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■Latest News
Two Thai psychiatrists visited the Center for Morita Therapy for two weeks. Dr. Nantawat Sitdhiraksa is an attending psychiatrist in the Department of Psychiatry at Mahidol University in Thailand. He and Dr. Kristipong Aranyasit, a third-year resident of Mahidol University, visited our center for two weeks to learn Morita Therapy in January, 2010. Dr. Nantawat's first encounter with Morita Therapy dates back a few years when he first visited our center for a short time with a group of Asian psychiatrists. He became interested in Morita Therapy and sought ways to learn it more... He wrote a story on his experience during his stay.

A passage in Tokyo, the Morita Experience


Morita Therapy

Morita Therapy was created by Dr. Shoma Morita, the founding professor of the Department of Psychiatry at Jikei University School of Medicine, in Japan, around 1920, and has developed independently from other forms of psychotherapy in Europe and the U.S. Morita Therapy is very unique in its understanding of the mechanism of anxiety and its treatment methods. Three major characteristics of Morita Therapy are: 1) Morita Therapy sees anxiety as one of the natural feelings that every human being has. 2) People become anxious because they desire to perform well and feel afraid of failing and making mistakes. In Morita Therapy, anxiety and people’s desires to live good lives are considered as two sides of the same coin and they are both natural feelings for all human beings. By understanding this mechanism, patients can get out of this vicious circle between attention and intensified feelings. 3) Consequently, people get better when they stop trying to eliminate anxiety and fears rooted in their symptoms and when they accept these feelings as their natural feelings. With Morita Therapy, patients learn to accept anxiety as it is (this is called “Arugamama”), capitalize on their characteristics and potentials, and actualize their desires to live good lives in their actual personal and social lives. Total elimination of anxiety cannot be in people’s best interest as it can lead them to deny their desires to make as good a life as they can for themselves.

Morita Therapy is good for:
・ Social Anxiety Disorder

・ Panic Disorder

・ Obsessive Compulsive Disorder

・ Somatoform Disorder

・ Generalized Anxiety Disorder

・ Chronic Depression

○ Morita therapy is especially effective for:
  Those who have a strong desire to improve themselves
  Those with neurotic characteristics, such as being introverted, hypersensitive, perfectionistic, and hating to lose
  In principle, Morita Therapy is not adapted for schizophrenia or mania.


How do people get fixated by their worries, anxieties, and fears?


It is often the case with depressive and neurotic patients to make every effort to eliminate their uncomfortable inner reactions (such as anxiety and fear). However, this does not often lead them to what they are eager to achieve. On the contrary, the more they try to get rid of these feelings, the more they get focused on them, get bound by them, and fall into a vicious circle between attention and intensified feelings. Thus, people get fixated on their worries, anxieties, fears, as well as irritating inner reactions and symptoms. (This is called “psychic interaction.”)


How can they leave the vicious circle?
In Morita Therapy, these uncomfortable inner reactions (such as anxiety and fear) and the desire to live are considered as two sides of the same coin. People have desires to ”live a good life,” so they worry and become anxious; anxiety is a reflection of our desires for good lives. Knowing this mechanism, you can see how patients can benefit from accepting their anxiety as one of their natural feelings and go on with their lives. By accepting anxiety as it is, they can leave behind their mindset that is fixated on their symptoms and start using their energy and resources in order to work out their desires more effectively and realistically. As they go through Morita Therapy (either in outpatient or inpatient treatment), patients learn to experience their feelings and see the facts as they are. Through this process, patients are likely to be able to notice their healthiness, as well as a variety of the natural rich feelings they have, and to accept themselves as they are.

What is Morita Therapy Inpatient treatment like?
The First Stage:
〜Isolation and Bed-Rest〜

The patients, in principle, spend a week in isolation. While they rest for a week many thoughts and feelings may come up in their minds, and they are advised not to act on eliminating them but to take them as they are. During the first stage, a doctor makes a brief visit to their rooms everyday to see how they are.
The Second Stage:
〜Light Occupational Work〜

The patients go out of their rooms into the fresh air after the Isolation and Bed-Rest Stage and spend most of their time making observations on the environment and being involved in light individual work (such as wood-carving and ceramic art) for five days. They are advised to do what they need to do without being swept away by their moods and symptoms.
The Third Stage:
〜Intensive Occupational Work〜
 The patients work and cooperate with other members of the inpatient unit in doing chores and taking care of animals, plants, and flowers. Every month they also have events such as excursions, sports, and summer and Christmas parties. Patients are the ones who do the planning and take leadership of these events, and in doing so, they get opportunities to learn to cooperate with others and take leadership roles. In the Third Stage, it is important to get actively involved in what they need to do in their daily activities and chores no matter how they are bothered by their anxiety and symptoms. By concentrating on what they are doing, they can leave their fixations on their uncomfortable feelings and symptoms, and realize their desires to live good lives that they have in their inner selves in more constructive and realistic ways.
The Fourth Stage:
〜Preparation for Going Back to their own Daily Life〜

The patients take a week to a few weeks for preparation to get back to their society. During the Fourth Stage, they can go home, spend a day to a few days at home, visit their work and make necessary arrangements if needed, to see how they are back at home and work and how they can manage the anxiety and worries they had prior to starting the inpatient treatment. This process enables them to return to their own living environments as smoothly and adaptively as possible.
  We ask patients to keep a diary everyday during Stage-, which is used for their treatment.

What is Morita Therapy Outpatient treatment like?

We also provide outpatient Morita Therapy for those who wish to receive therapy while attending school and going to work, as well as for those who have difficulty staying in the hospital for economic and other reasons. Outpatient treatment is provided by doctors and clinical psychologists who specialize in Morita Therapy. Diary-keeping may be used in outpatient treatment as well, when patients are considered to benefit from it.




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