Table 1.
Summary of behavioral health interventions implemented on our recovery unit.
Target symptoms | Behavioral interventions |
---|---|
Anticipatory anxiety | Psychoeducation on rehabilitation; clinician-led mindfulness; virtual reality-based mindfulness; cognitive restructuring; problem-solving; brief psychotherapy scheduled prior to PT/OT; cognitive-behavioral psychotherapy group; chair yoga. |
Somatic anxiety | Psychoeducation on medical/psychological factors associated with somatic anxiety; clinician-led mindfulness; virtual reality-based mindfulness; diaphragmatic breathing; co-treatment within PT/OT; chair yoga. |
Anxiety regarding specific medical symptoms | Psychoeducation from medicine and rehabilitation teams; symptom-specific coping groups (e.g., group for patients with enteric feeding tubes); peer support from patients with similar symptoms. |
Social isolation, loneliness, and associated depressed mood | Virtual reality-based mindfulness; use of unit tablets to facilitate behavioral activation (e.g., reading, watching movies, and using videoconferencing to connect with family); cognitive-behavioral psychotherapy group; lunchtime social group. |
Cognitive dysfunction | Use of room whiteboard to track date, location, names of providers, and rehabilitation goals and progress; clinicians wear large ID tags and assist in reorientation; “memory books.” |
Sleep disruption | Psychoeducation on cognitive-behavioral strategies to promote sleep; patients encouraged to use mindfulness or diaphragmatic breathing prior to initiating sleep; use of smartphone apps that provide white noise, soft music, and/or soothing nature sounds; placement in a windowed bed for sleep-wake cycle regularization. |