“Psychological support for incontinence – focus on therapies and counseling”

“Psychological support for incontinence – focus on therapies and counseling”

"Incontinence is not only a physical problem, but can also have psychological effects. Many sufferers suffer from shame and anxiety that severely impact their everyday lives. Psychological support can play an important role here."

Common emotional challenges

In addition to the physical challenges, incontinence leads to feelings of insecurity in many sufferers. Shame, fear of embarrassment, and withdrawal from social activities are common consequences. In extreme cases, this can even lead to depression or anxiety disorders.

Shame and social isolation : Many sufferers experience shame, which leads them to avoid social activities. They fear "accidents" in public and often withdraw to avoid unpleasant situations. This can lead to loneliness and a feeling of isolation.

Anxiety and constant stress : The worry of being affected by incontinence at any time and in any place often creates constant anxiety. This stress can impact overall well-being and severely limit the lives of those affected.

Low self-esteem : Many people struggle with low self-esteem because they feel their bodies are letting them down. They lose confidence in their own abilities and experience feelings of powerlessness or helplessness.

Depression : Long-term emotional stress can lead to depression, especially if those affected don't receive adequate support. The constant stress of incontinence can severely impair quality of life.

Stress in relationships : Incontinence can also affect intimate relationships. Many sufferers feel less attractive or fear that their partner no longer accepts them as much as before. This can lead to tension and insecurity in relationships.

Possible misconceptions about the psychological effects of incontinence

• "Incontinence is just a physical problem": Many people believe that incontinence only affects the body and overlook the psychological burden. However, those affected can feel a great deal of emotional strain, which triggers anxiety, stress, and depression.

• "Therapy doesn't help": Another misconception is that psychological support isn't helpful. In reality, therapeutic approaches such as cognitive behavioral therapy (CBT) can help those affected break negative thought patterns and better cope with their situation.

• "Incontinence is a taboo subject": It is often assumed that incontinence is not something to be discussed, which prevents those affected from seeking help. Openness can be the first step toward emotional healing.

Treatment options

Cognitive Behavioral Therapy (CBT) : CBT is one of the most effective methods for dealing with the negative thought patterns that often occur with incontinence. Therapy helps those affected become aware of their fears and find new ways to cope with situations in which they would otherwise feel helpless. Practical techniques such as "reframing," or reframing negative thoughts in positive terms, can boost self-confidence.

• • For example, a patient who constantly worries about an “accident” happening in public might learn through CBT to recognize these thoughts and replace them with more realistic and less stressful thoughts, such as, “I have taken precautions, and even if something happens, I can handle it.”

• Talk therapy : This form of therapy offers those affected space to talk about their fears, shame, and emotional challenges. Many feel relieved by sharing their experiences. The therapist can help reduce the emotional pressure by encouraging the affected person to speak openly about their feelings.

  • Benefits: Talk therapy can be particularly helpful in reducing feelings of isolation and developing self-understanding.

• Mindfulness and stress management : Methods such as meditation, breathing techniques, or progressive muscle relaxation can help reduce the stress and anxiety associated with incontinence. These techniques promote calm, present awareness and help reduce anxiety about the future.

• Support groups : Connecting with others who are going through similar experiences can be very supportive. Support groups, whether in person or online, allow you to share tips, find solutions together, and strengthen each other emotionally.

What is reframing?

Reframing is a cognitive behavioral therapy (CBT) technique that aims to see negative thoughts in a new, more positive, or neutral light. Instead of focusing on the worst, sufferers learn to develop alternative perspectives.

Example:

A person who thinks, "If I have an incontinence accident, it will be a disaster," could learn through reframing to say instead, "Even if an accident happens, I can handle it discreetly, and it does not define my worth as a person."

Reframing helps to reduce stress through more positive thought patterns.

Advice and self-help

In addition to therapy, counseling also plays an important role in dealing with incontinence. Here are some ways those affected can find support:

• Individual counseling from professionals : This involves not only medical advice but also emotional support. A personal counselor or coach can help develop individual coping strategies.

• Support groups and online communities : Connecting with other affected individuals can provide relief and reduce feelings of isolation. Groups provide a safe environment to share experiences and find solutions.

• Apps and digital tools : There are numerous apps that help people with incontinence track and better manage their condition. Some also offer access to forums where you can connect with other sufferers.

Digital tools and apps to support incontinence

Digital tools, especially apps, offer valuable support to those affected. They help monitor the progression, provide access to information, and support mental coping.

Useful apps:

• Squeezy : Developed by the UK's National Health Service (NHS), this app helps with pelvic floor exercises with regular reminders and guidance.

• Seni Control App: The new Seni Control app allows users to create a urination log on their mobile device. This precise documentation not only provides clarity about drinking and urination behavior, but also offers recommendations for suitable products.

• Pelvic Floor First : This app offers a variety of exercises and tips for training the pelvic floor muscles to prevent or manage incontinence.

(Just click on the website name and you will be redirected there)

Advantages:

• Tracking functions : Apps help to document the daily course of incontinence, allowing those affected to recognize connections and optimize their treatment.
• Reminders and motivation : Regular reminders to perform pelvic floor exercises or hydrate can improve therapy effectiveness.
• Exchange with communities : Some apps offer forums where those affected can exchange ideas and give tips.

Practical tips and final words

At the end of the article, there are some concrete tips on how you can optimally implement psychological support in your everyday life:

Practical tips:

• Finding therapists : Psychologists and psychotherapists who specialize in mental health challenges related to chronic illnesses can be found through online platforms such as Doctolib or therapist directories.
• Use low-threshold support services : Apps or online therapy portals offer initial steps to finding support.
• Promote openness : Confiding in trusted people can help reduce the emotional burden.

Closing words:

Incontinence affects both the body and the mind. Through a combination of physical and psychological care, those affected can noticeably improve their quality of life.