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letter
. 2020 Jul 7;69:113–114. doi: 10.1016/j.genhosppsych.2020.07.001

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.