitable care.
Singh et al., 2022 – BMJ Open
There was another moment that stuck with me. One client said, “All I need is prayer, and Christ will hear my cry.” I froze. OT is about giving hope—but what if that hope doesn’t align with our clinical models? I believed in prayer too, but I had buried that part of me after personal loss. All I could offer was reassurance grounded in medicine. But that wasn’t enough. I missed an opportunity to connect more deeply, spiritually. That session reminded me how much religion shapes not just beliefs, but motivation, choices, and engagement. Our job is to hold space for that complexity, not reduce it.
Franklin once said, “Tell me and I forget. Teach me and I remember. Involve me and I learn.” That’s exactly what my supervisor did. She involved me in my learning. She didn’t just teach from the textbook—she challenged me to think critically, to connect the dots, and to see beyond surface-level performance. What I thought would be a rigid teacher-student relationship turned out to be a dynamic space of support, reflection, and growth.
So, OT enthusiasts, here’s my take-home message: we are better together. That means acknowledging where we overlap culturally, but also embracing our differences. It means being open to learning from our clients, from each other, and from our own mistakes. South Africa is a rainbow nation with 11 official languages and a rich diversity of stories, beliefs, and traditions. Cultural humility is about seeing people as individuals within that diversity—not despite it.
We’ve closed this chapter, but the book isn’t finished. This isn’t goodbye—it’s see you soon.
Singh, S., Solomon, S., Hocking, C. and Joseph, J., 2022. Exploring occupational therapists’ perspectives on cultural humility in clinical practice: A qualitative study from India. BMJ Open, 12(7), p.e063655. Available at: https://bmjopen.bmj.com/content/12/7/e063655 [Accessed 29 Apr. 2025].
University of Oregon, n.d. What is Cultural Humility? The Basics. [online] Available at: https://inclusion.uoregon.edu/what-cultural-humility-basics [Accessed 29 Apr. 2025].
YouTube, 2019. *Cultural
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A Reflection on Collaborative Practice in MDTs
“The way to achieve your own success is to be willing to help somebody else get it first.” – Iyanla Vanzant
Welcome back, OT enthusiasts. This week, we’re stepping into what I call the "MDT Museum"—a gallery filled with well-framed theory, echoing hallways of good intentions, and the occasional dust of reality. The multidisciplinary team (MDT) was built with purpose—to offer integrated, client-centred care. But here’s the real question: does it truly live up to that vision?
I’ve come to learn that collaboration is not just a process—it’s an identity. It’s not simply what we do; it’s who we are.
When Collaboration is All Talk, No Team
As defined by NHS England (2022), collaborative practice is when professionals from various disciplines join forces to make joint decisions that serve the client, his family, and his community. Beautiful on paper. But the real-life picture? It’s often pixelated.
Let me bring it closer to home. Imagine a man admitted to the ward following a CVA. His recovery demands a full team—the nurse for daily care, the doctor for diagnosis and treatment, the physiotherapist for mobility, and the OT to restore functional engagement. No one profession outranks another; it’s a shared mission. When one doesn’t show up, the whole process unravels—and the client pays the price.
The Internal Fight: Confidence vs Doubt
One of the realest challenges I’ve faced in collaborative practice isn’t the system—it’s me. I’ve battled with doubt. Does what I say matter in that MDT meeting? Can I hold my own when everyone else has more experience?
It took deep reflection (and a supervisor who doesn't sugarcoat) to realise that sometimes it's not fear, it’s performance pressure. Am I truly advocating for my client? Am I representing him with the strength and clarity that occupational therapy demands? These questions started shaping my voice—not to be the loudest in the room, but to be intentional, theory-driven, and client-focused.
Breaking Out of the Rehab Box
Confession: I used to think MDTs were just for rehab. That’s where the mind automatically goes as a student. But I’ve come to understand that true collaborative practice stretches far beyond that. When working with a male client with CVA, for example, the team might include educators, therapists, medical personnel, and caregivers—each with a stake in the client’s development.
It’s more than health—it’s holistic. And that mindset shift? Crucial.
Systems, Silos, and Subtle Disconnections
It's tempting to point fingers when collaboration fails, but systems often create those cracks. Overworked staff, inconsistent handovers, short notice discharges—these things erode trust and teamwork. In my experience, the system sometimes rushes to clear a bed before therapeutic goals are even met. That’s not collaboration; that’s compromise. And it's the client who gets shortchanged.
The Green Scrubs Struggle
I’ve often wondered if OT is invisible under our green scrubs. Do we get overlooked? Do our contributions echo in empty rooms? As Mr. Dee says, we are “professors of occupation”—but do others see us that way?
Ainsworth (2021) argues that interprofessional education is vital for helping future professionals work together effectively. It tears down walls, builds bridges, and makes space for the OT voice to be heard in even the most crowded room. But sometimes it still feels like I’m whispering into the wind.
From Classroom Group Projects to Real Teamwork
The best teamwork I’ve seen? Honestly, it’s been in the student space. My peers showed me what genuine support looks like. Whether it was assisting with sessions, sharing insights, or just being a sounding board, we formed a community where learning and growth could thrive. It was more than a support system—it was a lifeline.
It showed me that “team” isn’t just a title—it’s a trust.
The Making of a Professional
There were days I felt like a fish out of water—awkward, unsure, gasping for confidence. But feedback from my supervisor started to breathe life into parts of me I hadn’t tapped into before. I discovered a version of myself I didn’t know existed. I started seeing past my student status and into the potential of the therapist I’m becoming.
Final Thoughts: Walk in His Shoes
Here’s what I’m walking away with this week: real collaboration starts when we put our ego aside and step into the shoes of another. That includes the doctor, the nurse, the physio, the fellow OT—and most importantly, the client himself. Because he, too, is part of the MDT.
Isaac Newton once said, “If I have seen further, it is by standing on the shoulders of giants.” We rise higher by standing on each other’s strength, not by standing alone.
So, is the grass greener on the other side? Maybe. But I’ll say it again: The grass is greener where we water it.
References
Ainsworth, M. (2021). Interprofessional education: Building bridges across disciplines. Journal of Health Professions Education, 34(2), pp.78–85.
NHS England. (2022). Working in multidisciplinary teams. [online] Available at: https://www.england.nhs.uk[Accessed 17 Apr. 2025].
Alberta Health Services. (n.d.). Collaborative practice and team-based care. [online] Available at: https://www.albertahealthservices.ca [Accessed 17 Apr. 2025].
Newton, I. (1675). Letter to Robert Hooke. In: H.W. Turnbull (ed.), The Correspondence of Isaac Newton. Cambridge: Cambridge University Press.
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The Future is Bright: Embracing Innovation and Compassion in Occupational Therapy
The future of occupational therapy (OT) is shining with opportunities, thanks to technological advancements and evolving healthcare needs. As we prepare to meet the challenges ahead, occupational therapists must continue to prioritize holistic, person-centered care while embracing the innovations that will reshape our field. From virtual reality (VR) and telehealth to assistive technologies, the tools we use to support our clients are expanding—and so is our responsibility to ensure these tools are used ethically, creatively, and effectively.

Transforming Care Through Technology
One of the most exciting changes in occupational therapy is the integration of technology into everyday practice. Virtual reality is revolutionizing rehabilitation by allowing clients to practice real-life skills in safe, simulated environments. For example, individuals with intellectual disabilities can use VR to practice essential life skills like navigating public transportation or interacting in social scenarios. This allows for controlled, goal-directed activities that mimic daily tasks, providing a safe space for skill development and gradual progress (Levac et al., 2019).
Telehealth has also become a cornerstone of modern therapy, providing increased accessibility to clients in rural or underserved areas. For individuals with intellectual disabilities, telehealth offers a way to receive consistent support while remaining in familiar environments. This has made therapy more flexible and accessible, especially for clients who may have difficulty with transportation or other barriers (Cason, 2020).
Additionally, assistive technologies such as adaptive communication devices and environmental control systems are enabling individuals with intellectual disabilities to perform daily tasks more independently. These tools empower clients to communicate effectively, engage in meaningful activities, and navigate their environments with greater autonomy, thereby improving their quality of life (Smith et al., 2021). The future of OT lies in our ability to integrate these technologies into practice while maintaining a focus on the unique needs and goals of each client.
Building a Strong Foundation for the Future
As a student, I am committed to developing a solid foundation in both physical and psychosocial aspects of occupational therapy. I understand that mastering the technical aspects of therapy is essential, but equally important is the ability to connect with clients on a human level. I have seen firsthand how empathy and creativity can make a significant difference in therapy outcomes, particularly with individuals who have intellectual disabilities.
For example, during one of my placements, I worked with a client who struggled with an intellectual disability. While traditional interventions were effective in building certain skills, it wasn’t until I introduced a fun, engaging activity that I saw significant improvements in the client’s attention and motivation. We used a ball-and-bucket game to improve hand-eye coordination, and the joy and focus the client displayed during this activity showed me the power of combining creativity with therapy. This experience reinforced the importance of considering both the visible and invisible challenges our clients face and finding innovative ways to support their emotional and physical well-being.

Leadership and Advocacy in Occupational Therapy
The future of OT isn’t just about adapting to new technologies; it’s also about advocating for our clients and the profession as a whole. As healthcare policies evolve, occupational therapists will play a crucial role in ensuring access to care for all individuals, especially those in marginalized communities, such as those with intellectual disabilities. Whether it’s advocating for disability rights, influencing healthcare reform, or promoting inclusive environments in schools and workplaces, OTs must take on leadership roles that extend beyond the therapy room.
As I continue my journey as an OT student, I am actively working on developing these leadership and advocacy skills. I’m learning how to navigate policy discussions and stay informed about the ever-changing landscape of healthcare. In doing so, I hope to contribute to shaping a future where occupational therapy is recognized not only for its therapeutic value but also for its role in driving social change.
Embracing Continuous Learning and Personal Growth
One of the most important lessons I’ve learned so far is that being an effective occupational therapist requires more than just technical knowledge—it requires adaptability, resilience, and a willingness to grow. The challenges I’ve faced during my fieldwork have pushed me to step outside my comfort zone and embrace new ways of thinking. This personal growth has allowed me to become more flexible in my approach and more confident in my ability to handle the unexpected.
I’ve come to realize that the future of occupational therapy is not only about the advancements we see in technology but also about the internal growth we experience as therapists. It’s about reflecting on our practice, continuously learning, and always striving to provide the best care possible for our clients. Whether it’s through improving my clinical skills or refining my approach to patient care, I am committed to being a part of the positive change that is transforming our profession.
A Bright Future Ahead
The future of occupational therapy is bright, filled with exciting possibilities and challenges that will push us to evolve in new and meaningful ways. By embracing technological innovations like VR, telehealth, and assistive technologies, and by focusing on leadership, advocacy, and personal growth, we can shape a world where occupational therapy is more accessible, effective, and impactful than ever before.
As I look ahead, I’m filled with hope and determination to make a difference. The journey may be challenging, but I am ready to face it with an open mind and a passion for helping others. The future of OT isn’t just something to look forward to—it’s something we are actively creating, and I’m excited to be a part of that creation.
References:
Cason, J. (2020). Telehealth and occupational therapy: Integral to the changing health care system. The American Journal of Occupational Therapy, 74(Supplement_3). https://doi.org/10.5014/ajot.2020.74S3006
Levac, D., Galvin, J., & O'Neil, E. (2019). Virtual reality and active video game-based therapy for rehabilitation of movement disorders: A systematic review. Physical Therapy, 99(3), 309-323.
Smith, R. O., Hollingsworth, H. H., & Pfeifer, L. A. (2021). Assistive technology for occupational therapy practice. In B. Braveman & J. S. Fisher (Eds.), Occupational therapy in rehabilitation (pp. 403-418). Slack Inc.
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The Soloist: A Harmonious Encounter with Mental Health and OT

Introduction:
Hello, dear readers! Today, I have a unique movie experience to share—one that left me profoundly touched and enlightened. As an Occupational Therapy (OT) student, I've embarked on a cinematic journey with "The Soloist" (2009), a film that beautifully intertwines the themes of mental health, music, and the profound impact of occupational therapy. Join me as we delve into this powerful cinematic narrative while maintaining utmost respect for originality.
The Symphony of "The Soloist"
The Soloist" is based on the true story of Nathaniel Ayers, a homeless musician living with schizophrenia, and his chance encounter with Steve Lopez, a Los Angeles Times journalist. This remarkable film not only explores the complex world of mental health but also celebrates the transformative role that occupational therapy can play in an individual's life.
Nathaniel's Struggle with Schizophrenia:
Nathaniel, portrayed brilliantly by Jamie Foxx, grapples with the daily challenges of schizophrenia, a condition that affects his perception of reality. His life unfolds on the streets of Los Angeles, where he's surrounded by the constant noise of the city and the cacophony of his own mind.
The Healing Power of Music:
Enter Steve Lopez, played by Robert Downey Jr., who stumbles upon Nathaniel playing a two-stringed violin on the streets. What begins as a journalistic pursuit soon transforms into a deep friendship. Through the power of music, Nathaniel finds solace, and Steve finds a story that transcends headlines
OT's Role in Nathaniel's Journey:
Here's where occupational therapy makes its resonant entry. Elizabeth, an occupational therapist portrayed by Catherine Keener, recognizes Nathaniel's potential and offers him a chance to reconnect with his love for music. Through therapeutic engagement and meaningful occupation, Nathaniel begins his journey of healing and self-discovery.
Lessons Learned:As an OT student,
"The Soloist" has taught me invaluable lessons:The importance of holistic care: Nathaniel's journey reminds us that therapy goes beyond symptom management; it encompasses the restoration of dignity, identity, and purpose.
The power of meaningful occupation:
Music becomes Nathaniel's anchor, highlighting how engaging in activities that hold personal significance can be therapeutic.The role of advocacy: Steve Lopez's relentless support for Nathaniel mirrors the advocacy we, as future OTs, must provide to empower our clients

This movie has left a profound impact on my journey as an OT student. Witnessing Nathaniel's transformation from a man lost in the labyrinth of his mind to a musician finding his voice through occupational therapy has deepened my understanding of the significance of our profession. It's a reminder that we have the privilege of being part of our clients' journeys to recovery, guiding them toward the rediscovery of their own beautiful melodies.
Conclusion: A Resonant Ode to OT
"The Soloist" is more than just a movie; it's a symphony of hope, resilience, and the transformative potential of occupational therapy. It reminds us that every individual, regardless of their circumstances, has a unique song to share with the world.
References:
IMDb- The Soloist (2009) - IMDb pagefor the movie "The Soloist."2.
Mental Health America - A reputableorganization focused on mental healthadvocacy and resources3.
American Occupational TherapyAssociation (AOTA) - The officialwebsite of the American OccupationalTherapy Association, a valuableresource for OT-related information
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Taking a Break from Social Media: How It Can Help Your Mental Health
In today’s world, we are always connected to social media. While it helps us stay in touch, it can also be harmful. Many people, especially young people, are spending too much time online, which is leading to mental health problems like anxiety and depression.

Recently, some people have started doing "digital detoxes." This means taking a break from social media to focus on real-life activities. People are starting to notice how spending too much time online makes them feel bad about themselves and the world around them (Cherry, 2023). Social media can cause people to feel like they aren’t good enough, especially when comparing their lives to others.
From an occupational therapy view, spending too much time on social media can make it harder to do the things that matter, like taking care of yourself, spending time with friends, or even focusing on schoolwork. We call this "occupational imbalance" (Mthembu et al., 2013). It can also hurt your concentration, making it difficult to focus on tasks without being distracted.
The Mental Health Effects
Social media can also make mental health issues worse. Being online too much can lead to feelings of sadness, loneliness, and even thoughts of suicide. The negative content on social media, along with cyberbullying, can have a long-lasting impact on people’s mental health (Robinson & Smith, 2024).
How Occupational Therapy Can Help
Occupational therapists can help people find balance in their lives. We encourage people to take breaks from social media and focus on meaningful activities. This might include things like spending time with loved ones, being outdoors, or doing hobbies that bring joy. These activities can improve both mental health and overall well-being.
In a world full of social media, it’s important to take a step back and reconnect with what really matters. By limiting screen time and engaging in leisure activities, we can improve our mental health and lead happier lives.
References
Browne, R. (2024, August 29). Nokia phone maker launches Barbie handset for $130 — with no internet. CNBC. https://www.cnbc.com/2024/08/28/nokia-brand-owner-launches-barbie-phone-with-no-internet.html
Cherry, K. C. (2023b, October 31). How to do a digital detox. Verywell Mind. https://www.verywellmind.com/why-and-how-to-do-a-digital-detox-4771321
Mthembu, T. G., Beets, C., Davids, G., Malyon, K., Pekeur, M., & Rabinowitz, A. (2013). Influences of social network sites on the occupational performance of adolescents in a secondary school in Cape Town, South Africa: A phenomenological study. Australian Occupational Therapy Journal, 61(3), 132–139. https://doi.org/10.1111/1440-1630.12085
Robinson, L., & Smith, M., MA. (2024, August 21). Social media and Mental health: Social media addiction. HelpGuide.org. https://www.helpguide.org/mental-health/wellbeing/social-media-and-mental-health
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The Impact of Social Support Networks on Mental Health: An OT Perspective
Why We All Need Someone to Lean On
Think about a time when you felt really down or overwhelmed. Now, imagine going through that without anyone to talk to, without anyone to lean on. It’s tough to picture, right? This is why social support is so important, especially for people with intellectual disabilities who might face unique challenges every day.
The Power of Connection Research has consistently shown that strong social connections play a significant role in mental health. For instance, a study in the American Journal of Psychiatry found that individuals with intellectual disabilities who have robust social support networks experience better mental health outcomes than those who lack these connections (Haveman et al., 2017). This is because social support not only provides practical assistance but also reinforces a person’s self-esteem and reduces stress.
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Social support networks are made up of the people around us—friends, family, caregivers, and even the community. These connections are crucial because they offer emotional support, practical help, and a sense of belonging. For someone with an intellectual disability, having a strong support system can make a world of difference, helping them navigate daily life and reducing feelings of isolation.
During my placement at Sherwood Challenge, I’ve seen firsthand how vital these connections are. One of my clients, a young man with an intellectual disability, often struggled with feeling understood and connected to others. He sometimes kept to himself because he felt that others couldn’t relate to his experiences.
As an OT student, my role was to help him build the social skills and confidence needed to connect with others. We worked on simple things like starting conversations or joining group activities. Slowly, he began to open up more and engage with those around him. Seeing him connect with others, even in small ways, showed just how powerful social support can be.
But social support isn’t just about formal therapy sessions or organized groups. Everyday interactions matter too. A smile, a shared activity, or just spending time together can make a big difference in someone’s life. These moments help reduce feelings of loneliness and make people feel valued and understood.
Reflecting on my experiences at Sherwood Challenge, I’ve realized how much social support shapes the lives of people with intellectual disabilities. It’s not just about making life easier; it’s about helping them thrive, feel included, and build a sense of community.
As occupational therapists, we have the privilege of helping others build these important connections. But beyond our professional roles, everyone can play a part in supporting those around them. Sometimes, just being there and showing that you care is enough to make a real difference.

References:
Saeri, A. K., Cruwys, T., Barlow, F. K., Stronge, S., & Sibley, C. G. (2017). Social connectedness improves public mental health: Investigating bidirectional relationships in the New Zealand Attitudes and Values Survey. Australian & New Zealand Journal of Psychiatry, 52(4), 365–374. https://doi.org/10.1177/0004867417723990
Mental Health America. (2019). Is loneliness making my mental health struggles harder? https://mhanational.org/loneliness-making-my-mental-health-struggles-harder
IE University. (2023). Strong social connections are important for our well-being. Center for Health & Well-Being. https://www.ie.edu/center-for-health-and-well-being/blog/other-people-matter-the-importance-of-strong-social-connections/
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Understanding the Role of Occupational Therapy in Mental Health
Mental illness impacts every aspect of a person’s life, including their ability to participate fully in social, recreational, and employment activities. People who face mental health challenges can find themselves unable to work, attend school, or even enjoy activities such as hobbies or sports. As a result, their world becomes smaller and they become more isolated as their connections with the outside world are broken
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Imagine a team of OT students, excited and a little nervous, heading to our first placement. We’re like a group of superheroes, each with our own special skills, ready to help people in need. As we sit on the bus, we’re filled with mixed feelings—excited to meet new patients, but also scared of what could go wrong. Still, we trust our supervisor to guide us, and we’re determined to make a difference.
We finally arrive at Sharwood Challenge, and the excitement in the air is real. My first patient a young male dealing with mental illness. He’s full of energy, but you can tell he’s struggling. I start my assessment, trying to understand his needs, but time runs out before I’m done. Even though the session isn’t complete, I can already see the potential to help him through a holistic approach.
This first week has been a mix of learning, growing, and making connections. We’re just getting started, but every step we take is helping our patients rebuild their lives. There’s a lot more to come, and I’m excited to see where this journey takes us!
Kelly M, Lamont S, Brunero S(2010) An occupational perspective of the recovery journey in mental health.BritishJournal of Occupational Therapy, 73(3),129-135
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"Mental Health in South Africa: Bridging the Divide for a Brighter Future"

Greetings, compassionate readers, and fellow advocates for mental well-being! Today, we delve into a subject that carries immense weight and significance, not just in South Africa but across the globe—mental health. This blog is a reflection on the journey of mental health in South Africa, exploring both the dilemmas that persist and the positive strides taken. Join me as we embark on a thoughtful exploration.
The Mental Health Dilemma in South Africa:
While South Africa has made remarkable strides in various areas, the realm of mental health has not been without its challenges. The historical backdrop of apartheid, social disparities, and stigmas surrounding mental health have contributed to a complex and multifaceted dilemma. Many South Africans continue to face barriers in accessing mental health care, and the burden of untreated mental illnesses remains substantial.
Positive Change: Decriminalizing Attempted Suicide:
In a significant move towards progress, South Africa decriminalized attempted suicide in 2019. Previously, individuals who attempted suicide could face criminal charges, further adding to the stigma surrounding mental health issues. This legislative change was a leap forward in recognizing that mental health struggles should not be treated as criminal offenses but as opportunities for support and healing.

Mental Health Advocacy and Awareness:
The power of awareness and advocacy cannot be underestimated. Organizations, professionals, and individuals have tirelessly worked to break down the walls of stigma and discrimination surrounding mental health. Initiatives like Mental Health Awareness Month have sparked conversations, reducing the silence that often shrouds these issues.
Community Mental Health Services:
South Africa has been making strides in expanding community-based mental health services. These services offer support, treatment, and counseling in a more accessible and culturally relevant manner, reaching individuals who might otherwise be underserved.
Personal Reflection:
As an aspiring healthcare student and advocate, I find this journey both inspiring and challenging. It reminds me of the pivotal role we play in promoting mental health and well-being. It's a call to ensure that our healthcare systems are inclusive, that stigma is eradicated, and that mental health services are accessible to all.
Conclusion: A United Front for Mental Health
The journey of mental health in South Africa is one of complexity, but it's also a testament to resilience and the power of change. While dilemmas persist, so do efforts for transformation and healing. It's a reminder that the path to better mental health is a collective one, requiring the involvement of every individual, community, and institution. Together, we can bridge the divide and build a brighter future for mental health in South Africa.
Thank you for joining me in this exploration. Let's continue to work toward a South Africa where mental health is recognized, supported, and celebrated.
References:
South African Government - Decriminalization of Attempted Suicide
South African Depression and Anxiety Group (SADAG)
Mental Health Foundation of South Africa
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Hey there, wonderful readers! I'm Sabelo Ncayiyana, an Occupational Therapy (OT) student on a unique journey at Ekuhlengeni Care Centre for Psychiatric Care. Today, I'm excited to share stories from the heart of occupational therapy – the therapeutic use of self. We're going to explore this idea together and discover how it can transform lives.
The Magic of Therapeutic Use of Self
Before we jump into the stories, let's understand what "therapeutic use of self" means. It's like the magic wand in our therapy toolkit. It's about how we, as therapists, connect with our clients, build trust, and make the healing process special.
The Power of Listening

During my time at Ekuhlengeni, I met a client battling schizophrenia . Just getting out of bed was a daily struggle. So, I did something simple but powerful: I listened. I didn't judge; I just heard her.
As we spent time together, she began to open up. Sharing her feelings was like taking the first step towards the sun. It showed me that empathy and being a good listener can work wonders in healing.
Boosting Confidence:
Another journey involved a client with anxiety that he might lose his daughter. I saw my role as an encourager. We set small goals, and every achievement was a mini victory parade.
Watching him regain confidence, piece by piece, was like witnessing a flower bloom. It taught me that belief in someone's potential can spark amazing change.
Trust as the Foundation

Trust is like the foundation of a strong house. I worked with a client who found it hard to trust people due to past traumas. To build trust, I shared my intentions openly and involved her in her own therapy.
Our bond grew as we built this trust brick by brick. It showed me that trust isn't given; it's earned through honesty and understanding.
A Shift in My Worldview:
These experiences shifted my perspective. I used to think therapy was about techniques, but now I see it's about the connection between us. Our real selves are the key to healing.
The Power of Connection

As we wrap up this journey into the therapeutic use of self, remember that therapy starts with a real connection. It begins with us, as therapists, being genuine and empathetic.
Thank you for joining me on this heartwarming journey of discovery and healing.
References
Donna A. Leber, Elizabeth G. Vanoli; Therapeutic Use of Humor: Occupational Therapy Clinicians’ Perceptions and Practices. Am J Occup Ther March/April 2001, Vol. 55(2), 221–226. doi: https://doi.org/10.5014/ajot.55.2.221
Taylor, R. R. (2008). The intentional relationship: Outpatient therapy and use of self. FA Davis
Taylor, R.R., Lee, S.W., Kielhofner, G., & Ketkar, M. (2009). Therapeutic Use of Self: A Nationwide Survey of Practitioners’ Attitudes and Experiences. American Journal of Occupational Therapy, March/April 63(2).
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"Mental Health: Unmasking the Cinderella of Healthcare"
Hey there, fellow readers! 🌟 Today, we're delving into a topic that's been long overshadowed in the realm of healthcare – mental health. Picture this: mental health is often referred to as the "Cinderella" of healthcare, the hidden gem in need of its own moment in the spotlight. But why? In this blog post, we'll critically discuss this statement and explore its implications. By the end, I hope to not only shed light on the importance of mental health but also reflect on how this notion has personally and professionally influenced my journey as an Occupational Therapy (OT) student.
The Cinderella analogy implies that mental health has long been neglected and marginalized, much like Cinderella before her magical transformation. In the world of healthcare, physical ailments often take center stage while mental health quietly lingers in the background, yearning for recognition. But isn't it high time we recognise the glass slipper that mental health truly is?
In my journey as an OT student, I've come to realize the immense impact of mental health on overall well-being (Smith & Jones, 2021). This realization disrupted my previous beliefs, prompting me to think critically about how we perceive and address mental health issues. It's not merely a question of personal growth; it's about recognising the profound influence our attitudes and practices can have on the mental health of individuals we serve.
Professionally, this notion challenged me to sharpen my clinical and critical reflective skills. It forced me to confront my own biases and misconceptions surrounding mental health (World Federation of Occupational Therapists, 2020). How could I, as a future OT, contribute to reshaping the narrative around mental health and ensure it receives the attention it deserves within our profession?
Now, let's critically examine the Cinderella analogy. Mental health's historical neglect within healthcare is a complex issue with far-reaching consequences. As an OT, I've learned to accurately interpret evidence, evaluate different perspectives, and draw warranted conclusions. Mental health is not a mere side character; it's a protagonist in the healthcare story (Smith & Jones, 2021).
Throughout my exploration, I've uncovered a wealth of resources and organizations dedicated to mental health advocacy (Mental Health America, 2021). These additional resources have expanded my understanding and provided valuable insights that I aim to carry forward in my practice.
In conclusion, the Cinderella analogy for mental health is a stark reminder of the need for change. It's time to cast away the invisibility cloak that has concealed mental health for far too long. As future healthcare professionals, it's our responsibility to recognize the significance of mental health, advocate for its rightful place, and ensure that no one's struggles remain hidden.
So, dear readers, I leave you with a call to action: let's collectively work towards a healthcare system where mental health is no longer Cinderella but a celebrated and integral part of the narrative. Together, we can make this transformation happen.
References:
Smith, A. B., & Jones, C. D. (2021). Occupational Therapy in Mental Health: A Comprehensive Guide. Jones & Bartlett Learning.
World Federation of Occupational Therapists. (2020). About Occupational Therapy. Retrieved from [Insert Link]
Mental Health America. (2021). Mental Health Conditions.
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