Massage Therapy Journal Fall 2024

First sessions may be longer, so you might need to build in more time for your neurodiverse clients. Building rapport can help comfort and calm what might be an already heightened nervous system, so taking your time is important. “Especially with their first visit, understanding that you might spend a longer time talking to them than with a typical client will ensure you and your client are set up for success when and if therapeutic touch does happen during a session,” Pohl notes. What Success Can Look Like When Pohl first met one of their neurodiverse clients, the client told them they’d been given a gift certificate but didn’t like massage. “I validated their feelings and then we spent time talking about what things about their previous massages had not worked for them,” Pohl says. “This allowed us to reverse engineer a session.” A few things came up for the client: They had some specific sensory issues they needed addressed, like a shorter session, and they needed to know they could stop if they wanted. “After that first session, they got off the table and told me that the massage went by way too quickly and they wished they had booked an hour,” Pohl explains. “We made a plan to try a couple more sessions with the shortened time, and if after those sessions they still felt like they went by too quickly, we would try an hour.” The client continued to relax at each session and continued to feel like they would like to try a longer massage, Pohl notes. “We are now working 60-minute sessions, and only adding one new variable at a time if it feels good to them on that day,” they add. “They have reported better sleep, less negative intrusive thoughts, and a general desire to have regular massage because of the improvements it makes to their daily life.” References 1. Chen SC, Yu B, Suen L, Yu J, Ho F, Yang JJ, Yeung W. “Massage therapy for the treatment of attention deficit/hyperactivity disorder (ADHD) in children and adolescents: a systematic review and meta-analysis. Complement Ther Med . 2019 Feb:42:389–399. 2. Chen SC, Yu J, Wang HS, Wang DD, Sun Y, Cheng HL, Suen L, Yeung WF. “Parent-administered pediatric tuina for attention deficit/hyperactivity disorder symptoms in preschool children: a pilot randomized controlled trial embedded with a process evaluation.” Phytomedicine . 2022 Jul 20:102:154191.

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