Cranio Sacral Therapist and Student Newsletter 42

Posted October 8th, 2009 in Newsletter Archive by John Dalton

October 8 – 2009

Questions and comments for this issue:

+ Follow on comments about ‘How you came to Cranio sacral?’
+ Can I get qualified from Open Source Cranio?
+ How to market a cranio sacral therapy practice?
+ Can you make a living as a cranio sacral therapist?

Hello,

Let me tell you about David Tomilson who is doing
great things over at his New England Center for
CranioSacral Therapy website which he has
dedicated to ‘Stories from the people and places
of CranioSacral Therapy.’
http://cstmedia.wordpress.com/

He has made some cute little videos with his
son about cranio sacral and he has started
to interview different cranio sacral therapists.

His first interview is with Sharon Desjarlais
and it fits in well with the main theme of this
newsletter as it is about marketing your cranio
sacral therapy practice.

It is a great interview and Sharon has some
great tips.  You can listen to the interview here.

Sharon runs a marketing program especially for
cranio sacral therapists called  CranioSacral Success
you can visit Sharon’s site here.

Rightio, let’s get on with the mailbag.

***FOLLOW ON COMMENT FROM ROSEMARIE IN THE UK ABOUT HOW SHE CAME TO CRANIO SACRAL THERAPY***

Firstly, I would like to say how wonderful and
refreshing that you have created an on-line
cranial support network and for free too!
It is so supportive for me to know that there is
someone else ‘out there’ who understands the
inner struggles involved in this kind of work and
to bring people together via the ‘web’ ……..so we
can ‘resonant’ with one another rather than feeling
like being all alone on a ship on a stormy sea
(sometimes how I have felt!).

How I came to craniosacral therapy……….the long
or the short version?!……….maybe a mix of the two.
Have been exploring natural medicine since the
age of 18 (last 20 years)  in ‘spurts’.

Was guided towards Cranial Osteopathy by two
very special friends and after a cranial treatment
(with an osteopath) was so inspired I began my
journey in 1992 doing an Access into Science
course.  Finally, funds allowing I arrived at the
European School of Osteopathy in 1996 (specialists
in cranial work).   Did two years of grueling (truly)
academic years (plus practical, of course) and
finally ‘burnt out’.  Ended up with a serious Thyroid
problem from stress and sleep deprivation and
had to leave in 1998.  Very upset with this decision
but physical and mental health at stake.

Spent 2 years recovering………things then improved
for me……..relationship and had a beautiful baby…..
…..cranial work for him on day 7!

Anyway……..when he was a few months old, was at
a mother and baby group in Crouch End, North
London where the organiser was handing out flyers
for a drop-in family craniosacral session nearby.
I thought  about it………I had heard of craniosacral
therapy and phoned the guy, happened to be
Richard Kramer (registrar of the Craniosacral
therapy association! and head tutor for the student
clinic of a craniosacral school too!).  Anyway, I was
so inspired………got all the prospectuses of the
colleges and decided on CTET in London.  It has
been an amazingly long journey to get here………..
basically from 1992 (thought was doing my
exploration before into healing) to when I
qualified in 2006………so a 14 year journey!

I wish I could say that I feel so………confident now
with my background in Osteopathy and the other
areas I have explored but I don’t……….at least not
yet!  I am amazed still if anyone improves……….
but I guess it can take a long time to build up
confidence and working knowledge…….experience,
intuition………quietness, stillness…..clarity or
whatever it takes to be a remarkable practitioner
who manages to assist people in such a positive
way that their practice naturally grows through
word of mouth!

I am still waiting for such a ‘state’ to occur for me…..
…….but in the meantime I recognise that I need to
get the message out there about CST and how
powerful it can be……….marketing guidance would
be a great thing to have included in your forum………..

Anyway……..thanks again

Love Rosemarie (hanging in there!)
UK

MY COMMENTS:

Hello Rosemarie,
Thanks for sharing your journey. I am going to talk
about marketing below so I  will keep my answer
till then.

***QUESTION – CAN I GET QUALIFIED FROM OPEN SOURCE CRANIO?***

Hi John

I have recently discovered your newsletter/web site.
This all looks wonderful.  Do I understand correctly
that I can take the courses offered on Open Source
and work with a mentor and become qualified to do
this work.  I am excited about cranio sacral work
and am currently reading one of John Upledger’s
books.  I am anxious to learn.

Thank you,

Kathy
USA

MY COMMENTS:

Hello Kathy,
In typical cranio fashion the answer to your
question is yes and no. The information on Open
Source Cranio is far from complete at the moment.
It is mostly in outline form with some notes.

When it is complete you will be able to go step by
step through the learning process.  Each new
technique or piece of information will have a lesson
that will usually include a video that you can return
to again and again.

At the end of each lesson there will be a list of
assessment criteria for that lesson.  This will give
you detailed information about what you need to
know and be able to do to be competent in the
technique or information covered in the lesson.
This is something that you can use yourself and
your mentor can also use as a guide to work from.

At the moment I am not independently wealthy
which means I can only work on Open Source
Cranio when I am not treating or mentoring
people.  The other projects like my book and
the Masterclass video series are to generate
alternative streams of income so I can get on
with Open Source Cranio but they are as yet
not enough.

So as it stands unless someone makes a
substantial donation (see ‘Donate’ button in
the right hand column) and I can devote more time
to making the training videos etcetera it will take
years to complete Open Source Cranio.

You don’t sound like you can wait years.

The other thing to consider is what kind of therapist
you want to become and what kind of person you
want to treat. When you get clear on that you need
to ask yourself what kind of qualification would make
it easier for that ideal patient to come to you.

For example there are certain groups of people and
certain countries in the world where an official
qualification may not be that important.  They will
only be interested in how effective you are.

Then there are other countries where the type
of qualification you have is very important.  For
example if you want to treat people in California
you need to get a qualification from a school that
is recognised by that state and then you need to
get a license to treat people which has a number
of prerequisites including insurances.

If you decide getting a particular qualification will
make it easier for your ideal patient to come to you,
then the next thing to do is find out what the
recognition of prior learning requirements are for
the qualification.

Recognition of prior learning is where your
previous experience is taken into account in the
awarding of a qualification.

Different schools will have different criteria
for this. Some will laugh in your face when you bring
it up and tell you that the only way you are going
to get a qualification from them is by doing their
courses.

Others will tell you that they don’t insist you
sit through their courses but they will charge you
a fee for recognition of prior learning in the
individual modules of their training and another fee
for the actual qualification itself.

Don’t be surprised to find that when you add up
the cost of having your prior learning recognised
for all the modules of their course that it comes
to almost the same cost as if you had paid the
money to do the courses in the first place.

The bottom line is you can use the information
on Open Source Cranio regardless of what
qualification you want to get, or not, or what school
you get involved with, or not.

***QUESTION – TIPS FOR STARTING A PRACTICE?***

Dear John,
I am really impressed with your passion and commitment.
I am due to graduate from my CST course next week in
England.  What was the first thing, or the most effective
thing, you did on graduating to ensure a steady supply
of clients? Did you advertise, give talks? I have some
ideas but it’s always good to get some advice from those,
like yourself, who are successful.
Best wishes
Simon.
UK

MY COMMENTS:

Hello Simon,
Thank you for your kind words.. Your question is very
like the next letter so I will answer it there.

***QUESTION – TIPS FOR STARTING A PRACTICE?***

Hi John,
I am a qualified Reflexologist and in September 2005 I did a
4 day course in Cranio-Sacral Reflexology in Mullingar Co.
Westmeath with Martine Faure-Alderson. I was so impressed
by the Cranio-Sacral element of the course the I wanted to
learn more and more about it all as it seemed so fascinating.
I researched courses in Cranio-Sacral therapy on completing
this course in Cranio-Sacral Reflexology. I was directed to the
College of Cranio-Sacral Therapy in London. I began the one
year course there in September 2006 and completed the course
in July 2007. Since then I have been busy with my two young
children. I want to start up my own practice in the very near
future and keep up learning Cranio-Sacral therapy.

Have you any tips for starting up as a therapist?

Regards,
Catriona
Ireland

MY COMMENTS:

Hello Catriona,
The main thing that will help you grow a strong
practice may sound obvious – be very good.
Get remarkable results consistently.

If people have a positive experience with you
they will tell 5 other people.  If they have a
negative experience with you they will tell 20
other people.
So nurture your word of mouth carefully.

One of the most unacknowledged ingredients
in building a successful practice is time.  There
are many things you can do to kick start the
process and I will go into them below but it is
my experience that it takes about 2 years to
build a strong practice from scratch.

Now on to the marketing stuff.

FINDING YOUR IDEAL PATIENT
Before you launch yourself into any marketing
activities the first thing you need to  do is think
about what sort of people you want to treat.
What kind of a practice you want to have.
Getting that clear in your head will make a big
difference to your marketing efforts.

Write down what your ideal patient would be like.
Include in as much detail as possible.  Once you
get really clear about the sort of person you want
to treat then you can start to ask yourself the
following questions about them.

- Where do they shop?
- How do they get their information about things?
- How do they learn about new services?
- What do they do in their recreation time?
- What sort of clubs they are attached to
(Tennis, hiking, bike riding?)
- What sort of clubs do they go to?
- Where do they live?

As an aside, the answer to that last question
should determine where your practice is located.
There is no point locating your practice on the
other side of town from the people you want to
be treating no matter how convenient it is for you
or what a great deal you are getting on the
treatment room.

You have to be pretty ruthless with yourself about
this point.  I have seen many a therapist move into
a room they really liked that had ‘great energy’ and
was a real bargain only to find that no one would
make the journey to it.  That is also why treating
people from your home will only work if your home is
in the area where your ideal patients live.

GET WRITING.
So once you get clear about who you want to
treat and where you want to be located then the
next thing is to start writing.   Don’t write for any
particular thing like a website or brochure or talk
just write for clarity.

If the thoughts of writing are too much you can hire
someone to do it for you.  You can do it through
elance.com.  I will explain more about elance below.
The important thing is that what is written expresses
your perspective on your work.

A common mistake I see in cranio sacral websites
and literature is trying explain what cranio sacral
therapy is and how it works.  If you ever watch
someone reading these kinds of explanations
you will see their eyes start to glaze over before
they get to the end of the second paragraph and
the fourth reference to the craniosacral rhythm.

Keep your ideal patient in mind and write for them.
Don’t worry about everyone else.  Try and get into
the head of your ideal patient and what THEIR
head would be like when they are looking for a
solution to THEIR problem.  Try and speak to
them there.

The first thing you should write is a description
of where THEY are at.  Outline their problem in detail.

Here is an example from my website of the sort
of thing I am talking about.

“Is your faith in the medical system shattered?
Has your wallet been emptied by over confident
therapists? Have you been on the emotional roller
coaster, rising with hope that each new approach
is going to work, then crushed when it doesn’t?
Have you tried everything and still not got the
results you wanted?”

You get the idea – use your own words.

Next write about yourself and how you are
qualified to talk about helping them.

Next write about how what you do can help
solve their problem.  Keep it simple with not too
much jargon.

Next write what the benefits of coming to you for
treatment are from THEIR perspective are.

Here is an example from my website of the sort
of thing I am talking about.

Visit the last resort first . . .and save money.
It became a joke among my students and
graduates that we were actually in the resort
business because for most of the people who
came to see us, we were the last resort.
It doesn’t need to be like that. Most people are
floored when they add up how much they’ve spent
so far trying to get better.
Don’t waste any more of your money.

Benefit from no returns.
When you understand that cranio sacral therapy
helps trauma release from your body, then it makes
sense that once restrictions are released in this way,
they are gone for good.
So when you’re done, you’re done.
It’s as simple as getting a big piece of cellophane
and scrunching it into a ball and then assisting it
to unravel itself.
Once it has unraveled itself, there’s no need to
‘maintain’ its state of unraveled-ness.
So you don’t need any ‘maintenance’ treatments
to keep your health. What you spend having
treatment is finite and has a very definite end.

Gentle on you.
Cranio sacral therapy is a very gentle approach.
There is no pushing, adjusting or manipulating your
body into a set or ‘correct’ position. There is no
intrusive probing into your past. The contact is very
gentle and people often fall asleep during treatment.
Because of this gentleness it is good for children
and people in a lot of pain.
You will feel the benefits within 4 weeks.
Most people feel the benefits immediately. If it
takes longer you will generally see enough
improvement after 4 weeks to know that it’s going
to work.

Gets to the root of the problem.
There are many approaches that will give you
complete reduction of your symptoms. The trouble
is the reduction only lasts for a short period of time
and then you have to return from more treatment.
Eventually this kind of approach makes your body
dependent on the treatment.
Cranio sacral therapy works with the root cause
of the problems. This has the effect of causing
lasting relief of symptoms.
In 15 years I have never had anyone return for
treatment for the original problem they came to
me with.
Not one.

These are all great benefits from the patients
perspective.

Next write about what you charge and why it is
good value.  You may find this hard but if you
can’t explain why it is good value you may be
charging too much.
This is a time for taking the bull by the horns.
If you feel what you charge is good value and
you can explain why then your ideal patient will
be grateful.  It’s your job to explain it to them not
their job to try and intuit the reasons why it is good
value.

Once you are happy with what you have written
try it out on some family or friends who are the type
of people you would like to treat.

Ask them to read it and give you feedback about
it.  You don’t have to take the feedback but you will
find it illuminating.

What you have written forms the backbone for
your marketing.  You can adapt and edit it for the
different types of marketing activities you might
engage in. What type of activities you engage
in will be determined by the sorts of people you
want to reach.  Reread everything you have
written every six months or so.  You will be
surprised at what you want to change and edit.

TESTIMONIALS
It is important to get testimonials from people you
have treated.  Most people will come to see you
because of a word of mouth referral. If they can’t
get a referral then all they have to go on is what you
have written.  People who don’t know you will
generally be suspicious of what you say about
yourself.  It’s not personal, we are all jaundiced
by sales claims.

Having testimonials go a long way towards
easing that suspicion.

The good news is that getting testimonials is
relatively easy.  When a patient is finished their
treatment program you can explain to them that
there are other people who have the same
condition who would be helped if the patient
wrote something about their experience of
treatment.

Give your patient the option of remaining
anonymous in the testimonial. Obviously the full
name and location with a photograph is ideal.

Here are some of the ways you can use your
written material, including your testimonials.

WEBSITE
I can’t over emphasize the importance of getting
yourself on the internet.
If you don’t know anything about computers and
the thoughts of organising a website for yourself
seem overwhelming, fear not.
There are plenty of ways around it.

With websites there are a few simple things you
need to know and the complicated stuff you can
get someone else to do for you.  I will explain
where you can find those people in a minute.

One of the most important, and often overlooked,
things with websites is the domain name.
The domain name is what comes after the www
For example with my Irish website the domain
name is www.cranio.ie

I will come back to the name part in a minute
because I want to talk about the other really
important part which is the suffix. That’s what
comes at the end of the domain name,
the .com end.

It is important to get a domain name for the
country you are working in.  So for Ireland that
would be .ie for the United Kingdom that would
be .co.uk for South Africa it would be .co.za
for Poland it would be .pl and so on.

Each country has their own suffix.  Having the
right suffix for the country you live in will make
it easier for google to find you when people in
your country look for you.
(Technically speaking the suffix for America is
.us but it is rarely used so if I lived in America
I would get a .com suffix.)

If you are not sure what the suffix is for your
country you can look here

Double check it by looking at local businesses
and see what suffix most business are using.

One last thing on suffix’s, .net  .org and so on
don’t generally work as people will forget the
subtle difference and look for .com or the suffix
of your country.

For example if I couldn’t get
www.johndalton.ie
but I saw that
www.johndalton.net
was available it would be tempting to get it.

Let’s check this against what I like to call the
Party Rule.  The party pule states that your
domain name has to have a more than 50%
chance of being remembered by a mildly
inebriated person you tell it to at a party.

So if I told this person my domain name was
www.johndalton.net
there is a good chance that the next morning
they would look for
www.johndalton.com
then
www.johndalton.ie
and when that didn’t work they would give up.
So no .org .nets etc. please.

Now back to the name bit. The bit between the
www. and the .com

You could try for craniosacraltherapy but
it will probably be already taken.  There are
some countries where it hasn’t been taken but
it will be gone in most.

What I suggest you use is your name.
So in my case the domain name would be
www.johndalton.ie
Short, simple, memorable and relevant
- and it passes the Party Rule.

If your name is unavailable I suggest you
use your name plus cranio so in my case it
would be
www.johndaltoncranio.ie
I don’t suggest you use craniosacral or
craniosacral therapy as most people won’t
remember it.  I have found that cranio is the
only part of cranio sacral therapy that people
remember on first hearing the name.

It is important to buy your domain name yourself
and it is relatively easy to do.  Just type ‘domain
registration’ into google and you will find  lots of
companies offering to sell you domain names.

Lastly, bear in mind that domain names are a
commodity like anything else and different companies
will have different prices. Shop around for the best
price.

Next find yourself a hosting company. A hosting
company is the company where your website lives.
If your website was a horse, the hosting company
would be the stables where you keep it. Don’t be
tempted by free hosting. There is usually a catch.
The most common one being the inclusion of the
hosting companies name in your domain name.

So for example if I opted for free hosting with a
company called Bluebird Hosting there is a good
chance my domain name would end up being
www.bluebird.johndalton.ie

Shop around.  I have found this company
very good. powweb.com

Next thing to do is find yourself someone to set
your website up for you.
I suggest you go to elance.com and register.

Then place the following ad.
_______________________________________________________

Job Title – WordPress Instalation and Setup.

Category – Web & Programming

Job Description – Set up wordpress site.
Install and activate the following plugins -
- All in One SEO Pack
- Akismetincluding
- cforms ( Including configuration of basic contact form)
- Google XML Sitemaps

Suggest WordPress theme for natural therapies website
- minimum of 3 suggestions – plus minor modification
of theme to suit site.

Inclusion of staff training in wordpress usage.

Hosting company and domain name already in place.

Desired Skills – WordPress

Job Type – Fixed price
- Approximate Budget – Between $50 and $500
_______________________________________________________

Then sit back and wait.
Before long you will have bids from all around the
world from experienced professionals offering to
set up your website.
They can all see each others bids so they will try
to get your work for the lowest price.

Have a read through elance’s guidelines before
you start so can set miles stones and generally
make sure that you pay on results.
You can explore elance here.

Once the site is set up you should be able to
update the site yourself, adding all text you have
written. You will know how to do this because the
professional will have given your staff, you,
training.

Give your web site about 6 weeks to begin to
show up for in google searches.  Adding to your
website on a regular basis helps keep it up in the
rankings.

PRINTED MEDIA
Over the years I have tried it all, flyers of all
shapes and sizes, brochures, adds in magazines and
newspapers.
Nowadays I mainly just use business cards and postcards.
Both of which are geared toward sending people
to my web site where they can get all the information
they need to make an informed decision about
whether they want to come and see me.
I use Vistaprint for these.

I suggest you get good quality card for your
business cards.  This is not a place to skimp.

BROCHURES
Whether or not you do a brochure will depend on
who your ideal patient is.  They may like to have
something to hold and review.
For me, the disadvantages of brochures far out
way their usefulness plus I don’t need them for my
ideal patients.

The main disadvantage of brochures is that to
produce one that looks professional costs a lot of
money.
It is also very hard to get everything that you
want to say into a brochure no matter how small
you make the print.

Letter box drops, tiny advertisements in the local
paper, flyers up at the your local health food shop
and notices stuck on community boards are probably
NOT going to get your practice where you want it to be.
Here is a little scenario to explain why I say that.

Mum and Dad are walking past the local health
food shop with their 4 year old Autistic child.
They see a photocopied flyer for Cranio Sacral
Therapy on the notice board, behind the Dream
catcher making workshop and beside the ‘Learn
to Channel’ weekend.  It is highly unlikely that
Dad will turn to Mum and say ‘Hey, Betty this
cranio thing just might be worth trying for
Timmy.’

A word of caution: When you first start marketing
yourself you can invest a lot of energy doing things
that are comfortable for you to do.  They even allow
you to feel like you are really doing something to
build your practice, letter box drops are particularly
good for this, but they may not be very effective
and can leave you feeling somewhat of a failure
when no one responds.

Always come back to your ideal patient and ask
yourself if they would respond to what you are doing.

WORKING WITH LOCAL BUSINESS
One way to create word of mouth referrals in your
local area is to work with suitable local businesses
so that they will refer to you.

Firstly you need to discern which businesses are
suitable by their product / service to helping you.
Look at the local businesses and see which ones
spend time talking to their customers.  What do their
customers talk to them about?  Is it feasible that in
the course of conducting their own business that
these people may have reason to mention you?

For example, hairdressers, podiatrists, beauty
therapists and barbers spend a lot of time talking
to their customers.  Their customers talk to them
about a whole range of things from work to holidays
to their children and partners, including their health.

It is feasible that a hairdresser, if they knew
about cranio sacral therapy, would mention it during
a conversation about their client’s skiing accident
or chronic back pain etc.  This business represents
a good opportunity for you to receive word of mouth
referrals.

Be mindful of the appropriateness of the business
you approach.  Is their product or service in alignment
with the work you do.  Bartenders spend a lot of time
talking to their customers but probably wouldn’t be a
suitable business for you to work with. Again it comes
back to who your ideal patient is.

When you have identified 3-4 suitable businesses
in your locality you will need to introduce the owners
and/or staff to what you do.  In order for them to be
able to reasonably refer someone to you they need
to know a bit about what you do.  What is it good for?
Is it gentle?  Who does it help? etc.  This can be done
on an individual basis or as a group.

When talking about cranio sacral tell stories about
patients you have treated to highlight how cranio works
rather than dry and boring explanations.

If you are working with 3 or 4 businesses you may
find it easier to talk to them all as a group.  A good
start is to write an introductory letter to each of them.
Outline what you have in mind and invite them to
your clinic to hear a bit more about cranio sacral
therapy.

I suggest you make this meeting a generous affair.

Most business people are always looking for new
ways to boost their profile.  Provide tea and biscuits
or wine and nibbles etc.  Try to create an arena for
discussion and interest.  They will be coming to hear
about cranio sacral therapy but also to take advantage
of having other business peoples experience and ideas.

Provide each business with a gift package of say,
10 Cranio Sacral assessments as a limited special.

There are some important things to consider when
offering this:

  • Make sure the business is conducive to offering such a gift
  • Be sure that you make up your own vouchers to be offered
  • Do not present it as a “FREE” treatment but as a
    Cranio Sacral assessment “VALUED AT $XX.00″

This last point is very important, if you don’t put
the value of the free gift then the people who come
for the free assessment will find it hard to reconcile
the value of your treatment when they come to you as
a patient.

Encourage the businesses to give these free
gifts to customers that they feel might benefit
from your treatment.

As you can see there is quite a bit to marketing and
there are new ways to market coming up all the time.

***QUESTION – CAN YOU MAKE A LIVING FROM CRANIO SACRAL THERAPY?***

Hey John

I have a question about Cranio and I suppose
you’re the right one to answer it:

Can one actually make a living out of just doing
Cranio?

I asked this in our group and all the (elderly) ladies
said: no way. The have maximum 3 clients a day,
and in maximum 3 days a week. They all say the
feel very exhausted after Cranio and couldn’t
cope with more clients anyway.

Now I have the feeling there’s something wrong.
Because when I use Cranio, I feel relaxed,
nourished and in stillness. So actually, it gives me
a lot. And I have the impression, Cranio is so
powerful that one should be able to have a full
practice every day, if wanted.

What do you think?

Thanks for your thoughts

David
Switzerland

MY COMMENTS:

Hello David,
Can you make a living from just doing cranio
sacral therapy? Hell Yes!

That is just what I have been doing for the last
15 years – and that includes moving country twice
and starting from scratch both times.

With regard to burn out there are different levels
to it.  The first thing to master is the energy transfer
that can occur during a session.
I talk about that here and here.

The next level of burn out to avoid is treating
too many people in one week.  Any more than
18 people (2 children = 1 adult) a week will start
to burn you out within a couple of months.

If you take care of these first two levels you
can still become drained if you don’t take a
break at least once a year preferably in nature.
Minimum 3 days, 7 days if possible, ideally
14 – 21 days.

Once you take care of yourself in the ways I
have listed you can go on for years doing very
satisfying work, earning a reasonable income,
with lots of free time.

That’s it for this issue.

Till the next time.

Your Mate,

John D.

Cranio Sacral Therapist and Student Newsletter 35

Posted July 28th, 2009 in Newsletter Archive by John Dalton

August 2 -2008

Questions and comments for this issue:

+ Report on feasibility study on the effectiveness of cranio sacral therapy on migraine.
+ Open letter from Cranio Suisse®, the Swiss cranio sacral association.
+ Comment from Al Pelowski in response to Joyaa Antares and maxillae.
+ Comment from Cathryn Nitschke in Australia about her Osteopathy training and how it compares to cranio.
+ Question about therapist burnout.
+ Question about talking about emotional issues.

Hello,

Well it’s a positively groaning newsletter this
Time it is so full.  Lots happening in the world
of cranio sacral with a report on migraine and an
interesting initiative from the Swiss cranio
sacral association but more on that later.

I have spent quite a bit of time reworking the
training part of the Open Source Cranio website,
making it a better learning tool.  I have begun to
add my training notes and to lay out a learning
schedule.

One of the new features is a search function
which should make it easier to search the site for
specific topics.

Another new function is the comments feature.
This allows you to leave comments directly on the
site, under specific articles.  You have to click
the comments tab.  So you can comment on the
article and letters in this newsletter directly on
the site if you want.
I encourage you to leave comments or send me an
email letting me know what you think.  The more
feedback I get the better I can make it.

I also encourage you to send me articles that
you think might help someone in a developing
country who is using the material to begin their
cranio sacral learning and I will post them.

I have fixed the problem with the newsletter
subscription block so if you tried to resubscribe
before and it didn’t work it’s working now.

Speaking of learning let me direct you to a
website I came across and intend to use a lot in
teaching.  It is called the Visible body and is an
online 3D anatomy viewer.  You can view the demo
for it here.

http://www.open-source-cranio.com/sacral-training/3d-anatomy/

If you like the look of it you need to go to
their site and register and then you can use the
models yourself.  If you’re a Mac user forget PC
only.  Discrimination rears its ugly head again,
sigh, pout.

Rightio, let’s get on with the mailbag.

***REPORT***

Below is an extract from a press release I
received about a proposed test for the
effectiveness of cranio sacral therapy on
migraine.  They propose to use low-strength static
magnets as the control group.

Double blind studies are not my field of
expertise and is it just me or what, but I think
people would know the difference between a
therapist and a magnet.

Ah well, they’re trying.

————————————————–
Craniosacral therapy for migraine: protocol
development for an exploratory controlled clinical
trial.

Migraine affects approximately 20% of the
population.  Conventional care for migraine is
suboptimal; overuse of medications for the
treatment of episodic migraines is a risk factor
for developing chronic daily headache.

The study of non-pharmaceutical approaches for
prevention of migraine headaches is therefore
warranted. Craniosacral therapy (CST) is a popular
non-pharmacological approach to the treatment or
prevention of migraine headaches for which there
is limited evidence of safety and efficacy.

In this paper, we describe an ongoing feasibility
study to assess the safety and efficacy of CST in
the treatment of migraine, using a rigorous and
innovative randomized controlled study design
involving low-strength static magnets (LSSM) as an
attention control intervention.

Methods: The trial is designed to test the
hypothesis that, compared to those receiving usual
care plus a treatment with low-strength static
magnets (attention-control complementary therapy),
subjects receiving usual medical care plus CST
will demonstrate significant improvement in:
quality-of-life as measured by the Headache Impact
Test (HIT-6); reduced frequency of migraine; and a
perception of clinical benefit. Criteria for
inclusion are either gender, age >11, English or
Spanish speaking, meeting the International
Classification of Headache Disorders (ICHD)
criteria for migraine with or without aura, a
headache frequency of 5 to 15 per month over at
least two years.

After an 8 week baseline phase, eligible subjects
are randomized to either CST or an attention
control intervention, low strength static magnets
(LSSM). To evaluate possible therapist bias,
videotaped encounters are analyzed to assess for
any systematic group differences in interactions
with subjects.

Results: 169 individuals have been screened for
eligibility of which 109 were eligible for the
study. Five did not qualify during the baseline
phase because of inadequate headache frequency.

Nineteen have withdrawn from the study after
giving consent.

Conclusion: This report endorses the feasibility
of undertaking a rigorous randomized clinical
trial of CST for migraine using a standardized CST
protocol and an innovative control protocol
developed for the study.

Subjects are able and willing to complete detailed
headache diaries during an 8-week baseline period,
with few dropouts during the study period,
indicating the acceptability of both
interventions.

Author: John D Mann, Keturah R Faurot, Laurel
Wilkinson, Peter Curtis, Remy R Coeytaux,
Chirayath Suchindran and Susan A Gaylord

Credits/Source: BMC Complementary and Alternative
Medicine 2008, 8:28

Published on: 2008-06-10

You can read the full report here.

http://www.biomedcentral.com/1472-6882/8/28

***OPEN LETTER FROM CRANIO SUISSE®.***

I was forwarded this open letter from Cranio
Suisse® who have launched an initiative to
encourage communication between different schools
and therapists which, as you know, I am all for.

Their website is not in English so that limits
the initiative immediately but other than that I
think it’s great.

If you want to read their site in English you
can run it through Google translate.

http://translate.google.com

You need to scroll to the bottom of the page and
enter their web address.

http://www.craniosuisse.ch/

————————————————

*International Networking for the Advancement of
Craniosacral Therapy*

Dear collegues,

All the schools and therapists for Craniosacral
Therapy in Switzerland have organized themselves
in a new association – Cranio Suisse®. We are now
number two among the associations for
complementary therapies. The goal of this
organization is to bring together all the
different approaches of Craniosacral Therapy
within Switzerland and to guarantee a good quality
of schools and therapists. Cranio Suisse® is the
official representative of Craniosacral Therapy
towards governmental institutions and health
insurance companies. In short, Cranio Suisse® is
supporting and promoting Craniosacral Therapy
within in the Swiss Health System.

Furthermore the association acts as connecting
link between patients and therapists. You will
find more details under http://www.craniosuisse.ch/

This year Cranio Suisse® established a new *study
group for international contacts and research*. My
task within this group is to establish contacts
with associations/schools all over the world, thus
building the basis for an efficient networking
beneficial to all of us.

I should therefore be very grateful if you could
let me know whether you are interested in such an
exchange of thoughts and knowledge.

We would suggest the following procedure:

*Step 1*: We put together a list of all
associations/schools interested in putting up a
Craniosacral “Knowledge Network”.

*Step 2*: Evaluation of the importance and
positioning of Craniosacral Therapy within the
health system of each country (questionnaire). The
final goal will be to exchange research reports
and study designs or even realize common research
projects to get more and broader evidence based
facts about Craniosacral Therapy.

Are you interested in such a project and if yes,
do you agree with the proposed procedure or do you
have different suggestions?

We are convinced that an exchange of knowledge
like this would create positive synergies for all
of us, whether it be with regard to the handling
of public health aspects for complementary
therapies in general or strengthening the position
of Craniosacral Therapy specifically.

We are looking forward to your feedback. If you
feel that there is some other institution, school
or person who could be interested in the above
project, please let us know.

Thank you for giving our ideas a friendly,
constructive thought.

With best regards

Barbara Liniger

praxis@barbaraliniger.ch

Member of the study group for international
contacts and research of Cranio Suisse®

http://www.craniosuisse.ch/

PS: Between July 8 and August 24 I will not be
able to answer any emails. I will get back to you
in September as soon as possible. Thank you.

Contactaddress:

Barbara Liniger

Praxis für klassische Homöopathie und
craniosacrale Osteopathie

Alpenstrasse 14
6300 Zug

Tel 041 720 03 20

praxis@barbaraliniger.ch
www.barbaraliniger.ch

Barbara Liniger

Praxis für klassische Homöopathie und
craniosacrale Osteopathie

Alpenstrasse 14
6300 Zug

***COMMENT FROM AL PELOWSKI IN RESPONSE TO JOYAA ANTARES AND MAXILLAE***

Joyaa query, comments:

Maxillary hypoplasia, where the maxillae have not
grown properly, as distinguished from impaction,
is a feature of some craniosynostotic syndromes.

We see quite a few babies with that here in
Africa.  I had a query on that yesterday in fact.

In these cases you find hydrocephalus, premature
closure and ridging of the sutures, bulging vault
bones, protruding fontanels, webbing between
fingers and toes, and distorted distal phalanges,
all in varying degrees.  The maxillae can be
unable to hold in the eyes.

I had one case a few years ago where I had to push
an eyeball back in..!  Most of these kids end up
with craniofacial surgery and shunts.  Some of
them can respond to cranio!  But by no means all.
Many die young gagging with oropharynx
restrictions.

As to possible causes and complications I could
speculate at length, but it wouldn’t amount to
much (estrogenic pollution, dioxins, severe
malnourishment in mother during 1st trimester,
etc..).

I would be interested if any of your readers have
come across this and worked with it.
Al in Joburg

***COMMENT FROM CATHRYN IN AUSTRALIA***

Dear John
Thanks for the link. I have just had a quick wizz
through the site and I think what you are doing is
brilliant, worthy and highly commendable. Good on
you.

I first met you maybe around 2002 or 3 when you
were still in Brisbane. I did one of your
introductory CST courses and really enjoyed it. I
believe that the school wound down shortly
thereafter (my memory is not the greatest so
perhaps this is not quite the case). Anyway, I was
keen to look more deeply into CST which led me to
doing Patricia Farnsworth myofascial release/cst
course and then Roger Gilchrist came to Australia
for 4 years to teach biodynamic CST.

I have also studied with Mike Boxhall in England,
who I think is wonderful and have made contact
with Charles Ridley whose writings really inspire
me. Since then I enrolled in osteopathy at RMIT in
Melbourne, thinking this would take me more deeply
into the world of CST. I have just finished my
first semester there and it has been somewhat of a
let down. I really hear you when you talk about
problems with CST training or training of any
hands on healing modality. I find that the push
towards health degrees and measurable outcomes is
taking away from the power of the apprenticeship,
“hands on” model and I lament this.

I had studied at university before, but this was
in the arts faculty in the early 90′s.  The
science faculty as I find it in the late noughties
is a very different world. The lecturers are
generally not very competent or inspiring teachers
and they seem to find students a nuisance rather
than an opportunity. One of them told me I was
only allowed to ask one question per semester and
seeing as I had already used up my quota in the
first week, that was it.

I thought he was joking, but he wasn’t! This was
disappointing because he is a very knowledgeable
anatomist and I wanted to pick his brains, but
obviously this is not meant to be. Some of the
osteo lecturers find my questions challenging and
potentially threatening, especially the ones
firmly entrenched in the biomechanical model.

On the first day of practical osteo classes, we
practiced range of motion on the lower lumbars.
The technique left me with an instant sore back
and I had to self-treat with cranio work for the
next two days to relieve it! I thought, do I
really want to learn and be subjected to this? I
enjoy the philosophy and principles of osteopathy,
however, the prac classes seem pretty basic and
archaic compared to CST. I feel like it is a
backwards step for me. However, I have enjoyed
delving more deeply into the anatomy and
physiology, so my intention is to continue with
the medical sciences part of the course and drop
the osteopathic parts. Did you know that
osteopathy in the cranial field is only briefly
touched upon in 5th year?  All the rest of the
time is spent on HVLA, MET, counterstrain,
myofascial release, etc.

Many of my CST colleagues lament that they never
studied osteopathy and they seem to hold it up as
the holy grail of osteopathy.  This is not my
experience I can now say and I am glad that I
checked it out. I noticed that osteopaths in
Australia all have a pretty similar and extensive
training but in my experience there are some
pretty ordinary osteos around.

I am obviously not a fan of the “rub and crack”
school. And I have found a few gems whom I highly
admire and have as mentors. So this makes me
ponder what makes the difference b/w the
practitioners I adore versus the ones whose
treatments either leave me feeling worse or at
best, like I didn’t even have a treatment. I put
this down to the more subtle realms that CST takes
the time to unpack and explore. Consciousness,
presence, empathy, openness, etc. Such vital
qualities in a health practitioner of any
persuasion in my opinion.

So really what I want to say to you is good on
you. I admire the time and energy you put into
your newsletter and website to expose more people
to CST and encourage a discussion around all
things CST. I think this is vital work to bring
together a sense of community and to share ideas.

I notice the osteos have a very close knit
community and I think there is strength in that. I
love the opportunity to exchange ideas,
information, experiences with other health
practitioners with a biodynamic bent (gentle and
holistic). Also, I think that osteopathy is held
up as something quite exclusive and prestigious in
comparison to CST. They go to great lengths to
align themselves as primary practitioners with a
solid medical training. It seems that in turn, the
medical world rejects them and they are not really
embraced by the ‘natural therapies’ brigade
either. They are positioned in a potential no-
man’s land or on the flip side a potential
powerful middle way.

My greatest wish is to study this ‘stuff’ with a
mentor, one on one. I think anyone can teach
themselves certain things like anatomy and
physiology out of a book, but the influence of
someone who has walked the path before is
invaluable to point out some of the pitfalls, the
shortcuts and which bits of the scenery are worth
lingering on.

I have a chiropractic friend who I have great
discussions with, and he maintains that he could
teach me the ‘guts’ of the chiro 5 year training
in an afternoon and I believe him. This work isn’t
hard, as such, but the universities certainly turn
it into a cerebrally challenging exercise filling
the students heads with reams of facts at the
expense of understanding.

A phrase that speaks so much to me is “lose the
techniques” as I heard from Gangaji. After all the
study, to let it all go, and see what arises, to
follow the heart and the gut and the fingers and
the senses and feelings and to give the mind a
rest.  This is what I love and see as the power of
biodynamic CST.

So in conclusion, I think any monkey can be taught
the techniques, the vital part is how they are put
together in the final package, the quality of the
touch and the presence and care of the
practitioner.

I wish you all the best with this project.
kind regards

Cathryn Nitschke
somewhere between Brisbane, Melbourne and
Adelaide.

MY COMMENTS:

Thank you for all your kind words Cathryn.
What a great letter.  I cannot agree with you more
about the mentors, they are vital.

I think I was lucky because that whole,
‘osteopaths are a more exalted form of cranio
sacral therapist’ thing was nipped in the bud for
me early in my training.

Liz Kalinowska (http://www.craniosacralstudies.co.uk/about/frames.html)
was one of my tutors.  She told me that she
had become an osteopath first because she thought
it would prepare her to become a cranio sacral
therapist.  She spent 7 years becoming an
osteopath.  She told me she felt she had wasted
her time.  If anything she had to unlearn some of
what she was taught.

I have found over the years that it is very
hard to resist the temptation to ‘pop’ something
back into place if you know how.  I am lucky
because I never learned how to do any thrusting or
strong techniques so I don’t know how to ‘pop’
things back into place.   I am forced to sit and
wait and that is one of the reasons why I, and the
people I have trained, get such great results.

***QUESTION***

Hi John

Thank you for the very valuable information shared
by you and other CS therapists.  I’ve been a
little out of circuit lately – life’s little
challenges – so even though you may have not had a
response from me, I’m still keen to remain
connected.

My preference would be more frequent shorter news
rather than the other.
Kindly advise what the donations will be used for.

Any suggestions for therapist burn out? A long
awaited holiday is needed, I know ,and am busy
working toward one.  My forearms are taking strain
and was told that Kinesiology NOT treatment can
help.  I’m pretty good at caring for myself but
what with juggling teaching yoga, CST, VM and my
latest baby, doing readings it has all suddenly
caught up with me.  I keep the yoga, therapy and
readings for separate days giving me enough time
to replenish.  Please throw some light (energy) on
this subject.

Kindly yours

Peni in Cape Town

MY COMMENTS:

Hello Peni,
There are lots of different energetic
considerations when considering burnout but the
one that stands out to me, from what you have
written, is that you are doing A LOT!

It may be nothing to do with any of the
therapies that you are doing individually.  It may
be that you are doing so many plus your new baby.
I’m getting tired just thinking about it.

It sounds like you know what I am going to say
next but I’ll say anyway.  It’s important to find
a way, that works for you, of removing any
residual energy after you treat someone.

For some people this means a full shower for
others it is simply letting water run over their
hands.

Avoid seeing too many people in a week.  I have
found that somewhere between 12 and 18 adults is
about as much as most people can treat with cranio
sacral therapy without burning out very quickly.

Even if you find a way of removing excess
energy after each person and you don’t see too
many people you will still need to take a break
every 3 months for at least 7 days.

On top of all that you need to take a long
break, around 6 months, every 10 years.

It took me 12 years to figure that one out.

What will the donations be used for?

Well mainly to keep me in cigars and wine, oh
yes and also to help me run open source cranio.
It takes a lot of time and I do have to pay for
things like web hosting etc.  I also plan to put
teaching videos on the site and these all cost
money to make.

Primarily the ‘donate’ button is an opportunity
for people to give back.  This is good for me, not
just because of the cigars and wine, but also
because it’s important to be able to receive, me
included.  I have found that if you can’t receive
comfortably then you can’t really give.

***QUESTION***

Dear John,
Thank you for your wonderful newsletters they are
so helpful.  I find your wellness detective agency
idea novel and very useful.

I have a particular patient with chronic fatigue
and Fibromyalgia for 6 years.  She is in a lot of
pain.  The cranio sacral treatment itself is going
reasonably well but I feel she has emotional
issues that make her condition worse.

I have broached exploring the emotional causes of
her condition with her but she becomes very
defensive and then frustrated and then despairing.

Do you have any suggestions on how to approach
these issues with her.

Thanks again.

PM
Perth.

MY COMMENTS:

The secret weapon of cranio sacral therapy is
silence.

Personally, I can talk a lot about the other
stuff.  Why the person might be sick and so on.
I can talk about that stuff so much I wrote a book
about it for crying out loud.

But for some people talking can only make
things worse.  They will usually have been sick
for some time, like your patient, and will usually
have seen quite a few other therapists.  They will
have a number of theories crashing around in their
heads as to why they are ill.  Ironically each new
‘helpful’ perspective you might offer can push
them deeper into confusion rather than helping to
clarify.

That’s when silence really works. Just let them
get on the table and begin your work.  You can
chat with them but don’t initiate it or keep it
going.  Eventually silence descends and in that
silence and the depths of your work, changes will
percolate to the surface from the depths of them.

Over time deep changes will occur and no one
will talk about it.  Sometimes if you are lucky
they will tell you an insight they may have had
and when they do it will usually have a deep ring
of truth to it.

So that’s it for this issue.

Cheerio for now.

Your Mate,

John D.

Osteopathic Training

Posted July 2nd, 2008 in Newsletter Archive by John Dalton

+ Comment from Cathryn Nitschke in Australia
about her Osteopathy training and how it
compares to cranio.

Dear John
Thanks for the link. I have just had a quick wizz
through the site and I think what you are doing is
brilliant, worthy and highly commendable. Good on
you.

I first met you maybe around 2002 or 3 when you
were still in Brisbane. I did one of your
introductory CST courses and really enjoyed it. I
believe that the school wound down shortly
thereafter (my memory is not the greatest so
perhaps this is not quite the case). Anyway, I was
keen to look more deeply into CST which led me to
doing Patricia Farnsworth myofascial release/cst
course and then Roger Gilchrist came to Australia
for 4 years to teach biodynamic CST.

I have also studied with Mike Boxhall in England,
who I think is wonderful and have made contact
with Charles Ridley whose writings really inspire
me. Since then I enrolled in osteopathy at RMIT in
Melbourne, thinking this would take me more deeply
into the world of CST. I have just finished my
first semester there and it has been somewhat of a
let down. I really hear you when you talk about
problems with CST training or training of any
hands on healing modality. I find that the push
towards health degrees and measurable outcomes is
taking away from the power of the apprenticeship,
“hands on” model and I lament this.

I had studied at university before, but this was
in the arts faculty in the early 90′s.  The
science faculty as I find it in the late noughties
is a very different world. The lecturers are
generally not very competent or inspiring teachers
and they seem to find students a nuisance rather
than an opportunity. One of them told me I was
only allowed to ask one question per semester and
seeing as I had already used up my quota in the
first week, that was it.

I thought he was joking, but he wasn’t! This was
disappointing because he is a very knowledgeable
anatomist and I wanted to pick his brains, but
obviously this is not meant to be. Some of the
osteo lecturers find my questions challenging and
potentially threatening, especially the ones
firmly entrenched in the biomechanical model.

On the first day of practical osteo classes, we
practiced range of motion on the lower lumbars.
The technique left me with an instant sore back
and I had to self-treat with cranio work for the
next two days to relieve it! I thought, do I
really want to learn and be subjected to this? I
enjoy the philosophy and principles of osteopathy,
however, the prac classes seem pretty basic and
archaic compared to CST. I feel like it is a
backwards step for me. However, I have enjoyed
delving more deeply into the anatomy and
physiology, so my intention is to continue with
the medical sciences part of the course and drop
the osteopathic parts. Did you know that
osteopathy in the cranial field is only briefly
touched upon in 5th year?  All the rest of the
time is spent on HVLA, MET, counterstrain,
myofascial release, etc.

Many of my CST colleagues lament that they never
studied osteopathy and they seem to hold it up as
the holy grail of osteopathy.  This is not my
experience I can now say and I am glad that I
checked it out. I noticed that osteopaths in
Australia all have a pretty similar and extensive
training but in my experience there are some
pretty ordinary osteos around.

I am obviously not a fan of the “rub and crack”
school. And I have found a few gems whom I highly
admire and have as mentors. So this makes me
ponder what makes the difference b/w the
practitioners I adore versus the ones whose
treatments either leave me feeling worse or at
best, like I didn’t even have a treatment. I put
this down to the more subtle realms that CST takes
the time to unpack and explore. Consciousness,
presence, empathy, openness, etc. Such vital
qualities in a health practitioner of any
persuasion in my opinion.

So really what I want to say to you is good on
you. I admire the time and energy you put into
your newsletter and website to expose more people
to CST and encourage a discussion around all
things CST. I think this is vital work to bring
together a sense of community and to share ideas.

I notice the osteos have a very close knit
community and I think there is strength in that. I
love the opportunity to exchange ideas,
information, experiences with other health
practitioners with a biodynamic bent (gentle and
holistic). Also, I think that osteopathy is held
up as something quite exclusive and prestigious in
comparison to CST. They go to great lengths to
align themselves as primary practitioners with a
solid medical training. It seems that in turn, the
medical world rejects them and they are not really
embraced by the ‘natural therapies’ brigade
either. They are positioned in a potential no-
man’s land or on the flip side a potential
powerful middle way.

My greatest wish is to study this ‘stuff’ with a
mentor, one on one. I think anyone can teach
themselves certain things like anatomy and
physiology out of a book, but the influence of
someone who has walked the path before is
invaluable to point out some of the pitfalls, the
shortcuts and which bits of the scenery are worth
lingering on.

I have a chiropractic friend who I have great
discussions with, and he maintains that he could
teach me the ‘guts’ of the chiro 5 year training
in an afternoon and I believe him. This work isn’t
hard, as such, but the universities certainly turn
it into a cerebrally challenging exercise filling
the students heads with reams of facts at the
expense of understanding.

A phrase that speaks so much to me is “lose the
techniques” as I heard from Gangaji. After all the
study, to let it all go, and see what arises, to
follow the heart and the gut and the fingers and
the senses and feelings and to give the mind a
rest.  This is what I love and see as the power of
biodynamic CST.

So in conclusion, I think any monkey can be taught
the techniques, the vital part is how they are put
together in the final package, the quality of the
touch and the presence and care of the
practitioner.

I wish you all the best with this project.
kind regards



Cathryn Nitschke
somewhere between Brisbane, Melbourne and
Adelaide.

>>>MY COMMENTS:

Thank you for all your kind words Cathryn.
What a great letter.  I cannot agree with you more
about the mentors, they are vital.

I think I was lucky because that whole,
‘osteopaths are a more exalted form of cranio
sacral therapist’ thing was nipped in the bud for
me early in my training.

Liz Kalinowska was one of my tutors.  She told me
that she had become an osteopath first because she
thought it would prepare her to become a cranio
sacral therapist.  She spent 7 years becoming an
osteopath.  She told me she felt she had wasted
her time.  If anything she had to unlearn some of
what she was taught.

I have found over the years that it is very
hard to resist the temptation to ‘pop’ something
back into place if you know how.  I am lucky
because I never learned how to do any thrusting or
strong techniques so I don’t know how to ‘pop’
things back into place.   I am forced to sit and
wait and that is one of the reasons why I, and the
people I have trained, get such great results.