Introduction : We have been practicing psychodrama within the Adlerian framework for many years in Japan. However, we have experienced that the problem solving techniques of psychodrama are sometimes too confronting for Japanese clients including psychosomatic patients.

Method : Traditional Japanese martial art techniques are techniques developed for survival when a person feels they are in an inferior position. The technique we propose can lead clients to act so that they can cope with situations when they have inferiority feelings and when their body and breathing are in an unnatural state.

Results : We found that incorporating traditional Japanese martial art techniques into psychodrama can be very effective in solving interpersonal problems. We have experimented it by implementing these techniques into psychodrama and have found that through this method a practical solution to a problem is enabled while reducing stress on the client.

Discussion : We have found when using this technique, most clients have been able to act in practical and rational ways without any suggestions from the therapist or cognitive insight. We suggest that the effectiveness of this technique comes from the client’s body undergoing a chance to become more balanced, enabling the client’s innate social interest to be enhanced, and thus allows the client to respond more appropriately to the situation. We have found that this method can be applied to many clients, but suggest that may not be suitable if changes in body feeling may be dangerous for the client or the client is not sensitive to accept changes in the condition of their body.

The author how developed a new brief trauma therapy for complex PTSD by using manually BSL tapping on discomfort body places. It is not uncommon for ordinary protocols to cause abreactions, but trauma treatment can proceed by treatment with a refractory targeting physical discomfort caused by flashbacks. By this short trauma treatment, taking a small amount of prescription medication, and taking Chinese herbal medicine make it possible to safely treat cases of complex PTSD.

Comorbidity rates of personality disorders among clinical patients with eating disorders are higher than expected. Hilde Bruch continued to insist on “the necessity of addressing these patients’ long-standing and serious personality problems.” Both strict attitudes towards eating disorder behaviors and warm concerns (validation) regarding problems of personality are essential as core principles of treatment for eating disorders. If both are accomplished, patients can achieve remission on an outpatient basis. Many young women become underweight due to the influence of the cultural perception that thinness is attractive. Although malnutrition decreases longevity, these risks have been overlooked. From this perspective, the thinness of models portrayed in the media and social networks should be controlled.

“Expert consensus recommended guidelines for better collaboration between schools and medical institutions concerning eating disorders” (hereinafter referred to as the recommended guideline) was completed in 2017. “Care for children with eating disorders and their family (hereinafter referred to as the pamphlet)”, which was distributed as a part of suport for Yogo teachers in 2012, was revised based on the recommended guidelines in 2018. In this article, we showed the process up to completion, contents, the effect of the workshop, the actual case in connection with the recommended guideline and the pamphlet. We expect to enlighten teachers and build up a better cooperation system in schools with the use of the recommended guidelines and the pamphlet as two wheels of the support for Yogo teachers.

The background of the increase in children with eating disorder is an increase in cases of pre-pubertal onset and bulimia transition, and coexistence of autism spectrum disorder.

Avoidant/Restrictive Food Intake Disorder (ARFID) was added to the diagnostic criteria of DSM-5. Children often experience ARFID. In establishing a better framework of support for eating disorders, Yogo teachers are important for early identification and prompt support. We will conduct research in 2014 by Health and Labor Sciences Research Grant as a part of the survey, 503 Yogo teachers in Saitama prefecture were surveyed about awareness and experience of eating disorders. In that way, we clarified the role of Yogo teachers in early detection and prompt support of eating disorders with children. In addition, our hospital is implementing a hospitalization treatment program based on the guideline collection of Japanese Society of Psychosomatic Pediatrics, and in the latter period of hospitalization we conduct school collaboration towards social reintegration after discharge. We introduce school collaboration in 62 eating disorders with children who were admitted to hospitalization from January 2013 to November 2017.

Collaboration of medical institutions with schools in the treatment of eating disorders is indispensable throughout the treatment.

This time, I reported on collaboration of the medical institution with the school in support of adolescent patients with Anorexia Nervosa Restricting Type that needed inpatient treatment.

How to spend at school greatly affects the treatment. Collaboration of medical institutions with schools reassures the patients and their families. That can also greatly contribute to recovery, because that increases their motivation and creates their challenge to recover.

Therefore, it is extremely important for schools and medical institutions to keep in close contact with each other and practice support according to wishes and difficulty of patients and their families under common understanding. By utilizing the correspondence guidelines, while respecting each other’s circumstances, considering and practicing the correspondence together enables us more diverse support.

Objectives (Background) : Gut-Directed Hypnotherapy (GDH) for Irritable Bowel Syndrome (IBS) has been reported as effective in major Western countries. This case report introduces hypnotic age-regression therapy for a male patient with IBS diarrhea-type which has been affecting him for a year.

Subject : A 49-year-old male patient with IBS RomeⅣ criteria diarrhea type. He has been suffering from abdominal pain and diarrhea since elementary school, and recently has been experiencing abdominal pain 3 days per week and diarrhea almost daily. It is also notable that he lost his mother when he was 8 years old.

Method : The client undertook a 3 hour hypnotic age-regression therapy. During the session, he recalled memories before and after his mother’s death, and was guided to alter his cognition.

Results : After the session, the IBS condition improved. Psychological tests indicated a decrease in depression and anxiety scale and improvements in QOL, which has been continuing for a year since.

Conclusion : 1) Hypnotic age-regression therapy could be a better choice for patients who prefer short-time therapy. 2) This therapy could also be effective for those who did not respond to GDH and, 3) for those who were affected by trauma in their early life.