The ramifications of lower limb amputation create practical barriers to mental wellness. The interrelationship of self-esteem, mobility, and depressive symptoms speaks to the need for counseling interventions that account for functional challenges posed by amputation. This research-based session will educate counselors on the interplay of self-efficacy and independent living in mediating mental health outcomes. The need to expand the applications of evidence-based, behavioral interventions is emphasized.
Audience members will learn the global prevalence rates of lower limb amputation, as well as the macrolevel ramifications of this pervasive, medical problem. Audience members will become aware of the interplay between psychological and pragmatic consequences of lower limb amputation, as they mediate counseling outcomes. In particular, audience members will become aware of the manner in which interpersonal conflict and functional impairment increase psychological stress (Anderson et al., 2017).
Audience members will learn the importance of interdisciplinary approaches for effective risk assessment. As evidenced by the literature on lower limb amputation, audience members will learn the potential value of preventative measures, individualized care and comprehensive rehabilitation interventions in improving psychological outcomes, post-amputation. Audience members will also learn the importance of assessing each client’s unique risk; as it is mediated by individual biosocial, demographic and cultural factors (Esquenazi & Yoo, 2012).
Professional counselors at all stages in their training will learn about the potential for skills-based interventions to improve quality of life for clients contending with a physical disability (McKenzie, Simpson & Stewart, 2009). In accordance with Williamson’s (1998) activity-restriction model of depression, routine disruption can lead to depressed affect and diminished self-efficacy. Clients who receive support to regain and sustain ADL functioning can develop independent living skills concurrently with improvements to self-efficacy. Adaptive, integrative approaches that recognize the relationship between pragmatic and psychological challenges are essential for improving client outcomes. It is the role of counselors to facilitate pragmatic and behavioral changes that will improve clients' quality of life outside the clinic doors.