Music Therapy and Talk Therapy

Mental health is a growing area of discussion and concern in healthcare. Doctors typically prescribe people with mental illnesses one or more medications and may encourage them to see a therapist or psychiatrist. Common therapy techniques are typically coined “talk therapy”, since the concentration is on verbal discussion and processing. Combined treatment of both medication and therapy is typically seen as the effective form of treatment, and recent research states that talk therapy alone is seen as 75% effective (https://www.apa.org/topics/psychotherapy/understanding). For some, talk therapy and/or medication alone may be less effective or not provide the care and help you need. Others may find verbal processing to be difficult or inaccessible, and may need a different medium to explore.

Creative and expressive therapeutic alternatives, like music therapy can help provide a unique alternative or addition to talk therapy, using musical experiences and interventions and through a combination of verbal and nonverbal processing. Music therapy can be individualized to support specific areas of growth and goals, such as learning/establishing healthy coping skills, identifying and/or processing difficult emotions or situations, or encouraging positive view of self. According to Lee & Thyer (2013), both the use of music therapy alone and music therapy in addition to standard care (therapy and medication), is often followed by enhanced mental health outcomes among adults. 

Music therapy may be beneficial to people living with a variety of mental health needs, such as anxiety, depression, bipolar disorder, obsessive compulsive disorder, or psychosis. Interventions and music therapy techniques can be tailored to the individual’s interests and needs as well as the diagnosis or symptoms. For those struggling with anxiety and depression, songwriting, song discussion, and music assisted relaxation may help to improve symptoms, while active music making, singing, and active listening may help those experiencing psychosis or related symptoms. 

It is important to note that while music therapy can be a helpful addition or alternative to talk therapy, music therapists are not a replacement for intensive psychotherapy. Music therapists are trained and certified clinicians who implement music-based activities with counseling techniques, and are not equivalent to licensed psychologists or mental health counselors. For this reason, music therapy is often recommended in addition to standard care for people experiencing higher support needs. 

Anna Laura McAfee, MMT, MT-BC

Hiya! I’m Anna Laura, a board-certified music therapist (MT-BC) in Nashville, TN. I’m from Western Arkansas, which is where I completed my Bachelor of Arts degree in music from the University of Central Arkansas with minors in interdisciplinary studies and psychology. During my bachelor's degree, I completed research on using music therapeutically with older adults with dementia and their family caregivers. In August 2018, I began the music therapy equivalency and master’s degree program at Appalachian State University in Boone, North Carolina. During the equivalency portion of my studies, I explored individual and group-based music therapy in older adult residential facilities, special education classrooms, after-school programs for teenagers, adult medical settings, and residential facilities for people with intellectual and/or developmental disabilities (I/DD). In December 2020, I completed my internship at Opportunities for Positive Growth in Marion, Indiana, where I provided individual and group music therapy for children, teenagers, young adults, adults, and older adults with I/DD, autism, and neurocognitive disorders.

After internship, I returned to Appalachian State to complete my master’s degree in music therapy (MMT). During my graduate coursework, my focus was mainly on promoting self-determination and self-advocacy in teenagers and young adults with I/DD who communicate in extraverbally/nonverbally. I have taken courses in play therapy, special education, and child and adolescent therapy. I have also completed a graduate practicum promoting social skills with neurodiverse college students post-COVID quarantine. In December 2021 I completed my thesis titled “Promoting Self-Determination in Individuals with I/DD who Communicate Extraverbally: Reflections and Implications for Practice”.

I have professional experience working in public schools, assisted living facilities, and inpatient and outpatient psychiatric hospitals, focusing on academic, emotional, social, and communicative strengths and areas for potential growth.

I am passionate about disability rights and self-advocacy, and my main emphasis as a clinician is to help promote autonomy and self-determination, build a trusting and therapeutic relationship, and to help provide a space in the music for people to be themselves and express who and where they are.

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Promoting Socialization through Music Therapy

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Adults with Intellectual and/or Developmental Disabilities & Music Therapy